Foot and Ankle Surgery
The feet and ankles are tasked with holding the body upright and keeping it in motion with ease and comfort. When an injury, disease, or disorder occurs, your ability to stand, walk, or run can be significantly compromised. Utilizing the latest techniques and technologies, our board certified orthopaedic surgeons can help reduce pain and restore function in less time than ever before. We treat a comprehensive range of foot and ankle conditions, and we emphasize a conservative, minimally invasive approach foremost.
Don’t let foot and ankle discomfort limit your quality of life. Follow the links below to learn more about the treatments we offer. Our experienced physicians can customize a treatment plan during your initial consultation that optimizes your outcome.
- Achilles Tendinitis
- Ankle Sprain
- Bunion/Hallux Abductovalgus Deformity
- Flatfoot/Pes Planovalgus Deformity
- Hallux Limitus/Rigidus
- Midfoot/Lisfranc Sprain
- Nerve Abnormalities/Injuries
- Osteochondral Injuries
- Plantar Fasciitis
Most Achilles tendinitis issues, particularly if caught early, are treated conservatively with rest, ice, stretching, heel lifts, orthotics, and physical therapy. If conservative treatment is ineffective, casting or completely immobilizing the ankle for a period of time can also be very helpful. This can be a progressive condition, so seeking help as early as possible is recommended. Tendinitis can become tendinosis or even a full rupture over time if left untreated.
Ankle sprain treatment usually involves a period of rest, bracing, ice, and elevation followed by a course of physical therapy. Most ankle sprains respond to conservative treatment.
If an individual continues to experience pain, weakness, swelling, or is unable to return to pre-injury activity as a result of an ankle injury, then surgery can be very helpful in resolving any refractory symptoms. Surgery can often allow the patient to return to their desired activity.
There are many conservative ways to treat arthritis of the foot and ankle, including options such as orthotics, bracing, medication, rest, and cortisone injections. However, if symptoms persist and function is altered, then surgery can be beneficial. Surgery often involves joint replacement or arthrodesis (fusion) of the involved joint or joints.
Bunion/Hallux Abdoctovalgus Deformity
Bunions can be mild, moderate, or severe. Mild bunions can respond to changes in shoe wear, orthotics, rest, ice, medication, and cortisone injection. Moderate-to-severe bunions often require surgery through realignment osteotomy (cutting of the bone). Osteotomies for bunion correction are performed in order to re-establish the first metatarsophalangeal (big toe) joint alignment and to correct any abnormal big toe position. An operation can provide long-term relief from this often progressive condition.
Flatfoot/Pes Planovalgus Deformity
Adult-acquired flatfoot can become rigid, arthritic, and can progress in spite of conservative treatment. If non-surgical methods, such as physical therapy, injections, and anti-inflammatories, prove ineffective, surgery can help to restore proper alignment, improve function, decrease pain, and allow one to return to a more active lifestyle. In some cases, the operation will involve realignment osteotomy (removal of bone), soft tissue balancing, fusion (arthrodesis), and/or tendon transfer or repair. In younger children, flatfoot typically can be addressed with custom-made orthotics and minimally invasive therapies.
Most fractures can be addressed non-surgically with the use of immobilizing devices like a cast or splint. If the fracture is displaced, however, surgery may be necessary to realign and stabilize the injury. Bone screws with or without plates may be placed to enhance results. After the procedure, a cast or boot will be used for a period of time, followed by the use of a walking boot or brace in addition to physical therapy.
Hallux limitus is the second most common foot condition after bunion, and it is often progressive as well. Conservative treatment of the hallux limitus includes injections, anti-inflammatory medications, orthotics, and activity modifications. Surgery may be necessary when the condition becomes rigid, painful, and/or is unresponsive to conservative treatment. Our skilled surgeons can perform an operation to clean up and remove arthritis, replace the joint (arthroplasty), or fuse the joint (arthrodesis) to relieve pain associated with this issue. Function often can be significantly improved by this procedure.
Most cases of hammertoe can be treated non-surgically. This common condition often can be addressed using tape, injections, anti-inflammatory medication, and/or orthotics. Occasionally, a type of surgery called digital straightening can be used to correct the form of the affected toe or toes.
Although this condition can take several weeks to heal, Lisfranc sprains typically can be treated using non-surgical methods, including rest, a period of non-weight bearing and protected weight bearing, and physical therapy. Rarely, surgical intervention can be performed to stabilize or fuse the Lisfranc joint.
There are several different types of conditions and injuries that can cause nerve abnormalities. Treatment for this issue will depend on the cause of the discomfort, weakness, tingling, or pain. Fortunately, conservative therapies are often effective, and include offloading, orthotics, injections, anti-inflammatory medications, physical therapy, rest, and improved biomechanics. Additionally, surgery may be recommended in the event that symptoms persist even after trying non-surgical approaches. An operation to release or remove the nerve (neurectomy) can help to relieve pain in the long-term.
Physical therapy, bracing, and rest may be helpful in reducing the symptoms of an osteochondral injury; however, if symptoms persist, surgery may be required. Surgery would include arthroscopy (scoping of the ankle) or an osteochondral (cartilage and bone) transfer. Surgery typically involves replacing the damaged joint area with healthy or fresh bone and cartilage. This operation can provide significant relief of pain and the full return of function.
Treatment often involves rest, ice, stretching, shoe wear modification, orthotics, cortisone injection, and physical therapy. Most plantar fasciitis resolves without surgery after a consistent and sometimes prolonged course of conservative treatment. In very rare cases where symptoms continue after attempting minimally invasive methods, surgical intervention may be recommended to partially release the plantar fascia.
Have additional questions? Our friendly and knowledgeable medical team can help. Contact us today for more information or to schedule a consultation.