Find relief from painful foot conditions with a range of surgical options provided by Foot Health Clinic & Orthotics in Brampton. If you’re tired of living with foot pain and considering surgical relief, we can help you make an informed decision. Our chiropodists perform surgical procedures to correct foot ailments including removal of neuroma, correction of ingrown toenails and correction of an arthritic big toe. Years on your feet take its toll. We’ll be happy to discuss your options for a range of conditions from bunions to hammertoes.
Learn more about the various procedures we perform and the conditions we treat through the helpful information on this page. To schedule your personalized consultation, call the clinic today.
Basic Principles of Surgery
Reoccurring IGT Nails — Etiology
Causes for reoccurring ingrown toenails include:
Winograd Procedure for Ingrown Toenails
A number of conditions can contribute to the occurrence of ingrown toenails, including poor footwear, heredity, hyperhidrosis, malnutrition, and more. The Winograd procedure addresses the problem of ingrown toenails by removing the ingrown portion of the nail to prevent recurrence.
Indication:
Digital Mucoid Cysts
Mucoid cysts are associated with irregular, satellite-shaped fibroblasts that are dispersed in a Myxomatous stroma surrounded by the normal dermal tissue
There are two variations:
1. Occurs over the joint capsule
2. Proximal to the nail folding
Scar Tissue
Scars are an inevitable result of injury/trauma or surgery, and are never entirely predictable. Normal scars are typically thin, soft and pliable, of a normal skin colour, and are asymptomatic. Some surgical procedures will result in healing with a pathological scar formation.
Surgical Removal of Painful HK Scar Tissue
Plantar Warts
Sometimes misdiagnosed as corns, plantar warts occur on the soles of the feet. These affect all age groups and often require treatment. Though persons with compromised immune systems are more vulnerable, 30-35% of warts occur in children and YOM. Known to be contagious, warts are caused by HPV1, HPV2, and HPV4. Plantar warts often become painful when flattened or pushed into the skin due to pressure. The dry needling method, offered at our clinic, has a success rate of over 80% and is recommended for resistant warts.
Types of Warts
Examples of Resistant Warts
Treatment of Plantar Warts: Clinic Protocol
Dry Needling Method
Lipomas
Lipomas are the most common fat cell tumor, and can occur in any part of the body. They are generally more common in women in their 40s and 50s. Ranging in size from a few millimetres to centimetres, they are soft and moveable, appearing subcutaneously. They are usually encapsulated in the adipose tissues, and may appear as a single or multiple lesions. Most lipomas are asymptomatic, but can be very painful if located in a weight bearing area or if they grow close to a nerve.
Granulomas
Granulomas are pink to bright red lesions that grow rapidly, and are commonly mistaken for malignant growths. They are neither infectious, nor granulomatous. Known to occur in children and young adults, these lesions are painful, fragile, bleed easily, and can vary in size from a few millimetres to centimetres.
Etiology:
Interdigital Morton’s Neuroma
These are identified by nerve impingement at the intermetatarsal space. Symptoms include a burning sensation with pressure and relief from pain upon the removal of footwear, paresthesia, total numbness, and pain radiating to adjacent toes. Over 90% of neuromas occur at the third and fourth ID space.
Etiology
Biomechanical and structural deformities are present, which increase the FF transverse plan motion, and cause extreme shearing and compression stress on the nerve.
Treatment of Neuromas
At Foot Health Clinic & Orthotics, we offer two options for the treatment of neuromas.
Conservative
Surgical
Morton’s Neuroma Decompression
The KobyGard System is design to easily isolate and safely cut the transverse metatarsal ligament in order decompress the plantar nerve. This is the least invasive nerve decompression system.Surgery Outcomes
The final outcome of any surgical procedure is unknown until the healing is complete and scar remodelling has taken place. Your foot health care provider will work with you to determine your best options for relief from painful foot conditions and the return of function and comfort.