When is Foot Surgery Needed?

Posted on: October 11th, 2012 by adminkf

Foot pain can be treated with conservative approaches. Sometimes surgical intervention is required. We can determine when surgical intervention may be helpful to the patient. When pain continues despite conservative approaches, surgery may be recommended to restore functionality to the foot.

Surgery on Tendons

For acute injuries or problem plantar fasciitis where tendons need to be lengthened or shortened depending on the issue.  Surgery can help to re-route functionality to improve the condition.

Heel Surgery

Heel surgery can provide relief from pain and restorative mobility in many situations.  Based on examination of the problem surgery often involves the release of tendons associated with plantar fascia and the excision of any heel spurs.

Bunion Surgery

Depending on the severity of the bunion and joint involved each case is addressed on an individual basis. Procedure types and recovery times vary depending on condition.

Hammer Toe Surgery

This type of surgery may involve the portion of the toe bone to reset the alignment of the toe or fusing the toe joint. In more severe cases implants can be utilized in the toe to maintain the proper realignment.

Neuroma Surgery

This type of surgery involves the removing of a benign enlargement associated with a nerve between the ball of the foot and the metatarsal heads. A shorter recovery is often expected as it involving soft tissue rather than bone related procedures.

Joint Replacement

Arthritis in the great toe joint or lesser metatarsal joints may indicate a joint replacement procedure to relieve pain and allow for pain free ambulation.


Wounds require debridements to remove devitalized tissue and allow for new tissue formation.  Debridements are often associated with Diabetic foot ulcers but may occur in other medical conditions as well.

Heel Pain – A Common Problem

Posted on: October 11th, 2012 by adminkf

If you find that you are experiencing foot and heel pain, it could be a common problem called plantar fasciitis. Often, plantar fasciitis symptoms are specifically associated with heel pain. When you press on the inside of your heel and occasionally along the arch of your foot you’ll feel tenderness. In most cases, individuals that suffer from plantar fasciitis suffer the most in the morning, because of the tendons tightening overnight. As the condition worsens, severity of the pain generally gets worse, and stretching your foot may be very painful. It is important to note, that plantar fasciitis differs from tarsal tunnel syndrome, although the symptoms are quite similar. However, with tarsal tunnel syndrome, you may experience shooting pains and tingling or numbness.

Plantar fasciitis often is associated with heel spurs, although they are not exactly the same thing. Generally, this condition is caused by the degeneration of collagen fibers in the heel bone and can be caused by dancing, running and jumping. This is often due to extremely tight calf muscles, which produce overstretching of the plantar fascia tendon, which can lead to thickening, inflammation and subsequent pain. Other conditions that can cause this condition include low arches, high arches, oversupination and other abnormalities of the foot, which are best assessed by a podiatrist. Also, if you spend a lot of time in footwear that does not provide arch support and proper cushioning, you may develop this problem. In addition, if you are overweight, this puts you at higher risk of developing this condition, because of the excess weight that is impacting your foot.

If you spend a lot of time in footwear that does not provide arch support and proper cushioning, you may develop this problem.

Unfortunately, there is not one specific cure for this condition, but there are many treatments available that can help to ease the pain, which will effectively treat for the long-term. There are a few things that are very basic that anyone can do, if this condition is suspected in your feet. First, rest until your feet do not hurt anymore if at all possible. Also, proper plantar fasciitis taping can help, in addition to ice and cold therapies. It is also extremely important to do proper exercises, to treat and prevent this issue from recurring, and taking advantage of a night splint that is specifically created for this condition can help to alleviate your pain, because it prevents your calf muscles and plantar fascia from tightening overnight.

If these types of things do not help, you can always visit a podiatrist, as they can help you by prescribing some anti-inflammatory medication. They can also provide you with a gait analysis, which will help to discover your particular foot biomechanics, to prescribe you with the proper orthotics or insoles. They also teach you how to properly apply the plantar fascia taping to allow your foot to rest. They can show you specific plantar fasciitis exercises, as well as provide you with corticosteroid injections, x-rays, extracorporeal shockwave therapies, and in worst-case scenarios, surgery if needed. Regardless of the foot and heel pain that you are suffering from, it is vital that you visit an experienced and knowledgeable podiatrist, to help diagnose your specific problem and provide you with the best treatments available to ensure that you get back on your feet again.