This content is intended for healthcare professionals only

Is it really ingrown toenail?

By |October 10th, 2023|

Blog's main page The image is of a patient who presented at my rooms recently with a markedly painful left hallux "ingrown toenail" unresponsive to treatment. The patient was referred [...]

Posterior “ankle pain”

By |August 7th, 2023|

Blog's main page This active 25-year-old has presented with marked "ankle pain" following all activities. He remembers a severe inversion sprain when he was a child and informs me he [...]

Severed tendon

By |June 26th, 2023|

Blog's main page This patient presented with a painful enlarged 2nd MTPJ, but her main concern was the fact that the associated 2nd toe is "floppy" and catches on the [...]

Paediatric rigid flat foot

By |June 1st, 2023|

Blog's main page This 16-year-old had been struggling since he commenced walking – marked and multiple symptoms on the foot, including lateral midfoot and rearfoot pain, and bunion formation. However, [...]

Bipartite Os Peroneum

By |April 26th, 2023|

Blog's main page Approximately 10% of the population have Os Peroneum, an accessory bone in the peroneus longus tendon. It is typically located adjacent to the cuboid as the tendon [...]

Subungual exostoses

By |April 26th, 2023|

Blog's main page This is one of a few subungual exostoses I see regularly throughout the year. Often when I see these cases, they have been treated as an ingrown [...]

Fractured bone spur

By |March 29th, 2023|

Blog's main page This patient presented in early March with a history of a sudden severely inflamed and painful right 1st MTPJ after a run completed the previous month. The [...]

1st MTPJ cartilage damage

By |February 1st, 2023|

Blog's main page I operated on this patient last week. She had suffered from marked left 1st MTPJ pain. She had been treated for her bunion via rest, orthotics, mobilisation, [...]

Posterior heel pain

By |January 27th, 2023|

Blog's main page This patient presented with a history of markedly painful posterior heel "bumps". She has noted them for approximately two years. The patient is now having major problems [...]

Hallux Limitus / Rigidus

By |November 30th, 2022|

Blog's main page This patient had marked 1st MTPJ pain that had been recalcitrant to conservative care, including various orthotics. Her range of motion was mildly reduced; however, she had [...]

Tarsal coalition

By |November 9th, 2022|

Blog's main page Tarsal coalitions are rare in the general population. I suspect this may be the reason why many of these are missed or wrongly diagnosed. The patient seen [...]

Interdigital ulcer success

By |November 4th, 2022|

Blog's main page The images depict a recent case involving a patient who was referred to me for a markedly painful long-standing interdigital corn. This had recently developed an ulcer [...]

Gout deposits (not bunions)

By |September 1st, 2022|

Blog's main page This patient has presented with concerns about painful bunions. He also suffers from gout. On questioning, he has been less than conscientious with his taking of gout [...]

Adult-acquired flat foot (PTTD)

By |August 4th, 2022|

Blog's main page This is a patient who presented with a severely debilitating right flat foot. This has been progressing for approximately two years; however, three months ago, the pain [...]

Calcaneonavicular coalition

By |July 26th, 2022|

Blog's main page This is an image from one of my cases last week. The patient is another example of the need to continue your investigations into those long-standing and [...]

Minimally invasive fracture fixation

By |May 23rd, 2022|

Blog's main page Surgical intervention is continuously evolving. Minimally invasive surgery, or keyhole as it is commonly known, has progressed markedly over recent years as this case depicts. This patient [...]

Post-operative wounds

By |April 29th, 2022|

Blog's main page The images show how a foot can look at six weeks post-op. This patient had chronic painful 1st and 2nd MTPJs. On clinical and radiographic imaging, it [...]

Plantar fasciotomy post-op

By |February 18th, 2022|

Blog's main page Following on from a post (Chronic Heel Pain, October 2021) I shared a few weeks ago about the minimally invasive plantar fasciotomy for chronic recalcitrant plantar fasciosis/fasciitis. [...]

Heloma molle/soft corn

By |February 9th, 2022|

Blog's main page Interdigital soft corns are a common occurrence and in most situations, regular debridement and ID pads can control the problem. Some of these corns can be resistant [...]

Pes planus

By |November 19th, 2021|

Blog's main page Flat feet and the plethora of symptoms associated must be one of the most commonly seen conditions in the office of a podiatrist. Typically with the help [...]

Chronic heel pain

By |October 27th, 2021|

Blog's main page This 24-year-old male presented at my rooms with an 8-year history of bilateral "plantar fasciitis". He had been treated with various modalities and health practitioners over the [...]


By |September 21st, 2021|

Blog's main page I have carried out surgery on three patients recently who have had moderate bunions on X-ray, however, clinically they appear to be much worse. On X-ray, you [...]

Dislocated 2nd MTPJ

By |September 13th, 2021|

Blog's main page This patient presented recently with a long-standing markedly painful left 2nd metatarsophalangeal joint (MTPJ). Conservative care has been unsuccessful and hence she was referred for a surgical [...]

Interdigital corn

By |August 23rd, 2021|

Blog's main page This would present at a podiatry practice on a regular occurrence. This case was in a 27-year-old, who had been suffering from a lateral 5th toe corn [...]

Subungual exostosis

By |August 18th, 2021|

Blog's main page I see a regular amount of subungual exostosis throughout the year. Typically they have been treated as ingrown toenails (IGTN) first. The GP and the podiatrist may [...]

Hyperpronation cure

By |August 10th, 2021|

Blog's main page Many of you may have heard of HyProCure (hyperpronation cure) and wondered what it is. The HyProCure website does a very good job of explaining in detail, [...]

Improvements in bunion surgery

By |August 3rd, 2021|

Blog's main page Bunion surgery has advanced markedly in recent years. Traditionally the surgery has had a bad name. Procedures involved long recovery, large incisions, marked pain and poor outcome. [...]

Hypergranulation tissue

By |July 27th, 2021|

Blog's main page Just a reminder of the importance of removing hypergranulation tissue during a partial nail avulsion with penalisation (PNA). This young boy had this recalcitrant ingrown toenail for [...]

Platelet Rich Plasma (PRP)

By |June 15th, 2021|

Blog's main page Surgery is often described as an art and science. This case from last week depicts exactly how science can help surgical outcomes. This patient had chronic, marked [...]

Osteoid osteoma

By |October 14th, 2020|

Blog's main page This case will hopefully outline the importance of utilising all your knowledge and not solely relying on other professionals' reporting. I carried out bunion correction on this [...]

Rigid flat feet

By |May 1st, 2020|

Blog's main page This post is about assessing patients with flat feet, particularly the paediatric foot. If the foot, particularly the rear foot, is fixed or rigid, something more complex [...]

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