Category: Treatments

Lapidus procedure

The Lapidus procedure is a surgical procedure used to treat hallux valgus, a condition in which the big toe drifts away from the midline of the foot, causing a bunion. It involves fusing the first metatarsal bone to the medial cuneiform bone in the midfoot to correct the alignment of the bones and reduce the deformity. This procedure is typically reserved for cases of severe hallux valgus or for patients who have not responded to more conservative treatments.

During the procedure, the surgeon makes an incision on the top of the foot and removes a small piece of bone from the base of the first metatarsal. The metatarsal bone is then repositioned and fixed in place with screws or a plate to hold it in the desired alignment. Over time, the bones grow together and form a solid fusion, which helps to stabilize the midfoot and reduce the severity of the bunion.

After the surgery, the patient may need to wear a cast or brace for several weeks to protect the foot and allow the bones to fuse together. Physical therapy may also be recommended to help improve strength, flexibility, and range of motion in the affected foot. While the Lapidus procedure can be highly effective in correcting hallux valgus, it does require a period of immobilization and recovery, and may have some potential risks and complications, such as non-union, nerve injury, or infection. It is important to discuss the potential risks and benefits of the Lapidus procedure with a qualified healthcare professional before undergoing the procedure.

First metatarsophalangeal joint arthrodesis

A first metatarsophalangeal joint (1st MTPJ) arthrodesis is a surgical procedure that involves fusing the bones of the big toe (metatarsal) and the first bone of the toe (phalanx) together to create a solid joint. This procedure is typically performed to treat advanced arthritis, instability, or deformity of the 1st MTPJ.

During the procedure, the surgeon makes an incision on the top of the foot and removes the damaged joint surfaces of the metatarsal and phalanx bones. The bones are then placed in the desired alignment and held in place with screws, pins, or plates until they fuse together. Over time, the bones grow together and form a solid joint, which can help relieve pain and improve the stability and function of the foot.

After the surgery, the foot is immobilized in a cast or boot for several weeks, and physical therapy may be recommended to help regain strength and mobility in the affected foot. While 1st MTPJ arthrodesis can be highly effective in treating certain conditions, it does limit the range of motion in the big toe and may affect the gait or balance of the patient. It is important to discuss the potential risks and benefits of 1st MTPJ arthrodesis with a qualified healthcare professional before undergoing the procedure.

Subtalar joint arthrodesis

A subtalar joint arthrodesis is a surgical procedure in which the subtalar joint, which is located between the heel bone (calcaneus) and the ankle bone (talus), is fused together to create a single, solid bone. This procedure is typically performed to treat conditions such as severe arthritis, instability, or deformity of the subtalar joint.

During the procedure, the surgeon makes an incision on the side of the foot and removes the damaged cartilage from the subtalar joint. The bones are then positioned in the desired alignment and held in place with screws or other hardware. Over time, the bones grow together and fuse into a single, solid bone.

Subtalar joint arthrodesis is typically performed under general anesthesia and requires a period of immobilization in a cast or brace. Physical therapy is also recommended to help regain strength and mobility in the affected foot. While this procedure can be highly effective in treating certain conditions, it does limit the range of motion in the foot and ankle and may lead to an increased risk of arthritis in adjacent joints over time. It is important to discuss the potential risks and benefits of subtalar joint arthrodesis with a qualified healthcare professional before undergoing the procedure.

Instep fasciotomy (plantar fasciitis surgery)

An instep plantar fasciotomy is a surgical procedure that involves cutting a portion of the plantar fascia ligament in the foot to relieve tension and pain. The plantar fascia is a thick band of tissue that runs along the bottom of the foot, connecting the heel bone to the toes. When this tissue becomes inflamed or irritated, it can cause a condition called plantar fasciitis, which is characterized by pain and stiffness in the heel and sole of the foot.

During an instep plantar fasciotomy, the surgeon makes a small incision on the top of the foot, near the base of the toes, and cuts a portion of the plantar fascia ligament. This reduces tension on the ligament and relieves pressure on the affected area. The incision is typically closed with stitches, and the foot is immobilized in a cast or boot for several weeks to allow for proper healing.

While instep plantar fasciotomy can be an effective treatment for plantar fasciitis, it is typically reserved for cases that have not responded to non-surgical treatments, such as rest, stretching, and physical therapy. As with any surgical procedure, there are risks and potential complications associated with instep plantar fasciotomy, and it is important to discuss these with a qualified healthcare professional before undergoing the procedure.

Gastrocnemius recession (calf release)

A gastrocnemius recession, also known as gastrocnemius lengthening or calf muscle release, is a surgical procedure in which the gastrocnemius muscle is partially cut to relieve tension and tightness in the calf. This procedure is typically performed to treat a condition called equinus deformity, which is characterized by limited ankle dorsiflexion (the ability to pull the foot upward toward the shin).

During the procedure, a small incision is made in the skin over the gastrocnemius muscle, and the muscle is partially cut or released from its attachment to the heel bone (calcaneus). This allows the muscle to stretch more easily and reduces tension on the Achilles tendon and plantar fascia.

Gastrocnemius recession is often performed in combination with other procedures, such as Achilles tendon lengthening or plantar fascia release, to address the underlying cause of equinus deformity. Recovery from the procedure typically involves a period of immobilization and physical therapy to regain strength and flexibility in the affected leg. As with any surgery, there are risks and potential complications associated with gastrocnemius recession, and it is important to discuss these with a qualified healthcare professional before undergoing the procedure.

Yoga for foot health

Yoga can be a great way to improve foot health by promoting strength, flexibility, and circulation in the feet. Here are some yoga poses that can be beneficial for foot health:

  1. Tadasana (Mountain Pose): This pose helps to promote proper alignment and balance in the feet and ankles, while also improving circulation and reducing inflammation.
  2. Vrksasana (Tree Pose): This pose helps to strengthen the feet and improve balance and stability.
  3. Malasana (Squat Pose): This pose helps to stretch and strengthen the ankles and feet, while also improving flexibility in the hips and knees.
  4. Virasana (Hero Pose): This pose helps to stretch and strengthen the ankles and feet, while also improving circulation in the lower legs.
  5. Ananda Balasana (Happy Baby Pose): This pose helps to stretch and release tension in the feet, while also improving flexibility in the hips and lower back.

It’s important to remember to listen to your body and not push yourself too hard in any yoga pose. If you experience any pain or discomfort, it’s best to modify the pose or seek guidance from a certified yoga instructor or healthcare provider. Additionally, wearing proper footwear and taking breaks to stretch and move your feet throughout the day can also help to promote foot health.

Vitamin D for your feet

Vitamin D is an essential nutrient that is primarily known for its role in bone health. It helps the body absorb calcium and phosphorus, which are necessary for the development and maintenance of strong bones. However, vitamin D also plays a crucial role in other aspects of health, including the health of your feet.

Here are some ways in which vitamin D can be beneficial for your feet:

  1. Bone health: As mentioned, vitamin D is essential for bone health. Strong bones are necessary for healthy feet, as they provide the structure and support needed for walking and other activities.
  2. Muscle strength: Vitamin D also plays a role in muscle strength and function. Strong muscles are important for the health of your feet, as they help support the arches of your feet and absorb shock when you walk or run.
  3. Immune system function: Vitamin D is involved in immune system function and can help protect against infections and other illnesses that can affect your feet.
  4. Nerve function: Vitamin D plays a role in nerve function, which is important for the health of your feet. Nerve damage can cause problems such as numbness and tingling, which can affect your ability to walk and maintain balance.

Overall, getting enough vitamin D through your diet or supplements can help keep your feet healthy and promote strong bones, muscles, and nerves. However, it’s always a good idea to talk to your doctor before starting any new supplement regimen. They can help determine whether you need to supplement with vitamin D and how much you should take.

Vitamin C for your feet

Vitamin C is an essential nutrient that plays a crucial role in many bodily functions. It is necessary for the growth, development, and repair of tissues in the body, and it also acts as an antioxidant, protecting the body from damage caused by harmful molecules known as free radicals.

When it comes to your feet, vitamin C can be beneficial in several ways. For example:

  1. Wound healing: Vitamin C is required for the synthesis of collagen, a protein that is essential for wound healing. Therefore, consuming adequate amounts of vitamin C can help promote the healing of cuts, scrapes, and other injuries to your feet.
  2. Skin health: Vitamin C also plays a role in maintaining healthy skin, which is important for the health of your feet. It can help prevent dryness, cracking, and other skin problems that can affect the feet.
  3. Blood flow: Vitamin C is involved in the production of nitric oxide, a molecule that helps dilate blood vessels and improve blood flow. Good blood flow is essential for healthy feet, as it helps deliver oxygen and nutrients to the tissues in the feet.
  4. Nerve protection: Research shows that Vitamin C can protect you from developing nerve pain.

Overall, getting enough vitamin C through your diet or supplements can help keep your feet healthy and promote healing if you have any injuries or problems. However, it’s always a good idea to talk to your doctor before starting any new supplement regimen.

Swift microwave treatment for warts

Swift Microwave treatment is a relatively new treatment for warts that uses microwave energy to destroy the virus that causes warts. It is a non-invasive, quick, and effective treatment that is designed to reduce pain and speed up the healing process.

During the treatment, a handheld device emits microwave energy to the affected area, creating heat that destroys the virus. The treatment typically takes less than 5 minutes and may require several sessions to completely eliminate the wart.

Swift Microwave treatment is particularly effective for plantar warts, which are warts that develop on the soles of the feet. Plantar warts can be particularly stubborn and difficult to treat, but Swift Microwave treatment has been shown to be effective in a large number of cases.

Patients may experience some discomfort or redness in the treated area after the procedure, but this typically resolves within a few days.

Swift Microwave treatment is a safe and effective treatment option for warts, but it may not be appropriate for everyone. Your healthcare provider can help determine if this treatment is right for you based on your individual needs and medical history.

Subtalar joint implants for flat feet

Subtalar joint implants may be recommended for patients with flat feet or other foot deformities that affect the subtalar joint. The subtalar joint is located in the ankle and connects the talus bone to the calcaneus bone. It plays an important role in foot movement and stability.

A subtalar joint implant is a small device that is surgically implanted into the subtalar joint to help stabilize and realign the bones of the foot. The implant may be made of metal, plastic, or other materials and is designed to mimic the natural movement of the subtalar joint.

Subtalar joint implants may be recommended for patients with flat feet who have not responded to conservative treatments such as orthotics, physical therapy, or medication. The implant can help reduce pain, improve foot function, and prevent further damage to the foot.

However, like any surgical procedure, subtalar joint implant surgery carries some risks, including infection, bleeding, and nerve damage. Patients may also experience some pain and swelling after the surgery, and may need to wear a cast or brace for several weeks while the foot heals.

If you are considering subtalar joint implant surgery for flat feet, it is important to discuss the risks and benefits of the procedure with your healthcare provider to determine if it is the right option for you.