Thursday, September 5, 2024

Lisfranc Ligament Injury

 Dr. Kevin Lam's video discusses Lisfranc ligament injuries, which involve a critical ligament in the midfoot. This type of injury is often underdiagnosed but can have significant consequences, such as long-term pain and dysfunction if not treated properly. Dr. Lam emphasizes the importance of early diagnosis and appropriate treatment, which may include surgery, depending on the severity of the injury. This condition is common in athletes and people who experience high-impact trauma to the foot. Proper recovery and rehabilitation are essential for optimal outcomes.

For more details, you can watch the full video here




Understanding Lisfranc Injuries: Causes, Symptoms, and Treatment


A Lisfranc injury occurs in the midfoot where the Lisfranc ligament connects bones, providing stability. These injuries can range from ligament sprains to fractures and dislocations. Often misdiagnosed, they are common in athletes and can result from direct trauma, such as a fall or high-impact sports injury.


Symptoms:

- Pain in the midfoot

- Swelling and bruising

- Difficulty bearing weight


Treatment:

For mild injuries, rest, ice, and immobilization may suffice. Severe cases might require surgical intervention to stabilize the bones and ligaments, followed by rehabilitation to regain foot function.


Prevention & Recovery:  

Proper footwear and strength training can help prevent Lisfranc injuries. Early diagnosis is crucial to avoid long-term damage, and rehabilitation plays a key role in recovery.


If you suspect a Lisfranc injury, consult a specialist for a thorough evaluation.


Wednesday, August 28, 2024

Secret of Heel pain, plantar fasciitis | Florida Podiatrist #toppodiatrist


 


Understanding Plantar Fasciitis and the Benefits of Endoscopic Plantar Fascial Release


Plantar fasciitis is a common yet painful condition that affects many people, causing sharp pain in the heel and the bottom of the foot. If you're suffering from this condition, you've likely tried various treatments, from stretching exercises to orthotics, with mixed results. However, for those who continue to experience debilitating pain, there is a minimally invasive surgical option that could offer immediate relief: Endoscopic Plantar Fascial Release.


What is Endoscopic Plantar Fascial Release?


Endoscopic Plantar Fascial Release is a minimally invasive procedure designed to relieve the tension in the plantar fascia—a thick band of tissue that runs along the bottom of your foot. When this tissue becomes inflamed, it leads to plantar fasciitis, causing significant pain and discomfort, especially with the first steps in the morning or after prolonged periods of standing.


This procedure involves making a small incision in the foot through which an endoscope (a thin, flexible tube with a camera) is inserted. The surgeon uses this endoscope to view the plantar fascia and make precise cuts to release the tension. Unlike traditional open surgery, the endoscopic approach offers several benefits, including smaller incisions, reduced scarring, and faster recovery times.


Real-Time Insight from Dr. Kevin Lam


In this video, Dr. Kevin Lam of Family Foot and Leg Center in Naples, FL, provides a look at plantar fasciitis and demonstrates the Endoscopic Plantar Fascial Release procedure. Dr. Lam, along with the skilled team at FFLC, is highly experienced in performing this and other advanced procedures to alleviate heel pain and other foot-related issues.


The video showcases the technique in real-time, giving viewers an inside look at how this straightforward and reliable procedure is performed. It's not just an educational resource—it’s a testament to the expertise and precision required to ensure successful outcomes.


Why Choose Endoscopic Plantar Fascial Release?


For patients who have tried conservative treatments without success, Endoscopic Plantar Fascial Release offers an effective alternative. When handled by a skilled surgeon like those at FFLC, relief is often immediate, allowing patients to return to their daily activities much sooner than with traditional surgery.


If you're struggling with heel pain or other foot-related issues, the team at FFLC is here to help. For more information about Endoscopic Plantar Fascial Release or to schedule a consultation, contact Family Foot and Leg Center at 239-430-3668. Don't let heel pain hold you back—discover the relief you deserve with the experts at FFLC.




Sunday, July 21, 2024

Ankle Fusion Surgery | Dr. Kevin Lam #toppodiatrist #footsurgeon

 




Foot pain can significantly impact daily life, making even simple tasks challenging. When conservative treatments like medication, physical therapy, and orthotics fail to alleviate severe ankle pain, ankle fusion surgery may be considered. This procedure involves fusing the bones of the ankle joint to eliminate motion and provide stability. By doing so, it can effectively reduce pain and improve function for patients with arthritis, deformities, or severe injuries. While the recovery process involves several weeks of immobilization and physical therapy, many patients find that the long-term relief and enhanced quality of life are well worth the effort.

--------

About 7 months out, we had a mini arthrotomy surgery arthrodesis for  ankle arthritis. Okay.

So the mini arthrotomy is on either side right here, making a low cut so we don't make a big incision
and just clean it all out, took some bone graft from here to stick it in there, the screws you saw is a tripod screw

So one, two, and three tripod screw.

So everything is good now. 

Before surgery, how much pain did you have, sir?

"A ten, a lot of times"

A ten, okay.

"It got to where I couldn't walk at all"

Got it, got it.

"I just stay home" [laughs]

But now, how much pain do you have now?

"None"

So now your wife has to keep up with you now, right?

"Yeah"

The opposite. Okay, good stuff.

It looks really good. It actually looks awesome.  I don't have to see you for 6 months now, but everything healed up great.

Are you happy with it?

"Yes"

Ten to zero.

"Oh yeah. Pain is gone, that's all I was after"

Well, congratulations

The ankle fusion -- move the ankle around.

Now you won't even know you had an ankle fusion.

Because people are always confused,
they think it's going to be stiff legs

Not true.

The ankle fusion is there, solid but your joint movement is from the other joints
around the ankle and I think you're going to do well

So I think we're doing good. Awesome.

So the ankle fusion is this joint right up here, right?

He's getting motion out of the subtalar joint as well as talonavicular and the calcaneocuboid joint

All these other joints around there are moving very well
but you're seeing a lot of motion through here 
because we locked up the ankle.

Well, before he was having ankle arthritis, right?

So he was having a lot of pain right here

Locked that up with a fusion with screws.

A lot of people don't understand that --

-- or they think that the ankle fusion 
is going to really limit you

Actually it increases your life.

I mean, this person had 10 out of 10 pain

Now the patient is going on one mile walks

walking the dog, walking with the wife.

So it makes a huge difference

Yes we do total ankle implants but they're

I will say for a limited amount of patients

but the ankle fusion is still the gold standard guys.

So here you go. Thank you.


Tuesday, July 2, 2024

Rigid equinus from residual club foot

 Mission work from St. Lucia. Rigid equinus from residual club foot. Patient was brought over by a missionary to seek help in the USA. "God, brought her to you, he said." Humbled and happy that this young lady is now leading a good life back home able to walk and now has a family of her own. Prior she was not able to take care of herself, we take for granted the ability to walk @footlegcenter Sometimes we forget with all the insurance regulations and prior authorizations that our skill is needed in this world. AI is not taking this over.





Thursday, June 27, 2024

#TBT #trauma case

 #TBT some good ole fashioned #trauma case. patient unable to walk due to the contracture of the foot and ankle in varus. #ilizarov method and teamwork with #orthopedics to remove their rod in the leg with specific timing allowed for healing of a nonunion of the tibia as well as deformity correction. a 90 degrees foot to the ankle is a dream to achieve in these corrections. @footlegcenter






Sunday, June 23, 2024

Arthroscopic Ankle fusion

 




Arthroscopic Ankle fusion in our older population, pain-free ambulation after 8 weeks. When open ankle fusion or ankle implants are not even an option. @footlegcenter


Living with Ankle Arthritis? Discover the Benefits of Ankle Fusion!

Are you or someone you know struggling with the pain and limitations of ankle arthritis? You're not alone, and there's hope on the horizon! 🦶✨


🦶 What is Ankle Arthritis?

Ankle arthritis occurs when the cartilage in the ankle joint wears down, causing pain, swelling, and difficulty in movement. This can make everyday activities challenging and reduce your quality of life. 😔



🦶What is Ankle Fusion?

Ankle fusion, or arthrodesis, is a surgical procedure that involves fusing the bones of the ankle joint together. This helps eliminate pain by stopping the movement of the joint, providing a stable and strong foundation. 



Benefits of Ankle Fusion:

1. Pain Relief: Say goodbye to chronic pain! Ankle fusion can significantly reduce or eliminate pain, allowing you to enjoy life again. 

2. Improved Mobility: With a stable and strong ankle, you'll find it easier to walk, stand, and engage in daily activities. 


3. Increased Functionality: Regain the ability to perform tasks that were once difficult or impossible. 


4. Long-Lasting Results: Ankle fusion offers a durable solution, often lasting a lifetime without the need for further surgery. 



Is Ankle Fusion Right for You?

Consult with an orthopedic specialist to discuss your symptoms and explore if ankle fusion is the best option for your specific condition. Personalized medical advice is crucial! 🩺

We're here to help you step forward with confidence.

#AnkleArthritis #AnkleFusion #PainRelief #OrthopedicSurgery #HealthyLiving