Plantar fasciotomy post-op

By |2022-05-29T14:21:50+10:00February 18th, 2022|Heel pain, Post operative|

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 fasciotomy eleven years [...]

Chronic heel pain

By |2022-02-20T14:20:17+11:00October 27th, 2021|Heel pain|

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 with a diagnosis [...]

Accessory navicular with pes planus

By |2022-03-18T11:00:03+11:00October 19th, 2021|Flat feet|

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 contract and pull [...]

Gout

By |2022-02-17T16:59:12+11:00September 21st, 2021|Uncategorized|

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 larger. Luckily minimal [...]

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