
Types of Ankle Ligament Surgery

The ankle is a complex joint consisting of the subtalar joint, tibiotalar joint, and distal tibiofibular joint. It relies on ligaments to prevent excessive movement and ensure stability. When these ligaments become compromised, ankle surgery may be an option. In such cases, anatomical reconstruction is the preferred approach for repairing damaged ankle ligaments. This procedure aims to restore torn or stretched ligaments and can use either the patient's own tissue or a cadaver tendon, depending on the ligament's condition. During anatomical reconstruction, an ankle surgeon may also tighten the fibrous tissue band to improve ankle alignment and prevent future injuries. In contrast, peroneal substitution ligament reconstruction involves replacing the damaged ligament with another tendon harvested from the patient's ankle. While a viable option, it is generally considered less effective than anatomical reconstruction. Recovery times for both procedures are roughly six weeks, but it may be much longer before you can safely resume sports activities. The choice of surgery should be made in consultation with a podiatrist who is a qualified foot and ankle surgeon. This foot doctor will tailor the surgery to your specific needs and follow with thorough post-operative care and rehabilitation. If you have severely injured your ankle, it is suggested that you make an appointment with a podiatrist as quickly as possible.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact one of our podiatrists of Arcadia Foot and Ankle. Our doctors 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 offices located in Scottsdale, North Scottsdale, Mesa, and Sun City, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Foot and Ankle Surgery
When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition. A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case. Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery. Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.
Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome. A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications. Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered. Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.
Care post-surgery will depend on the type of surgical procedure performed. Typically, all postoperative care involves rest, ice, compression, and elevation. To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes. He will also determine if and when you can bear weight. A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.
Reasons for Swollen Feet

Swollen feet can cause both inconvenience and discomfort, but ignoring them may be dangerous, as edema can be a symptom of an underlying condition. One of the most common causes of swollen feet is pregnancy, which can be the result of increased fluid retention and hormonal changes. Injuries to the leg or ankle can lead to swelling, as ligaments stretch beyond their normal range of motion. Lymphedema, another cause of swelling, results from the accumulation of lymphatic fluid, often after cancer radiation therapy or lymph node removal. Venous insufficiency, which stems from damaged vein valves in the legs and feet, can also cause the feet to swell, and can be accompanied by potential symptoms such as ulcers and skin discoloration. Infections pose a risk, especially for those with diabetic neuropathy or nerve problems, making regular foot exams with a podiatrist essential for diabetics patients. Certain medications can induce foot swelling as a side effect, necessitating consultation with a podiatrist. Arthritis can affect joints, causing swelling as a result of increased synovial fluid or inflammation. While mild foot swelling may not always warrant medical attention, chest pain, breathing difficulties, or shortness of breath require immediate evaluation as they may indicate pulmonary edema. If you notice sudden or unusual swelling in your feet, it is strongly suggested that you make an appointment with a podiatrist at your earliest opportunity.
Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our podiatrists of Arcadia Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:
- Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
- Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
- Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
- Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
- Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.
Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet.
Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.
If you have any questions please feel free to contact our offices located in Scottsdale, North Scottsdale, Mesa, and Sun City, AZ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Swelling of the Feet
There are many reasons why patients experience swelling of the feet. It is rather common and may be a side effect of pregnancy or from sitting and standing for most of the day. Gravity could also play a role in the development of swollen feet. It is known that the weight of blood volume in our bodies is exerted on the veins in the legs and feet. The veins may not work as efficiently during the aging process, and this could make the blood flow backward causing swollen feet. Relief may be found when obese patients lose weight, and it may help to engage in compression therapy by wearing compression socks, stockings, or athletic sleeves. This method can release pressure on the feet and ankles which may help to reduce existing swelling. There are patients who have controlled their swollen feet by implementing healthy lifestyle changes. These can consist of reducing salt intake, incorporating a gentle exercise regime into the daily routine, and drinking plenty of fresh water. Swollen feet may be a temporary condition that affects people who travel via airplane or automobile, so it is beneficial to walk as frequently as possible even though it can be difficult. Swelling of the feet can also be indicative of other health issues so it is important to pay attention to any type of chest pain, mental confusion, dizziness, or fever. If you consistently have swollen feet, it is strongly suggested that you consult with a podiatrist who can help determine the cause and how to effectively treat it.
Benefits of Foot Massage

Foot massage is a practice that offers numerous benefits and is something that can be incorporated into a good foot care routine. Our feet work tirelessly, supporting us daily, and deserve regular pampering. Foot massages can induce profound calmness and psychological well-being. These massages promote overall foot health by stimulating muscles, enhancing circulation, reducing stiffness, and detecting issues like blisters, bunions, corns, and toenail problems. For heel pain, especially in plantar fasciitis cases, foot massages provide immediate relief, beneficial for flat-footed individuals. Improved circulation, critical for diabetics, is another advantage. Additionally, they expedite injury recovery and reduce the risk of future ones when combined with strengthening exercises. If you have foot pain or would like to learn more about therapies like foot massage and good foot care practices, it is suggested that you make an appointment with a podiatrist who can provide treatment and information you are seeking.
Foot therapy is often necessary for those recovering from either foot deformities or foot injuries. If you have concerns regarding therapy, consult with one of our podiatrists from Arcadia Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
Most Common Injuries
People who are active or athletes are prone to a variety of injuries. Therefore, it is often important to take part in physical therapy in order to quickly get back on the right track.
What to Do When Injured
Physical Therapy – This specialized treatment will focus on the affected area, speeding up recovery and the overall healing process. It is a proven method that has helped millions of people return from any injury.
During physical therapy you will undergo regimented training to get back into full form. Training is often very difficult, especially at first when the foot feels weak. Physical therapy often involves:
Basic stretching and twisting exercises – getting the feet’s mobility and flexibility up.
Massaging – the therapist will massage the injured area in order to activate the muscles and relax them.
Strengthening Exercises – this allows the muscles in the affected area to regain their full strength, a vital step towards full recovery.
If you have any questions please feel free to contact our offices located in Scottsdale, North Scottsdale, Mesa, and Sun City, AZ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Foot Therapy for Sports Injuries
Whether in practice or in the game, athletes put their bodies through great stress. Some sports demand more from the body than others. However, every sport has an element of inorganic movement or unnatural motion. For example, in softball, a pitcher winds up and flings her body with an incredible amount of dexterity in order to get the most ideal velocity out of her pitches. This motion, incredibly taxing on the body, can cause serious injury.
One of the most common issues of athletic injuries happens in the feet. If it’s a damaging fracture that leaves the athlete sidelined or just a simple turf toe, foot injuries can still be very frustrating and painful. Regardless of the sport, athletes still require use of their feet in some fashion. This is why foot therapy is extremely vital for getting athletes back on the right track to return to the field.
No matter the injury, the best way to speed up the recovery period is to receive physical therapy. Physical therapy has proven to work for millions of people. Professional physical therapists are specifically trained to help people return to proper form from any injury.
During physical therapy, you will go through organized training in order to get back into form. Sometimes training can be quite difficult, especially in the beginning when there is more pain and the foot feels awkward. To alleviate this, you will do basic twisting and stretching exercises in order to get flexibility and foot mobility back up. The therapist will also massage the injured area to activate and relax muscles. Over time you will eventually move up to strengthening exercises, designed specifically so that the injured area is exercised.
Foot therapy for sports is a modern science miracle. Unlike other treatments that may employ the use of fancy chemicals and terminology, physical therapy is an evidence-based practice that offers the same benefits. Due to huge advancements in the knowledge of muscles and joints, doctors can turn catastrophic injuries around so that athletes can return to the game once more.
Gout in Young People

Gout, often associated with older, overweight men who indulge in rich food and excessive alcohol, is increasingly affecting younger individuals. Gout is a form of arthritis caused by the accumulation of uric acid, or urate in the bloodstream. Urate crystals can develop in joints, causing intense and sudden pain, most commonly in the big toe. While gout is more commonly associated with older age, it can affect people of all ages, including young adults and even teenagers. Several factors can increase the risk of developing gout at a younger age, including a family history of gout, consuming a diet high in purine-rich foods, or being overweight. It can also affect people who have certain medical conditions, or who take specific medications. Treatment involves managing acute attacks by taking anti-inflammatory drugs, and urate-lowering medication may be used for long-term prevention. Dietary changes, including avoiding alcohol, may help to prevent gout. If you are a younger person and are experiencing symptoms of gout in your big toe, it is strongly suggested that you make an appointment with a podiatrist who can properly diagnose this condition and provide the correct treatment.
Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact one of our podiatrists from Arcadia Foot and Ankle. Our doctors will treat your foot and ankle needs.
What Is Gout?
Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.
People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.
Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.
If you have any questions please feel free to contact our offices located in Scottsdale, North Scottsdale, Mesa, and Sun City, AZ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Everything You Need to Know About Gout
Gout, typically found in diabetic patients, is an unusually painful form of arthritis caused by elevated levels of uric acid in the bloodstream. The condition typically strikes the big joint on the big toe. It has also been known to strike the knees, elbows, fingers, ankles and wrists—generally anywhere that has a functioning, moving joint.
The high level of uric acid in a person’s bloodstream creates the condition known as hyperuricema—the main cause of gout. Genetic predisposition occurs in nine out of ten sufferers. The children of parents who suffer gout will have a two in ten chance of developing the condition as well.
This form of arthritis, being particularly painful, is the leftover uric acid crystallizing in the blood stream. The crystallized uric acid then travels to the space between joints where they rub, causing friction when the patient moves. Symptoms include: pain, redness, swelling, and inflammation. Additional side effects may include fatigue and fever, although reports of these effects are very rare. Some patients have reported that pain may intensify when the temperature drops, such as when you sleep.
Most cases of gout are easily diagnosed by a podiatrist’s assessment of the various symptoms. Defined tests can also be performed. A blood test to detect elevated levels of uric acid is often used as well as an x-ray to diagnose visible and chronic gout.
Treatment for gout simply means eliminating symptoms. Non-steroid anti-inflammatory drugs or NSAIDs (Colchicine and other corticosteroid drugs, etc.) will quell the redness, the swelling, and the inflammation. However, managing your diet, lifestyle changes, and using preventative drugs are all helpful toward fully combating the most severe cases.
Those that lead an inactive lifestyle are at a higher risk for gout. Any amount of exercise decreases the probability of repeat encounters with the condition. Reducing your consumption of red meat, sea food, and fructose-sweetened drinks also reduces the likelihood of chronic gout as well.
Ingesting Vitamin C, coffee, and particular dairy products can help with maintaining a healthy lifestyle. There are new drugs out on the market that inhibit the body’s production of uric acid-producing enzymes. However, reducing or eliminating your overall levels of uric acid is the best remedy to ensuring you lead a gout-free life.
Causes and Symptoms of Toenail Fungus

Toenail fungus, known as onychomycosis, is a common condition that results from exposure to an overgrowth of certain fungi in your toenails. These fungi, including dermatophytes and yeast, can be found naturally on the skin or in the environment, possibly as airborne spores. A contributing factor to toenail fungus is a warm and humid environment that promotes fungal growth. If your feet remain damp or sweaty for extended periods, these microbes can thrive and rapidly multiply, leading to an infection. Moreover, any crack or tear in the skin or nail can provide an entry point for the fungi, allowing them to penetrate deeper into the tissue. As the infection progresses, fungal debris accumulates under the nail, causing it to thicken and change color, typically turning yellow, brown, or white. Cracks may develop in the affected nail as it weakens. This infection can become progressively severe if left untreated. Recognizing the common symptoms early and seeking prompt treatment from a podiatrist is essential. If you believe you have toenail fungus, it is suggested that you seek the help of a podiatrist as quickly as possible.
If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact one of our podiatrists of Arcadia Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.
Symptoms
- Warped or oddly shaped nails
- Yellowish nails
- Loose/separated nail
- Buildup of bits and pieces of nail fragments under the nail
- Brittle, broken, thickened nail
Treatment
If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.
Prevention
In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.
In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.
If you have any questions, please feel free to contact our offices located in Scottsdale, North Scottsdale, Mesa, and Sun City, AZ . We offer the newest diagnostic and treatment technologies for all your foot care needs.