The Center for Podiatric Care and Sports Medicine

Foot and Ankle Surgery News: What Is HyProCure?

Posted by on Friday, February 19th, 2016


Whenever possible, podiatrists prefer to treat bunions, hammertoes, plantar fasciitis, pinched nerves, diabetic ulcers, and ankle pain through non-invasive methods. Our view is this: Why operate when we could do something as simple as fit the patient with a pair of orthotics and achieve similar outcomes six months later? Yet, we also recognize that simply “masking” the problem with a non-invasive treatment is not a sound strategy either. If your symptoms are mild and the condition does not appear to be worsening, then getting by with non-invasive therapy may be an option. In other cases, HyProCure might be a better solution.

What Is HyProCure?

HyProCure is a surgical treatment that places a small titanium stent just below the ankle joint to stabilize excess movement in the foot. Patients can still move their feet naturally, so there is no risk of arthritis.

According to the implant manufacturer, HyProCure has been scientifically shown to do the following:

  • Decrease strain to the plantar fascia by 33%
  • Decrease strain to the posterior tibial tendon by 51%
  • Decrease strain to the heel by 24%
  • Decrease nerve pressure
  • Decrease excessive side-to-side and up-and-down foot motion
  • Prevent arch collapse
  • Redistribute pressure along the bottom of the foot

Surgeons who have worked with the implant say that “the implant will not wear out, patients are usually back in regular shoes within one week of surgery, and there are no limits to activities once the implant is inserted and healing has occurred.”

It’s believed 30-40% of podiatry patients can find relief from their foot problems if the subtalar joint and hyperpronation is addressed. The Center for Podiatric Care and Sports Medicine in NYC has a state-of-the-art gait analysis center that can examine how your foot moves and distributes pressure as you walk or run to help determine if HyProCure could be a solution to your foot woes.

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Are There Any Caveats?

One downside is an observed increase in outer ligament strain and ankle sprains in the period immediately following surgery. Post-operative pain and reliance on anti-inflammatory medication for 6-8 weeks is common as well. Total downtime can be anywhere from two to four months, depending on how severe your condition is and how quickly your body responds to rehabilitation after surgery.

Other risks of this procedure include:

  • Displacement or migration of the implant
  • The possibility of over-correction or under-correction
  • Prolonged pain and swelling
  • Infection

Insurer Aetna places the HyProCure complication rate somewhere between 4.8 and 18.6%. Of course, that’s a big gap. Given the need for more research to pinpoint a more precise figure, insurance companies still consider HyProCure to be “experimental,” so they generally do not cover the $2,500 – $4,500 procedure, though patients are often able to take advantage of health savings accounts, little or no-interest medical loans, or in-office payment plans.

Another Great Read: Ankle and Foot Surgery Recovery Advice – Take It Easy!

 Getting The Right Diagnosis Is Key

“Getting the right diagnosis is key to obtaining a successful outcome with HyProCure  or any other treatment for that matter,” explains NYC board-certified foot surgeon Dr. Josef J. Geldwert. “We have CAT scans, x-rays, MRIs, weight-bearing fluoroscopy, and load-sensing computer systems to get a full picture of what’s going on inside your foot and ankle joints.”

Dr. Geldwert and the other surgeons at our Manhattan and Westchester practices are trained in multiple surgical procedures and techniques and are not beholden to just one particular implant, so you have a wide range of options in addressing your foot pain. Our team offers injection therapies (like professional athletes use) to stimulate natural healing and speed up results. We guide patients through active recovery rehabilitation with physical therapy and walking boots to ensure full flexibility and mobility.

Contact us for a comprehensive assessment of your condition and we’ll get to the root cause of your foot and ankle pain!


If you have any foot problems or pain, contact The Center for Podiatric Care and Sports MedicineDr. Josef J. GeldwertDr. Katherine Lai, Dr. Ryan Minara and Dr. Mariola Rivera have helped thousands of people get back on their feet. Unfortunately, we cannot give diagnoses or treatment advice online. Please make an appointment to see us if you live in the NY metropolitan area or seek out a podiatrist in your area.