Podiatric Surgery

Podiatric Surgery

Although some foot problems such as bad odours, verrucae`s and athlete`s foot are fairly easily overcome with the help of a chiropodist, more serious problems such as bunions, hammer toes, ingrown nails, Morton`s neuroma and any bone related disorders may require podiatric surgery.

A qualified podiatrist will carry assessments and diagnosis before deciding on surgery; surgery is always the last option for patients and conservative and non-evasive techniques are considered first.

Bunions

Bunions are a fairly common foot problem that may require podiatric surgery; they are caused by separations of the metatarsals in which your first two toes are attached to. This happening causes the ankle to widen between the two bones (they are the two long bones in your foot) causing a lump on the side of your foot known as the bunion. The bunion forces the big toe inwards towards the second toe by influence of the ligaments in your foot. A bunion is hereditary and very often progressive meaning the need for surgery.

Podiatric surgery works by reducing the angle between the two metatarsals; this is done by cutting the bones and placing them in the correct position. Once they are in the correct position they are held there through the use of screws. The screws are removed after a few weeks once the bones have held their position.

Hammer Toes

Hammer toes are another foot problem that can be helped through the use of podiatric surgery. The condition of hammer toes comes from the finer muscles of the foot having an imbalance of power with the more powerful muscles of which derive from the lower leg. There are different causes for this condition; one is that there could be abnormal biomechanics somewhere in the lower joints. A podiatrist will run assessments before surgery to determine whether this is the case.

Toes start to buckle at the knuckle part of the toe; they are then irritated by socks and footwear by rubbing resulting in corns being formed over the knuckles. Depending on the cause two kinds of different surgery will be chosen from. The first is arthrodesis which is a fusion of the knuckle joint or arthroplasty which requires excision of part of the knuckle joint. With arthrodesis surgery, surgical steel wire is used to temporally stabilise the fusion site.

Morton`s Neuroma

Morton`s neuroma is a condition that impacts the nerve on the sole of the foot between the third and fourth toes, it is one of the smaller branches of nerves entering the foot. This can be extremely pain when walking and requires podiatric surgery. The pain is primarily caused by the nerve stretching over the heads of the third and fourth long bones; it is often down to biomechanics which will be assessed before surgery. The pain caused is a shooting or sharp pain through the foot, or sometimes numbness. It is corrected by putting right any biomechanical problems, excision of the nerve and injections of local anaesthetic and corticosteroid sometimes orthoses are used.