A Group of Practitioners… We Cure, Because We Care
36 Vodden Street East, Suite 309, Brampton, ON L6V 4H4
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905-459-FOOT
Foot Surgery Solutions & More in Brampton
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
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Proper clinical setting, equipment and support staff
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Patient’s history, assessment and proper diagnosis
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Patient’s understanding of the procedure, risk factors, post-op recovery and prognosis
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Plan the procedure ahead of time
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Informed consent
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Skin preparation, sterile environment, safe use of equipment, post op-bleeding, care and dressing
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Handle the skin and tissue with upmost respect
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Post op instructions and care till wound is completely healed
Reoccurring IGT Nails — Etiology
Causes for reoccurring ingrown toenails include:
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Failed previous PNA
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Poor footwear -acquired
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Underlying biomechanical factor – unilateral OC
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Hyperhidrosis
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Involution – Smoking and respiratory disorders
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Malnutrition
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Heredity
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:
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Recurrence of ingrown toenail
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Excessive HG tissues present
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Periungual skin hypertrophy
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Conventional PNA attempted and failed
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Best for long term comfort and appearance
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First choice solution of most surgeons
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
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58-year-old patient with left heel pain from prior injury to foot
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WE — packaging on her feet with safety footwear
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Very active lifestyle, BMI of 23
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ROS — HT and high TG
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Meds — HCTZ and Lipitor, allergic to Sulpha group
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Patient preparation for procedure — supine position, LA, pre-op and ankle tourniquet applied
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
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Surgical debridement
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Topical caustic agent
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Laser surgery under local anaesthetic
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Dry needling under local anaesthetic
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Surgical excision
Dry Needling Method
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Success rate over 80%
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Recommended for resistant warts
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:
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Most likely cause by the micro trauma
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May appear next to the ingrown toenail
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
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Custom made orthotic devices
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Revaluate and close all the gaps
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Dehydrated alcohol injection
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Cortisone injection
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Patient education
Surgical
Nerve decompression (TML release)
Surgical excision of pl nerve
Morton’s Neuroma Decompression
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.
