Definitive diagnosis of trauma injuries and chronic foot conditions is often the starting point to a successful recovery. We offer access to urgent MRI scans, surgery and non-invasive treatments. Using the latest techniques, including arthroscopic surgery, we aim to minimise the time before you are back on your feet and pain free.
Definitive diagnosis of trauma injuries. Access to urgent MRI scans, surgery and non-invasive treatments within a private hospital setting. We aim to minimise the time before you are back to fitness.
Julie, a medical receptionist from Alwoodley, Leeds suffered from prominent and painful bunions.
To add to the misery, she also had bunionettes – a bump that develops on the outside of the foot near the base of the little toe. “It felt like I was walking on a pebble,” said Julie.
Bunions can be hereditary. “Both my mum and grandma had bunions and neither of them had surgery to correct it. My grandma could barely walk and my mum could only walk wearing surgical shoes. I didn’t want to end up that way,” said Julie, 56, a former medical representative.
Julie didn’t wear skyscraper heels, (more…)
Bunions are one of the most common conditions we treat. A bunion is any swelling around the great toe MTP(metatarsophalangeal) joint but is often caused when the big toe joint moves out of alignment. Arthritis of the toe joint may also be present. Consultant Nick Harris frequently treats patients with this painful condition and describes the treatment in the press article on bunion surgery
Hallux valgus is a term used to describe lateral deviation of the great toe. The word bunion is derived from the Latin “bunio” meaning turnip. Hallux valgus is associated with a medial swelling or bunion. Approximately 30% of people who wear shoes will develop hallux valgus compared with 2% of people who don’t. The incidence is much higher in women than in men. A positive family history is found in 60-90% of patients with hallux valgus. Hallux valgus can be classified into 3 groups: Congruent, Incongruent, Degenerative
A congruent hallux valgus deformity is often found in younger patients and may reflect a congenital abnormality. The commonest form of hallux valgus deformity is incongruent. The first metatarsal escapes medially. The proximal phalanx through its attachment to the lateral sesamoid subluxes laterally. In time degenerative changes can develop due to the persistent subluxation.
The treatment of hallux valgus depends on the severity of the deformity, the age of the patient, the general health of the patient, but most importantly the symptoms suffered. Initially modifications to shoe wear and orthotics can be helpful. Surgery is indicated when patients suffer persistent intrusive pain despite appropriate conservative treatment. One of the most successful treatments for hallux valgus is to realign the great toe. This is usually achieved by undertaking a first metatarsal osteotomy and sometimes a further osteotomy to the proximal phalanx. This must be combined with a release of the tight lateral structures and a tightening of the medial soft tissues. In cases where there is significant arthrosis the options are more limited. One is to realign and arthodese the joint.
Foot conditions we frequently see at the clinic
Metatarsalgia is a term used to describe pain in the forefoot around the metatarsal heads. This can be mechanical or neuritic in nature. Mechanical metatarsalgia can be localised as seen in conditions such as second metatarsal over length or instability of the second metatarso-phalangeal joint. Symptoms can also be […]
Hallux rigidus is a term used to describe a painful stiff great toe as a result of osteoarthritis. Osteoarthritis of the great toe can be graded depending on the severity of the symptoms suffered by the patient, the restriction in movement, and the radiological findings. […]
Heel pain can be broadly divided into sub-calcaneal and superior. The commonest cause of sub-calcaneal pain is plantar fasciitis. Plantar fasciitis is inflammation of the origin of the plantar fascia. The plantar fascia is a fibrous band originating from the plantar medial tubercle of the […]
Bunions are one of the most common conditions we treat. A bunion is any swelling around the great toe MTP(metatarsophalangeal) joint but is often caused when the big toe joint moves out of alignment. Arthritis of the toe joint may also be present. Consultant Nick […]