Foot & Ankle Surgery
At the foot and ankle centre we offer a comprehensive in house day surgery unit for foot and ankle surgery. The majority of the surgery is undertaken under local anaesthetic.
When is Foot Surgery Necessary?
Many foot problems do not respond to “conservative” management. Your podiatrist can determine when surgical intervention may be helpful. Often when pain or deformity persists, surgery may be appropriate to alleviate discomfort or to restore the function of your foot.
A common deformity of the foot, a bunion is an enlargement of the bone and tissue around the joint of the big toe. Heredity frequently plays a role in the occurrence of bunions, as it does in other foot conditions. When symptomatic, the area may become red, swollen and inflamed, making shoe gear and walking uncomfortable and difficult. If conservative care fails to reduce these symptoms, surgical intervention may be warranted. Your podiatrist will determine the type of surgical procedure best suited for your deformity, based on a variety of information which may include x-rays and gait examination.
A hammertoe deformity is a contracture of the toe(s), frequently caused by an imbalance in the tendon or joints of the toes. Due to the “buckling” effect of the toe(s), hammertoes may become painful secondary to footwear irritation and pressure. Corn and callus formation may occur as hammertoes become more rigid over time, making it difficult to wear shoes. Your podiatrist may suggest correction of this deformity through a surgical procedure to realign the toe(s).
An irritation of a nerve may produce a neuroma, which is a benign enlargement of the nerve segment, commonly found between the third and fourth toes. Several factors may contribute to the formation of a Neuroma.
Trauma, arthritis, high-heeled shoes, or an abnormal bone structure are just some of the conditions that may cause a Neuroma. Symptoms such as burning or tingling in the ball of the foot or in the adjacent toes and even numbness are commonly seen with this condition. Other symptom s include swelling between the toes and pain in the ball of the foot when weight is placed on it.
Those suffering from the condition often find relief by stopping their walk, taking off their shoe, and rubbing the affected area. At times, the patient will describe the pain as similar to having a stone in his or her shoe.
Your Podiatrist will suggest a treatment plan. If conservative treatment does not relieve the symptoms, then your podiatrist will decide, on the basis of your symptoms, whether surgical treatment is appropriate.
A protuberance of bone at the outside of the foot behind the fifth (small) toe, the bunionette or “small bunion” is caused by a variety of conditions including heredity, faulty biomechanics (the way one walks) or trauma, to name a few. Pain is often associated with this deformity, making shoes very uncomfortable and at times even walking becomes difficult. If severe and conservative treatments fail to improve the symptoms of this condition, surgical repair may be suggested. Your podiatrist physician will develop a surgical plan specific to the condition present.
A bone spur is an overgrowth of bone as a result of pressure, trauma, or reactive stress of a ligament or tendon. This growth can cause pain and even restrict motion of a joint, depending on its location and size. Spurs may also be located under the toenail plate, causing nail deformity and pain. Surgical treatment and procedure is based on the size, location and symptoms of the bone spur. Your podiatrist will determine the surgical method best suited for your condition.
Heel pain is also known as plantrar faciitis, which is the result of inflammation of the fascia on the sole of the foot. The palantar fascia is a dense fibrous band of tissue that inserts into the heel bone and spreads out across the bottom of the foot. With mechanical misalignment of the foot, excessive tension is placed on this band of tissue causing inflammation and pain.
The symptoms include pain in the centre of the centre of the heel during weight bearing. The pain is usually worst first thing in the morning, especially the first steps or following a period of rest. Pain is mostly described as sharp or aching and as pain intensifies, it can be present at rest.
Supporting the arch with orthotics helps to reduce the tension across the plantar fascia. Occasionally, cortisone injections may be injected into the inflamed area. If conservative measures fail and pain persists, then surgery to release the fascia is recommended.