Henderson Podiatry offers Minimally Invasive Surgery (MIS) for minor conditions of the feet. Being able to perform surgery in the office is not only more cost-effective to the patient, but also promotes a faster and less painful recovery. Some of the conditions that may qualify for an in-office minor surgical procedure are: hammertoes, ingrown nails, cysts, moles, bone spurs, lesions, lipomas/ masses, and abscesses. To find out if your condition qualifies for a MIS, call today to schedule a consultation.
Hammertoe Correction (Tenotomy and Capsulotomy):
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 with a light dressing for a few days. With this Minimally Invasive Surgery patients are able to return to their regular shoe gear immediately and ambulate following the surgery the next week. 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 performed. Typically, Tylenol or Advil is all that 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.
Ingrown Nail Correction (Partial Nail Plate Avulsion):
In most cases, treating ingrown toenails is simple: soak the foot in warm, soapy water several times each day. Avoid wearing tight shoes or socks. Antibiotics are sometimes prescribed if an infection is present. Note: Please consult your physician before taking any medications. In severe cases, if an acute infection occurs, surgical removal of part of the ingrown toenail may be needed. Known as partial nail plate avulsion, the procedure involves injecting the toe with an anesthetic and cutting out the ingrown part of the toenail. A chemical mixture may also be applied to the affected area to prevent regrowth of the nail.
Bone Spur Removal (Exostectomy):
A bony prominence (bone spur) on a toe can be caused by trauma, abnormal joint motion, bone diseases, or arthritis. These bumps can cause a great deal of pain, especially when pressed upon or from tight footwear. A bone spur is easily diagnosed with an x-ray, which is also offered at our practice. Depending on the severity and location of the bone spur, the procedure can be performed in-office under a local anesthesia. Once the toe is numb, the surgeon makes a small incision and shaves down the bone. This relieves the excessive pressure on the toe, greatly reducing pain and improving mobility. A post-surgical shoe will then be worn to reduce pressure and mobility while the toe is healing. An anti-inflammatory and pain medication may be prescribed.