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Tuesday, June 14, 2016

Things You Should Know If You are Considering Bunion Surgery

What is a Bunion?

A bunion is a bony deformity found at the base of the big toe. More commonly found in women, this condition is also called hallux valgus. A number of female celebrities also have bunions on their feet like Posh Spice Victoria Beckham, Hidden Dragon Crouching Tiger actress Michelle Yeoh, Emmy Award Nominee Christina Hendricks, TV personality, socialite, and heiress Paris Hilton, Spanish actress Penelope Cruz, George Clooney’s wife Amal, supermodel Naomi Campbell, and even America's favorite queen of talk, Oprah Winfrey.

The bump is caused by a shift or deviation of the bone in your large toe. It can cause pain, inflammation, and/or redness. When the outside of the foot at the base of the little toe is affected, this is referred to as tailor’s bunion or a bunionette.

The other signs and symptoms of bunions include
  • a bony bump on the outside edge of the foot
  • pain over the big toe joint that’s made worse by pressure from high heels or tight shoes
  • swelling over the big toe joint
  • sore skin over the top of the bunion
  • hard, callused and red skin
  • noticeable change in the shape of the foot
  • finding shoes that fit because of the altered shape of the foot
Bunions may start small but over time, it may become bigger. If one continues to wear tight narrow shoes, it can be more painful and difficult to walk. 

The exact cause of bunions in not known but genetics seems to play a big role. Other possible causes are existing foot conditions like flat feet, high arches, overpronation and various foot problems like arthritis, sprains, and fractures. Wearing shoes that do not fit well or very high-heeled tight shoes may not actually cause bunions but may make the deformity progressively worse. 

Conservative Treatment for Bunions

There are a number of nonsurgical ways to manage bunions. The first step is to wear the right type of shoes. These should be wide enough especially in the toe box to accommodate the bunion. Shoes with flexible soles to support the foot are also helpful. Shoes with a back should be able to keep the heels snugly in place. Keep away from high-heeled shoes. Anything higher than an inch can put undue stress on the bunion. 

In cases where the bunion is irritated and painful, either ice packs or warm soaks can soothe the soreness. Nonsteroidal anti inflammatory medications or NSAIDs such as ibuprofen or aspirin may help with the pain. For more severe cases, cortisone injections can temporarily relieve pain by reducing inflammation but they can have side effects especially in high doses and multiple shots. 

A simpler method to involves the use of a thermoplastic splint. This is supposed to relieve bunion pain, straighten the big toe, and reduce the size of the bump. With proper compliance, patients can resume their with lesser to no pain. Splints may also provide bunion pain relief for those with severe stages of bunion.
Passive and active exercises may also relieve bunion symptoms and increase flexibility. These include toe stretches, toe flexing and contracting, ball roll, resistance exercises, towel curls, picking up marbles with the toes, and even walking along the beach or sand which serves as a gentle foot massage. 

Keeping a normal weight also helps with bunion problems. 

Gel-filled pads or moleskin are readily available at drugstores. Similarly, these provide support and relieve bunion pain. 

However, it is important to note that these conservative measures will not get rid of the bunion because the bunion is a biomechanical deformity. These can only help in relieving the symptoms or may delay its progression. The only way to treat bunions is through bunion surgery.

When is surgery needed for bunion?

When all conservative and nonsurgical bunion treatments fail and the pain interferes with the daily activities, then it may be time to visit your podiatrist. Discuss your options and the different surgical methods for bunion treatment. 

The traditional bunion surgery involves a long incision and has a reputation of being painful with a lengthy recovery period. The cut is done to expose the bulging bone. Then a part of the metatarsal head is removed, then the bone is cut around the neck of the metatarsal bone. The free head is repositioned to a more normal position. Once the bones are well-positioned they are pinned to place and excess bone is removed. In traditional bunion surgery expect swelling and pain after surgery and it takes 6 to 8 weeks of recovery time.

The newer methods for removing bunions such as the minimally invasive bunion surgery involve very small incision. 

The modified Lam /scarless bunion surgery is an innovative method that is virtually painless and scarless bunion treatment. 

Dr. Kevin Lam, a Double Certified foot and ankle surgeon in Naples, Florida has developed the Lam modification bunion surgery which utilizes a very small incision, minimal discomfort, and virtually painless scarless bunion surgery



The new fixation technique allows a patient to be up and about the same day! 

It is very important that this ground-breaking technique is performed by a specialist foot and ankle surgeon who has extensive experience in all bunion surgery techniques. 


For more infomation, call or visit any of the Family Foot and Leg Center, P.A. offices conveniently located in Naples (Goodlette Medical Park), North Naples (Royal Palm Medical Building, Medical Blvd), and East Naples (Gridley Building, Tamiami Trail East) or contact (239) 430-3668 (FOOT)

Tuesday, March 22, 2016

Relive your younger days with Stem Cell therapy

Stem Cell Therapy Using Amniotic Stem Cells and Marrow Cellution™ System
Stem Cell Treatment Options at Regenerative Medicine of Naples
Get back to Golf, Tennis and the Beach Faster to Enjoy the SWFL lifestyle
Naples, Florida – Stem cells have the extraordinary potential to develop into many different cell types in the body. They have the potential to remain as stem cells or become more specialized cells such as muscle cells, red blood cells, bone cells, and the like. These cells divide continuously to replenish other cells and thus serve as a sort of internal repair system.
Considering their unique regenerative abilities, stem cells give hope for patients with degenerative conditions such as arthritis, tendonitis, tendon tears and other inflammatory conditions. Non-responders to conventional therapies should consider a stem cell approach before using long-term steroidal, non-steroidal treatments, and/or surgery. This cell-based therapy to treat diseases is also referred to as regenerative medicine.
In Naples, Florida, there are two stem cell treatment options offered at the Regenerative Center of Naples, First is by using natural amniotic tissue derived stem cells, which are cells found in amniotic fluid and are obtained from, FDA, registered tissue banks. Upon injection, the amniotic stem cells can be transformed into a more versatile state similar to embryonic stem cells and take advantage of the body’s ability to repair itself. The next option is by bone marrow aspirate stem cells using the Marrow Cellution™ System. Its patent-pending technology allows doctors to harvest high quality stem and progenitor cells from various levels within the marrow space, while limiting peripheral blood contamination. The result is a bone marrow harvest that is rich in key stem and progenitor cells that may be used in a range of regenerative therapies. Both of these cutting-edge treatments are utilized to successfully treat patients with degenerative arthritis, osteoarthritis, tendonitis, and more. In severe cases, these two procedures may be combined to get the optimal active results.
With stem cell treatment, the natural repair process of degenerated and injured ligaments, tendons, and arthritis joints is enhanced. After the stem cell injection procedure, patients are typically able to return to normal activities. Patients are able to avoid the painful and lengthy rehabilitation periods following more invasive procedures like surgery.
The Regenerative Center of Naples is headed by Dr. Kevin Lam, a premier podiatrist whose total expertise focuses on the foot, ankle, leg, and related injuries and ailments. He is highly regarded by the Naples community as being one of the most qualified podiatrists, having been named among America’s Top Podiatrists in 2011 and in 2014. He was always on the cutting-edge in the field.  Why offer stem cell treatments? “Treating patients and getting them better is my passion. Conservative care will always be an option that is explored and exhausted prior to surgery.” Dr. Lam said. “As a leading center that specializes in regenerative therapy, we provide the safest and most efficient individualized treatment program with our expert medical team, our advanced technologies and our excellent medical care.”
For more information on complete foot and lower leg care, visit or call (239) 430-3668.

Tuesday, January 19, 2016

Work place injury

Foot and ankle injuries can be debilitating.   A fall off a ladder, object falling on your feet, or a crush injury can drastically change your life and end your career.   Quick proper care is important. 
Report such injuries to your HR or manager immediately and seek medical attention via urgent care center or ER immediately.    Testing such as xrays, CTs  or MRIs  should be done to find any acute injuries.    Acute meaning recently, as if you get the studies later it may be difficult to delineate what you really injured at work vs a chronic or previous condition.      After the initial evaluation your case worker will assign you to a specialist or clinic for continued care.  
At FFLC we take pride in getting injured workers back to work in a timely manner, with or without surgery. 

Monday, November 30, 2015

BIG Toe pain after Thanksgiving feast

You just may have the GOUT.   What is Gout aka Podagra?    Formerly known as the rich man's disease.   Ben Franklin had it, Kings of England had it.    It is typically an overconsumption of "rich" foods such as red meat, turkey, shellfish, and red wine.    Any overload of protein from any source can bring this about.    

inflammation of the big toe or ankle joint with extreme pain and occurs all of a sudden after a heavy protein meal such as thanksgiving.

Can be confused with:
Cellulitis or an infection, they look the same upon presentation and can be confusing. Sometimes, a physician will give medication for both.

How is it diagnosed?
Blood uric acid levels are inaccurate for acute or immediate attacks.
Joint fluid aspiration aka obtaining fluid from the offending joint via a needle will yield the most accurate diagnosis.

How is it treated?
Cortisone injection
Sometimes medication to control the uric acid
Gout vitamins such as GOUTTROL with natural ingredients to help aid in the inflammation control .

See your podiatrist for this for immediate care and relief.

Tuesday, November 24, 2015

2015 Year End Deductibles

It’s hard to believe, but 2015 is almost over! Our end of the year appointments are filling up quickly and we at Family Foot & Leg Center would like to remind our patients that now is a great time to think about the health of your feet. If you have met your deductible, now is the time to schedule your appointment and take action towards a healthy pain free life. Your insurance may cover orthotics, , surgery, and more! Take advantage of your insurance plan by calling our office today to schedule your appointment with one of our doctors before it’s too late. If you are unsure if you have met your deductible, we recommend you contact your insurance provider to determine your remaining allowance for this year. We thank you for your patronage in the past and look forward to continuing to provide you with exceptional foot care in 2016!

Health insurance deductibles are your out pocket expenses that must be met before your insurance company starts to pay.  Therefore, if you have had other procedures done this year or your family members on the insurance plan has had some procedures, your deductibles may be met.  
Deductibles have been on the rise year over year, you should check with your insurance company about such.

 Call our office today at 239-430-3668(FOOT) and we will be sure to schedule your next appointment promptly.