Is it really ingrown toenail?
Blog’s main page The image is of a patient who presented at my rooms recently with a markedly painful left […]
Posterior “ankle pain” (intra-operative images)
Blog’s main page These are intra-operative images taken during the surgery to remove the painful ossicles discussed in my previous
Posterior “ankle pain”
Blog’s main page This active 25-year-old has presented with marked “ankle pain” following all activities. He remembers a severe inversion
Revisional bunion surgery: subtle points
Blog’s main page The images may appear relatively straightforward on initial inspection. However, some crucial points can allow revisional, or
Second MTPJ arthrosis and capsular interpositional arthroplasty
Blog’s main page This was a very symptomatic 2nd MTPJ that had progressed for many years. Conservative care has been
Severed tendon
Blog’s main page This patient presented with a painful enlarged 2nd MTPJ, but her main concern was the fact that
Advances in neuroma surgery
Blog’s main page Neuromas are one of the most common conditions seen by a podiatric surgeon. The image is of
Paediatric rigid flat foot
Blog’s main page This 16-year-old had been struggling since he commenced walking – marked and multiple symptoms on the foot,
Minimally invasive metatarsal osteotomy (keyhole surgery)
Blog’s main page This is a patient who is approximately eight months postoperative from an Austin/chevron bunionectomy and correction of
Nerve entrapment from early bunion formation
Blog’s main page This lady presented with marked shooting pain in the right dorsal medial 1st MTPJ. She has endured
Ankylosed DIPJ and interdigital corn
Blog’s main page This patient, who was referred to me for an opinion, had a markedly painful corn on the
Bipartite Os Peroneum
Blog’s main page Approximately 10% of the population have Os Peroneum, an accessory bone in the peroneus longus tendon. It
Subungual exostoses
Blog’s main page This is one of a few subungual exostoses I see regularly throughout the year. Often when I
Minimally-invasive surgery (bunion and lateral hallux IPJ)
Blog’s main page The images are from a case that underwent surgery a few weeks ago. The patient had a
Fractured bone spur
Blog’s main page This patient presented in early March with a history of a sudden severely inflamed and painful right
Deep vein thrombosis / venous thromboembolism
Blog’s main page Complications can occur with all surgery, some more serious than others. Deep vein thrombosis (DVT) / venous
Juvenile hallux valgus (bunion)
Blog’s main page This case shows just how strong genetics can play in the development of bunions. This is the
Gout or degenerative osteoarthrosis/hallux limitus?
Blog’s main page This patient presented approximately two weeks ago with a history of long-term gout. He is only in
1st MTPJ cartilage damage
Blog’s main page I operated on this patient last week. She had suffered from marked left 1st MTPJ pain. She
Posterior heel pain
Blog’s main page This patient presented with a history of markedly painful posterior heel “bumps”. She has noted them for
Ultrasound in the operating theatre
Blog’s main page In the last few months, I have had two patients with symptomatic foreign objects located deep to
Anterior Ankle Impingement Syndrome
Blog’s main page This case was referred to me as the patient has had a long history of anterior ankle
Hallux Limitus / Rigidus
Blog’s main page This patient had marked 1st MTPJ pain that had been recalcitrant to conservative care, including various orthotics.
Heloma Molle (interdigital corn)
Blog’s main page These things can be so painful! One of my favourite procedures to carry out is the excision
Tarsal coalition
Blog’s main page Tarsal coalitions are rare in the general population. I suspect this may be the reason why many
Interdigital ulcer success
Blog’s main page The images depict a recent case involving a patient who was referred to me for a markedly
Minimally invasive forefoot reconstruction
Blog’s main page There have been many advances in foot surgery over the years, with minimally invasive surgery (MIS) or
Gout deposits (not bunions)
Blog’s main page This patient has presented with concerns about painful bunions. He also suffers from gout. On questioning, he
Adult-acquired flat foot (PTTD)
Blog’s main page This is a patient who presented with a severely debilitating right flat foot. This has been progressing
Calcaneonavicular coalition
Blog’s main page This is an image from one of my cases last week. The patient is another example of
Freiberg’s Disease/Infraction
Blog’s main page A patient has presented this week with pain in the forefoot. The pain was marked and typical
Minimally invasive fracture fixation
Blog’s main page Surgical intervention is continuously evolving. Minimally invasive surgery, or keyhole as it is commonly known, has progressed
Is it posterior tibial tendon dysfunction?
Blog’s main page An astute podiatrist referred this patient to me recently with a history of treatment for supposed posterior
Post-operative wounds
Blog’s main page The images show how a foot can look at six weeks post-op. This patient had chronic painful
The problems with keyhole bunion surgery
Blog’s main page There have been marked improvements in bunion surgery over the years to the point where, typically, the
Biomechanics of a pathology (bunions and pes planus)
Blog’s main page This is a great example of how poor biomechanics impacts foot pathology. This is a case of
Plantar fasciotomy post-op
Blog’s main page Following on from a post (Chronic Heel Pain, October 2021) I shared a few weeks ago about
Heloma molle/soft corn
Blog’s main page Interdigital soft corns are a common occurrence and in most situations, regular debridement and ID pads can
Post-operative pes planus/flat feet/excess pronation
Blog’s main page The images are of a recent patient who is 4 weeks post-op, following Hyprocure insertion. This patient
Pes planus
Blog’s main page Flat feet and the plethora of symptoms associated must be one of the most commonly seen conditions
Chronic heel pain
Blog’s main page This 24-year-old male presented at my rooms with an 8-year history of bilateral “plantar fasciitis”. He had
Accessory navicular with pes planus
Blog’s main page Approximately 2.5% of the population are born with an accessory navicular. There are three types of this
Dislocated 2nd MTPJ
Blog’s main page This patient presented recently with a long-standing markedly painful left 2nd metatarsophalangeal joint (MTPJ). Conservative care has
Motion following hallux limitus surgery
Blog’s main page Hallux limitus / rigidus or degenerative osteoarthrosis of the 1st metatarsophalangeal joint (MTPJ) is a very common
Interdigital corn
Blog’s main page This would present at a podiatry practice on a regular occurrence. This case was in a 27-year-old,
Subungual exostosis
Blog’s main page I see a regular amount of subungual exostosis throughout the year. Typically they have been treated as
Hyperpronation cure
Blog’s main page Many of you may have heard of HyProCure (hyperpronation cure) and wondered what it is. The HyProCure
Improvements in bunion surgery
Blog’s main page Bunion surgery has advanced markedly in recent years. Traditionally the surgery has had a bad name. Procedures
Hypergranulation tissue
Blog’s main page Just a reminder of the importance of removing hypergranulation tissue during a partial nail avulsion with penalisation
Platelet Rich Plasma (PRP)
Blog’s main page Surgery is often described as an art and science. This case from last week depicts exactly how
Remember functional anatomy and to x-ray
Blog’s main page This is an interesting case I have dealt with recently. The patient was sent to me with
Osteoid osteoma
Blog’s main page This case will hopefully outline the importance of utilising all your knowledge and not solely relying on
Bunion surgery: Modern procedures for quick recuperation and long-term results
Blog’s main page A recent review of a very happy bunion patient. This just shows you how foot surgery has
Rigid flat feet
Blog’s main page This post is about assessing patients with flat feet, particularly the paediatric foot. If the foot, particularly