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 a great example of how poor biomechanics impacts foot pathology. This is a case of juvenile bunions with flat feet that has recently been presented in my rooms. I have successfully corrected the mother's bunions and she is now showing concern for her daughter's painful feet. Pain in the long medial [...]
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. A patient presented this week with a problem, involving DJD/OA of the left 2nd MTPJ. She is an existing patient, whom I carried out a plantar [...]
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 years, including 4 steroid injections in each heel and was actually wearing a CAM/moon boot on his right foot. The patient presented with radiographs and ultrasounds [...]
Blog's main page Approximately 2.5% of the population are born with an accessory navicular. There are three types of this condition with type 2 being the most commonly symptomatic. The fibrocartilagenous union between the ossicle and the navicular can be torn, particularly when it occurs in an excessively pronated foot type. The tibialis posterior tendon will [...]
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 can see "shadowing" of the gouty tophaceous deposits on the medial aspect of the joint, which gives the impression clinically that the actual osseous deviation is [...]
