All patients are looking for the top or best foot surgeons to evaluate their foot problem or perform their foot surgery. We believe that giving different treatment options (non surgical treatment) is a top priority.
At our practice our patients always have three choices:
Each patient is different and conservative treatment vs. surgical correction both differ for the particular type of ankle problem, age and lifestyle. The right treatment must also meet the patient’s expectations in regard to resolution of their problem(s) and future functionality. And if conservative treatment fails, the option to not have surgery is as important as the surgery chosen by your surgeon. Of course surgical training is very important, and continuing medical education on the latest medical advancements is important as well, but it’s the careful planning before and after surgical treatment that produces the best outcome.
A bunion (Hallux Valgus) is an enlarged or prominent bone on the side of the first, big toe joint. Most bunions are inherited and worsen as the joint responds to abnormal pressure on the foot from tight, restrictive or flat shoes without support. Pain ranges from dull to sharp depending upon the level of irritation and compression of the nerves that are around this area.
Below are videos that explain the origin of the bunion deformity, patient surgical experiences, before and after pictures and one of the advanced techniques we perform in the operating room (viewer caution advised).
Let’s be honest, bunion pain and the inability to wear dress shoes is enough to have this deformity corrected, but a cosmetic correction is becoming more common.
Why? The procedure is performed in an out-patient facility, the recovery is shorter than in the past, and health insurance usually covers this type of surgery.
Listen to what one of our patients had to say about her experience, log on to the website to watch the surgery performed live or ask us a question about your specific concerns.
I started going to Dr Moore in 2017 after a bad experience with another foot surgery earlier that year. After evaluation and xrays, Dr Moore presented my options to make the correction and hopefully eliminate the pain that had persisted. The second surgery and after care with Dr Moore went smoothly and no more pain! In December 2019, when it came time to address the same underlying condition on my other foot, I reached out to Dr Moore of course. The procedure included repairing a shredded ligament, put toes 2 and 3 back into the joint, and put pins in place to repair the hammertoe condition. His surgical precision and passion for his craft resulted in a beautiful outcome! And, I followed his very specific instruction for post surgery, which has now given me two feet with no pain, and the ability to wear closed toe shoes! Dr Moore, Birgitta and the entire staff are wonderful!
A complete cosmetic foot surgery makeover in essence is specific to each patient. In this case, the bunion, bunionette, hammertoes, and skin / corn deformities that she had from birth were corrected on her right foot first.
Make sure that the shoe has enough room at the end about the width of your thumb and that the toe box (front of the shoe) is high enough to allow your toes to move freely.
Anti-inflammatory medication can help with the chronic pain, but are not much help with the acute pain
There are an array of over the counter pads that can be placed to relieve the pain.
Temporary arch supports or custom molded orthotics can minimize the pressure on the foot position causing the pressure. These devices can be a viable solution without surgical intervention.
The bone causing the pressure is remodeled or smoothed down and then repositioned to prevent re-occurrence. Incisions are minimal and vary (average 1.5cm to 3/4 inch) and sutures are removed at 2 weeks. The procedure is performed at an outpatient facility under sedation.
Partial weight bearing is allowed after 1 to 3 weeks of non weight bearing with crutches.
CAUTION: This is an actual surgery – Contains Graphic Material
This is a bunion correction surgery performed by Dr. Moore using the TenFUSE™ Nail allograft to fixate the chevron osteotomy. The TenFUSE nail is derived from 100% solid human coritcal bone (not crushed). It is also partially demineralized for osteoconductivity and osteoinductivity from Solana Surgical, LLC. All surgeries are covered by insurance. Dr. Robert Moore is a Board Certified Foot Surgeon.
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