If your legs look like this, you may have superficial venous reflux. Reflux is a condition that develops when the valves that keep blood flowing from your legs to your heart become damaged or diseased. Symptoms of reflux include pain, swelling, small water blisters, leg heaviness and fatigue as well as varicose veins in your legs.
At Henderson Podiatry, we offer wound care for non-healing leg wounds, cellulitis and phlebitis. We also perform in-office minor surgical procedures for moles, lesions, lipomas/masses, abscesses, etc. If you struggle with superficial venous reflux, we also offer compression stockings which will help reduce the swelling in your legs and feet.
As podiatrists we treat many conditions affecting the feet and ankles. One of the most common issues we treat is hammertoes. Hammertoes may be congenital or acquired. A persons’ genetic make-up may predispose them to having hammertoes at birth, or they may develop over time as the normal aging process occurs. Hammertoes often present with multiple issues: corn formation, joint instability at the ball of the foot, thickened or fungal toenails and pain to the toe and/or the nail. In diabetic patients it is imperative to correct hammertoes to reduce the risk of ulceration, since ulcerations are a known precursor to amputations. For people with hammertoes there may also be a psychological impact that occurs with having a visual deformity of the toes, which may motivate patients to seek treatment.
Conservative treatments for hammertoes include: changes in shoe gear with a wider deeper toe box, custom orthotics, silicone sleeves to protect and cushion the toes, and different methods of padding/stabilizing the toes. Sometimes steroid injections are used to assist in decreasing localized inflammation and pain.
There are many different procedures for surgical correction of hammertoes. Evaluating the flexibility of the toe will help the physician determine which procedure will work best. The stiffer the toe is, the more arthritis has developed through the joints of the toe, and the more involved the procedure would be for correction. In an extreme case, an elaborate hospital procedure may involve “cutting” the joint and pinning the toe with a wire. The pin may remain in place for 3-6 weeks. During this post-operative time, the patient will be protected and immobilized in a shoe. Driving is sometimes limited.
With a softer, flexible reducible toe a minimal incision surgery procedure may be done in the office. After the toe is anesthetized, the tendon to the bottom of the toe is released. This allows the toe to straighten. The toe is then wrapped in a small splint for 2 days. With this MIS procedure patients are able to return to their regular shoe gear immediately and ambulate following the surgery. Patients may drive immediately follow the surgery. Patients on Coumadin or blood thinner do NOT need to come off these medications prior to having this MIS done. Typically just Tylenol or Advil is needed for any discomfort that evening. One week following the MIS the suture is removed in the office and typically the patient is then discharged.