Getting surgery to remove an extremely painful bunion may seem like an easy decision. But what if you were told the painful bunion you sought to remove had a chance of coming back again months later? Studies show recurrence rates as high as 25% for bunions. In fact, here at the Center for Podiatric Care and Sports Medicine, correcting failed bunion repairs done by other local surgeons accounts for nearly a third of our business.
However, our center’s 40+ years of bunion surgeries mean we’re better at selecting the right candidates, more adept at operating, and skilled at identifying who is at risk for failed surgery. This means we can give you a more accurate answer if you find yourself wondering, “How often is bunion surgery successful?” In fact, a new study published in The Journal of Bone & Joint Surgery identifies one tell-tale way of predicting whether your bunion will return over time.
Jenn F. on
Wednesday, January 31st, 2018
Every year, about 30,000 Americans rupture their Achilles tendons, which attach the calf muscle to the heel bone. The fraying of this tendon can occur in a sudden snap during a misstep during athletic play or due to chronic inflammation over longer periods of time. The pain can come and go, which causes some people to live with the condition for up to 10 years before getting it checked out by a professional. Sometimes it takes several different treatments before finding the right fit or deciding to have Achilles tendon surgery.
It is possible to climb a ladder and ride a bike again, but you will need an experienced doctor who specializes in Achilles tendon repair to help you choose the best treatment option given your unique circumstances. Today, we’ll discuss some pertinent Achilles tendon statistics to help you understand the differences between surgical and non-surgical treatment.
The field of podiatry is constantly advancing, with new and innovative solutions born to improve upon previous work. In this spirit of embracing the best cutting-edge options available, our board-certified NYC foot surgeons are now some of the first in the state and region to offer the new Cartiva toe implant. Our surgeons underwent extensive training modules and recently performed our seventh successful surgery with excellent results, particularly for treating arthritis. Many new patients are walking into our office asking about the Cartiva implant after downloading the brochure from their website, so we expect these surgeries to increase going into 2018. This is an exciting new treatment for people with arthritis, big toe pain, cartilage damage, deformity, and limited mobility.
The only way to get rid of bunions is to have them surgically removed. That’s the bad news. But the good news is that minimally invasive bunion surgery and fast bunion surgery recovery is possible. In the past, patients could expect a 2-inch scar and at least six weeks of immobilization. Last spring, though, a new type of bunion microsurgery came to Mount Sinai Hospital that involves a tiny 2-3 millimeter incision combined with live X-ray and a burr tool to shave down the bone into a removable paste.
As gruesome as it may sound, most patients experience no pain with proper management and get back on their feet within three weeks. So the question many people have for our NYC foot specialists is not so much if they should have the surgery, but when. Three weeks is still nothing to sneeze at when we’re talking about immobility, so let’s consider the best time of year to get bunion surgery, based on the pros and cons of each season.
Jenn F. on
Wednesday, November 22nd, 2017
Dr. Josef J. Geldwert is one of the few New York City surgeons trained in percutaneous bunion surgery. Minimally invasive foot surgeries are popular for lateral ankle stabilization, ankle fusion, osteochondral lesions, calcaneal fractures, and calcaneal osteotomies, but poor results in the 70’s and 80’s caused American podiatric surgeons to shy away from non-invasive methods of bunion correction—that is, until now.
The first percutaneous bunionectomy was performed by another local surgeon at Mount Sinai Hospital last spring. “Though it’s relatively new here, it’s popular with European orthopedists,” explains Dr. Geldwert. “Some doctors are waiting to see more favorable clinical research results, but trade publications like Podiatry Today are abuzz with news of the microsurgery.”
The best bunion surgery depends on the method the surgeon is most comfortable performing and individual contraindications. For eligible patients, “The obvious advantages for the patient are immediate weight-bearing and the fact that it’s minimally invasive,” Dr. Geldwert says. Still, it’s important to understand all the facets of percutaneous bunion surgery in order to find out if it’s the ideal bunion correction method for you.
Of the 206 bones in the average human body, more than half are located in the hands and feet. That being said, the feet, in particular, withstand a tremendous amount of force. When running, a 150-pound person can withstand 1,000 pounds of pressure. Repetitive motions, poor footwear support, diminishing bone density due to age, and weaknesses in other areas of the body all make foot fractures more likely to occur. As such, our NYC foot surgeons treat fractures frequently, and some of these fractures require the use of orthopedic hardware implants. But you may be wondering, “What exactly does that mean?” So today, we’d like to shed some light on these types of implants and whether you should consider orthopedic hardware removal.
Jenn F. on
Wednesday, September 20th, 2017
Erik Sven Gunnar Karlsson is the 27-year-old Swedish-born captain of the Ottawa Senators. Last season, Karlsson was the runner-up for the Norris Trophy as the NHL’s top defense man. He has previously won the award twice, in both 2012 and 2015. His style of playing has been widely acclaimed by industry pros, with Bobby Orr and Paul Coffey describing Karlsson as an “elite player” with fast skating and excellent performance. Senators coach Guy Boucher praised Karlsson as “one of the greats” in the league. Dallas Stars coach Ken Hitchcock said Karlsson is “ahead of the curve everywhere,” while fellow hockey player Henrik Lundqvist called Karlsson “one of the best players in the game” due to his superb skating and vision of the game. With more than 70 points across four seasons, he is one of the leading scorers among defense men. So you can imagine what a blow it was to the team and fans when it was reported that Karlsson’s recovery from his foot surgery in June may mean he won’t be ready for the start of the season.
The New York Yankees drafted Greg Bird in the fifth round of the 2011 draft with a $1.1 million bonus. He was selected as a catcher and served several years playing with the Yankees’ rookie league affiliates. In August 2015, the Yankees announced they were promoting Bird to serve as the backup to Mark Teixeira on first base. When Teixeira injured his leg, Bird became “the guy.” The heavy hitter finished the season with 11 home runs and 31 RBIs. Although he missed all of 2016 due to a right shoulder injury, Bird showed promise at training camp—until a “bruised right ankle” put him on the 10-day disabled list.
For many foot and ankle conditions, conservative treatment is the way to go. However, this is not necessarily the case for Achilles tendon ruptures. A study published in the American Journal of Sports Medicine in May 2017 linked nonoperative treatment of Achilles tendon ruptures with soleus muscle atrophy. NYC foot surgeons from The Center for Podiatric Care and Sports Medicine discuss the latest research.
For people with debilitating pain in the forefoot that does not respond to pads or cushioned shoes, surgery can help. The procedure is designed to treat fat pad atrophy, a condition suffered by people with high arches, excess weight, or a history of steroid injections. The goal is to improve the everyday lives of people who have worn down the fat pads in the balls of their feet. One Pennsylvania podiatrist explained, “They’re not looking to wear stiletto type shoes. They’re just looking to be able to walk in a grocery store or walk with their children down the street.” Our NYC foot surgeons find that plantar fat grafting is the most effective way to address the root problem and get patients back on their feet again.
“I am so grateful for having had Dr. Geldwert perform bunion surgery on both of my feet. I have complete confidence in him and continue to see him for other sports related injuries. I was cautious about having surgery for the first time, but his knowledge, patience, and skill made me completely comfortable in trusting him. And I couldn’t be any happier with the results!! When anything else feels wrong with my feet, I love that I now know to go immediately to him. He is my top choice for anyone searching for the best foot fixer/surgeon/sports doctor in NYC! Thank you, Dr. Geldwert!!!”
– J. M., Manhattan, NY
Manhattan Office 111 East 88th Street New York, NY 10128 (212) 996-1900 See map here
Westchester Office 10 Mitchell Place Suite 105 White Plains, NY 10601 (914) 328-3400 See map here
Manhattan Orthopedic and Sports Medicine 57 West 57th Street New York, NY 10019 (212) 996-1900 See map here
Dr. Josef J. Geldwert DPM, Dr. Katherine Lai DPM, Dr. Ryan Minara, DPM, and Dr. Mariola Rivera DPM serving Westchester County, White Plains, Ardsley, Bronxville, Harrison NY, Larchmont, Mamaroneck, New Rochelle, Rye, Scarsdale, Rye Brook, Chappaqua, and the surrounding area.
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