Expert Podiatrist in Tampa, FL

Foot Surgery

Many foot problems do not respond to "conservative" management. Your podiatric surgeon can determine when surgical intervention may be helpful. Often when pain or deformity persists, surgery may be appropriate to help alleviate them or to restore the function of your foot.
 
Bunions Foot Orthodontics—Podiatric care in Tampa, FL
 

Bunions

A common deformity of the foot, a bunion is an enlargement of the bone and tissue around the joint of the big toe. Heredity frequently plays a role in the occurrence of bunions (especially among women), as it does in other foot conditions. when symptomatic, the tissue may become red, swollen, and inflamed, making shoe gear and walking uncomfortable and difficult. If conservative care fails to reduce these symptoms, surgical intervention may be warranted. Your podiatric surgeon will determine the type of surgical procedure best suited for your deformity, based on a variety of information which may include X-rays and gait examination.
 
 
Hammertoes Foot Orthodontics—Podiatric care in Tampa, FL
 

Hammertoes

A hammertoe deformity is a contracture of the toe(s), frequently caused by an imbalance in the tendon or joints of the toes. Due to the "bending" effect of the toe(s), hammertoes may become painful secondary to footwear irritation and pressure. Corn and callus formation may occur as a hammertoe becomes more rigid over time, making it difficult to wear shoes. Your podiatric surgeon may suggest correction of this deformity through a surgical procedure to realign the toe(s).
 
 
Neuroma Foot Orthodontics—Podiatric care in Tampa, FL
 

Neuroma

An irritation of a nerve may produce a neuroma, which is a benign enlargement of a nerve segment, commonly found between the third and fourth toes. Several factors may contribute to the formation of a neuroma. Trauma, arthritis, high-heeled shoes, or an abnormal bone structure are just some of the conditions that may cause a neuroma. Symptoms such as burning or tingling to adjacent toes and even numbness are commonly seen with this condition. If conservative treatment does not relieve the symptoms, then your podiatric physician will decide based on your symptoms whether surgical treatment is appropriate.
 
 
Bunionette Foot Orthodontics—Podiatric care in Tampa, FL
 

Bunionette (tailor's bunion)

A protuberance of bone at the outside of the foot behind the fifth (small) toe, the bunionette or "small bunion" is caused by a variely of conditions including heredity, faulty biomechanics (the way you walk) or trauma, to name a few. Pain is often associated with this deformity, making shoes very uncomfortable and at times even walking becomes difficult. If severe and conservative treatments fail to improve the symptoms of this condition, surgical repair may be suggested. Your podiatric surgeon will develop a surgical plan specific to the condition present.
 
 
Custom Ridged Foot Orthodontics—Podiatric care in Tampa, FL
 

Toenail Deformities

Ingrown or deformed toenail tissue may be severe enough to warrant surgical treatment. Removal of part or all the nail may be necessary, depending on the deformity. Sometimes soft tissue near or at the nail plate must be removed to adequately treat specific conditions of the toenail. Your podiatric physician will decide the surgical procedure best suited to treat your nail condition.

Bone Spurs

A bone spur is an overgrowth of bone as a result of trauma or reactive stress of a ligament or tendon. This growth can cause pain and even restrict motion of a joint, depending on its location and size. Spurs may also be located under the toenail plate, causing nail deformity and pain. Surgical treatment and procedure is based on the size, location, and symptoms of the bone spur. Your podiatric physician will determine the surgical method best suited for your condition.
 

Preoperative Testing and Care

As with anyone facing any surgical procedure, those undergoing foot and ankle surgery may require specific tests or examinations before surgery to improve a successful surgical outcome. Prior to surgery, the podiatric surgeon will review your medical history and medical conditions. Specific diseases, illnesses, allergies, and current medications need to be evaluated. Other tests that help evaluate your health status may be ordered by the podiatric physician, such as blood studies, urinalysis, EKG, X-rays, blood flow studies (to better evaluate the circulatory status of the foot/legs), and biomechanical examination. A consultation with another medical specialist is sometimes advised by a podiatric physician, depending on your test results or a specific medical condition.

Postoperative Care

The type of foot surgery performed determines the length and kind of aftercare required to assure that your recovery from surgery is rapid and uneventful. The basics of all postoperative care involve to some degree each of the following: rest, ice, compression and elevation. Bandages, splints, surgical shoes, casts, crutches, or canes may be necessary to improve and ensure a safe recovery after foot surgery. A satisfactory recovery can be hastened by carefully following instructions from your podiatric surgeon.

Rearfoot Surgery

Many conditions can affect the back portion of the foot and ankle. Fortunately, many of these problems can be resolved through conservative treatments. However when pain persists or deformity occurs, surgical intervention can often help alleviate pain, reduce deformity, and/or restore the function of your foot or ankle.
 
Plantar Fasciitis Foot Orthodontics—Podiatric care in Tampa, FL
 

Plantar Fasciitis & Heel Spur(s)

Two common conditions that can cause pain to the bottom of the heel are plantar fasciitis and heel spur(s). Although there are many causes of heel pain in both children and adults, most can be effectively treated without surgery. When chronic heel pain fails to respond to conservative treatment, surgical care may be warranted.
Plantar fasciitis is an inflammation of a fibrous band of tissue in the bottom of the foot that extends from the heel bone to the toes. This tissue can become inflamed for many reasons, most commonly from irritation by placing too much stress (such as excess running and jumping) on the bottom of the foot.
Heel Spur(s) or heel spur syndrome are most often the result of stress on the muscles and fascia of the foot. This stress may form a spur on the bottom of the heel. While many spurs are painless others may produce chronic pain.
 
Based on the condition and the chronic nature of the disease, heel surgery can provide relief of pain and restore mobility in many cases. The type of procedure is based on examination and usually consists of plantar fascia release, with or without heel spur excision. There have been various modifications and surgical enhancements regarding surgery of the heel. Your podiatric physician will determine which method is best suited for you.
There are many other causes of heel pain, which has become one of the most common foot problems reported by patients to podiatric physicians. Many of them have a basis in heredity, as do a lot of other foot conditions. Among the causes are stress fractures and stress-fracture syndrome, entrapped nerves, bruises, bursitis, arthritis (including gout), deterioration of the fat pad on the heel, improper shoes, and obesity, just to name some. Most of these conditions will be treated nonsurgically, though surgery may be recommended in some instances.
 
Haglund's Deformity Foot Orthodontics—Podiatric care in Tampa, FL
 

Haglund's Deformity (pump bump)

This deformity is characterized by a bony enlargement on the back of the heel. Although not always painful, it may become so if bursitis develops near the Achilles tendon secondary to footwear irritation. If attempts at shoe modification and other medical treatments fail to improve this condition, surgical correction may be beneficial. Based on X-ray evaluation and other tests or examinations your podiatric surgeon will select an operative treatment to alleviate the condition.
 

Insertional Achilles Calcification/Spur

This deformity differs from Haglund's deformity, in that spur formation or calcification at the insertion of the Achilles tendon is the cause of pain. Often associated with Achilles tendinitis, this deformity can often be difficult to treat medically and therefore surgical treatment may be necessary in chronic cases. There are many causes of this condition, including arthritis, but the most common appears to be overuse syndrome, when trauma occurs where the Achilles tendon attaches to the heel bone. Surgical treatment includes removal of the bone spur and/or calcification, along with repair of the Achilles tendon.
 
 

What is Diabetes?

Diabetes mellitus -often called "sugar disease" - is a serious disorder that can lead to blindness, amputation, kidney failure, stroke, and heart attacks. Marked by the inability to manufacture or properly use insulin, diabetes impairs your body's ability to convert sugar, starches and other food into energy. The long-term effect is damage to the eyes, heart, kidneys, feet, nerves, and blood vessels.
  • An estimated 16 million Americans have diabetes, yet half of them - eight million people - don't know it, putting themselves at terrible risk:
  • Diabetes claims more lives each year than either AIDS or breast cancer - 178,000 people died from diabetes last year alone.
  • Each year, more than 67,000 lower limbs are amputated due to complications from diabetes.
  • Diabetes is the leading cause of end-stage kidney disease.
  • Individuals with diabetes are two to four times more likely than the general population to experience heart disease and stroke.
  • Among adults under the age of 75, diabetes is the leading cause of new cases of blindness.
 
 
Diabetes Warning Signs
  • The frequent urge to urinate
  • Increased infections
  • Abnormal weight loss
  • Blurred Vision
  • Slow to heal wounds
  • Tingling or numbness of the feet or hands
  • Extreme hunger
 
While there is currently no cure for diabetes, there is hope. With proper diet, exercise, medical care and watchful management at home, a person with diabetes can keep the most serious of these consequences at bay.
Until there is a cure, the key to living successfully with diabetes is early detection and early intervention.
How Do You Get Diabetes?
No one yet knows how you "get" diabetes, but once diagnosed, you will have the disease for the rest of your life. Certain characteristics put you at higher risk for developing diabetes:
Does someone in your family have diabetes?
 
  • Are you overweight?
  • Did you develop diabetes when you were pregnant?
  • Are you over the age of 45?
  • Are you a member of one of the following ethnic groups?
 
African American
Hispanic American
Native American
Asian American
Pacific Islander
 
If you answered "yes" to one or more of the preceding questions, you are at increased risk for developing diabetes at some point in your life. Certain characteristics are hereditary and you can't do anything about them. However, one of the most serious predictors of diabetes is within your control: your weight. More than 80% of people with diabetes are overweight, many of them obese.
One of the best ways to delay or prevent the onset of diabetes is to exercise and keep your weight down.
What If I Have Diabetes?
Because diabetes affects so many organs of the body; if you have the disease you will be treated by a team of doctors, nurses, and other healthcare specialists. Family physicians, nutritionists, endocrinologists, and podiatric physicians all work together to monitor your condition and keep your diabetes under control.
Proper care, hygiene, and inspection of the feet are critical for a person with diabetes. Nerves damaged by the disease are not as sensitive to pain, heat or cold, so people with diabetes can injure their feet, not know it, and develop infections. Poor circulation compounds the problem, by reducing the number of infection-fighting white blood cells that are carried to and from the wound site. If left untreated, an unhealed and infected wound can ultimately lead to amputation.
Fifteen percent of all people with diabetes will develop open wounds on their feet at some point during their lifetimes. Of these ulcerations, 20 percent will result in amputation. And more than 50 percent of those who undergo an amputation of one limb will also lose the other within three to five years.
Yet with strict adherence to diet, exercise, medication, and hygiene, more than half of the lower extremity amputations among people with diabetes could be prevented. The role of good foot care cannot be overemphasized in this equation.
 
American Medical Association
The American Podiatric Medical Association in Hillsborough, Florida
The International College of Podiatric Laser Surgery
The American College of Arthroscopic Surgeons
The Phlebology Society of America