Mild hallux valgus deformities (bunions) and osteoarthritis of the big toe can cause discomfort, mobility challenges, and issues with footwear. Distal osteotomy is a surgical procedure aimed at addressing these conditions by reducing pain and correcting the alignment of the big toe. Here is an overview of what to expect from this procedure and its recovery process. What is Distal Osteotomy? Distal osteotomy is a surgical procedure designed to realign and straighten the big toe by cutting and adjusting the bones around the joint. It is a relatively quick operation that involves: An incision on the top or side of the foot. The use of absorbable stitches where possible. Internal fixation with plates, screws, or pins to hold the bones in their new alignment. These fixation devices rarely require removal. The surgery typically takes about 45 minutes and is performed as a day procedure, meaning you can go home the same day. Why Consider This Surgery? The main aims of distal osteotomy are: To reduce pain caused by bunions or osteoarthritis. To improve the alignment of the big toe. To enhance mobility and comfort in footwear. Advantages: Corrects the poor alignment that causes deformity and discomfort. Risks and Considerations As with any surgical procedure, there are specific risks to consider, including: Joint stiffness (8%). Overcorrection (4%). Pain in the ball of the foot (6%). Recurrence of the deformity (8%). Footwear restrictions, with 14% unable to wear high heels post-surgery. Big toe joint pain (6%). Wound infection (4%). Revision surgery required (2%). Failure to achieve full correction. Your surgeon will discuss these risks and their likelihood with you, as well as the measures taken to minimise complications. Who is a Candidate for This Procedure? This surgery is typically recommended for individuals with: Hallux valgus deformities or pain from prominent joints. Difficulty wearing sensible footwear due to the deformity. Alternative Treatments: Altering activity levels. Using painkillers or anti-inflammatory medications. Wearing bespoke or modified footwear. Joint injection therapy. Insoles or orthotic foot supports (note that these do not correct deformities). What to Expect During Surgery Distal osteotomy is usually performed under local anaesthetic, ensuring you remain awake but pain-free. If you prefer or if your surgeon recommends it, sedation or general anaesthesia can be used. Following the procedure, you will spend some time in the day surgery unit to rest before going home. You must have a responsible adult to assist you for the first 24 hours post-surgery. Recovery Timeline First 2-4 Days: Pain is typically most intense during this period, but prescribed painkillers will help manage it. Rest is essential. Keep your foot elevated and minimise walking. Use crutches as instructed to limit weight-bearing. One Week After Surgery: Attend a follow-up appointment for dressing changes and to check your progress. Gradually increase activity within pain limits. Pain or swelling indicates overexertion. Two Weeks After Surgery: Sutures will be removed if necessary. Bandages and crutches are no longer required, and you can get your foot wet. You may begin wearing trainer-style shoes and performing gentle toe exercises to maintain mobility. 2-6 Weeks After Surgery: The foot will begin to feel more normal, although swelling may persist, especially at the end of the day. By six weeks, 88% of patients return to wearing regular shoes. You may return to non-manual work; manual work may require additional recovery time. Driving can resume if you can safely perform an emergency stop. Confirm this with your insurance provider. 8-12 Weeks After Surgery: Swelling will continue to reduce, and the foot should feel more functional. Sporting activities can be considered after three months, depending on your recovery progress. Six Months After Surgery: A final review will assess your long-term recovery. Swelling should be minimal, and the full benefits of surgery will be evident. Twelve Months After Surgery: Complete healing is achieved, and improvements in alignment and comfort will stabilise. Planning for Recovery To ensure a smooth recovery: Arrange for assistance with daily tasks during the initial weeks post-surgery. Follow all post-operative care instructions provided by your surgical team. Attend all follow-up appointments to monitor healing progress. Distal osteotomy is an effective procedure for reducing pain and correcting mild bunion deformities or osteoarthritis of the big toe. With proper care and adherence to recovery protocols, most patients experience significant improvements in mobility and quality of life. If you are considering this procedure, consult your healthcare provider to determine if it is the right choice for you.

Hammer, claw, and mallet toe deformities can lead to pain, discomfort, and difficulty with footwear. IP joint arthrodesis (fusion) with an implant offers an effective surgical solution to correct these deformities, reduce pain, and improve toe alignment. Here is everything you need to know about this procedure and the recovery process. What is IP Joint Arthrodesis (Fusion) with Implant? IP joint arthrodesis involves the fusion of the interphalangeal (IP) joint in the toe to straighten and stabilise it. The surgery includes removing a small piece of bone from the joint and inserting an appropriately sized implant, such as a Toe Grip or Smart Toe implant, to facilitate bone fusion. This implant is generally left in place unless it causes irritation. The procedure is relatively quick, typically lasting 15 to 30 minutes, and does not require a cast. Why Consider This Surgery? The main aims of IP joint arthrodesis are: To reduce pain caused by toe deformities. To straighten the toe and improve alignment. To minimise callous or corn formation caused by the deformity. Advantages: Reduces instability and malalignment, addressing the root cause of the deformity. Risks and Considerations As with any surgical procedure, there are specific risks to consider, including: Recurrence of the deformity. Floating toe (toe may not touch the ground) in 10% of cases. Increased prominence of adjacent toes. Weakness or lack of toe purchase. Infection (3%). Prolonged swelling. Revision surgery required in 2% of cases. Your consultant will discuss these risks with you and explain how they are managed to ensure the best possible outcome. Who is a Candidate for This Procedure? This surgery is typically recommended for individuals with: Painful hammer, claw, or mallet toe deformities. Prominent or painful toe joints. Difficulty finding comfortable footwear despite sensible shoe choices. Alternative Treatments: Adjusting activity levels. Painkillers and anti-inflammatory medications. Changing footwear styles or using toe protectors. Regular podiatry care to manage symptoms. What to Expect During Surgery The procedure is performed under a local anaesthetic, ensuring you remain awake but pain-free. Sedation or general anaesthesia may also be an option if preferred. You will spend time in the day surgery unit both before and after the procedure for monitoring. A responsible adult must accompany you home and assist you for the first 24 hours after surgery. Recovery Timeline First 2-4 Days: Pain is typically most intense during this period, but prescribed painkillers will help manage it. Rest is essential. Keep your foot elevated and minimise movement. Use crutches as instructed to avoid putting weight on the operated foot. One Week After Surgery: Attend a follow-up appointment for dressing changes and progress checks. Gradually increase activity within pain limits. Pain or swelling indicates overexertion. Two Weeks After Surgery: Sutures will be removed if necessary. Bandages and crutches are no longer required, and you can get your foot wet. Begin wearing trainer-style shoes. 2-6 Weeks After Surgery: Any pins used will be removed during this period. The foot begins to feel more normal, though some swelling may persist. Return to regular shoes is possible for most patients (4-6 weeks). Driving can resume if you can safely perform an emergency stop. Confirm this with your insurer. Manual labour may require additional recovery time. 6-8 Weeks After Surgery: The foot continues to improve, with reduced swelling and discomfort. Sporting activities may be considered after three months, depending on recovery progress. Six Months After Surgery: A final review will assess your long-term recovery. Swelling should be minimal, and the benefits of the surgery will be evident. Twelve Months After Surgery: Full healing is achieved, and any remaining improvements will stabilise. Planning for Recovery To ensure a smooth recovery: Arrange for assistance with daily tasks during the initial weeks post-surgery. Follow all care instructions provided by your surgical team. Attend all scheduled follow-up appointments to monitor healing progress. IP joint arthrodesis with an implant is an effective solution for correcting hammer, claw, or mallet toe deformities and improving foot function. By adhering to recovery guidelines and maintaining follow-up care, most patients experience significant improvements in mobility and quality of life. If you are considering this procedure, consult your healthcare provider to determine if it is the right option for you.

Hallux valgus, commonly known as a bunion, can cause significant discomfort and difficulty with footwear. Scarf and Akin osteotomy is a surgical procedure designed to address this condition, offering relief from pain and improving big toe alignment. This guide provides essential details about the surgery and recovery process. What is Scarf & Akin Osteotomy? Scarf and Akin osteotomy involves the realignment of bones on either side of the big toe joint to reduce deformity and improve alignment. This procedure is particularly effective in addressing hallux valgus, where the big toe deviates toward the smaller toes. The surgery typically takes 30 to 45 minutes. The incision is made on the top or side of the foot, and absorbable stitches are used whenever possible. Internal fixation, such as screws or plates, is employed to stabilise the bones, but these rarely need removal. Why Consider This Surgery? The primary aims of Scarf and Akin osteotomy are: To reduce pain and deformity. To realign the big toe and improve its function. Advantages: Addresses the underlying cause of deformity effectively. Improves alignment and mobility of the big toe. Risks and Considerations While the procedure is generally safe, some specific risks include: Joint stiffness (8%). Overcorrection of the deformity (4%). Pain in the ball of the foot (6%). Recurrence of the deformity (8%). Footwear restrictions, with 14% unable to wear high heels post-surgery. Screw removal required in 25% of cases within 10 years. Wound infection (4%). Revision surgery required (2%). Failure to achieve full correction. Your consultant will discuss these risks and their management during your pre-operative consultation. Who is a Candidate for This Procedure? This surgery is recommended for individuals with: Painful hallux valgus deformity. Difficulty finding comfortable footwear despite sensible choices. Alternative treatments include: Activity modification. Painkillers and anti-inflammatory medications. Custom footwear or orthotics. Joint injection therapy. What to Expect During Surgery The procedure is typically performed under a local anaesthetic block, ensuring you remain awake but pain-free. If preferred, sedation or general anaesthesia can also be considered. You will spend some time in the day surgery unit before and after the procedure to ensure you are comfortable. A responsible adult must accompany you home and assist you for the first 24 hours post-surgery. Recovery Timeline First 2-4 Days: Pain management will be provided with prescribed medications. Rest is crucial; keep your foot elevated and minimise walking. Use crutches as instructed to limit weight-bearing on the operated foot. One Week After Surgery: Attend a follow-up appointment for dressing changes. Gradually increase activity within pain limits. Swelling or pain indicates overexertion. Two Weeks After Surgery: Sutures will be removed if required. Bandages and crutches are no longer necessary. You may begin wearing trainer-style shoes and performing gentle toe exercises to maintain mobility. 2-6 Weeks After Surgery: The foot begins to normalise, though some swelling may persist. You may return to work, though manual labour may require additional recovery time. Driving can resume if you can safely perform an emergency stop. Confirm with your insurance provider. Sporting activities should still be avoided. 8-12 Weeks After Surgery: The foot should feel more functional, with reduced swelling. Light sports and activities may be reintroduced depending on recovery progress. Six Months After Surgery: Attend a final review to assess long-term recovery. Swelling should be minimal, and the full benefits of surgery will be evident. Twelve Months After Surgery: Complete healing is achieved, and any remaining improvements will stabilise. Planning for Recovery To ensure a smooth recovery: Arrange for assistance during the initial weeks post-surgery. Follow all care instructions provided by your surgical team. Attend all scheduled follow-ups to monitor healing. Scarf and Akin osteotomy is a reliable procedure for correcting hallux valgus and alleviating associated pain. With appropriate care and adherence to recovery protocols, most patients experience significant improvements in mobility and quality of life. If you’re considering this surgery, consult your healthcare provider to determine if it’s the right option for you.

Plantar fasciitis can cause significant heel pain, making everyday activities challenging. When non-surgical treatments fail to provide relief, a procedure known as plantar fascia release may be recommended. This guide provides an overview of the surgery, its benefits, and what you can expect during recovery. What is Plantar Fascia Release Surgery? Plantar fascia release surgery is a procedure designed to alleviate heel pain by cutting the tight medial or central band of the plantar fascia. This band, located on the bottom of the foot, can become inflamed and painful in individuals with chronic plantar fasciitis. During the procedure, a small incision is made on the inside of the heel, usually on a non-weight-bearing surface. The surgeon then identifies and cuts the tight band of the plantar fascia. The procedure typically takes about 15 minutes and does not require the use of any fixation devices like screws or wires. Why Consider This Surgery? The main goals of plantar fascia release surgery are: To decrease heel pain by relieving tension in the plantar fascia. To restore foot function and improve quality of life. This is a relatively short procedure with minimal recovery time, making it a convenient option for those who haven’t found relief through conservative methods. Risks and Considerations While the surgery is generally safe, there are some specific risks to consider, including: Thickened or tender scars. Areas of numbness around the incision site. Recurrence of plantar fasciitis symptoms. Flattening of the foot, which can lead to mid-arch or lateral foot pain. Your consultant will discuss these risks with you and ensure you understand all aspects of the procedure before moving forward. Who is a Candidate for This Procedure? This surgery is typically reserved for patients with: Severe heel pain caused by plantar fasciitis that has not responded to non-surgical treatments. Symptoms that significantly impair normal work or daily activities. Non-surgical treatments that are usually attempted first include: Altering activity levels. Using painkillers and anti-inflammatory medications. Wearing orthotic supports or custom footwear. Calf stretching exercises or tension night splints. Steroid injections or shockwave therapy. Surgery is considered only when these approaches fail to provide significant relief. What to Expect During Surgery The procedure can be performed under local anaesthesia, ensuring you remain awake but pain-free. A series of injections around the ankle or behind the knee is used to numb the area. If preferred, local anaesthesia with sedation or general anaesthesia may be an option. Your consultant will discuss these choices with you. Plantar fascia release is typically a day surgery, allowing you to return home the same day. You’ll need a responsible adult to assist you during the first 24 hours after the procedure. Recovery Timeline First 2-4 Days: Pain management is essential; you will be provided with appropriate medications. Rest is crucial. Keep your foot elevated and limit movement to essential activities only. Walking is permitted with care, but overexertion should be avoided. One Week After Surgery: You may attend a follow-up appointment to have your foot checked and re-dressed. Gradual activity is encouraged, but increased pain may indicate you are doing too much. Two Weeks After Surgery: Sutures, if used, will be removed. Bandages are no longer necessary, and you can get your foot wet. Many patients can transition to wearing regular shoes at this stage. 2-6 Weeks After Surgery: Swelling may persist, especially at the end of the day. You can resume work, though manual labour jobs may require a longer recovery time. You can drive if you can safely perform an emergency stop, but check with your insurance provider first. Sports and intense physical activities should still be avoided during this time. 8-12 Weeks After Surgery: The foot continues to heal and feels more normal. Swelling significantly decreases, and light sports may be considered based on your recovery. Six Months After Surgery: A final follow-up appointment will assess your progress. Swelling should be minimal, and the benefits of surgery should be fully realised. Twelve Months After Surgery: Complete healing is achieved, and any residual symptoms should be resolved. Planning for Recovery To ensure a smooth recovery, it’s important to: Arrange for a support system during the initial recovery phase. Follow all post-operative care instructions closely. Use pain management and mobility aids as recommended by your healthcare provider. Plantar fascia release surgery is a straightforward and effective option for those with chronic plantar fasciitis that has not responded to other treatments. With proper preparation and adherence to recovery protocols, patients can look forward to significant pain relief and improved foot function. If you’re considering this surgery, consult your healthcare provider to determine if it’s the right option for you. Get in touch with Coriel about Plantar Fascia Release Surgery here

If you’re struggling with persistent pain or issues caused by a flat foot or high arch, calcaneal osteotomy might be the solution you need. This surgical procedure is designed to improve foot alignment and reduce discomfort, often resulting in enhanced mobility and quality of life. Here’s what you need to know about the procedure and recovery process. What is Calcaneal Osteotomy? Calcaneal osteotomy is a surgical procedure aimed at addressing painful flat feet or high arches. It involves cutting and repositioning the calcaneus, or heel bone, to correct the alignment and improve the arch profile of the foot. In some cases, this surgery is performed alongside other procedures such as Achilles tendon lengthening to provide a more comprehensive solution. During the procedure, the surgeon makes an incision on the outer side of the heel. The calcaneus is carefully cut and repositioned, then secured using two screws. These screws typically remain in place and are not noticeable. The surgery takes approximately 30 to 60 minutes. Why Consider This Surgery? The main goals of calcaneal osteotomy are: To reduce pain and discomfort caused by poor foot alignment. To improve the position and functionality of the foot. To address the root cause of deformity, preventing further complications . Benefits and Risks Advantages: Improves the arch profile and angulation of the foot. Addresses the underlying cause of foot deformity. Specific Risks: Recurrence or collapse of the foot alignment. Nerve damage leading to loss of sensation on the outer side of the foot. Failure of bone healing (non-union). Your consultant will discuss these risks with you and ensure you have a clear understanding before proceeding. Who is a Candidate for This Procedure? This surgery is typically recommended for individuals with: Painful flat feet that interfere with daily activities. High arches causing significant discomfort. Before considering surgery, alternative treatments may be suggested, including: Painkillers and anti-inflammatory medications. Calf stretches and night splints. Custom or bespoke footwear. Orthotic supports or braces. What to Expect During Surgery Calcaneal osteotomy is often performed under local anaesthesia, with the option of sedation or general anaesthesia if required. You’ll remain awake but pain-free during the procedure. If necessary, your consultant will refer you to a surgical team specialising in general anaesthesia. Although the surgery itself is brief, you’ll spend additional time in the day surgery unit before and after the procedure to rest. You’ll need a responsible adult to accompany you home and assist you for the first 24 hours. Recovery Timeline First 2-4 Days: Pain management will be prioritised with prescribed medications. Rest is crucial. Keep your foot elevated and avoid weight-bearing on the operated leg. Use crutches for minimal movement, such as going to the bathroom. One Week After Surgery: Attend a follow-up appointment for a check-up and, if necessary, re-dressing or recasting of your foot. Two Weeks After Surgery: Sutures will be removed, and a new cast applied. 6-8 Weeks After Surgery: The cast is removed, and you’ll transition to a removable boot, allowing you to begin walking. 8-10 Weeks After Surgery: If healing progresses well, you’ll start wearing supportive lace-up shoes or trainers. Swelling may persist, but light activity can be resumed. Rehabilitation exercises may be introduced, or you might be referred to a physiotherapist. You may return to non-manual work and driving, provided you can perform an emergency stop (confirm with your insurance provider). 12-16 Weeks After Surgery: The foot should feel more functional, with reduced swelling. Gradual reintroduction of sporting activities may be considered based on recovery. Six Months After Surgery: A follow-up review will assess progress. By this point, swelling should be minimal, and the full benefits of surgery should be apparent. Twelve Months After Surgery: Full healing is achieved, and improvements stabilise. Planning for Recovery Proper preparation and post-operative care are essential for a successful recovery. To ensure a smooth healing process: Arrange for a support system to assist with daily tasks, especially during the initial non-weight-bearing phase. Follow all care instructions provided by your surgical team. Attend scheduled follow-ups to monitor progress. Calcaneal osteotomy is a proven solution for addressing painful flat feet and high arches. By correcting the alignment and improving foot function, this surgery can significantly enhance your mobility and quality of life. If you’re considering calcaneal osteotomy, consult your healthcare provider to determine if it’s the right option for you.

Living with a mild hallux valgus deformity (bunion) or osteoarthritis of the great toe can be both painful and frustrating. If you’ve been struggling to find relief through conservative methods, you might consider a procedure known as distal L osteotomy. This surgery aims to reduce pain, improve toe alignment, and enhance overall foot function. Let’s explore what this procedure involves and what you can expect during recovery. What is Distal L Osteotomy? Distal L osteotomy is a surgical procedure designed to address mild bunions or osteoarthritis in the big toe. The surgery involves straightening the big toe by cutting and realigning the bones on either side of the joint. This realignment reduces deformity and decompresses the affected joint, helping to restore functionality and relieve pain. The operation is typically completed in about 45 minutes. Surgeons make a small incision on the top or side of the foot, using absorbable stitches where possible to minimize scarring. Internal fixation tools like plates, screws, or pins are used to stabilize the corrected bones, though these are not usually noticeable and rarely require removal. Why Consider This Surgery? The primary goals of distal L osteotomy are to: Reduce pain caused by deformity or joint compression. Improve the alignment of the big toe. Enhance mobility and ease of wearing footwear. For many patients, this procedure can provide significant relief, especially when non-surgical options have failed to address the underlying issues. Risks and Considerations Like any surgical procedure, distal L osteotomy carries specific risks. These include: Joint stiffness. Overcorrection of the toe alignment. Pain in the ball of the foot (transfer pain). Recurrence of the deformity. Footwear restrictions, such as difficulty wearing high heels. Big toe joint pain or wound infection. Need for revision surgery or failure to achieve full correction. While these risks may sound concerning, they are relatively rare, and your surgical team will work to minimize potential complications. Who is a Candidate for This Procedure? This surgery may be recommended for individuals experiencing: Painful hallux limitus deformity. Pain from a prominent joint. Difficulty finding comfortable footwear despite trying sensible options. Before opting for surgery, alternative treatments such as activity modifications, pain management, or orthotic supports may be considered. However, it’s important to note that insoles or toe splints have not been proven to correct toe deformities. What to Expect During Surgery Distal L osteotomy is usually performed under a local anesthetic block, which involves injections around the ankle or behind the knee. While you’ll remain awake, you won’t feel any pain during the procedure. For those uncomfortable with being awake, options for sedation or general anesthesia are available and can be discussed with your consultant. This is a day procedure, meaning you can typically go home the same day. To ensure your safety, you must arrange for a competent adult to stay with you on the first night post-surgery. Recovery Timeline Immediately After Surgery: Pain management is a priority, and you’ll be provided with appropriate medication. Rest is essential. Keep your foot elevated and avoid unnecessary movement. You’ll use crutches to move around, placing weight only on your non-operated foot. Within Two Weeks Post-Surgery: You’ll return for a dressing change, and any necessary sutures will be removed. If a cast was applied, it might be replaced, or you may be fitted with an air cast boot for added support. X-rays may be taken to assess the healing process. 2-8 Weeks Post-Surgery: Depending on your healing progress, you may begin weight-bearing as advised by your surgical team. Supportive footwear like lace-up shoes or trainers will help you transition back to walking. Swelling and mild discomfort are normal as you increase activity levels. You may begin rehabilitation exercises or work with a physiotherapist to regain strength and mobility. 8-12 Weeks Post-Surgery: Swelling continues to decrease, and the foot starts feeling more functional. You may be able to return to certain sports or physical activities, depending on your recovery. Beyond 12 Weeks: Final recovery milestones include a follow-up review at 6-8 months post-surgery. Continued improvement in toe alignment and pain reduction is typically observed over time. Planning for Your Recovery To ensure a smooth recovery, it’s crucial to have support systems in place. Arrange for assistance with daily responsibilities, such as childcare or household tasks, especially during the initial recovery phase. If you have any questions or concerns throughout your recovery, don’t hesitate to contact your healthcare team at The Coriel Clinic. They’re there to provide guidance and support every step of the way. Distal L osteotomy offers a proven solution for those suffering from mild bunions or osteoarthritis in the big toe. With proper preparation and adherence to recovery protocols, this procedure can significantly improve your quality of life. If you’re considering this surgery, consult your healthcare provider to determine if it’s the right choice for you.

Transverse toe deformities, such as hammer or claw toes, can cause discomfort and difficulty with footwear. A closing wedge osteotomy of the proximal phalanx is a surgical procedure designed to alleviate these issues by reducing pain and improving toe alignment. Here’s an overview of the procedure and what to expect during recovery. What is Closing Wedge Osteotomy of Proximal Phalanx? This procedure involves removing a small wedge of bone from the proximal phalanx (the bone closest to the foot) to straighten the affected toe. If necessary, the joint at the base of the toe may be released, and the tendon lengthened to enhance correction. In some cases, a stabilising wire is used to maintain the new alignment during healing. This wire is typically removed during a follow-up appointment. The surgery usually takes 15 to 30 minutes and does not typically require a cast. Why Consider This Surgery? The main goals of the procedure are: To reduce pain caused by toe deformities. To straighten the affected toe. To minimise the formation of calluses or corns. Advantages: Maintains some mobility in the affected toe. Risks and Considerations While the procedure is effective, specific risks include: Recurrence of the deformity. The toe may not touch the ground (floating toe). Pain around the surgical site. Loosening of screws or pins (if used), potentially requiring removal. Long-term swelling of the toe. Malalignment of the toe. Your consultant will discuss these risks with you and explain the steps taken to minimise them. Who is a Candidate for This Procedure? This surgery is recommended for individuals experiencing: Painful hammer or claw toe deformities. Painful corns or calluses caused by toe misalignment. Difficulty finding comfortable footwear despite wearing sensible shoes. Alternative Treatments: Changing activity levels. Using painkillers or anti-inflammatory medications. Altering footwear styles or using toe protectors. Regular podiatry care to manage symptoms. What to Expect During Surgery The procedure is typically performed under local anaesthesia, ensuring you remain awake but pain-free. If necessary, sedation or general anaesthesia may be used. You will spend some time in the day surgery unit both before and after the procedure to rest. A responsible adult must accompany you home and assist you for the first 24 hours post-surgery. Recovery Timeline Initially (First 2 Weeks): Pain is most pronounced during this period, but prescribed painkillers will help manage discomfort. Rest is essential. Keep your foot elevated and minimise movement. Use crutches as instructed to limit weight-bearing on the operated foot. Two Weeks After Surgery: Attend a follow-up appointment to check your progress and remove sutures if necessary. X-rays may be taken to assess healing. You may be fitted with a new dressing or air cast boot if required. 2-8 Weeks After Surgery: Gradually increase activity levels as advised by your healthcare team. Swelling and mild discomfort are common but should gradually improve. Wear supportive lace-up shoes or trainers and start walking as tolerated. Rehabilitation exercises may be introduced, or a referral to a physiotherapist provided. 8-12 Weeks After Surgery: The foot should feel more functional and natural. Swelling continues to reduce. Sporting activities may be considered, depending on recovery progress. Beyond 12 Weeks: Attend a final review 6-8 months after surgery. Improvements in alignment and pain relief will continue to be noticed. Planning for Recovery To ensure a smooth recovery: Arrange for assistance with daily tasks during the initial weeks post-surgery. Follow all post-operative care instructions provided by your surgical team. Attend all scheduled follow-up appointments to monitor healing. Closing wedge osteotomy of the proximal phalanx is an effective procedure for correcting transverse toe deformities and relieving associated discomfort. By adhering to recovery guidelines and working closely with your healthcare team, you can achieve significant improvements in mobility and quality of life. If you are considering this procedure, consult your healthcare provider to determine if it is the right option for you.

Ingrowing toenails (onychocryptosis) can cause significant discomfort and disrupt daily life. This blog aims to provide a comprehensive overview of ingrowing toenails, the surgical procedure to address them, and postoperative care based on information from a patient information leaflet. What is an Ingrowing Toenail? An in-growing toenail occurs when the edge of the nail grows into the surrounding skin, causing pain, redness, and sometimes infection. In severe cases, it may lead to pus formation and bleeding. A curved or involuted nail pressing against the skin, while not technically ingrowing, can mimic the symptoms and result in discomfort. Is It Serious? If left untreated, an ingrowing toenail can cause infections that may spread to the rest of the toe, leading to more severe complications. What Causes Ingrowing Toenails? Several factors contribute to ingrowing toenails, including: Posture and Gait: Improper foot positioning or walking patterns. Foot Deformities: Conditions like bunions, hammer toes, or excessive pronation. Improper Nail Growth: Nails that naturally curl or splay. Tight Footwear: Shoes, hosiery, and socks that exert pressure on the toes. Excessive Sweating: Moist skin increases vulnerability to nail penetration. Poor Nail Care: Incorrect trimming or picking at nails. Brittle Nails: Sharp edges or breakage can contribute to the problem. Why Surgery? The primary goals of surgery for ingrowing toenails are: Reducing pain and discomfort. Preventing infection. Facilitating easier footwear choices. Potential Risks of Surgery Like any medical procedure, nail surgery comes with some risks, including: Regrowth: Occurs in about 5% of cases and may require a repeat procedure if it becomes problematic. Delayed Healing: Healing may take 4–12 weeks, influenced by factors like age, overall health, and adherence to aftercare instructions. Reaction to Phenol/Radiolase: The chemical or laser used to prevent nail regrowth may occasionally cause localized redness and delayed healing. Infection: Following aftercare instructions can help prevent this. Bleeding: Minimal bleeding is expected, but elevating the foot after surgery minimizes this risk. Anaphylaxis: A rare but serious reaction to the local anesthetic or phenol. Preparing for Surgery Here’s what to keep in mind on the day of your procedure: Eat beforehand to ensure stable blood sugar levels. Wear open toed shoes or sandals to accommodate post surgical dressings. Arrange transportation home, as driving is not permitted for 12 hours after surgery. Inform podiatry staff of any recent changes in medication or health conditions. Remove nail varnish before the procedure. Plan for time off from work, school, or college. PostSurgery Pain Management Once the anesthetic wears off, mild pain is expected. Over-the-counter painkillers like paracetamol are typically sufficient to manage discomfort. Aftercare Instructions Proper aftercare is critical for healing. Follow these steps: Removing the Dressing: If it’s stuck, soak your foot in a warm saltwater solution (1 part salt to 4 parts water) for 2–3 minutes to loosen it gently. Cleaning : After soaking, allow the foot to air dry naturally. Redressing: Use a clean homemade plaster as demonstrated by clinical staff. Replace the dressing daily until there’s no discharge. Ending Dressing Use: Once the toe remains clean and dry for three consecutive days, the dressing can be left off. Key Takeaways Ingrowing toenails, though common, can become serious if untreated. Surgery provides an effective solution, but understanding the risks and following aftercare guidelines is essential for optimal recovery. If you’re experiencing the symptoms of an ingrowing toenail, consult a healthcare professional to explore treatment options and regain comfort.

A ganglion, a ballooning of the joint capsule or tendon sheath, can cause pain and discomfort, particularly when it becomes large or presses on surrounding tissues. Ganglion excision surgery is a straightforward procedure designed to remove the ganglion and provide relief. This guide will walk you through the procedure, its benefits, and the recovery process. What is Ganglion Excision Surgery? Ganglion excision surgery involves the complete removal of the ganglion, addressing the root cause of pain or discomfort. This procedure is typically performed on the top of the foot, with an incision placed over the space between the metatarsal heads. Absorbable stitches are used whenever possible, and plaster is generally not required. The surgery usually lasts between 30 to 60 minutes and does not involve bone healing or fixation, making the recovery relatively quick. Why Consider This Surgery? The primary goals of ganglion excision surgery are: To alleviate pain caused by the ganglion. To remove troublesome or enlarging ganglions. To improve mobility and comfort in footwear. Advantages: A relatively short procedure. The lesion is excised completely. No bone healing required. Minimal recovery time. Risks and Considerations While ganglion excision surgery is generally safe, specific risks include: Thickened or tender scars, which may improve over 12 months. Areas of numbness, which may also reduce over time. Recurrence of the ganglion. Circulation disturbances in the affected area. Your consultant will discuss these risks with you in detail and provide guidance on how to minimise them. Who is a Candidate for This Procedure? This surgery is recommended for individuals experiencing: Painful or troublesome ganglions that interfere with daily activities. Numbness or pressure-related symptoms caused by the ganglion. Difficulty fitting into sensible footwear due to the size or location of the ganglion. Alternative treatments: Altering activity levels. Using painkillers or anti-inflammatory medications. Changing footwear or using extra-width shoes with protectors. Drainage of the ganglion without excision (may be less effective long-term). What to Expect During Surgery The procedure is typically performed under local anaesthesia, which is administered around the base of the toe. Most patients find this more comfortable than a dental injection. If preferred, sedation or general anaesthesia can also be considered. Although the surgery itself is brief, you will spend some time in the day surgery unit before and after the operation to rest. A responsible adult must accompany you home and assist you for the first 24 hours. Recovery Timeline First 2-4 Days: Pain is typically most intense during this period, but painkillers will help manage discomfort. Rest is crucial. Keep your foot elevated and minimise movement. Use crutches as instructed to avoid putting weight on the operated foot. One Week After Surgery: Attend a follow-up appointment for dressing changes. Gradually increase activity within pain limits. Swelling or pain indicates overexertion. Two Weeks After Surgery: Sutures will be removed unless located on the sole of the foot (these are removed after three weeks). Bandages are no longer required, and you may no longer need crutches. You can get the foot wet and start wearing regular shoes if comfortable. 2-6 Weeks After Surgery: The foot begins to feel normal, though swelling may persist, especially at the end of the day. You may return to work, although manual labour may require additional recovery time. Driving can resume if you can safely perform an emergency stop. Confirm with your insurer. Avoid sports and high-impact activities during this period. 8-12 Weeks After Surgery: Swelling decreases significantly, and the foot feels more natural. You may consider returning to sports or other activities based on recovery progress. Six Months After Surgery: A follow-up review will evaluate your recovery. Swelling should be minimal, and most patients experience the full benefits of the procedure. Twelve Months After Surgery: Complete healing is achieved, with stabilisation of any remaining improvements. Planning for Recovery To ensure a smooth recovery: Arrange for assistance with daily tasks during the initial weeks. Follow all post-operative care instructions provided by your consultant. Attend all scheduled follow-up appointments to monitor healing progress. Ganglion excision surgery is a reliable solution for removing problematic ganglions and improving foot comfort. With proper care and adherence to recovery protocols, most patients experience significant relief and return to normal activities. If you’re considering this procedure, consult your healthcare provider to determine if it’s the right option for you.

While knee injuries in skiing are common, there are several strategies skiers can adopt to reduce their risk: 1. Strengthen the Muscles Around the Knee Strengthening the muscles around the knee joint is one of the most effective ways to prevent knee injuries. The quadriceps, hamstrings, and calf muscles all play important roles in stabilizing the knee. Skiers who have strong legs are less likely to suffer ligament tears or strains. Exercises: Focus on exercises that strengthen the legs and improve flexibility, such as squats, lunges, and leg extensions. Core exercises that improve balance and stability are also beneficial for knee protection. 2. Proper Warm-up and Stretching Skiing places significant strain on the body, particularly on the knees, so it's essential to warm up and stretch before hitting the slopes. A proper warm-up increases blood flow to the muscles, prepares the joints for the movements required in skiing, and reduces the risk of injury. Warm-up Routine: Start with light aerobic activity (e.g., jogging or brisk walking) to get your heart rate up, followed by stretching to improve flexibility in the legs and hips. Pay special attention to stretches for the quadriceps, hamstrings, calves, and hip flexors. 3. Use Proper Ski Equipment Ski equipment, including boots, skis, and bindings, plays a key role in preventing knee injuries. Ensure your equipment is properly fitted, as ill-fitting boots or skis can increase the risk of falls and collisions. Bindings: Ski bindings should be set correctly based on your weight, skill level, and skiing style. Properly adjusted bindings can help prevent knee injuries by releasing the ski when excessive force is applied. Boots: Make sure your boots fit snugly and comfortably. Boots that are too tight or too loose can affect your control and stability, increasing the likelihood of falls and knee injuries. 4. Take Ski Lessons Whether you're a beginner or an experienced skier, lessons with a certified instructor can significantly improve your skiing technique. Proper skiing form can help you avoid twisting motions and sudden movements that place stress on your knees. Focus on Technique: Ski instructors teach proper turning, stopping, and body positioning. They can help you learn how to control your speed and body movements, reducing the strain on your knees. 5. Know Your Limits It's important to ski within your ability level. Skiing on slopes that are too difficult for your skill set can increase the risk of falls and injuries. If you're feeling fatigued or out of control, it's best to take a break and reassess. Pace Yourself: Skiing for extended periods without resting can lead to exhaustion and poor technique, which in turn increases the risk of injury. Take regular breaks to hydrate and recover. 6. Wear Protective Gear While knee pads and braces are not commonly worn in skiing, some skiers who have had prior knee injuries may benefit from using knee braces for added support. These braces can provide stability and protect the knee from further damage, particularly if you're prone to ligament injuries. Knee Braces: Consider using a knee brace if you're recovering from an injury or if you want additional support for your knees while skiing. Knee injuries are a common concern for skiers, but with proper preparation, technique, and equipment, they can often be prevented. Strengthening your legs, warming up properly, and skiing within your limits are key to protecting your knees while enjoying the slopes. By following these tips, you can reduce your risk of injury and enjoy a safer, more enjoyable skiing experience. So, gear up, stay cautious, and keep your knees in top shape for a fantastic season on the mountain!

I am a keen skier but as you get older the risk of injury tends to play on your mind a bit. Among the most common and potentially serious injuries that skiers face are knee injuries. The knee joint, which bears a significant amount of force during skiing, is highly vulnerable, especially during twists, falls, and sudden movements.  Understanding the types of knee injuries associated with skiing and the preventive measures you can take can help ensure a safer, more enjoyable time on the mountain. The 3 most common skiing knee injuries are listed below. They can occur on isolation or together Types of Knee Injuries in Skiing 1. Anterior Cruciate Ligament (ACL) Tears  The ACL is one of the four major ligaments in the knee, and it plays a crucial role in stabilizing the joint. ACL injuries are among the most common knee injuries in skiing, particularly among intermediate and advanced skiers. These injuries typically occur when a skier twists or pivots on a fixed foot, especially during a sudden stop, fall, or collision. Symptoms: Severe pain, swelling, a feeling of instability in the knee, and difficulty bearing weight on the injured leg. Treatment: ACL tears often require surgery, followed by extensive rehabilitation to restore full function and strength to the knee. 2. Medial Collateral Ligament (MCL) Sprains  The MCL runs along the inner part of the knee and helps stabilize it during side-to-side movements. Skiers may injure the MCL if they experience a sudden blow to the outside of the knee or if they make a sharp, forced turn. MCL sprains are less severe than ACL tears but can still cause significant pain and instability. Symptoms: Pain on the inner side of the knee, swelling, and difficulty with side-to-side movement. Treatment: Most MCL sprains can be treated with rest, ice, compression, and elevation (R.I.C.E.) and physiotherapy but rarely severe sprains may require. 3. Meniscus Tears  The meniscus is a piece of cartilage that acts as a cushion between the thigh bone and the shin bone. Skiing, particularly high-speed skiing or skiing on uneven terrain, can put a lot of pressure on the knee, leading to tears in the meniscus. A meniscus tear often occurs when a skier twists or rotates their knee in an awkward position. Symptoms: Pain, swelling, and a sensation of the knee “locking” or “catching” during movement. Treatment: Meniscus tears can sometimes be treated conservatively with rest and physical therapy, but in most cases, surgery may be needed to repair or remove the damaged cartilage. Of course you won’t know what has happened to your knee. SO if you do suffer a ‘knee sprain’ whilst skiing it is very important to get this checked out properly and see a specialist  with an MRI scan to avoid further damage to your knee.

A large baker’s cyst What is a Baker’s Cyst? A Baker’s cyst is also known as a popliteal cyst and is a collection of fluid at the back of the knee. A lump develops behind the knee. They are very common. Keep reading to find out about Baker’s Cyst treatment, as well as common causes. We offer specialist orthopaedic treatment in Doncaster & Sheffield to get you back to feeling like yourself. What Causes a Baker’s Cyst & when should I get treatment? There is a gap in the capsule (joint lining) that allows the synovial fluid to escape from the joint. The small gap acts as a one-way valve so the cyst can increase in size. I’m worried about the cyst – is it nothing to worry about? It’s normal to be concerned about any lump in your body so it’s worth getting it checked out to make sure that’s what it is. An Ultrasound or MRI scan can confirm the diagnosis. A Baker’s cyst is nothing to worry about. MRI showing a baker’s cyst What happens to the cyst over time? Most patients live happily with their cyst and have no treatment for it. Occasionally the cyst may burst, and this causes intense pain and swelling on the calf. Sometimes patients present with a ruptured Baker’s cyst for the first time. The cyst can develop again over time as the valve at the back of the knee is still present. What symptoms does a Baker’s cyst cause? Swelling and pain at the back of the knee. Large cysts can make it difficult to fully bend your knee and produce pressure effects on the local structures. Pain radiating into the calf and a dragging sensation can be due to the cyst. What is the treatment for a baker’s cyst? Most cysts can be left alone especially if they don’t cause problems. Treatment for the cyst depends on whether there is damage inside the knee joint that needs addressing. If there is a cartilage problem or osteoarthritis this may take priority over the cyst. Addressing the knee problem may reduce the cyst but it may be advisable to remove the cyst surgically. An aspiration (removal of fluid with a needle) tends to give only temporary relief. What happens during surgery for a Baker’s Cyst? Most surgeons will make a big incision at the back of the knee to try to remove the cyst that way. It is very difficult to get deep enough to remove the valve so the recurrence rate with surgery is high. Mr Haslam has developed a keyhole method for removal of the Baker’s cyst from the inside, three small incisions are made, and the valve is removed from the back of the knee. The cyst then cannot form. In over 40 cases Mr Haslam has shown this is a reliable and safe technique. I have seen an Orthopaedic Surgeon for Baker’s Cyst treatment & they advised me to leave it alone? Most surgeons don’t like operating on cysts as the success rate from open surgery is low and operating at the back of the knee has a small risk of damage to nerves and blood vessels. The surgeon may not know about a keyhole way of performing the surgery so if you are not happy then ask to see a specialist with an interest in keyhole surgery for Baker’s Cysts. Mr Haslam has 15 years of experience in the surgical treatment of Baker’s Cysts. Get in touch with us to get professional treatment today: Get In Touch