If you're suffering from a hammered or arthritic big toe, you may be considering surgical options to alleviate pain and deformity. One common procedure for addressing these issues is interphalangeal joint fusion (IPJ fusion). This blog aims to provide a detailed overview of what to expect from this surgery, its benefits, risks, recovery, and more. What is Interphalangeal Joint Fusion? Interphalangeal joint fusion involves the removal of damaged cartilage in the middle joint of the big toe (known as the interphalangeal joint) and the fusion of the bone to relieve pain, correct deformity, and improve function. The goal of this procedure is to help restore the toe’s alignment and reduce symptoms, including pain and difficulty with shoe fit. Why is the Surgery Done? The procedure is typically recommended for individuals experiencing: Hammer deformity of the big toe   Arthritis in the middle joint of the big toe   Pain and discomfort from a prominent joint   Difficulty finding shoes that fit properly, even when wearing sensible footwear   In these cases, the surgery provides several benefits, including pain relief, a straighter toe, and reduced callus or corn formation. Key Benefits of the Surgery Pain Reduction: Fusion of the joint reduces arthritis-related pain and discomfort.   Straightening of the Toe: The procedure straightens the big toe, improving function and appearance.   Prevents Further Deformity: It helps to prevent worsening of joint deformities, such as hammertoe.   Improved Stability: The fusion provides stability to the affected toe, reducing instability when walking or standing. What to Expect During the Surgery The surgery typically takes 30 to 40 minutes to complete. The incision is usually placed on the top of the toe, with absorbable stitches used where possible. The joint's cartilage is removed, and the bone surfaces are carefully aligned to promote healing. Internal fixation, such as screws, plates, or wires, is used to hold the bones together during the healing process. These fixtures typically remain in place and do not need to be removed unless complications arise. Risks and Complications Like any surgical procedure, interphalangeal joint fusion carries risks. Specific risks associated with this surgery include: A feeling of Stiffness: After the joint is fused, you may experience reduced mobility and stiffness in the toe. Non-union or Delayed Union: The bones may not fuse properly or take longer to heal. Fixation Problems: The screws or plates may become loose or fail to hold the bones in place. Floating Toe: The toe may not touch the ground, leading to an altered gait. Long-Term Swelling: Some swelling may persist in the toe for a long time. Alternatives to Surgery While surgery is often the best option for severe cases, there are other ways to manage symptoms before considering surgical intervention: Pain Management: Medications such as painkillers or anti-inflammatories. Footwear Adjustments: Wearing appropriate shoes or insoles. Joint Injections: Cortisone injections or other therapies. Protective Foot Pads: Padding in shoes to reduce pressure. Additionally, another surgical option is arthroplasty, which involves the removal of part of the joint. Your consultant can help you explore these alternatives based on your condition. Recovery After the Procedure Recovery varies depending on the individual and the nature of the surgery. Here’s a general timeline of what to expect after interphalangeal joint fusion: Immediately After Surgery Hospital Stay: This is typically a day procedure, meaning you can usually go home the same day after a brief period of recovery. Post-Operative Care: You will need a competent adult to help you at home for the first 24 hours. You may need to wear a cast or air cast boot to keep weight off the foot. Pain Management: Painkillers will be provided to help manage discomfort. 1 to 2 Weeks Post-Surgery Redressing Appointment: You’ll visit your doctor for a redressing appointment, and stitches may be removed. Continued Rest: You will need to continue resting and may be required to wear a cast or air cast boot for further support. 2 to 8 Weeks After Surgery Weight Bearing: Depending on your specific surgery, you may or may not be able to bear weight on your foot. If you're able to, your doctor will advise you to wear sturdy shoes or trainers. Increased Activity: As you gradually increase your activity level, you may experience some swelling and discomfort, which is normal. Physical therapy may be recommended to aid in your recovery. 8 to 12 Weeks After Surgery Continued Healing: Most people will see significant improvement during this period, with reduced swelling and discomfort. Sporting Activities: Depending on your recovery, you may be able to return to light sports after 3 months. 12 Weeks and Beyond Final Review: A follow-up appointment will occur around 6 to 8 months post-surgery to assess your final recovery and improvement. General Risks of Foot Surgery As with any foot surgery, there are general risks involved, such as infection, bleeding, and anaesthesia complications. These risks are outlined in the preoperative information booklet you will receive. Interphalangeal joint fusion for a hammered or arthritic big toe is an effective solution for those suffering from chronic pain, deformity, and difficulty with foot function. While the surgery offers significant benefits, it's important to understand the procedure, potential risks, and recovery process before moving forward. Be sure to consult with your healthcare provider to determine whether this is the right option for your specific condition. If you have any questions or concerns, do not hesitate to contact The Coriel Clinic for further information or to speak with your consultant.

Hallux rigidus, or arthritis of the big toe joint, can cause significant pain, discomfort, and difficulty with mobility. The 1st MTP (metatarsophalangeal) joint fusion with a locking plate is a definitive surgical solution designed to reduce pain, improve alignment, and restore function. This article provides an overview of the procedure, its benefits, and the recovery process. What is 1st MTP Joint Fusion with Locking Plate? This procedure involves fusing the 1st MTP joint by removing the damaged cartilage and securing the bones in a corrected alignment using screws and a locking plate. The fusion eliminates movement in the joint, thereby reducing pain and improving toe alignment. The surgery typically takes between 45 and 60 minutes and does not usually require a plaster cast, thanks to the stability provided by the locking plate. Why Consider This Surgery? The primary aims of 1st MTP joint fusion are: To reduce pain caused by arthritis or instability in the joint. To correct deformities and improve alignment of the big toe. To provide a more predictable and long-lasting solution compared to other procedures. Advantages: Reduces pain effectively by eliminating movement in the joint. A definitive solution with a high success rate. Risks and Considerations As with any surgical procedure, there are specific risks, including: Pressure lesions on the big toe. Arthritis in smaller joints of the big toe. Poor alignment. Non-union (failure of the bone to heal together). Problems with fixation (e.g., screws, plates, or pins). Transfer of pressure to the ball of the foot. Your consultant will discuss these risks with you and explain the measures taken to minimise complications. Who is a Candidate for This Procedure? This surgery is recommended for individuals with: Unstable or arthritic 1st MTP joints. Difficulty finding comfortable footwear despite wearing sensible shoes. Failure to respond to alternative treatments. Alternative Treatments: Modifying activity levels. Using painkillers and anti-inflammatory medications. Wearing rocker-soled or extra-depth/width shoes. Orthotic foot supports or joint injection therapy. Other surgical options, such as excisional arthroplasty or joint implants. What to Expect During Surgery The procedure is typically performed under a local anaesthetic block, ensuring you remain awake but pain-free. Sedation or general anaesthesia may also be an option if preferred. Following the operation, you will spend time in the day surgery unit for observation before heading home. It is essential to have a responsible adult accompany you and assist you during the first 24 hours post-surgery. Recovery Timeline First 2-4 Days: Pain is most intense during this period, but prescribed painkillers will help manage discomfort. Rest is essential. Keep your foot elevated and minimise walking. Use crutches as instructed to avoid putting weight on the operated foot. Two Weeks After Surgery: Attend a follow-up appointment for progress checks and suture removal if necessary. If you have a plaster cast, it may be replaced for an additional 2-6 weeks. 4-8 Weeks After Surgery: X-rays will be taken to assess bone healing. If fusion is successful, you can begin wearing trainer-style shoes and gradually increase walking. Swelling and mild discomfort are common but should improve. Non-manual work can typically resume at this stage, while manual jobs may require additional time. Driving may resume if you can safely perform an emergency stop (check with your insurer). 8-12 Weeks After Surgery: The foot will continue to heal, with reduced swelling. Sporting activities may be reintroduced after three months, depending on recovery progress. Six Months After Surgery: A final review will evaluate long-term recovery. Swelling should be minimal, and you should experience the full benefits of the procedure. Twelve Months After Surgery: Full healing is achieved, and any remaining improvements will stabilise. Planning for Recovery To ensure a smooth recovery: Arrange for assistance with daily tasks during the initial weeks post-surgery. Follow all post-operative care instructions provided by your consultant. Attend all scheduled follow-up appointments to monitor progress. 1st MTP joint fusion with a locking plate is a highly effective procedure for addressing hallux rigidus and related issues. By adhering to post-operative care guidelines and maintaining regular follow-ups, most patients achieve significant improvements in mobility and quality of life. If you are considering this procedure, consult your healthcare provider to determine if it is the right option for you.

We’re thrilled to share some fantastic news— Mr. Antony Wilkinson , Consultant Podiatric Surgeon at Coriel Orthopaedic Group , has been recognized as one of the top 10% of Doctors  on Doctify , based on outstanding patient feedback. Doctify, a leading healthcare review platform, awards its Patient Experience badges  annually to healthcare professionals who demonstrate long-term excellence and recent patient satisfaction . Using a weighted metric system , the ranking considers: Trust Score  – A high-weighted measure of overall patient trust Total Reviews  – The number of reviews received over time 12-Month Review Activity  – Ensuring ongoing patient feedback This recognition highlights Mr. Wilkinson’s dedication to patient care, surgical expertise, and outstanding outcomes  in podiatric surgery. About Mr. Antony Wilkinson With over 30 years of experience , Mr. Wilkinson is a leading podiatric surgeon , specializing in the investigation and surgical treatment of foot, ankle, and lower limb conditions . He is based at The Briars Consulting Rooms (Doncaster), Kinvara Private Hospital (Rotherham), and Ramsay Park Hill Hospital (Doncaster) , treating a wide range of conditions, including: Bunions and Hammertoes Osteoarthritis and Heel Pain Gait Analysis and Minimally Invasive Surgery As the only Podiatric Surgeon in the North of England qualified to perform minimally invasive foot surgery , Mr. Wilkinson is at the forefront of advanced techniques that offer faster recovery times and improved outcomes for patients. He is also a key member of the Diabetic Foot Protection Team in Doncaster , working closely with vascular surgeons to prevent limb loss in high-risk patients. A Well-Deserved Recognition At Coriel Orthopaedic Group , we are incredibly proud of Mr. Wilkinson’s commitment to delivering exceptional patient care . His recognition in the top 10% of doctors on Doctify  is a testament to his expertise, compassion, and dedication  to improving patients’ quality of life. Congratulations, Mr. Wilkinson. To read more patient reviews or book a consultation, visit Coriel Orthopaedic Group  or check out Mr. Wilkinson’s Doctify profile .

If you suffer from persistent forefoot pain or troublesome numbness caused by a neuroma, excision surgery may offer relief. Neuromas, or thickened sections of nerve tissue, can lead to discomfort and difficulty with everyday activities. This guide provides insights into the procedure, benefits, and recovery process. What is Neuroma Excision Surgery? Neuroma excision surgery involves removing the problematic neuroma to alleviate pain and improve foot function. It’s a relatively short procedure that typically does not require bone healing, making recovery more straightforward. The incision is usually placed on the top of the foot over the affected area, but in some cases, it may be made on the sole of the foot. The procedure is performed under local anaesthesia, often at the base of the toe. This ensures you remain awake but pain-free during the surgery, which usually takes between 30 and 60 minutes. Most patients find the anaesthesia to be more comfortable than a dental injection. Why Consider This Surgery? The main goals of neuroma excision surgery are: To remove the thickened nerve tissue causing pain or numbness. To reduce the impact on daily activities and improve footwear comfort. The operation offers several advantages: It’s a relatively short procedure. No bone healing is required. Recovery time is minimal compared to other foot surgeries. Risks and Considerations While neuroma excision surgery is generally safe, there are some specific risks to be aware of: Thickened or tender scars:  These may reduce over 12 months. Areas of numbness:  Sensation may improve gradually over a year. Regrowth of the nerve:  In rare cases, the nerve may regrow, requiring additional treatment. Circulation issues:  This may affect adjacent toes. Your consultant will discuss these risks with you in detail to ensure you have a clear understanding of the procedure. Who is a Candidate for This Procedure? This surgery is suitable for individuals experiencing: Persistent forefoot or toe pain caused by a neuroma. Difficulty wearing standard footwear despite sensible choices. Before surgery is considered, alternative treatments may be recommended, including: Adjusting activity levels. Using painkillers or anti-inflammatory medications. Wearing wider or specially designed footwear. Trying in-shoe foot supports or orthotics. Undergoing steroid injection therapy or surgical decompression. What to Expect During Surgery Neuroma excision is typically performed as a day procedure, meaning you can go home the same day. While the surgery itself takes about 30-60 minutes, you will spend additional time in the day surgery unit before and after the procedure to rest. A competent adult must accompany you home and stay with you for the first night to ensure your safety and comfort. Recovery Timeline First 2-4 Days: Pain is most intense during this period, but painkillers will be provided. Rest is crucial. Keep your foot elevated and limit movement to essential activities, using crutches if necessary. Gradually increase activity after three days, staying within pain limits. One Week After Surgery: Attend a follow-up appointment for a dressing change. Begin light activity within pain tolerance. Avoid overexertion as it may increase discomfort. Two Weeks After Surgery: Sutures will be removed unless located on the sole of the foot (these are removed after three weeks). Bandages are no longer required, and you can get your foot wet. Many patients can transition to regular shoes, although full recovery may take longer. 2-6 Weeks After Surgery: The foot begins to return to normal, but swelling may persist, especially at the end of the day. You may return to work, though active jobs may require additional recovery time. Driving can resume if you can safely perform an emergency stop (check with your insurance provider). Avoid sports and intense physical activity during this period. 8-12 Weeks After Surgery: The foot should feel more normal, with less swelling. Light sports can be reintroduced based on your recovery progress. Six Months After Surgery: A follow-up review will assess your progress. Swelling should be minimal, and most patients experience the full benefits of the procedure. Twelve Months After Surgery: Full healing is typically complete, and improvements stabilise. Planning for Recovery To ensure a smooth recovery: Arrange for a support system during the initial recovery phase. Follow post-operative care instructions closely. Use pain management and mobility aids as recommended by your medical team. Neuroma excision surgery is an effective solution for managing pain and discomfort caused by a neuroma. With proper preparation and adherence to recovery guidelines, patients can experience significant relief and improved quality of life. Consult your healthcare provider to determine if this procedure is right for you.

Hammertoe deformity can significantly impact comfort, mobility, and footwear choices. This blog provides an overview of the condition, the IPJ Arthroplasty surgical procedure, and what to expect before and after surgery. What Is Hammertoe Deformity? Hammertoe deformity is a condition where the toe becomes bent at the joint, creating a claw or hammer-like appearance. It may cause discomfort, difficulty wearing shoes, and painful corns or calluses. Why Consider IPJ Arthroplasty? Interphalangeal Joint (IPJ) Arthroplasty is a surgical procedure designed to address the deformity by: Reducing Pain and Deformity: Straightening the toe alleviates discomfort. Improving Appearance: Restoring a more natural alignment. Preventing Calluses and Corns: Eliminating friction points. Advantages of the Procedure: Maintains some mobility in the toe, unlike more rigid corrective procedures. Procedure Overview Duration: 15–30 minutes. Incision Placement: Typically on top of the toe, with absorbable or standard stitches. Surgical Steps: A small piece of bone is removed from the joint, and the tendon may be lengthened if necessary. A stabilizing wire may be inserted and later removed. Anesthesia Options: Local anaesthesia (with or without sedation) or general anaesthesia. You will discuss the best option with your consultant. Day Surgery: This is usually an outpatient procedure, meaning you can return home the same day. Specific Risks While the procedure is generally safe, potential risks include: Recurrence of the Deformity Floating Toe: The toe may not touch the ground. Prominence of Adjacent Toes PostSurgical Pain: Reported in 3.39% of cases. Loose Pins: May necessitate early removal, potentially affecting the result. LongTerm Swelling: Occurs in 2.82% of cases. Malalignment Alternatives to Surgery If surgery isn’t suitable or desired, nonsurgical options include: Adjusting activity levels. Using painkillers. Opting for wider or more comfortable footwear. Using toe protectors. Regular podiatry care to manage corns and calluses. What to Expect After Surgery First 2–4 Days Pain Management: You’ll be prescribed painkillers for postsurgical discomfort. Rest: Stay off your feet as much as possible. Elevate them when resting. Mobility: Use crutches for short trips, such as to the bathroom. One Week After Surgery Your foot will be checked and redressed. Begin light activity within your pain limits. Two Weeks After Surgery Stitches may be removed, and you’ll stop using crutches. Start wearing trainer-type shoes. 2–6 Weeks PostSurgery Stabilizing pins will be removed. Swelling will reduce, but the foot may still feel tender. Gradual return to normal footwear and activities. 6–8 Weeks PostSurgery Significant improvement in swelling and mobility. You may resume driving (subject to your insurance company’s policy). Sports activities may be considered after three months. Six Months After Surgery Most swelling should be gone, and you should experience the full benefits of the surgery. Twelve Months After Surgery Complete healing and improvement should be achieved. When Can You Return to Work? Non-Manual Work: After 4–6 weeks. Manual Work: After 6–8 weeks, depending on recovery. Preparing for Surgery To ensure a smooth recovery: Arrange for someone to assist you at home for the first day and night. Wear comfortable, loose-fitting shoes on the day of surgery. Follow all preoperative instructions, including adjusting medications if advised by your consultant. Key Takeaways IPJ Arthroplasty for hammertoe deformity offers a pathway to improved comfort, mobility, and toe alignment. While the surgery has risks, careful preparation, and adherence to postoperative care significantly increase the chances of a successful outcome.

Mild hallux valgus deformities (bunions) and osteoarthritis of the big toe can cause discomfort, mobility challenges, and issues with footwear. Distal osteotomy is a surgical procedure aimed at addressing these conditions by reducing pain and correcting the alignment of the big toe. Here is an overview of what to expect from this procedure and its recovery process. What is Distal Osteotomy? Distal osteotomy is a surgical procedure designed to realign and straighten the big toe by cutting and adjusting the bones around the joint. It is a relatively quick operation that involves: An incision on the top or side of the foot. The use of absorbable stitches where possible. Internal fixation with plates, screws, or pins to hold the bones in their new alignment. These fixation devices rarely require removal. The surgery typically takes about 45 minutes and is performed as a day procedure, meaning you can go home the same day. Why Consider This Surgery? The main aims of distal osteotomy are: To reduce pain caused by bunions or osteoarthritis. To improve the alignment of the big toe. To enhance mobility and comfort in footwear. Advantages: Corrects the poor alignment that causes deformity and discomfort. Risks and Considerations As with any surgical procedure, there are specific risks to consider, including: Joint stiffness (8%). Overcorrection (4%). Pain in the ball of the foot (6%). Recurrence of the deformity (8%). Footwear restrictions, with 14% unable to wear high heels post-surgery. Big toe joint pain (6%). Wound infection (4%). Revision surgery required (2%). Failure to achieve full correction. Your surgeon will discuss these risks and their likelihood with you, as well as the measures taken to minimise complications. Who is a Candidate for This Procedure? This surgery is typically recommended for individuals with: Hallux valgus deformities or pain from prominent joints. Difficulty wearing sensible footwear due to the deformity. Alternative Treatments: Altering activity levels. Using painkillers or anti-inflammatory medications. Wearing bespoke or modified footwear. Joint injection therapy. Insoles or orthotic foot supports (note that these do not correct deformities). What to Expect During Surgery Distal osteotomy is usually performed under local anaesthetic, ensuring you remain awake but pain-free. If you prefer or if your surgeon recommends it, sedation or general anaesthesia can be used. Following the procedure, you will spend some time in the day surgery unit to rest before going home. You must have a responsible adult to assist you for the first 24 hours post-surgery. Recovery Timeline First 2-4 Days: Pain is typically most intense during this period, but prescribed painkillers will help manage it. Rest is essential. Keep your foot elevated and minimise walking. Use crutches as instructed to limit weight-bearing. One Week After Surgery: Attend a follow-up appointment for dressing changes and to check your progress. Gradually increase activity within pain limits. Pain or swelling indicates overexertion. Two Weeks After Surgery: Sutures will be removed if necessary. Bandages and crutches are no longer required, and you can get your foot wet. You may begin wearing trainer-style shoes and performing gentle toe exercises to maintain mobility. 2-6 Weeks After Surgery: The foot will begin to feel more normal, although swelling may persist, especially at the end of the day. By six weeks, 88% of patients return to wearing regular shoes. You may return to non-manual work; manual work may require additional recovery time. Driving can resume if you can safely perform an emergency stop. Confirm this with your insurance provider. 8-12 Weeks After Surgery: Swelling will continue to reduce, and the foot should feel more functional. Sporting activities can be considered after three months, depending on your recovery progress. Six Months After Surgery: A final review will assess your long-term recovery. Swelling should be minimal, and the full benefits of surgery will be evident. Twelve Months After Surgery: Complete healing is achieved, and improvements in alignment and comfort will stabilise. Planning for Recovery To ensure a smooth recovery: Arrange for assistance with daily tasks during the initial weeks post-surgery. Follow all post-operative care instructions provided by your surgical team. Attend all follow-up appointments to monitor healing progress. Distal osteotomy is an effective procedure for reducing pain and correcting mild bunion deformities or osteoarthritis of the big toe. With proper care and adherence to recovery protocols, most patients experience significant improvements in mobility and quality of life. If you are considering this procedure, consult your healthcare provider to determine if it is the right choice for you.

Hammer, claw, and mallet toe deformities can lead to pain, discomfort, and difficulty with footwear. IP joint arthrodesis (fusion) with an implant offers an effective surgical solution to correct these deformities, reduce pain, and improve toe alignment. Here is everything you need to know about this procedure and the recovery process. What is IP Joint Arthrodesis (Fusion) with Implant? IP joint arthrodesis involves the fusion of the interphalangeal (IP) joint in the toe to straighten and stabilise it. The surgery includes removing a small piece of bone from the joint and inserting an appropriately sized implant, such as a Toe Grip or Smart Toe implant, to facilitate bone fusion. This implant is generally left in place unless it causes irritation. The procedure is relatively quick, typically lasting 15 to 30 minutes, and does not require a cast. Why Consider This Surgery? The main aims of IP joint arthrodesis are: To reduce pain caused by toe deformities. To straighten the toe and improve alignment. To minimise callous or corn formation caused by the deformity. Advantages: Reduces instability and malalignment, addressing the root cause of the deformity. Risks and Considerations As with any surgical procedure, there are specific risks to consider, including: Recurrence of the deformity. Floating toe (toe may not touch the ground) in 10% of cases. Increased prominence of adjacent toes. Weakness or lack of toe purchase. Infection (3%). Prolonged swelling. Revision surgery required in 2% of cases. Your consultant will discuss these risks with you and explain how they are managed to ensure the best possible outcome. Who is a Candidate for This Procedure? This surgery is typically recommended for individuals with: Painful hammer, claw, or mallet toe deformities. Prominent or painful toe joints. Difficulty finding comfortable footwear despite sensible shoe choices. Alternative Treatments: Adjusting activity levels. Painkillers and anti-inflammatory medications. Changing footwear styles or using toe protectors. Regular podiatry care to manage symptoms. What to Expect During Surgery The procedure is performed under a local anaesthetic, ensuring you remain awake but pain-free. Sedation or general anaesthesia may also be an option if preferred. You will spend time in the day surgery unit both before and after the procedure for monitoring. A responsible adult must accompany you home and assist you for the first 24 hours after surgery. Recovery Timeline First 2-4 Days: Pain is typically most intense during this period, but prescribed painkillers will help manage it. Rest is essential. Keep your foot elevated and minimise movement. Use crutches as instructed to avoid putting weight on the operated foot. One Week After Surgery: Attend a follow-up appointment for dressing changes and progress checks. Gradually increase activity within pain limits. Pain or swelling indicates overexertion. Two Weeks After Surgery: Sutures will be removed if necessary. Bandages and crutches are no longer required, and you can get your foot wet. Begin wearing trainer-style shoes. 2-6 Weeks After Surgery: Any pins used will be removed during this period. The foot begins to feel more normal, though some swelling may persist. Return to regular shoes is possible for most patients (4-6 weeks). Driving can resume if you can safely perform an emergency stop. Confirm this with your insurer. Manual labour may require additional recovery time. 6-8 Weeks After Surgery: The foot continues to improve, with reduced swelling and discomfort. Sporting activities may be considered after three months, depending on recovery progress. Six Months After Surgery: A final review will assess your long-term recovery. Swelling should be minimal, and the benefits of the surgery will be evident. Twelve Months After Surgery: Full healing is achieved, and any remaining improvements will stabilise. Planning for Recovery To ensure a smooth recovery: Arrange for assistance with daily tasks during the initial weeks post-surgery. Follow all care instructions provided by your surgical team. Attend all scheduled follow-up appointments to monitor healing progress. IP joint arthrodesis with an implant is an effective solution for correcting hammer, claw, or mallet toe deformities and improving foot function. By adhering to recovery guidelines and maintaining follow-up care, most patients experience significant improvements in mobility and quality of life. If you are considering this procedure, consult your healthcare provider to determine if it is the right option for you.

Hallux valgus, commonly known as a bunion, can cause significant discomfort and difficulty with footwear. Scarf and Akin osteotomy is a surgical procedure designed to address this condition, offering relief from pain and improving big toe alignment. This guide provides essential details about the surgery and recovery process. What is Scarf & Akin Osteotomy? Scarf and Akin osteotomy involves the realignment of bones on either side of the big toe joint to reduce deformity and improve alignment. This procedure is particularly effective in addressing hallux valgus, where the big toe deviates toward the smaller toes. The surgery typically takes 30 to 45 minutes. The incision is made on the top or side of the foot, and absorbable stitches are used whenever possible. Internal fixation, such as screws or plates, is employed to stabilise the bones, but these rarely need removal. Why Consider This Surgery? The primary aims of Scarf and Akin osteotomy are: To reduce pain and deformity. To realign the big toe and improve its function. Advantages: Addresses the underlying cause of deformity effectively. Improves alignment and mobility of the big toe. Risks and Considerations While the procedure is generally safe, some specific risks include: Joint stiffness (8%). Overcorrection of the deformity (4%). Pain in the ball of the foot (6%). Recurrence of the deformity (8%). Footwear restrictions, with 14% unable to wear high heels post-surgery. Screw removal required in 25% of cases within 10 years. Wound infection (4%). Revision surgery required (2%). Failure to achieve full correction. Your consultant will discuss these risks and their management during your pre-operative consultation. Who is a Candidate for This Procedure? This surgery is recommended for individuals with: Painful hallux valgus deformity. Difficulty finding comfortable footwear despite sensible choices. Alternative treatments include: Activity modification. Painkillers and anti-inflammatory medications. Custom footwear or orthotics. Joint injection therapy. What to Expect During Surgery The procedure is typically performed under a local anaesthetic block, ensuring you remain awake but pain-free. If preferred, sedation or general anaesthesia can also be considered. You will spend some time in the day surgery unit before and after the procedure to ensure you are comfortable. A responsible adult must accompany you home and assist you for the first 24 hours post-surgery. Recovery Timeline First 2-4 Days: Pain management will be provided with prescribed medications. Rest is crucial; keep your foot elevated and minimise walking. Use crutches as instructed to limit weight-bearing on the operated foot. One Week After Surgery: Attend a follow-up appointment for dressing changes. Gradually increase activity within pain limits. Swelling or pain indicates overexertion. Two Weeks After Surgery: Sutures will be removed if required. Bandages and crutches are no longer necessary. You may begin wearing trainer-style shoes and performing gentle toe exercises to maintain mobility. 2-6 Weeks After Surgery: The foot begins to normalise, though some swelling may persist. You may return to work, though manual labour may require additional recovery time. Driving can resume if you can safely perform an emergency stop. Confirm with your insurance provider. Sporting activities should still be avoided. 8-12 Weeks After Surgery: The foot should feel more functional, with reduced swelling. Light sports and activities may be reintroduced depending on recovery progress. Six Months After Surgery: Attend a final review to assess long-term recovery. Swelling should be minimal, and the full benefits of surgery will be evident. Twelve Months After Surgery: Complete healing is achieved, and any remaining improvements will stabilise. Planning for Recovery To ensure a smooth recovery: Arrange for assistance during the initial weeks post-surgery. Follow all care instructions provided by your surgical team. Attend all scheduled follow-ups to monitor healing. Scarf and Akin osteotomy is a reliable procedure for correcting hallux valgus and alleviating associated pain. With appropriate care and adherence to recovery protocols, most patients experience significant improvements in mobility and quality of life. If you’re considering this surgery, consult your healthcare provider to determine if it’s the right option for you.

Plantar fasciitis can cause significant heel pain, making everyday activities challenging. When non-surgical treatments fail to provide relief, a procedure known as plantar fascia release may be recommended. This guide provides an overview of the surgery, its benefits, and what you can expect during recovery. What is Plantar Fascia Release Surgery? Plantar fascia release surgery is a procedure designed to alleviate heel pain by cutting the tight medial or central band of the plantar fascia. This band, located on the bottom of the foot, can become inflamed and painful in individuals with chronic plantar fasciitis. During the procedure, a small incision is made on the inside of the heel, usually on a non-weight-bearing surface. The surgeon then identifies and cuts the tight band of the plantar fascia. The procedure typically takes about 15 minutes and does not require the use of any fixation devices like screws or wires. Why Consider This Surgery? The main goals of plantar fascia release surgery are: To decrease heel pain by relieving tension in the plantar fascia. To restore foot function and improve quality of life. This is a relatively short procedure with minimal recovery time, making it a convenient option for those who haven’t found relief through conservative methods. Risks and Considerations While the surgery is generally safe, there are some specific risks to consider, including: Thickened or tender scars. Areas of numbness around the incision site. Recurrence of plantar fasciitis symptoms. Flattening of the foot, which can lead to mid-arch or lateral foot pain. Your consultant will discuss these risks with you and ensure you understand all aspects of the procedure before moving forward. Who is a Candidate for This Procedure? This surgery is typically reserved for patients with: Severe heel pain caused by plantar fasciitis that has not responded to non-surgical treatments. Symptoms that significantly impair normal work or daily activities. Non-surgical treatments that are usually attempted first include: Altering activity levels. Using painkillers and anti-inflammatory medications. Wearing orthotic supports or custom footwear. Calf stretching exercises or tension night splints. Steroid injections or shockwave therapy. Surgery is considered only when these approaches fail to provide significant relief. What to Expect During Surgery The procedure can be performed under local anaesthesia, ensuring you remain awake but pain-free. A series of injections around the ankle or behind the knee is used to numb the area. If preferred, local anaesthesia with sedation or general anaesthesia may be an option. Your consultant will discuss these choices with you. Plantar fascia release is typically a day surgery, allowing you to return home the same day. You’ll need a responsible adult to assist you during the first 24 hours after the procedure. Recovery Timeline First 2-4 Days: Pain management is essential; you will be provided with appropriate medications. Rest is crucial. Keep your foot elevated and limit movement to essential activities only. Walking is permitted with care, but overexertion should be avoided. One Week After Surgery: You may attend a follow-up appointment to have your foot checked and re-dressed. Gradual activity is encouraged, but increased pain may indicate you are doing too much. Two Weeks After Surgery: Sutures, if used, will be removed. Bandages are no longer necessary, and you can get your foot wet. Many patients can transition to wearing regular shoes at this stage. 2-6 Weeks After Surgery: Swelling may persist, especially at the end of the day. You can resume work, though manual labour jobs may require a longer recovery time. You can drive if you can safely perform an emergency stop, but check with your insurance provider first. Sports and intense physical activities should still be avoided during this time. 8-12 Weeks After Surgery: The foot continues to heal and feels more normal. Swelling significantly decreases, and light sports may be considered based on your recovery. Six Months After Surgery: A final follow-up appointment will assess your progress. Swelling should be minimal, and the benefits of surgery should be fully realised. Twelve Months After Surgery: Complete healing is achieved, and any residual symptoms should be resolved. Planning for Recovery To ensure a smooth recovery, it’s important to: Arrange for a support system during the initial recovery phase. Follow all post-operative care instructions closely. Use pain management and mobility aids as recommended by your healthcare provider. Plantar fascia release surgery is a straightforward and effective option for those with chronic plantar fasciitis that has not responded to other treatments. With proper preparation and adherence to recovery protocols, patients can look forward to significant pain relief and improved foot function. If you’re considering this surgery, consult your healthcare provider to determine if it’s the right option for you. Get in touch with Coriel about Plantar Fascia Release Surgery here

If you’re struggling with persistent pain or issues caused by a flat foot or high arch, calcaneal osteotomy might be the solution you need. This surgical procedure is designed to improve foot alignment and reduce discomfort, often resulting in enhanced mobility and quality of life. Here’s what you need to know about the procedure and recovery process. What is Calcaneal Osteotomy? Calcaneal osteotomy is a surgical procedure aimed at addressing painful flat feet or high arches. It involves cutting and repositioning the calcaneus, or heel bone, to correct the alignment and improve the arch profile of the foot. In some cases, this surgery is performed alongside other procedures such as Achilles tendon lengthening to provide a more comprehensive solution. During the procedure, the surgeon makes an incision on the outer side of the heel. The calcaneus is carefully cut and repositioned, then secured using two screws. These screws typically remain in place and are not noticeable. The surgery takes approximately 30 to 60 minutes. Why Consider This Surgery? The main goals of calcaneal osteotomy are: To reduce pain and discomfort caused by poor foot alignment. To improve the position and functionality of the foot. To address the root cause of deformity, preventing further complications . Benefits and Risks Advantages: Improves the arch profile and angulation of the foot. Addresses the underlying cause of foot deformity. Specific Risks: Recurrence or collapse of the foot alignment. Nerve damage leading to loss of sensation on the outer side of the foot. Failure of bone healing (non-union). Your consultant will discuss these risks with you and ensure you have a clear understanding before proceeding. Who is a Candidate for This Procedure? This surgery is typically recommended for individuals with: Painful flat feet that interfere with daily activities. High arches causing significant discomfort. Before considering surgery, alternative treatments may be suggested, including: Painkillers and anti-inflammatory medications. Calf stretches and night splints. Custom or bespoke footwear. Orthotic supports or braces. What to Expect During Surgery Calcaneal osteotomy is often performed under local anaesthesia, with the option of sedation or general anaesthesia if required. You’ll remain awake but pain-free during the procedure. If necessary, your consultant will refer you to a surgical team specialising in general anaesthesia. Although the surgery itself is brief, you’ll spend additional time in the day surgery unit before and after the procedure to rest. You’ll need a responsible adult to accompany you home and assist you for the first 24 hours. Recovery Timeline First 2-4 Days: Pain management will be prioritised with prescribed medications. Rest is crucial. Keep your foot elevated and avoid weight-bearing on the operated leg. Use crutches for minimal movement, such as going to the bathroom. One Week After Surgery: Attend a follow-up appointment for a check-up and, if necessary, re-dressing or recasting of your foot. Two Weeks After Surgery: Sutures will be removed, and a new cast applied. 6-8 Weeks After Surgery: The cast is removed, and you’ll transition to a removable boot, allowing you to begin walking. 8-10 Weeks After Surgery: If healing progresses well, you’ll start wearing supportive lace-up shoes or trainers. Swelling may persist, but light activity can be resumed. Rehabilitation exercises may be introduced, or you might be referred to a physiotherapist. You may return to non-manual work and driving, provided you can perform an emergency stop (confirm with your insurance provider). 12-16 Weeks After Surgery: The foot should feel more functional, with reduced swelling. Gradual reintroduction of sporting activities may be considered based on recovery. Six Months After Surgery: A follow-up review will assess progress. By this point, swelling should be minimal, and the full benefits of surgery should be apparent. Twelve Months After Surgery: Full healing is achieved, and improvements stabilise. Planning for Recovery Proper preparation and post-operative care are essential for a successful recovery. To ensure a smooth healing process: Arrange for a support system to assist with daily tasks, especially during the initial non-weight-bearing phase. Follow all care instructions provided by your surgical team. Attend scheduled follow-ups to monitor progress. Calcaneal osteotomy is a proven solution for addressing painful flat feet and high arches. By correcting the alignment and improving foot function, this surgery can significantly enhance your mobility and quality of life. If you’re considering calcaneal osteotomy, consult your healthcare provider to determine if it’s the right option for you.

Living with a mild hallux valgus deformity (bunion) or osteoarthritis of the great toe can be both painful and frustrating. If you’ve been struggling to find relief through conservative methods, you might consider a procedure known as distal L osteotomy. This surgery aims to reduce pain, improve toe alignment, and enhance overall foot function. Let’s explore what this procedure involves and what you can expect during recovery. What is Distal L Osteotomy? Distal L osteotomy is a surgical procedure designed to address mild bunions or osteoarthritis in the big toe. The surgery involves straightening the big toe by cutting and realigning the bones on either side of the joint. This realignment reduces deformity and decompresses the affected joint, helping to restore functionality and relieve pain. The operation is typically completed in about 45 minutes. Surgeons make a small incision on the top or side of the foot, using absorbable stitches where possible to minimize scarring. Internal fixation tools like plates, screws, or pins are used to stabilize the corrected bones, though these are not usually noticeable and rarely require removal. Why Consider This Surgery? The primary goals of distal L osteotomy are to: Reduce pain caused by deformity or joint compression. Improve the alignment of the big toe. Enhance mobility and ease of wearing footwear. For many patients, this procedure can provide significant relief, especially when non-surgical options have failed to address the underlying issues. Risks and Considerations Like any surgical procedure, distal L osteotomy carries specific risks. These include: Joint stiffness. Overcorrection of the toe alignment. Pain in the ball of the foot (transfer pain). Recurrence of the deformity. Footwear restrictions, such as difficulty wearing high heels. Big toe joint pain or wound infection. Need for revision surgery or failure to achieve full correction. While these risks may sound concerning, they are relatively rare, and your surgical team will work to minimize potential complications. Who is a Candidate for This Procedure? This surgery may be recommended for individuals experiencing: Painful hallux limitus deformity. Pain from a prominent joint. Difficulty finding comfortable footwear despite trying sensible options. Before opting for surgery, alternative treatments such as activity modifications, pain management, or orthotic supports may be considered. However, it’s important to note that insoles or toe splints have not been proven to correct toe deformities. What to Expect During Surgery Distal L osteotomy is usually performed under a local anesthetic block, which involves injections around the ankle or behind the knee. While you’ll remain awake, you won’t feel any pain during the procedure. For those uncomfortable with being awake, options for sedation or general anesthesia are available and can be discussed with your consultant. This is a day procedure, meaning you can typically go home the same day. To ensure your safety, you must arrange for a competent adult to stay with you on the first night post-surgery. Recovery Timeline Immediately After Surgery: Pain management is a priority, and you’ll be provided with appropriate medication. Rest is essential. Keep your foot elevated and avoid unnecessary movement. You’ll use crutches to move around, placing weight only on your non-operated foot. Within Two Weeks Post-Surgery: You’ll return for a dressing change, and any necessary sutures will be removed. If a cast was applied, it might be replaced, or you may be fitted with an air cast boot for added support. X-rays may be taken to assess the healing process. 2-8 Weeks Post-Surgery: Depending on your healing progress, you may begin weight-bearing as advised by your surgical team. Supportive footwear like lace-up shoes or trainers will help you transition back to walking. Swelling and mild discomfort are normal as you increase activity levels. You may begin rehabilitation exercises or work with a physiotherapist to regain strength and mobility. 8-12 Weeks Post-Surgery: Swelling continues to decrease, and the foot starts feeling more functional. You may be able to return to certain sports or physical activities, depending on your recovery. Beyond 12 Weeks: Final recovery milestones include a follow-up review at 6-8 months post-surgery. Continued improvement in toe alignment and pain reduction is typically observed over time. Planning for Your Recovery To ensure a smooth recovery, it’s crucial to have support systems in place. Arrange for assistance with daily responsibilities, such as childcare or household tasks, especially during the initial recovery phase. If you have any questions or concerns throughout your recovery, don’t hesitate to contact your healthcare team at The Coriel Clinic. They’re there to provide guidance and support every step of the way. Distal L osteotomy offers a proven solution for those suffering from mild bunions or osteoarthritis in the big toe. With proper preparation and adherence to recovery protocols, this procedure can significantly improve your quality of life. If you’re considering this surgery, consult your healthcare provider to determine if it’s the right choice for you.

Transverse toe deformities, such as hammer or claw toes, can cause discomfort and difficulty with footwear. A closing wedge osteotomy of the proximal phalanx is a surgical procedure designed to alleviate these issues by reducing pain and improving toe alignment. Here’s an overview of the procedure and what to expect during recovery. What is Closing Wedge Osteotomy of Proximal Phalanx? This procedure involves removing a small wedge of bone from the proximal phalanx (the bone closest to the foot) to straighten the affected toe. If necessary, the joint at the base of the toe may be released, and the tendon lengthened to enhance correction. In some cases, a stabilising wire is used to maintain the new alignment during healing. This wire is typically removed during a follow-up appointment. The surgery usually takes 15 to 30 minutes and does not typically require a cast. Why Consider This Surgery? The main goals of the procedure are: To reduce pain caused by toe deformities. To straighten the affected toe. To minimise the formation of calluses or corns. Advantages: Maintains some mobility in the affected toe. Risks and Considerations While the procedure is effective, specific risks include: Recurrence of the deformity. The toe may not touch the ground (floating toe). Pain around the surgical site. Loosening of screws or pins (if used), potentially requiring removal. Long-term swelling of the toe. Malalignment of the toe. Your consultant will discuss these risks with you and explain the steps taken to minimise them. Who is a Candidate for This Procedure? This surgery is recommended for individuals experiencing: Painful hammer or claw toe deformities. Painful corns or calluses caused by toe misalignment. Difficulty finding comfortable footwear despite wearing sensible shoes. Alternative Treatments: Changing activity levels. Using painkillers or anti-inflammatory medications. Altering footwear styles or using toe protectors. Regular podiatry care to manage symptoms. What to Expect During Surgery The procedure is typically performed under local anaesthesia, ensuring you remain awake but pain-free. If necessary, sedation or general anaesthesia may be used. You will spend some time in the day surgery unit both before and after the procedure to rest. A responsible adult must accompany you home and assist you for the first 24 hours post-surgery. Recovery Timeline Initially (First 2 Weeks): Pain is most pronounced during this period, but prescribed painkillers will help manage discomfort. Rest is essential. Keep your foot elevated and minimise movement. Use crutches as instructed to limit weight-bearing on the operated foot. Two Weeks After Surgery: Attend a follow-up appointment to check your progress and remove sutures if necessary. X-rays may be taken to assess healing. You may be fitted with a new dressing or air cast boot if required. 2-8 Weeks After Surgery: Gradually increase activity levels as advised by your healthcare team. Swelling and mild discomfort are common but should gradually improve. Wear supportive lace-up shoes or trainers and start walking as tolerated. Rehabilitation exercises may be introduced, or a referral to a physiotherapist provided. 8-12 Weeks After Surgery: The foot should feel more functional and natural. Swelling continues to reduce. Sporting activities may be considered, depending on recovery progress. Beyond 12 Weeks: Attend a final review 6-8 months after surgery. Improvements in alignment and pain relief will continue to be noticed. Planning for Recovery To ensure a smooth recovery: Arrange for assistance with daily tasks during the initial weeks post-surgery. Follow all post-operative care instructions provided by your surgical team. Attend all scheduled follow-up appointments to monitor healing. Closing wedge osteotomy of the proximal phalanx is an effective procedure for correcting transverse toe deformities and relieving associated discomfort. By adhering to recovery guidelines and working closely with your healthcare team, you can achieve significant improvements in mobility and quality of life. If you are considering this procedure, consult your healthcare provider to determine if it is the right option for you.