 BUNION AND HAMMERTOE SURGERY
During your consultation, we will discuss the most appropriate treatment for your bunion and hammertoes. Our philosophy is to operate only when pain and deformity are limiting one’s current activities of daily living. When surgery is indicated, the goal is to restore alignment and function of the great and lesser toe joints.
Your evaluation will begin with a standing x-ray of your feet, which will be analyzed for the angular degree of deformity, bone and joint quality, and position of the great toe relative to the metatarsals. We will integrate these findings with your lifestyle and activity level, and draw from a combination of over fifteen surgical techniques and procedures to offer the best outcome. We use the most advanced, low-profile screws and pins to obtain fixation to promote a rapid healing and early return to function. Additionally, we partner with physical therapy post-operatively to get you back to the things you were doing, or wanted to, prior to surgery. |
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• Bunion Surgery
• Hammertoe Surgery
• Scarf Osteotomy
NEUROMA
Pain, burning, and numbness to the second, third and fourth toes may indicate the presence of a neuroma. Most neuromas may resolve with conservative treatment, including injection therapy, shoe modifications, and orthotic support. At times, removal of the affected portion of the nerve is necessary to resolve the symptoms, which done through a small surgical incision.
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• Neuroma
PAIN IN BALL OF FOOT
A common condition known as metatarsalgia can result in pain along the ball of the foot. This may be the result of abnormal metatarsal length and alignment, the presence of ligament and tendon tears, and local micro-trauma from shoes and/or overuse activities. We will assess the cause of your pain and prescribe an appropriate treatment plan. In some cases of chronic metatarsal pain, we offer realignment utilizing one of several surgical procedures, most commonly the Weil Metatarsal Osteotomy.
NAIL/SKIN PROBLEMS
INGROWN NAILS
Ingrown toenails most commonly occur on the big toenails, however, can occur on any digit. They are often the result of trimming your toenails too short, but in many cases there is a predisposition to recurrent ingrown nails due to a thickened tissue at the nail borders.. Shoes that are too tight or short also may exacerbate this condition. Initially, the nail acts as a foreign body, causing pain, inflammation, and redness. If left untreated, this will advance to an infection. Patients with diabetes or poor healing may develop a cellulitis. Antibiotics may sometimes be prescribed if an infection is present.
The offending border of the ingrown toenail (partial nail avulsion) most often needs to be removed if an acute infection occurs. The procedure involves injecting the toe with an anesthetic and cutting out the ingrown part of the toenail. If the problem is recurrent, a more permanent solution may be to remove and sterilize the nail root. These procedures are routinely performed in our office under local anesthesia and require minimal post operative care.
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