Foot Focus Podiatry

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Common Foot Surgeries Performed by a Podiatric Surgeon

Podiatric surgery is a medical discipline that involves the surgical treatment of foot and ankle conditions. There are many types of foot and ankle surgeries, depending on the condition being treated. Some common foot surgeries include:

  1. Bunionectomy/Tailor’s bunionectomy: A surgery to remove a bunion, which is a bony bump that forms at the base of the big toe as a result of deviation of the first or fifth metatarsal.
  2. Hammertoe surgery: A procedure to correct a deformity in which the toes curl downward instead of pointing forward.
  3. Morton’s neurolysis/neurectomy: Neurolysis means releasing the nerve of any abnormal pressure or compression. Neurectomy is a procedure where the nerve is removed.
  4. Fusion surgery: A procedure to fuse two or more bones in the foot or ankle together to improve stability and reduce pain. This procedure is reserved for end stage arthritis or severe arthritis in the joint
  5. Flatfoot surgery: This involves a whole set of surgeries

The type of foot surgery recommended will depend on the specific foot condition being treated and the severity of the problem. It is important that you are aware of benefits and risks of foot surgery with a qualified medical professional before undergoing the procedure.

There are Many Reasons Why Someone Might Need Foot Surgery. Here are some of the Most Common:

  1. Chronic foot pain: Foot pain that lasts for more than a few months can be caused by a variety of conditions, including arthritis, plantar fasciitis, or bone spurs. Surgery may be recommended if conservative treatments such as physical therapy, orthotics, and medication have not provided relief.
  2. Deformities: Foot deformities such as bunionshammertoes, and claw toes can cause pain and discomfort, and may make it difficult to wear shoes or walk. Surgery can correct these deformities and improve foot function.
  3. Injuries: Trauma to the foot, such as a fracture, dislocation, or torn ligament, may require surgery to repair the damage and restore normal function.
  4. Nerve damage: Nerve damage in the foot can cause pain, numbness, or tingling. Surgery may be necessary to decompress the nerve or remove any damage nerve.
  5. Tumors: While uncommon, tumors can develop in the foot, and in some cases, surgery may be necessary to remove the growth.
  6. Arthritis: Arthritis can cause joint pain and inflammation in the foot, which may require surgery to remove damaged tissue or fuse the affected joint.

It is important to note that foot surgery is typically a last resort after other non-surgical treatments have been attempted. Dr Reza Naraghi, a qualified podiatric foot surgeon will work with you to determine the best course of treatment for your specific condition.

Here are some steps you can take prior to attending your appointment and what happens when you see us!

Please attend 5-10 minutes before your appointment time so you can fill in our new patient forms

Please bring in any consultation letters, scans/reports, pathology results, medication lists, and the outcome of any prior consultations

It is very important to know what you expect from your treatment and or surgery and this will make it easy for us in order to recommend to you all treatments possible for your expectations

On your first visit, the treating podiatric surgeon will take a thorough history and performs a physical exam, reviewing your scans and pathology results to come up with the best treatment options. We will discuss all treatment options going over the advantages, disadvantages, pros/cons of each treatment plan, and or procedure. We will discuss with you all side effects, complications, and possible downtime for each treatment so you can make better-informed consent.

Prior to any surgery, we recommend that you obtain a second opinion from any of our colleague surgeons.

  • Winograd procedure- This procedure will be done in hospital setting under local and or general anaesthesia and it is reserved upon failure of the phenolization or if there is significant amount of skin overlapping the nail with soft tissue growth. This procedure involves removing a portion of the skin along with the nail down to the level of the bone. Sutures (stitches) will be applied to close the surgical site. The procedure takes about 10-15 minutes to be performed and your foot will be bandaged. You will be seen within first 5 days and then the sutures will be removed in 10-14 days. Currently this procedure can only be performed by Reza Naraghi (podiatric surgeon).  He will prescribe appropriate pain medication for your post-operative pain management. You will be in open sandal and or post op shoe for 2 weeks. This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a Winograd then please click here.
  • Zadik Procedure- This procedure is used with permanent total nail removal is desired. The indications for the procedure are significant ingrowing nail on both borders, thickened and painful nails and bony growth under the nailbed. This procedure can be done under local with sedation and or under general anaesthesia at a hospital and or day surgery centre. Sutures will be applied and will be removed 14 days post surgery. You can not get your foot wet and your foot will be in a sterile bandage for 2-3 weeks. You may need pain medication post surgery. On average it will take six weeks for your nail bed area to heal. Following that you can wear most close shoes.

Matrixectomy with phenolization- This procedure involves removing the nail partially or totally and ablating (destroying) the root using a weak acid called phenol. This will cause permanent ablation of the root of the offending nail and prevent ingrown nail recurrence. This procedure is successful 95% of the time. The procedure takes about 10-15 minutes and can be performed in our rooms using local anaesthesia with or without sedation. Post operatively you will be required to soak your toe and apply a daily dressing. Wearing open toe shoes for at least 3-4 days is recommended. You maybe required to take oral antibiotics. Most patients do not require pain medication following the procedure, and if needed Panadol is sufficient for pain management. You can go back to regular shoes after one week.  This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a partial nail matrixectomy with phenolisation then please click here.