Podiatry is a branch of medicine devoted to the study, diagnosis, and medical and surgical treatment of disorders of the foot, ankle and lower extremity.
Fusions are usually performed to treat arthritic conditions of the foot and ankle. A fusion involves removing all cartilage from a joint and then joining two or more bones together so that they do not move. Fusions can be done with screws, plates or pins or a combination of these.
Surgery on the tendons can be performed for acute injuries such as ruptures but is also commonly done to lengthen or shorten the tendon, depending on the problem. In some cases, tendons may be re-routed to improve foot and ankle function.
Surgery on the lesser metatarsals is performed for a variety of reasons but is commonly done to redistribute the weight bearing on the ball of the foot. In some severe cases, such as rheumatoid arthritis, surgery may involve removing the metatarsal heads (the bones in the ball of the foot area).
There are many different types of bunion surgery depending on the severity of the bunion and the joint involvement. Your podiatrist can explain the bunion procedure that is most appropriate for your bunion. Depending on the surgery necessary, the recovery time can be very different—particularly if you need to be on crutches after the surgery or in a cast.
Hammer toe surgery may involve removing a portion of the toe bone to realign the toe or could involve fusing the toe joint (see Fusions, above). In some cases, it may involve placing an implant in the toe to maintain realignment.
Neuroma surgery involves removing a benign enlargement of a nerve, usually between the metatarsal heads in the ball of the foot. This soft tissue surgery tends to have a shorter recovery time than bone procedures, but it leaves some residual numbness related to the removal of the piece of nerve tissue.
Based on the condition and the chronic nature of the disease, heel surgery can provide relief of pain and restore mobility in many cases. The type of procedure is based on examination and usually consists of plantar fascia release, with or without heel spur excision. There have been various modifications and surgical enhancements regarding surgery of the heel. Your podiatrist will determine which method is best suited for you.
Reconstructive surgery of the foot and ankle consists of complex surgical repair(s) that may be necessary to regain function or stability, reduce pain, and/or prevent further deformity or disease. Unfortunately, there are many conditions or diseases that range from trauma to congenital defects that necessitate surgery of the foot and/or ankle. Reconstructive surgery in many of these cases may require any of the following: tendon repair/transfer, fusion of bone, joint implantation, bone grafting, skin or soft tissue repair, tumor excision, amputation, and/or the osteotomy of bone (cutting of bones in a precise fashion). Bone screws, pins, wires, staples, and other fixation devices (both internal and external), and casts may be utilized to stabilize and repair bone in reconstructive procedures.
Dr. Anthony Enrico
Dr. Anthony Enrico is a podiatrist treating adult patients in the Paterson, NJ and Passaic, NJ neighborhoods and surrounding communities. Dr. Enrico attended Samuel Merritt University, California College of Podiatric Medicine and currently treats patients for a variety of podiatry visit reasons. These include for foot problems, foot consultation, diabetic foot, ankle injuries or sprain and much more.
Dr. Paul G. Klein
Dr. Paul G. Klein earned a BA from Queens College CUNY in 1977 and a DPM from The New York College of Podiatric Medicine in 1981, both with honors. He thencompleted a Residency in Medicine and Surgery at Jewish Memorial Hospital in New York City 1981-1982. Post graduate training in foot and ankle surgery was continued in Atlanta Georgia with Dr. Kalish, Peripheral Nerve Fellowship with Dr. Dellon of John’s Hopkins and Microsurgery at the Curtis National Hand Center in Baltimore.
Dr. Klein has been active in furthering his knowledge by attending advanced training in Europe and the united States during the past 30 years. Dr. Klein has been an invited lecturer locally and nationally on his experience with Lower Extremity Peripheral nerve pathologies. His co-authorship of the publication on Radiofrequency Lesioning for Plantar Fascitis has been expanded into many specialties over the past 20 years. Admitted as an attending to numerous New York and New Jersey Hospitals, Dr. Klein began a 20 year labor of love teaching surgery to podiatric surgical residents.