Foot surgeries: alternatives to conservative treatments

Within the specialty of podiatry there are pathologies that do not respond to conservative treatments and limit the quality of life of our patients, in these cases is when podiatric surgery is indicated. You should go to a specialist in podiatry to receive advice for each case.

Within the types of surgery we practice we divide it into:

  1. Soft tissue surgery: the most frequent are surgery of the nail apparatus, onychocryptosis (ingrown toenail) with associated infectious processes such as granulomas; surgery of tumors (lipomas, plantar warts, fibroids, inclusion cysts, recalcitrant I.P.K. helomas…). Nerve entrapments (Morton’s neuroma, tarsal tunnel entrapments both proximal and distal, Baxter’s entrapment).

Before performing surgery for these pathologies, we perform new invasive techniques, but less aggressive than surgery, such as hydrodissection procedures and nerve ablation by radiofrequency. All these therapies are ultrasound-guided and provide us with accuracy and safety when performing these treatments.

Ultrasound-guided surgical procedures have been an important advance in the surgical treatment of foot problems. They are procedures that provide us with less tissue damage with a much faster recovery of patients. In non-athlete patients they have a return to their activities, both work and leisure, much faster than with traditional surgery; and in athletes, the recovery times are very important, we accelerate the return to sporting activity.

We are specialists in this type of ultrasound-guided surgery for common pathologies such as plantar fasciitis, sesamoid flattening, Haglund’s disease, ligamentous insufficiencies or gastrocnemius lengthening, present in a very high percentage of foot and ankle pathologies.

  1. Osteoarticular surgery: here we find very frequent pathologies such as bunions (hallux valgus), digital deformities (hammertoes, claw, length anomalies), recurrent interdigital helomas, recurrent plantar keratosis.
See also  NeuroRAZER, the video game to improve cognitive performance

In this section we combine minimally invasive surgeries such as the treatment of digital deformities, interdigital helomas (crow’s eyes), intractable plantar callosities … with small incisions and minimal tissue damage. With this, we manage to correct the deformity causing the painful and limiting problem for our patient.

Then, in the surgery of hallux valgus and bunionette (tailor’s bunion) and infantile flexible flatfoot we combine minimally invasive surgery with a more traditional surgery, always looking for the best result with the least damage to our patients and the fastest possible recovery.

We are specialists in the treatment of infantile flexible valgus flatfoot, combining different techniques and procedures from the less aggressive as endosenotarsal devices (implants) to the combination of more corrective procedures such as Evans and Cotton osteotomies.

For the treatment of acquired flat feet in painful adults, we perform procedures that improve the degenerative and painful process involved in this type of pathology.

  1. Rescue surgery: we are also specialized in surgical iatrogenesis. That is, in trying to improve previous surgeries that have not achieved the proposed objective. We receive many patients who have undergone surgery that has not solved their initial problem, even some of them have worsened their pre-surgical situation. This type of procedure requires a clinical consensus of several professionals, formed by our surgical team, to make the best decision to try to solve the problem of our patient, and to make another step through the operating room always stressful and distressing worthwhile.

In summary, in our clinic we perform the most innovative surgical procedures alternating them with other very safe traditional techniques, which help us to improve the quality of life of our patients, which is our main objective.