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.
People with a predisposition toward bunions start to notice abnormal developments around their big or small toes by the time they reach their twenties or thirties. Bunions can strike at any age, however, according to the Manhattan podiatrists at The Center for Podiatric Care and Sports Medicine. Kids can even develop surprisingly adult-like bunions at very young ages. “We recommend that parents hold off on surgical considerations until the child has reached skeletal maturity and the growth plates have closed,” says Dr. Josef J. Geldwert, DPM. He says this occurs between 13-15 for girls and 15-17 for boys. In the meantime, there are conservative measures that may prevent the bunion from getting worse.
Diabetic neuropathy is a condition in which damaged nerve fibers result from improper glycemic control. According to the American Diabetic Association, about half of all people with diabetes have some form of nerve damage in their bodies. The bad news is that this damage cannot be undone once it occurs. The good news? Our White Plains foot surgeons can relieve the unpleasant symptoms of numbness and tingling and prevent amputation through nerve decompression surgery.
The word “amputation” strikes fear in the hearts of patients with foot pain and injury. As such, it’s not a word we like to use very often here in the office. We offer the most advanced technology geared toward alleviating pain, treating the root cause of foot and ankle injuries, and salvaging limbs. Yet, we feel it’s also important to clarify that amputation isn’t what it was even twenty years ago. As the NY Times reports, many New Yorkers are choosing to lose their limbs in favor of the latest prosthetic technology to lead more active lifestyles.
“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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