Blog's main page This case shows just how strong genetics can play in the development of bunions. This is the foot of a 16-year-old. The parents and podiatrist have been diligent with orthotics and ID wedging from an early age. There is a strong family history of bunions, and the genetic predisposition for the first metatarsal [...]
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, medication and various splints. No pain relief was achieved, and she noted that the joint was becoming slightly stiff and more symptomatic. X-ray assessment showed 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 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 may be present and further in-depth investigation should be carried out. In recent months I have had a few children present with markedly painful flat feet [...]
