Severe Foot Pain

Maria presented to us 3 months ago with severe right foot pain that she has been suffering with for years. She was unable to work, exercise or participate in any activities requiring prolonged standing. Surgical intervention featured an isolated STJ (subtalar joint) fusion with a tibial autograft harvest to stimulate healing the fusion site. Today marks the first day in many years she is able to walk with zero pain or discomfort.

Calcaneal Apophysitis

 This pediatric condition also known as “calcaneal apophysitis” is commonly seen in our office featuring moderate grade heel pain which is exacerbated by physical activity. This condition is simply inflammation of the open growth plate seen on the featured X-ray. Treatment is typically successful with a reduction in activity, offloading heel cup and NSAIDs. In more severe cases a fracture boot is used until symptoms subside. Sever’s disease does have tendency to recur, however will not return once the child becomes skeletally mature around 13-15 years of age.

Trauma Reconstruction

 Successful trauma reconstruction on this recent patient featuring a relatively simple ankle fracture repair with more complex reconstruction of a nonunion/fracture with displacement at the great toe joint. This repair included a tricky hardware removal, tibial autograft harvest and revised hardware construct. The before and after are 3 months apart, and the patient has now returned back to all activities with no pain or discomfort.