New York City Podiatrist

Posts for tag: Ankle Surgery

By Dr. Kenneth Meisler and Associates
April 17, 2018
Category: Podiatry
Tags: Foot Surgery   Ankle Surgery  

Are your foot symptoms bad enough to warrant surgical interventions?Foot Surgery, Ankle Surgery

Have you been trying every treatment possible to help manage your foot problem? Are you not experiencing the relief you thought you would even after months of dedicated care? Are your foot or ankle problems affecting your day-to-day activities? If you said, “yes” to these questions, then it might be time to consider getting foot or ankle surgery. While surgery is often the last thing someone wants to think about it, here are some reasons why it might be needed.

What are the most common types of foot surgeries?

You might be surprised to learn about all the seemingly common conditions that could benefit from surgery. While these conditions don’t always warrant this kind of aggressive treatment, there are some cases in which it will. Here are some of the most common foot surgeries to consider:

  • Bunions
  • Hammertoes
  • Arthritis (of the foot and/or ankle)
  • Ankle replacement
  • Plantar fasciitis
  • Morton’s neuroma
  • Achilles tendon rupture or injury
  • Tibialis posterior dysfunction

Why is surgery needed?

Most people with these issues above won’t require surgery to get a handle on their symptoms. Whether you do actually need to get foot surgery will really depend on several factors such as:

  • The severity of the pain
  • How long you’ve been experiencing pain
  • Whether or not you are responding to treatments
  • Your quality of life
  • Your personal needs

What are the advantages of foot surgery?

For those patients not finding relief through non-surgical methods, you may find that getting surgery could provide you with all the benefits you were hoping for including:

  • Reduced or completely eliminated pain
  • Improved mobility, function, and range-of-motion
  • The ability to wear shoes without discomfort or irritation
  • Improvement in the shape and appearance of your feet

Sometimes surgery is able to provide the quality of life that other nonsurgical options just can’t. You can always talk to your podiatric specialist to learn more about the treatments that are right for you.

Foot surgery is the final remedy for many different kinds of pain in the foot and ankle caused by bunions, hammertoes, and arthritis, just to name a few. Though these problems can cause severe pain in some patients, relief can often be found through alternative treatments. It is only in extreme cases--when these alternative treatments aren't  effective--that there is a need for foot surgery.  Your podiatrist will work with you to determine the best treatment option for your ailments.

Bunion Surgery

Bunion surgeries fall into two major categories:

  • Head procedures that treat the big toe joint
  • Base procedures concentrate on the bone near or behind the big toe joint. 

Most bunion surgeries are performed on an outpatient basis at a surgical center or hospital. It is important to set aside an entire day for your surgery, even though you may be in the facility for only half a day. Bunion surgery is usually performed with a local anesthetic that can be combined with a sedation medication to put you into a “twilight” sleep so that you are fully relaxed for the procedure.  

After surgery, patients are often given a long-acting anesthetic and pain medication, which is why someone else must drive you home. The type of procedure you have will determine the degree to which you can put weight on the foot immediately after the surgery. Some patients may have to use crutches, while others may be sent home wearing a surgical shoe.  

During the first week after surgery, you will need to keep your foot elevated as much as possible. Ice packs should also be applied for the first three to four days to reduce swelling. Limited walking is often required over the first two weeks to promote healing. Your podiatrist may also instruct you on some basic exercises that need to be performed daily.

Ankle Surgery

Ankle surgery may be required to correct a serious deformity of the ankle and its bone structure. Injury, birth defects, or changes throughout the course of life are the usual culprits. Disease, such as diabetes, rheumatoid arthritis, and neuromuscular conditions, may cause severe foot and ankle deformities that, over time, cause pain and difficulty walking. Surgeries of the ankle emphasize the realignment of the structure either around or after removal of the deformity.

Various kinds of internal and external fixation devices are often required to maintain the appropriate alignment during, and beyond the healing process. Varying in complexity and severity, many ankle surgeries are conducted on a same-day, outpatient basis.  Patients need to arrange for another person to take them home after surgery and to stay with them for the first 24 hours following the surgery. Post-operative instructions provided by your podiatrist will give you the information needed to care for your recovering ankle following surgery.  

When foot problems occur, your feet deserve your full attention and the care of your podiatrist. Foot surgery can often be avoided with conservative treatments, but if your foot pain is excessive foot surgery may be the best solution. Contact your podiatrist in today for further consultation and treatment of your foot ailments.