Conditions and Treatments All areas of foot and ankle reconstruction and traumatic repair to include: Custom Orthotics Patients are typically given a prescription for orthotics. We offer this service in our clinic; they are done in two appointments. The first appointment you will come in and have your feet scanned and measured. Once that is done the scan is sent off for the orthotics to be made and the typical turnaround is 2 weeks. For the second appointment you will be asked to bring several pairs of shoes in and have your orthotics fitted into your shoes. This service is $350 and is not covered by insurance. Fractures Fractures are treated conservative with close follow up, x-rays, immobilization and physical therapy vs surgical repair. Surgical repair is reserved for patients that have significant displacement of the fracture especially when the fracture line enters the joint surface. Sprains Most sprains are treated conservatively with RICE (Rest, Ice, Compression, Elevation), immobilization and physical therapy. Most patients heal without the need for surgery. However, if the ligament is ruptured and causes the joint involved to feel unstable (don't trust it) or persistent despite physical therapy then the ligament will likely require surgical reconstruction. Cartilage Injuries Injuries to the joint surface that create "pot-holes" or isolated areas of arthritis that can in some cases be treated conservatively or required surgical reconstruction. Overuse Injuries Stress fracture, tendinitis, tendinopathy, myositis, etc. Most of these injuries are treated with rest, sometimes immobilization, activity modification, shoe wear changes, orthotics, physical therapy and at times surgery. Ingrown Toenails Treated conservatively and surgically most times in the office with a minor procedure. Tendon Injuries Achilles, peroneal, anterior tibial, posterior tibial, flexor and extensor tendonitis, tendinosis or ruptures. All are treated by us conservatively and surgically. We would go over in great detail how and why it should be treated conservatively or surgically depending on the pathology involved. When you leave the office, you should know the anatomy of the tendon involved, why it was injured, prevention of future injuries and who it will be fixed. Impingement Impingement lesion can be treated conservatively but may need arthroscopic debridement vs open removal of the impingement lesion. Bunions Hallux valgus deformity if symptomatic despite conservative efforts can be reconstructed with a variety of surgical procedures with different post-operative protocols. We would give you a detailed explanation of the entire procedure and options, why that specific procedure should be done, post-operative protocol and what to expect post-operatively. All questions will be encouraged and answered. Lesser Toe Deformities Most can be treated conservatively but if despite conservative management you have pain and discomfort that is interfering with your life to the point you cannot do the things you like to do then you would be a candidate for surgery. We would give you a detailed explanation of the entire procedure and options, why that specific procedure should be done, post-operative protocol and what to expect post-operatively. All questions will be encouraged and answered. Osteoarthritis / Post Traumatic Arthritis We treat all joints of the foot and ankle for arthritic complaints. Treatment consists of all state-of-the-art conservative and surgical techniques. Conservative techniques include anti-inflammatories both nature and prescription, injections with steroids, PRP or stem cell, bracing and orthotics. Surgical treats can vary depending on multiple factors involved patients age, activity level, size, expectations, underlying deformities, etc. Surgical options include joint preservation procedures, osteotomies, fusions and replacements. Tendinopathy Tendinopathy or tendinosis means tendon degeneration. Tendinopathy can cause chronic pain and deformity. Most times, it can be treated with conservative management to include anti-inflammatories both nature and prescription, immobilization, physical therapy, injections with PRP, and orthotics. If despite conservative management, you have pain and discomfort, then you would be a candidate for surgery. We would give you a detailed explanation of the entire procedure and options, why that specific procedure should be done, post-operative protocol and what to expect post-operatively.