Podiatrist - Houston
1140 Business Center Drive Suite 510
Houston, TX 77043
Without doubt, the more common surgical procedure that your local Podiatric Physician will perform is to correct a bunion. Some might say, it’s our “Bread and Butter” surgery. If you were taking a standardized test with a verbal section, you might find something like this: Jim Carey is to Facial expressions AS a Podiatrist is to Bunion surgery. It’s what they both do. Please don’t get me wrong, I love bread and butter AND I think Jim Carey is quite good at facial contortions, but there is more to your Podiatrist than bunions. Also, a bunion surgery is not necessarily an easy surgery. It is often seen as such, but there is a lot more to it than most people realize.
When someone approaches a Podiatrist concerning their painful OR unsightly bunion your physician is going to have some x-rays taken. These x-rays are more valuable than you might understand. Obviously, they give your physician a visible idea of the underlying structure of your bones. However, this isn’t the most important aspect of his evaluation. Your physician will take some time to map out and measure various angles in respect to your bunion. These various angles provide him invaluable information about your bunion that is specific to you. The measured angles will guide him as he looks to correct your bunion with the appropriate procedure. If I failed to mention it earlier, there are a ton of bunion procedures to pick from.
The procedure of choice is based on the measure angles your physician took time to find. There are different types of procedures based on where in the bone the corrective osteotomy (cut) will be made. These types are defined on the area of the bone and are the: head, shaft, OR base. The severity of the measure angles determines which type to choose. Once the type is decided, you now have multiple procedures within each type to choose from.
So as you can see, a bunion surgery is more involved than just shaving the bump off the side, especially if wanting it done correctly.
If you are thinking of having surgery to correct a bunion, please contact Dr. Bowman at at713-467-8886 or visit our website.
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Amputation, a word that is unlikely if ever going to paint a picture of rainbows and butterflies. It is a word that invokes graphic images to mind as you might recall pictures from the various wars that have been fought. It is word of negativity that makes you sigh deeply as you try not to think about it. In the medical community, it is a last resort option. Patients don’t like to be told they need an amp AND physicians don’t like telling their patients they need an amp. As horrible as the idea is, they may be necessary/unavoidable. Let’s look at it under such conditions.
Why might amputation be unavoidable? The simple and best answer: TO SAVE A LIFE
How may an amputation be necessary? Best answer: SEVERE TRAUMA
Important considerations before amputation:
Types: there are multiple types that can be performed on the foot/ankle. Without going into too much detail they begin with simple toe amps and progress to complete removal of the foot at the ankle or mid-calf. YES, if you lose your big toe you can still walk. You won’t have the same gait pattern as before, but you can still move around with ease.
Again, as horrible as amputations are, they do serve a purpose; the greatest of which is LIFE SAVING.
If you or someone you know has any foot or ankle related concerns, please contact Dr. Bowman at 713-467-8886 or visit www.houstonfootspecialists.com.
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Over the past weeks we have been meticulously, if not rather slowly, discussing the conservative management of flatfeet by age groups. As you might have noticed, the majority of the care past the neonate stage consists of bracing and custom orthoses. So if you have learned anything previously, it might be that custom orthoses are not some ploy by physicians to waste your money and make them wealthy. Orthotics have been proven time and again as an effective method of treatment. Anyways, we are on the final age group in our discussion of flatfoot treatment, so let’s take a look at our options.
By the time you reach the adolescent phase, the majority of your foot structure has completed its growth and is almost at its adult proportions. What this means in less fancy terms is that your foot may not be as easy to manipulate.
The conservative treatment is now more accommodative than corrective at this point. Orthotics are still a great option to accommodate any area causing discomfort. Shoe therapy may also be instituted, but unless your physician is truly skilled it may be hit or miss. Like orthotics, shoe therapy is still more accommodative than corrective. These options are viable for the mild to moderate cases, but in severe cases and in those with a significant equinus deformity, conservative care is basically spinning your wheels.
The best way of determining what can be done for your flatfoot is to see a specialist who has experience in treating such disorders. As you might have picked up on, the sooner you seek treatment, the better likelihood that your flatfoot can be corrected without surgery. This is not to say that surgery may be completely avoided, it at least gives you options before having to make that decision. Surgical correction of flatfoot can be extremely helpful and has been proven to work.
If you or someone you know has flatfeet and is need of therapy OR if you have any other related foot or ankle issue, please contact Dr. Bowman at 713-467-8886 or visit www.houstonfootspecialists.com.
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Eenie Meenie Miney Mo: a truly amazing democratic way of selecting something, although I’m not sure it is ever a good idea to “catch a tiger by his toe or tail”. This phrase has typically been applied when a child cannot decide between the Hershey bar OR the Snicker’s, knowing both cannot be had. I don’t think this fun children’s quote will help, or matter to be honest, when it comes to choosing between a Subungual Exostosis OR Subungual Osteochondroma. The reason being that both are very similar and are difficult to differentiate.
NOTE: the major differences are seen radiographically AND histologically
Treatment is similar: surgical excision.
If you or someone you know is experiencing similar problems OR has any other related foot/ankle complaint, please contact Dr. Bowman at 713-467-8886 or visit www.houstonfootspecialists.com.
|Photo Credit: Daniel St.Pierre via FreeDigitalPhotos.net|
Let’s continue on with our discussion on conservative care for flatfeet. The previous two installments discussed care in children from neonate to 1 year of age AND 1 to 3 years of age. We will now look at children from 3 years of age to adolescents.
In the previous age group, it was essential to continue nighttime splinting in specific braces followed by daytime control with custom orthotics. The same can be said for this age group. However, strict conservative care may be even more difficult for the following reasons:
If there is no major equinus deformity, the night splints and orthotics can be quite helpful. A key point in orthotic use to make sure the rearfoot is tightly controlled. It may be difficult to keep the child in the orthotic for the simple reason that they may outgrow them rather quickly and may cause pain. It is of vital importance to have them refitted for proper fitting orthoses if progress is to be made.
If continual conservative care does not progress then surgical intervention may need to be considered, especially is there is a major equinus deformity.
If you are in need of specific care for flatfeet OR have any other related foot/ankle problems, please do not hesitate to contact Dr. Bowman at 713-467-8886 or visit www.houstonfootspecialists.com.
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1140 Business Center Drive
Houston, TX 77043