Achilles Tendonitis PDF Download – The Achilles tendon is the largest tendon in the body and can withstand enormous forces. Unfortunately, it has a poor blood supply which predisposes it to problems. Inflammation and swelling of this tendon is known as Achilles tendonitis which is a common problem due to overuse. The other terms used for the se disorder include Achilles tendinosis or tendinopathy. – Download PDF for further information.

Ankle Arthroscopy PDF Download – It is the minimally invasive ankle surgery of ankle. Ankle arthroscopy involves using very small incisions to gain access into the ankle joint. Each incision is less than 1cm and usually two incisions are required. The ankle joint is relatively small and to allow good surgical access to the joint, its dimensions need temporarily to be increased. This is done using a combination of distraction across the joint together with having a stream of pressurized fluid circulating through the joint which distends it. The inside of the ankle joint can be inspected using a small camera with operations carried out on the joint using small, specially designed instruments.  – Download PDF for further information.

Ankle Fusion PDF Download – What is ankle arthritis? – Arthritis is a condition where a joint looses its protective layer (cartilage). As a result the bone surfaces rub each other which cause pain. Arthritis of ankle joint is usually due to previous injury or rheumatoid arthritis. – Download PDF for further information.

Ankle Replacement PDF Download – What is an ankle replacement? An ankle replacement is an operation like hip or knee replacement in which the diseased joint cartilage is replaced by metallic surface on both sides with special plastic (polyethylene) in middle. It is designed to preserve the movements of the ankle joint. – Download PDF for further information.

Big Toe Arthritis PDF Download – Arthritis of big toe (Hallux Rigidus) – What is Hallux Rigidus? – The big toe is most common site of arthritis in the foot. The joint affected is called the metatarsophalangeal or MTP joint. If the joint starts to stiffen due to arthritis, walking can become painful and difficult. In the MTP joint, as in any joint, the ends of the bones are covered by a smooth articular cartilage. If wear-and-tear or injury damages the articular cartilage, the raw bone ends can rub together. A bone spur or overgrowth may develop on the top of the bone (As shown in the picture below). This overgrowth can prevent the toe from bending as much as it needs to when you walk. The result is a stiff big toe or hallux rigidus.  – Download PDF for further information.

Bunion PDF Download – What is a Bunion? – Bunion is the prominent bony swelling of the big toe. This develops as the ‘metatarsal’ bone of the big toe starts pointing towards the inner border of the foot forming the bunion. Gradually the big toe itself drifts towards the second toe. – Download PDF for further information.

Living with and getting rid of bunions – Bunions can be painful and their appearance embarrassing. Occasionally bunions can lead to more serious problems. Here’s how to live with, and when to get rid of, your bunions. Download PDF for further information.

Cartiva Implant for arthritis of big toe patient leaflet download – Cartiva is a synthetic cartilage plug (polyvinyl alcohol hydrogel), which is comprised of material with properties similar to those of native cartilage. It is softer than metal and has similar strength that of human cartilage. It works as a spacer in the joint thereby separating the joint surfaces and therefore improves the pain and preserves movements.  The patient leaflet covers –

• What is Hallux Rigidus?
• What is the treatment?
• Is there any alternative treatment to avoid Joint Fusion?
• What are the advantages of Cartiva?
• What are the disadvantages?
• Is there any scientific evidence?
• What can be done if Cartiva fails?
• What does the surgery involve?
• What is the recovery following Cartiva?
• What are the surgical risks?

Download the patient leaflet for further information, or click on the You Tube icon to see a short video of the surgery.

Ingrowing toe nail PDF Download – What is an ingrowing toenail? – If you trim your toenails too short, particularly on the sides of your big toes, you may set the stage for an ingrowing toenail. Like many people, when you trim your toenails, you may taper the corners so that the nail curves with the shape of your toe. But this technique may encourage your toenail to grow into the skin of your toe. The sides of the nail curl down and dig into your skin. An ingrowing toenail may also happen if you wear shoes that are too tight or too short. – Download PDF for further information.

Morton’s Neuroma PDF Download – What is Morton’s Neuroma? – A Neuroma is a benign tumour of a nerve. Morton’s Neuroma is not actually a tumour but a thickening of the tissue that surrounds the digital nerve between the toes. Morton’s Neuroma occurs as the nerve passes under the ligament connecting the toe bones (metatarsals) in the foot. Morton’s Neuroma most frequently develops between the third and fourth toes usually in response to irritation, trauma or excessive pressure. It can also develop between second and third toes. It usually affects females though males can develop this condition as well. – Download PDF for further information, or click on the You Tube icon to see a short video of the surgery.

Patient Information Leaflet for Joint Injections – PDF Download – Steroid injections are commonly performed for joint or soft tissue related pain.  This leaflet attempts to answer questions commonly asked by patients about steroid injections.

Plantar Fasciitis PDF Download – What is plantar fasciitis? – The plantar fascia is a strong band of tissue that stretches from the heel to the toes. It supports the arch of the foot and also acts as a shock-absorber in the foot. Repetitive small injuries to the fascia is thought to be the cause of plantar fasciitis. Plantar fasciitis means inflammation of the plantar fascia. The injury is usually near to where the plantar fascia attaches to the heel bone. – Download PDF for further information.

Shock wave Therapy PDF Download – Extracorporeal shock wave therapy, or ESWT, has emerged as a possible treatment option for patients with chronic plantar fasciitis. ESWT delivers focused shock waves to the area of application. Shock wave therapy is thought to work by inducing micro trauma to the tissue that is affected by plantar fasciitis. This micro trauma initiates a healing response by the body. This healing response causes blood vessel formation and increased delivery of nutrients to the affected area. The micro trauma is thought to stimulate a repair process and relieve the symptoms of plantar fasciitis. – Download PDF for further information.

Tibialis Poterior Tendon Disorders – PDF Download – Tibialis Posterior Tendon Dysfunction Tendons connect muscles to bones. One of the most important tendons in the leg is the Tibialis Posterior tendon. This tendon starts in the calf, stretches down behind the inside of the ankle and attaches to bones in the middle of the foot. It helps hold your arch up and provides support as you step off on your toes when walking. If this tendon becomes inflamed, over-stretched or torn, you may experience pain on the inner ankle and gradually lose the inner arch on the bottom of your foot, leading to flatfoot.  – Download PDF for further information.