Foot Fusion Surgery for Painful and Damaged Joints

Foot fusion surgery, also called arthrodesis, joins damaged bones so they heal into one stable unit. It may be recommended when a foot joint causes ongoing pain, swelling, or difficulty walking. Fusion can involve the hind foot or midfoot, depending on the location of the problem. Hind-foot joints help provide stability and control movement near the heel and ankle. Common causes include arthritis, severe injuries, and damage that has not improved with other treatment.

A podiatrist may recommend fusion when a joint is too damaged to function comfortably or when painful movement continues despite non-surgical care. The purpose is to reduce painful joint motion and create a stable foundation for walking. Before surgery, the podiatrist reviews symptoms and medical history, examines foot alignment, and uses imaging to evaluate the affected bones and joints. During surgery, damaged cartilage is removed, the bones are positioned carefully, and screws or plates may hold them together while they heal.

 

Smoking, diabetes, and some medications may affect bone healing. The podiatrist discusses these concerns before surgery and provides instructions to improve surgical safety. After the procedure, the foot is protected with a splint, cast, or boot. Weight-bearing is restricted according to the surgical plan, and follow-up visits help the podiatrist check the incision, swelling, and early healing.

 

Recovery from foot fusion surgery takes time because the bones must grow together securely. The podiatrist may gradually increase weight-bearing, change protective devices, and use X-rays to confirm progress. Patients should follow activity restrictions and report unusual drainage, fever, or worsening pain. Although the fused joint loses motion, successful surgery can reduce pain and improve stability. If arthritis, injury, or deformity is limiting your mobility, it is suggested that you consult a podiatrist who can discuss the benefits of this type of foot surgery with you. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Richard Silverstein of Union Foot Care. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our office located in Havre de Grace, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Podiatric Care for Ankle Pain and Injuries

Ankle pain can interfere with walking, exercise, and everyday activities that require movement. The ankle connects the leg to the foot and allows the foot to move up, down, and from side-to-side. Pain can develop suddenly after an injury or result from a condition. An ankle sprain is one possible cause. Arthritis and tendon irritation can also cause discomfort. Other causes include fractures, nerve compression, and poor alignment of the foot or leg. The cause can affect how long symptoms last and how severe they become.

Ankle pain can occur alone or appear with swelling, stiffness, and redness. Warmth surrounding the joint can also develop. These signs can help identify what is affecting the ankle. Sports that involve jumping or quick changes in direction can increase the chance of an ankle injury. Basketball and volleyball are examples. Wearing  shoes that lack proper support can also place added stress on the feet and ankles. Ankle instability can develop after a previous injury and make the joint feel weak or unreliable when standing or walking.

A podiatrist can examine the ankle, review how the injury occurred, and assess the way the foot moves. This evaluation can help identify whether pain comes from a sprain, arthritis, or another problem. Treatment can include a brace, splint, or orthotic insert depending on the cause and severity. Orthotic inserts are devices placed inside shoes to improve support and alignment. More serious ankle problems can require surgery. A podiatrist can also guide a patient toward safe movement as the ankle recovers. Proper diagnosis is important because different causes of ankle pain determine the approach to care. If you have ankle pain, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Dr. Richard Silverstein from Union Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendonitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

If you have any questions please feel free to contact our office located in Havre de Grace, MD . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Improving Running Performance With Foot Stretches

Foot stretches are an important part of a runner-focused routine because they help maintain flexibility and strength in the lower extremities. These exercises target muscles, tendons, and connective tissue that support balance and movement. Running places repeated impact on the feet, which can lead to strain if the body is not properly conditioned. Understanding how stretching supports foot health allows runners to stay active, improve performance, and reduce unnecessary discomfort during training and recovery. Common symptoms of tight or overworked feet include stiffness, soreness, and reduced mobility. Many runners notice discomfort in the arches or heels, especially after long distance runs or intense workouts. Muscle fatigue can also affect stride and balance, making movement less efficient. Risk factors include inadequate warm up routines, wearing poor footwear, and engaging in high intensity training without enough recovery time. Identifying and addressing these factors is essential for maintaining healthy and functional feet.

Foot stretching provides several benefits that directly support running efficiency and comfort. These exercises improve foot and ankle mobility, allowing smoother and more controlled motion with each step. Strong and flexible feet help distribute pressure evenly, which reduces stress on specific areas, such as the heel or arch. Stretching also helps ease pain and muscle soreness, promoting faster recovery after activity. Regular practice supports endurance and lowers the risk of common running related injuries.

Incorporating foot stretches into a daily routine can improve both comfort and long-term performance. Consistent care allows runners to maintain proper form and reduce the likelihood of overuse injuries. Focusing on flexibility and strength supports continued activity and overall well being. Taking simple preventive steps can make running more enjoyable and sustainable over time. If you have foot pain from running, it is suggested that you consult a podiatrist for effective relief and treatment solutions.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Dr. Richard Silverstein from Union Foot Care. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Being the backbone of the body, the feet carry your entire weight and can easily become overexerted, causing cramps and pain. As with any body part, stretching your feet can serve many benefits. From increasing flexibility to even providing some pain relief, be sure to give your feet a stretch from time to time. This is especially important for athletes or anyone performing aerobic exercises, but anyone experiencing foot pain or is on their feet constantly should also engage in this practice.

Great ways to stretch your feet:

  • Crossing one leg over the others and carefully pull your toes back. Do 10-20 repetitions and repeat the process for each foot
  • Face a wall with your arms out and hands flat against the wall. Step back with one foot and keep it flat on the floor while moving the other leg forward. Lean towards the wall until you feel a stretch. Hold for 30 seconds and perform 10 repetitions for each foot
  • Be sure not to overextend or push your limbs too hard or you could risk pulling or straining your muscle

Individuals who tend to their feet by regular stretching every day should be able to minimize foot pain and prevent new problems from arising.

If you have any questions please contact our office located in Havre de Grace, MD . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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How Pregnancy Can Affect Your Feet

Pregnancy brings many changes to the body, and the feet are no exception. As pregnancy progresses, increased body weight and changing hormone levels can place extra stress on the feet and ankles. Many women experience foot pain, swelling, or changes in the shape of their feet during this time. Some also notice that their arches become lower, which can cause the feet to become slightly longer or wider. These changes may affect balance and make standing or walking less comfortable. Because pregnancy-related foot problems can interfere with daily activities, a professional evaluation is important when symptoms become persistent or severe. Early care can help identify the cause of discomfort and determine the most appropriate treatment plan.

 

Several factors contribute to foot changes during pregnancy. Hormones that help prepare the body for childbirth can also loosen the ligaments that support the feet, making the joints more flexible. Combined with added pressure from weight gain, these changes may increase the risk of flat feet, heel pain, or discomfort in the arches. Swelling around the feet and ankles is also common and may make shoes feel tighter than usual. A comprehensive podiatry examination allows foot structure, joint function, and walking patterns to be carefully evaluated. Identifying these changes early can help reduce discomfort and support healthy foot function throughout pregnancy.

 

A podiatrist can evaluate pregnancy-related foot pain and recommend treatment based on each patient's individual needs. Professional care focuses on improving comfort, supporting proper foot mechanics, and addressing conditions that may develop during pregnancy. Treatment plans are designed with both maternal health and mobility in mind, while also monitoring changes as pregnancy progresses. Ongoing podiatry care may also help identify developing foot problems before they become more significant after delivery. If you are experiencing foot pain, swelling, or noticeable changes in your feet during pregnancy, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Dr. Richard Silverstein from Union Foot Care. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions, please feel free to contact our office located in Havre de Grace, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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