Hallux rigidus, or arthritis of the big toe, can cause significant pain and limit mobility. Keller excision arthroplasty is a surgical procedure designed to alleviate discomfort, improve toe alignment, and restore range of motion. Here’s a detailed guide to help you understand the procedure and recovery process. What is Keller Excision Arthroplasty? Keller excision arthroplasty involves the removal of part of the big toe joint to reduce pain and improve functionality. During the procedure, the base of the big toe joint is excised, and any excess bone is removed. This surgery does not require internal fixation (such as screws) or bone healing, making recovery more straightforward in many cases. The procedure typically lasts about 30 minutes and is performed under local anaesthesia. In some cases, a temporary wire may be used to stabilise the joint; this wire will be removed during a follow-up appointment. Why Consider This Surgery? The main goals of Keller excision arthroplasty are: To reduce pain caused by arthritis or deformity. To improve big toe alignment. To restore range of motion and improve overall foot function. Advantages: No internal fixation or bone healing is required. Relatively short procedure and recovery time. Risks and Considerations While the surgery is generally effective, there are specific risks to consider: Continued joint pain. Pain in the ball of the foot (metatarsalgia). Shortening of the big toe, which may result in the toe not touching the ground. Weakness or malalignment of the big toe. Recurrence of deformity or the toe drifting into hallux varus (a deformity where the big toe points inward). Your consultant will discuss these risks with you and explain how they are managed to ensure the best outcome. Who is a Candidate for This Procedure? This surgery is typically recommended for individuals with: Painful hallux rigidus that has not responded to non-surgical treatments. Hallux valgus (bunions) with severe arthritis in the joint. Reduced activity levels due to mobility limitations. Alternative treatments include: Activity modification. Painkillers and anti-inflammatory medications. Custom footwear and orthotic foot supports. Joint injections or other surgical options, such as joint fusion or decompression osteotomy. What to Expect During Surgery The procedure is performed under local anaesthesia, ensuring you remain awake but pain-free. If preferred, local anaesthesia with sedation or general anaesthesia can also be considered. Following the surgery, you will spend time in the day surgery unit for post-operative monitoring before going home. A responsible adult must accompany you home and assist you during the first night after surgery. Recovery Timeline Initially (First 2 Weeks): Pain is most pronounced during this phase, but prescribed painkillers will help manage discomfort. Rest is essential. Keep your foot elevated and minimise movement. Use crutches if needed, and limit walking to essential activities such as bathroom trips. Two Weeks After Surgery: Attend a follow-up appointment to check your progress. Sutures may be removed, and additional dressings applied if necessary. If a temporary wire is used, it will be removed at this stage. Many patients can transition to wearing regular shoes, though some may require additional time. 2-8 Weeks After Surgery: Swelling and mild discomfort are common but will gradually decrease. You may begin light activities and weight-bearing as tolerated, wearing supportive shoes. Physiotherapy or rehabilitation exercises may be recommended to improve strength and mobility. 8-12 Weeks After Surgery: The foot should feel more functional and natural. Swelling continues to subside, and you may consider returning to sports and other activities based on your recovery progress. Beyond 12 Weeks: You will have a final review 6-8 months post-surgery to evaluate long-term progress. Improvements in pain, alignment, and mobility will continue to be noticeable over time. 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 follow-up appointments to monitor healing and address any concerns. Keller excision arthroplasty is an effective option for individuals with hallux rigidus seeking pain relief and improved mobility. With proper preparation and adherence to recovery guidelines, most patients experience significant improvements in their quality of life. Consult your healthcare provider to determine if this procedure is the right choice for your needs.

Hallux rigidus, or arthritis of the big toe joint, can cause significant pain and restrict mobility. The cheilectomy procedure offers an effective solution to alleviate discomfort, improve joint function, and restore mobility. Here’s what you need to know about this procedure and its recovery process. What is the Cheilectomy Procedure? The cheilectomy procedure is designed to address hallux rigidus by removing bony outgrowths and joint debris. This process improves joint motion, reduces pain, and helps straighten the toe. As a joint-preserving surgery, it often leads to an enhanced range of motion without requiring permanent fixation or implants. The procedure typically takes about 30 minutes and does not require the use of a cast. Absorbable stitches are commonly used to minimise the need for removal. Why Consider This Surgery? The primary aims of a cheilectomy are: To reduce pain caused by arthritis or prominent joints. To improve the alignment and mobility of the big toe. To decrease the formation of calluses or corns caused by the deformity. Advantages: A joint-preserving procedure that maintains and may improve movement in the affected toe. Risks and Considerations While the procedure is generally successful, some risks include: Residual stiffness or joint pain. Increased pressure or discomfort in the ball of the foot. Recurrence of symptoms. Your consultant will discuss these risks with you and explain how they will be managed to ensure the best outcome. Who is a Candidate for This Procedure? This surgery is typically recommended for individuals experiencing: Arthritis in the big toe joint. Pain caused by prominent joints. Difficulty wearing sensible footwear due to the deformity. Alternative Treatments: Altering activity levels. Using painkillers or anti-inflammatory medications. Changing footwear styles. Joint injection therapy. Other surgical options, including 1st MTP joint fusion or excisional arthroplasty. What to Expect During Surgery The procedure is performed under local anaesthesia, which may include a series of injections around the ankle or behind the knee. This ensures that you remain awake but pain-free. Sedation or general anaesthesia can also be used if preferred. Although the procedure takes about 30 minutes, you should plan to spend a few hours in the day surgery unit to rest before heading home. It is essential to have a responsible adult accompany you and assist you during 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 discomfort. Rest is essential. 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 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 and performing gentle toe exercises to maintain mobility. 2-6 Weeks After Surgery: The foot begins to feel more normal, though some swelling may persist. By six weeks, 89% of patients can return to wearing regular shoes. You may return to non-manual work; manual labour 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 reduces further, and the foot feels more functional. Sporting activities may be reintroduced after three months, depending on your recovery progress. Six Months After Surgery: Attend a final review to assess long-term recovery. Swelling should be minimal, and most patients experience the full benefits of the surgery. Twelve Months After Surgery: Full 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. Follow all post-operative care instructions provided by your consultant. Attend all scheduled follow-up appointments to monitor healing progress. The cheilectomy procedure is an effective option for relieving pain and improving mobility in patients with hallux rigidus. With proper care and adherence to recovery protocols, most patients experience significant improvements in their quality of life. If you are considering this procedure, consult your healthcare provider to determine if it is the right choice for you.

If you’re experiencing persistent foot pain caused by a flat or high-arched foot, calcaneal osteotomy might be a solution worth considering. This surgical procedure can significantly improve foot alignment, reduce pain, and address the underlying causes of deformity. Let’s explore the details of this surgery and its recovery process. What is Calcaneal Osteotomy? Calcaneal osteotomy is a procedure that involves reshaping and repositioning the calcaneus, or heel bone, to improve the alignment and function of the foot. It is often performed to correct painful flat feet or high-arched feet and can be combined with other procedures, such as Achilles tendon lengthening, for comprehensive correction. During the surgery, the surgeon makes an incision on the outer border of the foot near the heel and performs a precise bone cut. The heel bone is then repositioned, and fixation devices such as screws or plates with screws are used to secure the bone in its new position. These devices are typically not noticeable and do not usually require removal. The operation typically takes 30 to 60 minutes and is performed under local anaesthesia, often with sedation or general anaesthesia as an option. Why Consider This Surgery? Calcaneal osteotomy offers several benefits for those suffering from foot deformities: Improves the arch profile and overall alignment of the foot. Reduces pain caused by poor foot mechanics. Addresses the root cause of the deformity, leading to long-term relief. Risks and Considerations As with any surgical procedure, calcaneal osteotomy has potential risks, including: Recurrence or collapse of the foot. Nerve damage, which may cause loss of sensation on the outer part of the foot. Failure of bone healing (non-union). Your surgical team will discuss these risks with you and take every precaution to minimize complications. Who is a Candidate for This Procedure? This surgery is typically recommended for individuals with: Painful flat feet or high-arched feet that have not responded to conservative treatments. Persistent pain or difficulty in wearing footwear despite using orthotics or other supportive devices. Before considering surgery, your healthcare provider may suggest alternatives, such as: Activity modifications. Pain management with anti-inflammatory medications. Stretching exercises or night splints. Custom footwear or orthotic foot supports. What to Expect During Surgery The procedure can be performed under a local anaesthetic block, ensuring that you remain awake but pain-free. If preferred or deemed necessary by your surgeon, sedation or general anaesthesia may be used. Calcaneal osteotomy is typically a day surgery, allowing you to go home the same day. However, you will need a responsible adult to assist you on the first night post-surgery to ensure your safety and comfort. Recovery Timeline Immediately After Surgery: Pain management will be prioritized, and you’ll be provided with appropriate medications. Your foot will be non-weight bearing, supported in a cast or air cast boot, for the first 6-8 weeks. Rest is essential, and your mobility should be limited to essential activities like using the bathroom, with the aid of crutches. Within Two Weeks Post-Surgery: You’ll attend a follow-up appointment for dressing changes. Sutures may be removed if necessary. A new cast or air cast boot may be applied, depending on your progress. X-rays may be taken to monitor healing. 2-8 Weeks Post-Surgery: Depending on your progress, you may begin weight-bearing activities as advised by your surgeon. Transition to supportive footwear, like lace-up trainers, to aid mobility. Swelling and mild discomfort are normal as activity levels increase. Rehabilitation exercises or physiotherapy may be introduced to restore strength and flexibility. 8-12 Weeks Post-Surgery: Swelling continues to decrease, and your foot begins to feel more normal. Gradual return to daily activities, including some sports, may be possible. Beyond 12 Weeks: A final follow-up is typically scheduled at 6-8 months post-surgery to assess long-term outcomes. Improvements in foot alignment and pain relief become more noticeable over time. Planning for Recovery Proper preparation is key to a smooth recovery. Ensure you have: A support system to help with daily tasks during the non-weight-bearing phase. Crutches or mobility aids for initial movement. Arrangements for childcare or caregiving responsibilities if needed. Calcaneal osteotomy is a proven solution for individuals with painful flat feet or high arches, offering improved alignment and long-term pain relief. By understanding the procedure and following recovery protocols, you can look forward to better mobility and quality of life. If you’re considering this surgery, speak with your healthcare provider to determine if it’s the right option for you.

Flexible flat feet and abducted feet can cause discomfort, pain, and difficulty with mobility. Subtalar Arthroeresis with an implant is a minimally invasive surgical procedure designed to alleviate pain and improve foot function. Here’s a detailed guide to help you understand this procedure and what to expect during recovery. What is Subtalar Arthroeresis with Implant? Subtalar Arthroeresis is a surgical procedure that involves inserting a small implant between the bones beneath your ankle joint. This implant reduces excessive motion in the subtalar joint, improving the position and alignment of the foot. The operation is typically performed alongside other procedures, such as Achilles tendon lengthening, to provide a comprehensive solution for foot issues. The procedure is minimally invasive, usually taking 15 to 30 minutes, and does not require bone fixation unless additional procedures are performed. Why Consider This Surgery? The main goals of subtalar Arthroeresis are: To reduce pain caused by flexible flat feet or other related conditions. To improve foot function and overall mobility. Advantages: A relatively short procedure. Reduces flattening and collapse of the foot. Requires minimal recovery time compared to more invasive surgeries. Risks and Considerations While the procedure is effective for many, there are some specific risks to consider: Implant movement or extrusion (9%). Continued pain (6%). Recurrence of flat foot (3%). In some cases, implant removal may be necessary (1% - 39% depending on various studies). Other potential complications include infection and arthritis of the ankle joint. Your consultant will discuss these risks with you and explain how they will be managed to ensure the best outcome. Who is a Candidate for This Procedure? This surgery is typically recommended for individuals with: Painful flexible flat feet. Difficulty managing symptoms with conservative treatments. Alternative Treatments: Modifying activity levels. Painkillers and anti-inflammatory medications. Calf stretches and night splints. Custom footwear or orthotic foot supports. Other surgical options, such as Achilles lengthening or rearfoot osteotomy. What to Expect During Surgery The procedure is typically performed under local anaesthesia, ensuring you remain awake but pain-free. If preferred, sedation or general anaesthesia can also be considered. You will spend approximately three hours at the hospital, including pre-and post-operative rest periods. A responsible adult must accompany you home and assist you during 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 discomfort. Rest is crucial. Keep your foot elevated and minimise walking. Use crutches to avoid putting weight on the operated leg. One Week After Surgery: Attend a follow-up appointment for dressing changes and to check your progress. Begin weight-bearing as advised by your surgeon. Two Weeks After Surgery: Sutures will be removed if necessary. Gradually increase activity levels, following your consultant’s guidance. 6-8 Weeks After Surgery: You should be walking normally by this point. Some swelling and mild discomfort may persist. 8-10 Weeks After Surgery: Rehabilitation exercises may be introduced, or you may be referred to a physiotherapist. You may return to non-manual work; manual jobs may require more time. Driving can resume if you can safely perform an emergency stop (check with your insurer). 12-16 Weeks After Surgery: The foot should feel more natural, with reduced swelling. Sporting activities can be considered depending on your recovery progress. Six Months After Surgery: A final review will assess long-term progress. Swelling should be minimal, and you should experience the full benefits of the surgery. 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 non-weight-bearing phase. Follow all post-operative care instructions provided by your consultant. Attend all scheduled follow-up appointments to monitor healing progress. Subtalar Arthroeresis with an implant is an effective and minimally invasive option for addressing flexible flat feet and improving foot function. By following your surgeon’s guidance and adhering to recovery protocols, you can expect significant improvements in mobility and quality of life. Consult your healthcare provider to determine if this procedure is the right choice for you.

Arthritis in the lesser metatarsocuneiform joint can cause pain and deformity, affecting your quality of life and mobility. Lesser metatarsocuneiform joint fusion surgery is a procedure designed to address these issues, providing long-term relief and improved foot function. This guide provides a comprehensive overview of the surgery, its benefits, and the recovery process. What is Lesser Metatarsocuneiform Joint Fusion Surgery? This procedure is aimed at reducing pain and correcting deformity in the lesser metatarsocuneiform joint, located in the middle of the foot. During the operation, the worn-out cartilage is removed, and the raw bone surfaces are fused together to stabilise the joint. In some cases, a bone graft may be used to facilitate healing and improve alignment. Internal fixation, such as screws, plates, or wires, is used to secure the bones in place while they heal. These fixation devices typically do not need to be removed unless complications arise. The surgery usually takes about 60 minutes. Why Consider This Surgery? The main goals of this procedure are: To alleviate pain caused by arthritis or instability in the midfoot. To improve foot alignment and prevent further deformity. Advantages: Reduces pain and deformity effectively. Risks and Considerations While the surgery is generally successful, there are specific risks to be aware of, including: Pain from the graft site (if used). Arthritis developing in other joints. Transfer of pressure to the ball of the foot. Non-union of the bone, where the bone does not heal properly. Fixation issues with screws, plates, or pins. Nerve irritation or damage. Dorsal displacement of the metatarsal bone. Your surgeon will discuss these risks with you and explain the measures taken to minimise complications. Who is a Candidate for This Procedure? This surgery is recommended for individuals with: Painful, unstable, or arthritic joints in the midfoot area. Deformities or conditions that have not responded to non-surgical treatments. Alternative treatments may include: Activity modifications. Painkillers and anti-inflammatory medications. Special footwear, such as rocker-soled shoes. Orthotic foot supports or insoles. 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. Sedation or general anaesthesia may also be an option, depending on your preference and the surgeon’s recommendation. You will spend additional time in the day surgery unit before and after the operation to rest. 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 non-weight-bearing. Limit walking to essential activities, such as bathroom trips, using crutches as instructed. One Week After Surgery: Attend a follow-up appointment to have your foot checked and, if necessary, redressed or recast. Two Weeks After Surgery: Sutures will be removed, and a new cast may be applied. 6-8 Weeks After Surgery: An X-ray will be taken to assess healing progress. If all is well, the cast will be removed, and you will transition to a walking boot or trainer-style shoe. 8-10 Weeks After Surgery: You can start wearing supportive lace-up shoes. Swelling and mild discomfort may persist as you gradually increase activity levels. Rehabilitation exercises may be introduced, or a referral to a physiotherapist provided. You may return to non-manual work; manual jobs may require additional recovery time. Driving can resume if you can safely perform an emergency stop (check with your insurer). 12-16 Weeks After Surgery: The foot should feel more normal, with reduced swelling. Sporting activities may be considered depending on your progress. Six Months After Surgery: A follow-up review will evaluate your recovery. Swelling should be minimal, and you should experience the full benefits of the surgery. Twelve Months After Surgery: Full healing is achieved, and improvements stabilise. Planning for Recovery To ensure a smooth recovery: Arrange for assistance with daily tasks during the non-weight-bearing phase. Follow all post-operative care instructions provided by your surgeon. Attend all scheduled follow-ups to monitor progress. Lesser metatarsocuneiform joint fusion is a reliable procedure for reducing pain and correcting deformity in the midfoot. With proper preparation and adherence to recovery protocols, patients can achieve 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.

If you’ve been dealing with persistent foot pain or deformities caused by tight calf muscles or an Achilles tendon issue, you may have heard about gastrocnemius recession or Achilles tendon lengthening surgery. This procedure offers a solution for many individuals facing these challenges. Let’s delve into what the surgery entails, why it might be necessary, and what you can expect during recovery. Understanding the Procedure Tight calf muscles or Achilles tendons can place excessive tension on the foot, leading to discomfort and long-term issues such as foot deformities. Gastrocnemius recession or Achilles tendon lengthening surgery aims to alleviate this tension by lengthening the calf muscle or tendon. This adjustment helps reduce the destructive effects on the foot, addressing the root cause of the problem. By opting for this surgery, you can expect benefits such as reduced flattening of the foot and relief from the underlying deformities. However, like any procedure, it does come with specific risks. These include a potential rupture of the lengthened tendon, which would require surgical repair or a recurrence of foot collapse. You might also notice a temporary reduction in strength when raising your toes, though this usually improves with rehabilitation exercises. What to Expect During Surgery The procedure itself is relatively quick, typically lasting between 40 to 60 minutes. Small incisions are made around the calf muscle or Achilles tendon to perform the necessary adjustments. A combination of absorbable and non-absorbable stitches is used, and depending on your individual case, internal fixation such as screws or pins may be involved. In some cases, a cast may be necessary post-surgery. Most patients can expect this to be a day surgery, meaning you’ll go home the same day after a few hours of monitoring. It’s important to arrange for someone to accompany you home and assist you during the initial recovery phase. For those wondering about time off work, non-manual workers typically need 6 to 8 weeks, while those in manual labour may require 8 to 10 weeks to recover fully before returning to their jobs. Who Can Benefit from This Surgery? This procedure is often recommended for individuals experiencing conditions such as: Painful equinus or limited upward motion of the ankle. Chronic plantar fasciitis or pain in the ball of the foot (metatarsalgia). Diabetic ulcers caused by pressure from tight tendons. Painful, unstable arches that affect mobility. If these conditions sound familiar, your healthcare provider may discuss this surgical option with you. However, alternatives like calf stretching programs, night splints, or special footwear may also be explored first. Anesthesia Options and Recovery The procedure can be performed comfortably under local anesthesia, with injections around the ankle or behind the knee. While you’ll remain awake, you won’t feel pain, only touch, pressure, and vibration. For those who prefer not to stay awake or when the surgeon deems it necessary, local anesthesia with sedation or general anesthesia can be used. Post-surgery, it’s vital to rest and follow all provided instructions. During the first two weeks, you’ll need to minimize mobility and rely on crutches, placing weight only on your non-operated foot. Pain is most prominent during this phase but can be managed effectively with prescribed medications. Recovery Timeline Recovery from gastrocnemius recession or Achilles tendon lengthening surgery happens in stages: Initial Phase (First 2 Weeks): Rest is crucial during this time. You’ll need to keep your foot elevated and limit movement to essential activities like bathroom trips. Crutches will be your primary support. At Two Weeks: You’ll return for a redressing appointment. Stitches may be removed, and if you had a cast, a new one might be applied or replaced with an air cast boot. X-rays may also be taken to monitor healing progress. Between 2 and 8 Weeks: Depending on your procedure, your surgeon may allow gradual weight-bearing. Supportive footwear, like lace-up shoes or trainers, will help you ease back into walking. Some swelling and discomfort are normal as activity increases. You may also begin rehabilitation exercises or work with a physiotherapist to regain strength and mobility. At 8-12 Weeks: The foot should feel more functional, and swelling will continue to decrease. Sporting activities may be considered around the three-month mark, provided your recovery is progressing well. Beyond 12 Weeks: A final review will take place approximately 6 to 8 months after surgery. By this time, most patients notice significant improvements and experience long-term benefits. Planning for Success To ensure a smooth recovery, it’s essential to prepare in advance. Arrange for someone to assist you at home, particularly during the initial days when mobility is limited. Make sure you have support for childcare or caregiving responsibilities if needed. If you have any concerns or questions at any stage, your healthcare team at The Coriel Clinic is there to help. Don’t hesitate to reach out for guidance or clarification. Gastrocnemius recession or Achilles tendon lengthening surgery is a valuable option for individuals struggling with tight calf muscles or Achilles tendons. With proper preparation, adherence to recovery protocols, and guidance from your medical team, this procedure can help you regain comfort, mobility, and quality of life. If you’re considering this surgery, consult your healthcare provider to discuss the best plan for your needs.

If you’ve been struggling with pain, deformity, or a prominent bone on the outer side of your foot due to a tailor’s bunion, you might be considering lesser metatarsal osteotomy. This surgical procedure is effective in reducing discomfort and restoring foot function. Here’s everything you need to know about the surgery and what to expect. What is Lesser Metatarsal Osteotomy? Lesser metatarsal osteotomy is a procedure designed to correct tailor’s bunion deformity. This condition, also known as a bunionette, occurs when the fifth metatarsal bone protrudes outward, causing pain, deformity, or issues with footwear. During the surgery, a small incision is made on the side of the affected joint. The surgeon cuts and realigns the fifth metatarsal bone, securing it with a wire or screw to maintain its corrected position. This procedure typically lasts 30 to 45 minutes and effectively reduces the prominence and associated pain. Why Consider This Surgery? The main goals of lesser metatarsal osteotomy are: To alleviate pain and deformity caused by the protruding bone. To reduce callous or corn formation. To improve overall foot comfort and functionality. This procedure has proven effective, with studies showing high levels of patient satisfaction two years post-surgery. Risks and Considerations As with any surgical procedure, there are specific risks associated with lesser metatarsal osteotomy, including: Joint stiffness (5%). A floating toe that doesn’t touch the ground (5%). Non-union of the bone (failure to heal correctly). Fixation problems with screws or pins. Mild occasional joint pain (15%). These risks are relatively uncommon, and your surgical team will discuss ways to minimize potential complications. Who is a Candidate for This Procedure? This surgery is typically recommended for individuals with: Pain or bursitis from a prominent fifth metatarsal joint. Difficulty finding comfortable footwear despite wearing sensible options. Associated deformities, such as an under-riding fifth toe. If these symptoms are affecting your quality of life, lesser metatarsal osteotomy might be the right solution for you. Alternative Treatments Before considering surgery, your healthcare provider may suggest: Altering activity levels. Using painkillers or anti-inflammatory medications. Trying custom footwear or orthotic foot supports. Exploring joint injection therapy. It’s important to note that while these methods can manage symptoms, they may not correct the deformity. What to Expect During Surgery The procedure is typically performed under a local anaesthetic block, which involves injections around the ankle or behind the knee. You’ll remain awake but pain-free, feeling only touch or pressure. For patients uncomfortable with being awake, sedation or general anaesthesia options can be explored with your consultant. Lesser metatarsal osteotomy is a day surgery, so you can return home the same day. Ensure a responsible adult is available to assist you during the first 24 hours. Recovery Timeline First 2-4 Days: Pain management will be provided with appropriate medication. Rest is crucial. Keep your foot elevated and limit movement to essential activities using crutches. One Week After Surgery: Your foot may be checked and re-dressed during a follow-up appointment. Gradually increase activity within pain limits. Two Weeks After Surgery: Sutures, if any, will be removed. You can transition to wearing trainer-type shoes and no longer need bandages or crutches. 2-6 Weeks After Surgery: Your foot will begin to return to normal, though swelling may persist. Regular shoes can typically be worn after 6-8 weeks. You may return to work, though active jobs may require additional recovery time. You can resume driving once you can perform an emergency stop safely and have cleared it with your insurance company. 8-12 Weeks After Surgery: The foot should feel more functional, with less swelling. Sporting activities can be considered after three months, depending on your recovery progress. Six Months After Surgery: A follow-up review will assess your progress. Swelling should be minimal, and you’ll likely experience the full benefits of the surgery. Twelve Months After Surgery: Full healing will be complete, and improvements will have stabilised. Planning for Recovery To ensure a smooth recovery, it’s essential to prepare in advance: Arrange for a support system to assist with daily activities during the early recovery phase. Use crutches or mobility aids as recommended by your medical team. Follow all post-operative care instructions closely. Lesser metatarsal osteotomy is a reliable solution for those dealing with tailor’s bunion deformity and associated discomfort. By addressing the underlying issues, this procedure can significantly enhance your quality of life. If you’re considering surgery, consult your healthcare provider to determine if this treatment is the right fit for your needs.

If you're suffering from a hammered or arthritic big toe, you may be considering surgical options to alleviate pain and deformity. One common procedure for addressing these issues is interphalangeal joint fusion (IPJ fusion). This blog aims to provide a detailed overview of what to expect from this surgery, its benefits, risks, recovery, and more. What is Interphalangeal Joint Fusion? Interphalangeal joint fusion involves the removal of damaged cartilage in the middle joint of the big toe (known as the interphalangeal joint) and the fusion of the bone to relieve pain, correct deformity, and improve function. The goal of this procedure is to help restore the toe’s alignment and reduce symptoms, including pain and difficulty with shoe fit. Why is the Surgery Done? The procedure is typically recommended for individuals experiencing: Hammer deformity of the big toe   Arthritis in the middle joint of the big toe   Pain and discomfort from a prominent joint   Difficulty finding shoes that fit properly, even when wearing sensible footwear   In these cases, the surgery provides several benefits, including pain relief, a straighter toe, and reduced callus or corn formation. Key Benefits of the Surgery Pain Reduction: Fusion of the joint reduces arthritis-related pain and discomfort.   Straightening of the Toe: The procedure straightens the big toe, improving function and appearance.   Prevents Further Deformity: It helps to prevent worsening of joint deformities, such as hammertoe.   Improved Stability: The fusion provides stability to the affected toe, reducing instability when walking or standing. What to Expect During the Surgery The surgery typically takes 30 to 40 minutes to complete. The incision is usually placed on the top of the toe, with absorbable stitches used where possible. The joint's cartilage is removed, and the bone surfaces are carefully aligned to promote healing. Internal fixation, such as screws, plates, or wires, is used to hold the bones together during the healing process. These fixtures typically remain in place and do not need to be removed unless complications arise. Risks and Complications Like any surgical procedure, interphalangeal joint fusion carries risks. Specific risks associated with this surgery include: A feeling of Stiffness: After the joint is fused, you may experience reduced mobility and stiffness in the toe. Non-union or Delayed Union: The bones may not fuse properly or take longer to heal. Fixation Problems: The screws or plates may become loose or fail to hold the bones in place. Floating Toe: The toe may not touch the ground, leading to an altered gait. Long-Term Swelling: Some swelling may persist in the toe for a long time. Alternatives to Surgery While surgery is often the best option for severe cases, there are other ways to manage symptoms before considering surgical intervention: Pain Management: Medications such as painkillers or anti-inflammatories. Footwear Adjustments: Wearing appropriate shoes or insoles. Joint Injections: Cortisone injections or other therapies. Protective Foot Pads: Padding in shoes to reduce pressure. Additionally, another surgical option is arthroplasty, which involves the removal of part of the joint. Your consultant can help you explore these alternatives based on your condition. Recovery After the Procedure Recovery varies depending on the individual and the nature of the surgery. Here’s a general timeline of what to expect after interphalangeal joint fusion: Immediately After Surgery Hospital Stay: This is typically a day procedure, meaning you can usually go home the same day after a brief period of recovery. Post-Operative Care: You will need a competent adult to help you at home for the first 24 hours. You may need to wear a cast or air cast boot to keep weight off the foot. Pain Management: Painkillers will be provided to help manage discomfort. 1 to 2 Weeks Post-Surgery Redressing Appointment: You’ll visit your doctor for a redressing appointment, and stitches may be removed. Continued Rest: You will need to continue resting and may be required to wear a cast or air cast boot for further support. 2 to 8 Weeks After Surgery Weight Bearing: Depending on your specific surgery, you may or may not be able to bear weight on your foot. If you're able to, your doctor will advise you to wear sturdy shoes or trainers. Increased Activity: As you gradually increase your activity level, you may experience some swelling and discomfort, which is normal. Physical therapy may be recommended to aid in your recovery. 8 to 12 Weeks After Surgery Continued Healing: Most people will see significant improvement during this period, with reduced swelling and discomfort. Sporting Activities: Depending on your recovery, you may be able to return to light sports after 3 months. 12 Weeks and Beyond Final Review: A follow-up appointment will occur around 6 to 8 months post-surgery to assess your final recovery and improvement. General Risks of Foot Surgery As with any foot surgery, there are general risks involved, such as infection, bleeding, and anaesthesia complications. These risks are outlined in the preoperative information booklet you will receive. Interphalangeal joint fusion for a hammered or arthritic big toe is an effective solution for those suffering from chronic pain, deformity, and difficulty with foot function. While the surgery offers significant benefits, it's important to understand the procedure, potential risks, and recovery process before moving forward. Be sure to consult with your healthcare provider to determine whether this is the right option for your specific condition. If you have any questions or concerns, do not hesitate to contact The Coriel Clinic for further information or to speak with your consultant.

Hallux rigidus, or arthritis of the big toe joint, can cause significant pain, discomfort, and difficulty with mobility. The 1st MTP (metatarsophalangeal) joint fusion with a locking plate is a definitive surgical solution designed to reduce pain, improve alignment, and restore function. This article provides an overview of the procedure, its benefits, and the recovery process. What is 1st MTP Joint Fusion with Locking Plate? This procedure involves fusing the 1st MTP joint by removing the damaged cartilage and securing the bones in a corrected alignment using screws and a locking plate. The fusion eliminates movement in the joint, thereby reducing pain and improving toe alignment. The surgery typically takes between 45 and 60 minutes and does not usually require a plaster cast, thanks to the stability provided by the locking plate. Why Consider This Surgery? The primary aims of 1st MTP joint fusion are: To reduce pain caused by arthritis or instability in the joint. To correct deformities and improve alignment of the big toe. To provide a more predictable and long-lasting solution compared to other procedures. Advantages: Reduces pain effectively by eliminating movement in the joint. A definitive solution with a high success rate. Risks and Considerations As with any surgical procedure, there are specific risks, including: Pressure lesions on the big toe. Arthritis in smaller joints of the big toe. Poor alignment. Non-union (failure of the bone to heal together). Problems with fixation (e.g., screws, plates, or pins). Transfer of pressure to the ball of the foot. Your consultant will discuss these risks with you and explain the measures taken to minimise complications. Who is a Candidate for This Procedure? This surgery is recommended for individuals with: Unstable or arthritic 1st MTP joints. Difficulty finding comfortable footwear despite wearing sensible shoes. Failure to respond to alternative treatments. Alternative Treatments: Modifying activity levels. Using painkillers and anti-inflammatory medications. Wearing rocker-soled or extra-depth/width shoes. Orthotic foot supports or joint injection therapy. Other surgical options, such as excisional arthroplasty or joint implants. What to Expect During Surgery The procedure is typically performed under a local anaesthetic block, ensuring you remain awake but pain-free. Sedation or general anaesthesia may also be an option if preferred. Following the operation, you will spend time in the day surgery unit for observation before heading home. It is essential to have a responsible adult accompany you and assist you during the first 24 hours post-surgery. Recovery Timeline First 2-4 Days: Pain is most intense during this period, but prescribed painkillers will help manage discomfort. Rest is essential. Keep your foot elevated and minimise walking. Use crutches as instructed to avoid putting weight on the operated foot. Two Weeks After Surgery: Attend a follow-up appointment for progress checks and suture removal if necessary. If you have a plaster cast, it may be replaced for an additional 2-6 weeks. 4-8 Weeks After Surgery: X-rays will be taken to assess bone healing. If fusion is successful, you can begin wearing trainer-style shoes and gradually increase walking. Swelling and mild discomfort are common but should improve. Non-manual work can typically resume at this stage, while manual jobs may require additional time. Driving may resume if you can safely perform an emergency stop (check with your insurer). 8-12 Weeks After Surgery: The foot will continue to heal, with reduced swelling. Sporting activities may be reintroduced after three months, depending on recovery progress. Six Months After Surgery: A final review will evaluate long-term recovery. Swelling should be minimal, and you should experience the full benefits of the procedure. 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 post-operative care instructions provided by your consultant. Attend all scheduled follow-up appointments to monitor progress. 1st MTP joint fusion with a locking plate is a highly effective procedure for addressing hallux rigidus and related issues. By adhering to post-operative care guidelines and maintaining regular follow-ups, most patients 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.

We’re thrilled to share some fantastic news— Mr. Antony Wilkinson , Consultant Podiatric Surgeon at Coriel Orthopaedic Group , has been recognized as one of the top 10% of Doctors  on Doctify , based on outstanding patient feedback. Doctify, a leading healthcare review platform, awards its Patient Experience badges  annually to healthcare professionals who demonstrate long-term excellence and recent patient satisfaction . Using a weighted metric system , the ranking considers: Trust Score  – A high-weighted measure of overall patient trust Total Reviews  – The number of reviews received over time 12-Month Review Activity  – Ensuring ongoing patient feedback This recognition highlights Mr. Wilkinson’s dedication to patient care, surgical expertise, and outstanding outcomes  in podiatric surgery. About Mr. Antony Wilkinson With over 30 years of experience , Mr. Wilkinson is a leading podiatric surgeon , specializing in the investigation and surgical treatment of foot, ankle, and lower limb conditions . He is based at The Briars Consulting Rooms (Doncaster), Kinvara Private Hospital (Rotherham), and Ramsay Park Hill Hospital (Doncaster) , treating a wide range of conditions, including: Bunions and Hammertoes Osteoarthritis and Heel Pain Gait Analysis and Minimally Invasive Surgery As the only Podiatric Surgeon in the North of England qualified to perform minimally invasive foot surgery , Mr. Wilkinson is at the forefront of advanced techniques that offer faster recovery times and improved outcomes for patients. He is also a key member of the Diabetic Foot Protection Team in Doncaster , working closely with vascular surgeons to prevent limb loss in high-risk patients. A Well-Deserved Recognition At Coriel Orthopaedic Group , we are incredibly proud of Mr. Wilkinson’s commitment to delivering exceptional patient care . His recognition in the top 10% of doctors on Doctify  is a testament to his expertise, compassion, and dedication  to improving patients’ quality of life. Congratulations, Mr. Wilkinson. To read more patient reviews or book a consultation, visit Coriel Orthopaedic Group  or check out Mr. Wilkinson’s Doctify profile .

If you suffer from persistent forefoot pain or troublesome numbness caused by a neuroma, excision surgery may offer relief. Neuromas, or thickened sections of nerve tissue, can lead to discomfort and difficulty with everyday activities. This guide provides insights into the procedure, benefits, and recovery process. What is Neuroma Excision Surgery? Neuroma excision surgery involves removing the problematic neuroma to alleviate pain and improve foot function. It’s a relatively short procedure that typically does not require bone healing, making recovery more straightforward. The incision is usually placed on the top of the foot over the affected area, but in some cases, it may be made on the sole of the foot. The procedure is performed under local anaesthesia, often at the base of the toe. This ensures you remain awake but pain-free during the surgery, which usually takes between 30 and 60 minutes. Most patients find the anaesthesia to be more comfortable than a dental injection. Why Consider This Surgery? The main goals of neuroma excision surgery are: To remove the thickened nerve tissue causing pain or numbness. To reduce the impact on daily activities and improve footwear comfort. The operation offers several advantages: It’s a relatively short procedure. No bone healing is required. Recovery time is minimal compared to other foot surgeries. Risks and Considerations While neuroma excision surgery is generally safe, there are some specific risks to be aware of: Thickened or tender scars:  These may reduce over 12 months. Areas of numbness:  Sensation may improve gradually over a year. Regrowth of the nerve:  In rare cases, the nerve may regrow, requiring additional treatment. Circulation issues:  This may affect adjacent toes. Your consultant will discuss these risks with you in detail to ensure you have a clear understanding of the procedure. Who is a Candidate for This Procedure? This surgery is suitable for individuals experiencing: Persistent forefoot or toe pain caused by a neuroma. Difficulty wearing standard footwear despite sensible choices. Before surgery is considered, alternative treatments may be recommended, including: Adjusting activity levels. Using painkillers or anti-inflammatory medications. Wearing wider or specially designed footwear. Trying in-shoe foot supports or orthotics. Undergoing steroid injection therapy or surgical decompression. What to Expect During Surgery Neuroma excision is typically performed as a day procedure, meaning you can go home the same day. While the surgery itself takes about 30-60 minutes, you will spend additional time in the day surgery unit before and after the procedure to rest. A competent adult must accompany you home and stay with you for the first night to ensure your safety and comfort. Recovery Timeline First 2-4 Days: Pain is most intense during this period, but painkillers will be provided. Rest is crucial. Keep your foot elevated and limit movement to essential activities, using crutches if necessary. Gradually increase activity after three days, staying within pain limits. One Week After Surgery: Attend a follow-up appointment for a dressing change. Begin light activity within pain tolerance. Avoid overexertion as it may increase discomfort. 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 can get your foot wet. Many patients can transition to regular shoes, although full recovery may take longer. 2-6 Weeks After Surgery: The foot begins to return to normal, but swelling may persist, especially at the end of the day. You may return to work, though active jobs may require additional recovery time. Driving can resume if you can safely perform an emergency stop (check with your insurance provider). Avoid sports and intense physical activity during this period. 8-12 Weeks After Surgery: The foot should feel more normal, with less swelling. Light sports can be reintroduced based on your recovery progress. Six Months After Surgery: A follow-up review will assess your progress. Swelling should be minimal, and most patients experience the full benefits of the procedure. Twelve Months After Surgery: Full healing is typically complete, and improvements stabilise. Planning for Recovery To ensure a smooth recovery: Arrange for a support system during the initial recovery phase. Follow post-operative care instructions closely. Use pain management and mobility aids as recommended by your medical team. Neuroma excision surgery is an effective solution for managing pain and discomfort caused by a neuroma. With proper preparation and adherence to recovery guidelines, patients can experience significant relief and improved quality of life. Consult your healthcare provider to determine if this procedure is right for you.

Hammertoe deformity can significantly impact comfort, mobility, and footwear choices. This blog provides an overview of the condition, the IPJ Arthroplasty surgical procedure, and what to expect before and after surgery. What Is Hammertoe Deformity? Hammertoe deformity is a condition where the toe becomes bent at the joint, creating a claw or hammer-like appearance. It may cause discomfort, difficulty wearing shoes, and painful corns or calluses. Why Consider IPJ Arthroplasty? Interphalangeal Joint (IPJ) Arthroplasty is a surgical procedure designed to address the deformity by: Reducing Pain and Deformity: Straightening the toe alleviates discomfort. Improving Appearance: Restoring a more natural alignment. Preventing Calluses and Corns: Eliminating friction points. Advantages of the Procedure: Maintains some mobility in the toe, unlike more rigid corrective procedures. Procedure Overview Duration: 15–30 minutes. Incision Placement: Typically on top of the toe, with absorbable or standard stitches. Surgical Steps: A small piece of bone is removed from the joint, and the tendon may be lengthened if necessary. A stabilizing wire may be inserted and later removed. Anesthesia Options: Local anaesthesia (with or without sedation) or general anaesthesia. You will discuss the best option with your consultant. Day Surgery: This is usually an outpatient procedure, meaning you can return home the same day. Specific Risks While the procedure is generally safe, potential risks include: Recurrence of the Deformity Floating Toe: The toe may not touch the ground. Prominence of Adjacent Toes PostSurgical Pain: Reported in 3.39% of cases. Loose Pins: May necessitate early removal, potentially affecting the result. LongTerm Swelling: Occurs in 2.82% of cases. Malalignment Alternatives to Surgery If surgery isn’t suitable or desired, nonsurgical options include: Adjusting activity levels. Using painkillers. Opting for wider or more comfortable footwear. Using toe protectors. Regular podiatry care to manage corns and calluses. What to Expect After Surgery First 2–4 Days Pain Management: You’ll be prescribed painkillers for postsurgical discomfort. Rest: Stay off your feet as much as possible. Elevate them when resting. Mobility: Use crutches for short trips, such as to the bathroom. One Week After Surgery Your foot will be checked and redressed. Begin light activity within your pain limits. Two Weeks After Surgery Stitches may be removed, and you’ll stop using crutches. Start wearing trainer-type shoes. 2–6 Weeks PostSurgery Stabilizing pins will be removed. Swelling will reduce, but the foot may still feel tender. Gradual return to normal footwear and activities. 6–8 Weeks PostSurgery Significant improvement in swelling and mobility. You may resume driving (subject to your insurance company’s policy). Sports activities may be considered after three months. Six Months After Surgery Most swelling should be gone, and you should experience the full benefits of the surgery. Twelve Months After Surgery Complete healing and improvement should be achieved. When Can You Return to Work? Non-Manual Work: After 4–6 weeks. Manual Work: After 6–8 weeks, depending on recovery. Preparing for Surgery To ensure a smooth recovery: Arrange for someone to assist you at home for the first day and night. Wear comfortable, loose-fitting shoes on the day of surgery. Follow all preoperative instructions, including adjusting medications if advised by your consultant. Key Takeaways IPJ Arthroplasty for hammertoe deformity offers a pathway to improved comfort, mobility, and toe alignment. While the surgery has risks, careful preparation, and adherence to postoperative care significantly increase the chances of a successful outcome.