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General information on medical treatment

What does a foot and ankle surgeon do?

A foot and ankle surgeon is a doctor specialized in treating injuries, diseases, and deformities that affect the feet, ankles, and lower legs. This professional has in-depth knowledge about the complex anatomy of this region, including 26 bones, 33 joints, more than 100 ligaments, tendons, and muscles that compose each foot. Their work is fundamental to restore function and aesthetics of feet and ankles after trauma, sports injuries, or degenerative conditions, ensuring the patient can resume their daily activities without pain or limitations.

The importance of foot and ankle surgery in modern medicine

With the increase in sports practice, obesity, and population aging, foot and ankle surgery has become an essential specialty in contemporary medicine. The growing incidence of injuries related to physical activities and biomechanical problems has demanded the development of minimally invasive techniques and specific rehabilitation methods. This specialty goes beyond surgical interventions, also focusing on complication prevention and conservative treatment when possible. The central purpose is to ensure the patient recovers maximum functionality possible, minimizing pain and limitations that directly affect quality of life and independence.

When to seek a foot and ankle surgeon?

If you have persistent symptoms or suffer an injury in the foot or ankle region, it is advisable to seek specialized assistance. Some situations indicate the need for this specialist, such as continuous pain, instability when walking, progressive deformities, traumatic injuries, or chronic conditions that do not respond to conventional treatments.

Regular consultations with a foot and ankle surgeon are essential to identify early problems and prevent long-term complications, especially for people with diabetes or arthritis. To ensure choosing a qualified and reliable professional, consult evaluations of doctors on specialized platforms, where you can check other patients' experiences and make a more informed decision.

Trauma and injuries

When fractures, severe sprains, tendon ruptures, or ligament injuries occur in the foot or ankle, consultation with a specialized surgeon becomes urgent. This specialist can perform procedures such as fracture fixation, ligament reconstruction, tendon repair, and joint stabilization to restore function and prevent chronic problems.

Degenerative conditions

Diseases such as osteoarthritis, rheumatoid arthritis, and osteonecrosis significantly affect foot and ankle functionality. The specialized surgeon can offer treatments ranging from conservative therapies with orthoses and medications to surgical procedures such as arthrodesis or arthroplasty to relieve pain and improve mobility.

Structural deformities

For people with conditions such as flat foot, high arch foot, bunions (hallux valgus), hammer toes, or Morton's neuroma, specialized follow-up is essential to prevent worsening and provide symptom relief through personalized interventions that correct structural alignment.

Achilles tendon-related problems

Tendinitis, tendinosis, and Achilles tendon ruptures require specialized evaluation. The foot and ankle surgeon can plan conservative or surgical interventions to restore function of this fundamental structure for walking, running, and climbing stairs.

Diabetic complications

Diabetic patients with ulcers, infections, or neuropathic deformities in the feet require specialized care to prevent amputations. The foot and ankle surgeon acts in limb preservation through debridements, revascularization, and reconstructive procedures.

How is foot and ankle surgeon follow-up?

Follow-up performed by the foot and ankle surgeon is personalized, with detailed evaluations of weight distribution, gait pattern, and joint mechanics. This professional uses specific diagnostic methods, such as computerized gait analysis, weight-bearing CT scans, and magnetic resonance imaging, to identify the exact origin of problems.

Post-surgical rehabilitation is a fundamental part of treatment. The surgeon works together with physiotherapists and podiatrists to develop recovery protocols adapted to each patient's needs, including progressive muscle strengthening and proprioceptive training.

Additionally, the doctor provides guidance on appropriate footwear, modifications in sports activities, and strategies for preventing new injuries. When necessary, prescribes custom insoles and orthoses to optimize biomechanics during the recovery process.

Conditions treated by a foot and ankle surgeon

Plantar fasciitis

The specialist treats this common cause of heel pain performing from shock wave therapies and infiltrations to minimally invasive surgical procedures for cases refractory to conservative treatment.

Chronic ankle instability

Recurrence of sprains and feeling of giving way receives special attention from the surgeon, who may indicate specific rehabilitation programs or ligament reconstructions to restore stability to the joint.

Ankle arthritis

The professional performs from viscosupplementation to modern joint replacement surgeries or selective arthrodeses, depending on each patient's profile and functional needs.

Heel spur

After evaluating the real contribution of this bone alteration to the patient's symptoms, the foot and ankle surgeon can perform minimally invasive procedures for removal when necessary, preserving adjacent structures.

Talar cartilage injuries

Treatment of osteochondral talus lesions is performed by the specialist surgeon, who can use modern arthroscopic techniques such as microfracture, chondrocyte implantation, or chondrogenic matrix to restore the articular surface.

Metatarsalgia

Monitoring and treatment of pain in the anterior foot region are responsibilities of the specialized surgeon, ensuring symptom relief through footwear modifications, orthoses, or when necessary, metatarsal osteotomies.

How does the foot and ankle surgeon contribute to quality of life?

The foot and ankle surgeon is not limited to treating injuries but promotes complete functional recovery. They provide guidance on necessary care to preserve mobility and stability of this region, enabling return to daily, sports, and professional activities without limitations.

Feet and ankles are fundamental for independence and mobility. The specialized surgeon understands this dimension and works to restore not only physical function but also social and emotional aspects related to locomotion capacity.

Chronic foot problems frequently develop compensatory alterations that affect knees, hips, and spine. The foot and ankle surgeon acts preventively, correcting misalignments and inadequate load distribution, significantly reducing negative impacts on other joints.

The difference between foot and ankle surgeons and other specialists

What distinguishes the foot and ankle surgeon is their specific training focused on the complexity of structures in this region. While the orthopedist treats various musculoskeletal injuries, the foot and ankle specialist has advanced training in specific techniques for this area. Their deep understanding of gait biomechanics allows offering more specialized treatments in complex cases such as post-traumatic reconstructions, congenital deformity corrections, and high-risk diabetic foot management.

How to choose the ideal foot and ankle surgeon for you?

Selecting the appropriate surgeon is essential for successful treatment. Verify the doctor's qualifications and experience, considering their certification in foot and ankle surgery, fellowship in reconstruction, and history of procedures similar to your case.

Consult evaluations made by other patients. Specialized platforms offer opinions from people already treated, helping to identify well-evaluated professionals regarding functional results, recovery time, and humanized care.

How can the foot and ankle surgeon help in rehabilitation after surgery?

After surgical intervention, the specialized surgeon coordinates the rehabilitation process, defining the appropriate moment for load progression, immobilization removal, and beginning of specific exercises to gradually recover range of motion, proprioception, and muscle strength.

The specialist also acts in preventing post-operative complications, such as joint stiffness and inadequate healing. Their follow-up ensures optimized recovery, with adjustments in the rehabilitation protocol according to each patient's individual evolution.

Innovations in foot and ankle surgery: the role of technology in treatment

Technology has become an important ally in treating foot and ankle pathologies. Techniques such as arthroscopy, computer-assisted surgical navigation, and 3D printing customized implants ensure superior results. These resources help in procedure precision, reduce surgical trauma, and accelerate functional recovery.

Minimally invasive fracture fixation with modern implants allows rigid stabilization with minimal soft tissue damage. Modern surgery takes advantage of these advances to improve functional and aesthetic results, offering more hope for cases previously treated with extensive procedures.

Injury prevention: the importance of adequate footwear and correct training

Prevention constitutes a fundamental pillar of foot and ankle surgeon practice. The specialist provides guidance on risk factors for sports injuries and early joint wear, including gait type evaluation, recommendations for specific footwear, and preventive muscle strengthening programs.

Adequate load progression in physical activities, correct landing techniques in jumps, and neuromuscular training are essential to avoid future problems. The preventive approach helps reduce the incidence of recurrent sprains and tendinopathies in athletes and physical activity practitioners.

Foot and ankle surgery and multidisciplinary care

Specialized care frequently involves a multidisciplinary approach, with the surgeon collaborating with endocrinologists, rheumatologists, physiotherapists, and orthopedic technicians. This collaboration allows broader evaluation of conditions, considering metabolic, biomechanical, and vascular aspects.

Joint work between different specialists ensures complete and integrated care, improving results and accelerating recovery. The foot and ankle surgeon coordinates these actions, ensuring therapeutic coherence and effective communication among team members.

The future of foot and ankle surgery: trends and advances

With increased active life expectancy, foot and ankle surgery will continue evolving. New research in tissue engineering seeks to develop substitutes for damaged articular cartilage, while advances in biomaterials promise implants with better integration and durability.

The use of virtual reality in post-operative rehabilitation and development of ankle prostheses with anatomical design represent promising frontiers. Minimally invasive surgery gains more space, with percutaneous techniques for correcting deformities such as bunions and hammer toes.

Why choose AvaliaMed for your consultation

Specialized follow-up in foot and ankle surgery is fundamental to ensure optimal results in treating injuries and diseases of this complex region essential for mobility and independence. With adequate support, it is possible to recover the ability to walk without pain and return to sports and professional activities.

Our platform is ideal for finding the foot and ankle surgeon who meets your specific needs. With detailed evaluations from real patients about functional results and recovery time, you can make more informed decisions and schedule appointments practically and safely, providing a simplified experience to choose the best professional for your particular case.

Frequently Asked Questions

What is the recovery time after bunion (hallux valgus) correction surgery?
Recovery time varies according to the technique used. In minimally invasive procedures, partial weight bearing is possible in 1-2 weeks, while in traditional techniques, weight bearing is restricted for 3-4 weeks. Total recovery, with return to sports activities, usually takes 2 to 4 months, depending on factors such as age, comorbidities and adherence to rehabilitation.
What are the risks of ankle surgeries?
Ankle surgeries present risks such as joint stiffness, nerve injury, and prosthesis loosening in arthroplasties. Patients with diabetes or vascular problems are more susceptible to healing complications, due to delicate skin coverage.
Are surgical procedures for adult flatfoot correction effective?
Surgical correction of acquired flatfoot has a high success rate, with significant improvement in pain and function in 85% of cases, especially if performed before the development of arthrosis. The rehabilitation process is specific and can take 4 to 6 months.
How to decide between conservative or surgical treatment for plantar fasciitis?
Conservative treatment should be attempted for 6-12 months, with options such as physiotherapy and orthoses. Surgery is indicated only for persistent cases, representing less than 5% of patients. Modern endoscopic procedures offer faster recovery and fewer risks.
What are the advances in ankle osteoarthritis treatment?
Modern treatments include arthroscopy with microfracture, chondrocyte transplantation and biological injections, such as platelet-rich plasma and hyaluronic acid. For advanced cases, third-generation ankle prostheses offer greater durability, and stem cell therapies are showing promising results.
How does rehabilitation after ankle injuries differ between athletes and non-athletes?
Rehabilitation for athletes is more aggressive and includes advanced neuromuscular training and sport-specific exercises. Athletes need greater motor control and proprioception. Return to sport depends on the injury, being 4-6 weeks for sprains and 4-6 months for severe ligament injuries.
When are orthoses indicated after foot surgeries or injuries?
Custom orthoses are indicated when there are persistent biomechanical changes or residual instability after surgeries or injuries. They help in redistribution of plantar pressures and support during rehabilitation, with usage time varying from temporary (3-6 months) to permanent.
How do comorbidities such as diabetes and obesity affect foot and ankle surgery outcomes?
Diabetic and obese patients have higher risk of post-operative complications, such as infections and healing problems. Obesity also increases stress on implants, potentially compromising results. Special care protocols are necessary to minimize these risks.
What is the role of corticosteroid injections in treating foot and ankle conditions?
Corticosteroid injections are effective for treating acute inflammations, such as tenosynovitis and plantar fasciitis, but should be used with caution, limited to 2-3 applications annually due to risk of complications. Alternatives such as hyaluronic acid and platelet-rich plasma present lower risk of adverse effects.
When to seek a second opinion before foot and ankle surgeries?
A second opinion is recommended before complex procedures, such as multiple joint fusions or when surgical risks outweigh benefits. It is also advisable when conservative treatments have not been adequately explored or when there are discrepancies in clinical findings and examinations.
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