Blog's main page These things can be so painful! One of my favourite procedures to carry out is the excision of the interdigital corn. As surgery goes, they are quite simple to do and produce great results with minimal recovery time. These corns are caused by the skin in the webbing being compressed by the underlying [...]
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 in the imaging below has had marked foot pain for many years and has consulted various health professionals over the years. One intervention, approximately ten years [...]
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 on the medial 5th toe that would not resolve. The referring podiatrist arranged an X-ray, and an obvious cause was identified. Past trauma to the PIPJ [...]
Blog's main page There have been many advances in foot surgery over the years, with minimally invasive surgery (MIS) or keyhole surgery being one such modality. The below before and after images are from a patient I recently performed surgery on. The left image is before, and the right is one-week post-operative. The patient is still [...]
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 prophylactic medications. On the clinical images on the left, he does look as though he has bunions, plus he has painful 1st MTPJs that could be [...]
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 and disability markedly increased. He can no longer carry out weight-bearing exercises, work at his usual job or play with his kids as desired. Conservative care [...]
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 chronic markedly painful feet. This patient had a painful lateral rearfoot with no success from conservative care. X-rays were negative, and the patient's biomechanics were not [...]
Blog's main page A patient has presented this week with pain in the forefoot. The pain was marked and typical for generalised forefoot pain. Her recent treatment has focused on a 'neuroma' or 'bursitis'. The treatment interventions have been unsuccessful, and she was referred to me. On examination, her pain was solely focused around a slightly [...]
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 presented with a painful non-union of the base of the 5th metatarsal. Commonly called Jones fracture, however, this actual fracture is at the margins of a [...]
Blog's main page An astute podiatrist referred this patient to me recently with a history of treatment for supposed posterior tibial tendon dysfunction (PTTD). The patient has been symptomatic on the medial navicular region radiating slightly proximal. She had been treated for PTTD for many months, including rest, orthotics and physiotherapy with no poor results by [...]
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 was shown she had hallux limitus with an abducted hallux and chronic overload to the 2nd MTPJ. The image on the left is intra-operative and shows [...]
