Heel pain can affect every step you take—whether you're walking through your day or chasing after an active lifestyle. From the sharp morning pain of plantar fasciitis to the deep ache of a stress fracture, heel discomfort isn’t just frustrating—it’s limiting. That’s where expert care matters.
At Family Foot & Leg Center (FFLC), we take heel pain seriously—and no one understands this better than Dr. Kevin Lam, one of Southwest Florida’s most trusted and experienced podiatrists. As the Founder and CEO of FFLC, Dr. Lam has dedicated his career to advanced, patient-focused care that gets results.
Board-certified and nationally recognized, Dr. Lam brings years of surgical and non-surgical expertise to patients suffering from heel pain. He’s known not only for his clinical excellence, but for his commitment to using cutting-edge technology and minimally invasive techniques.
Under Dr. Lam’s leadership, FFLC has grown into one of Florida’s premier centers for foot and ankle care, offering in-house diagnostics, advanced imaging, and comprehensive treatment—all under one roof.
Common Causes of Heel Pain
Heel pain can result from several conditions, including:
Plantar Fasciitis – Inflammation of the plantar fascia ligament, causing stabbing heel pain.
Heel Spurs – Bony growths under the heel that can develop with chronic plantar fasciitis.
Stress Fractures – Tiny cracks in the heel bone from repetitive stress or overuse.
Achilles Tendinitis – Inflammation of the Achilles tendon, often felt at the back of the heel.
Bursitis – Inflammation of the fluid-filled sacs near the heel joint.
Why Choose FFLC?
✅ World-Class Experience – Care guided by a top podiatric surgeon with over two decades of experience
✅ Advanced Diagnostics – On-site X-rays, MRIs, ultrasound, and more
✅ Personalized Treatments – From custom orthotics to regenerative therapies like PRP and shockwave therapy
✅ Minimally Invasive Options – When surgery is necessary, Dr. Lam specializes in techniques that reduce recovery time
Get Back to Doing What You Love—Pain-Free
Don’t let heel pain hold you back. Whether you’re dealing with a new issue or a condition that hasn’t improved elsewhere, Dr. Kevin Lam and the team at FFLC are ready to help you find real, lasting relief.
📍 Offices conveniently located All Across Southwest Florida
🌐 Learn more or request an appointment at (239) 430-3668 (FOOT)
☎️ Call us today and take the first step toward healing
When I first began practicing podiatry over 20 years ago, I never imagined that artificial intelligence would become valuable tool in my day-to-day clinical work. At the time, my focus was on treating heel pain, bunions, diabetic foot ulcers, and the occasional sports injury. My tools were a combination of clinical training, diagnostic imaging, patient history, and intuition. But in recent years, the integration of AI into podiatry has transformed how I diagnose, treat, and manage patient care.
I want to share how this technology is enhancing our ability to deliver more accurate diagnoses, offer personalized treatments, and improve overall outcomes – while saving time and reducing human error.
AI Diagnostic Imaging
One of the most immediate ways AI is helping podiatrists is through imaging. Whether it's an X-ray, MRI, or CT scan, reading and interpreting these images is a critical part of diagnosing foot and ankle problems. With the help of foot and ankle problems. With the help of AI-driven image analysis, I can now detect subtle fractures, joint abnormalities, or soft tissue injuries that might have been easy to overlook with the naked eye.
AI algorithms trained on thousands of annotated images can spot patterns consistent with plantar fasciitis, osteoarthritis, or even early signs of Charcot foot in diabetic patients. These tools act as a second set of eyes, confirming my suspicions or occasionally flagging something I might have missed. This has made the diagnostic process faster and more reliable.
Predictive Modeling for Diabetic Foot Care
As podiatrists, we pay special attention to diabetic patients because they are at high risk of developing ulcers and infections that can lead to amputations. One of the biggest challenges has always been predicting which patients are at the highest risk so we can intervene early.
Now, AI systems are helping us do just that. Using data from patient records – such as wound history, blood sugar levels, vascular status, and gait analysis – AI models can calculate the probability that a patient will develop a foot ulcer. This predictive capability enables us to tailor preventive strategies more effectively, such as recommending custom orthotics, adjusting footwear, or scheduling more frequent follow-ups.
We're no longer simply reacting to problems; we're anticipating them.
Gait Analysis and Biomechanics
Biomechanical assessment has always been a core part of podiatry. AI-powered gait analysis tools are now giving us new insights. These systems use cameras and sensors to track a patient's walking pattern and compare it against vast datasets of normal and pathological gaits.
In the past, gait analysis was largely subjective – based on our visual observation and perhaps some video playback. Today, AI can quantify asymmetries, measure joint angles in real-time, and even suggest orthotic modifications. For patients recovering from injury or surgery, we can use this technology to monitor their progress objectively and fine-tune rehabilitation plans.
Custom Orthotics
Designing custom orthotics is part science, part art. AI is helping refine both. With digital foot scanning and AI algorithms, I can create a detailed 3D model of a patient's foot, taking into account pressure points, arch height, and gait characteristics. The AI can then suggest orthotic designs that are biomechanically optimized for the patient's condition.
Not only does this result in better-fitting and more effective orthotics, but it also reduces turnaround time. Instead of waiting weeks for a lab to mold and return a product, we can now use in-office 3D printing integrated with AI design tools to produce orthotics in days- sometimes even hours.
Administrative Efficiency and Documentation
Though less glamorous, another huge benefit of AI is in administrative work. Clinical documentation, coding, and insurance claims take up a disproportionate amount of time. AI-powered voice transcription and smart EHR (Electronic Health Record) systems can auto-generate notes, suggest ICD-10 codes, and even flag incomplete records.
This allows me to spend less time on paperwork and more time focusing on patients. It also reduces the chance of clerical errors that can lead to claim rejections or compliance issues.
Patient Education and Engagement
AI is also enhancing the way I communicate with patients. Chatbots and mobile apps powered by AI help educate patients about their conditions, remind them to perform stretches or exercises, and even monitor compliance. For example, an app might track a diabetic patient's daily foot checks and alert them – or me – if any issues arise.
This type of digital engagement keeps patients more involved involved in their care, leading to better outcomes and fewer complications.
Challenges and Looking Ahead
Of course, AI isn't a magic bullet. It requires quality data, careful implementation, and a strong understanding of its limitations. It will never replace the clinical judgement that comes form years of experience. But as a podiatrist, I see AI not as a replacement – but as an enhancement.
It's helping us become more precise, more proactive, and more patient-centered. In a field like podiatry, where early detection and personalized care make all the difference, that's a game-changer.
AI is such a game-changer that this entire article and photos was AI generated!
The future of foot and ankle care is here – and it's intelligent.
If you are experiencing foot pain, don't hesitate contacting Dr. Lam's office at (239) 430-3668 (FOOT) or visit www.NaplesPodiatrist.com to schedule an appointment.
When chronic pain, instability, or severe arthritis in the ankle and hindfoot disrupt daily life, joint fusion surgery can offer lasting relief. One of the most effective solutions in these cases is a combined ankle and subtalar joint fusion, a procedure designed to stabilize the foot, correct deformities, and eliminate painful joint motion.
Here, we highlight a patient just three months after undergoing this type of fusion procedure. The outcome? No pain, restored stability, and a confident return to walking.
What Is Ankle and Subtalar Joint Fusion?
Ankle and subtalar joint fusion involves surgically joining the tibia (shinbone), talus (ankle bone), and calcaneus (heel bone). This eliminates the motion in arthritic or damaged joints to reduce pain and improve alignment. It’s a recommended approach for patients with:
Advanced ankle and hindfoot arthritis
Severe post-traumatic joint damage
Failed previous surgeries or reconstructions
Deformities caused by injury or neurological conditions
The Procedure: Precision and Stability
The surgery typically includes:
Removal of damaged cartilage and bone from the affected joints
Realignment of the bones to restore a proper walking position
Stabilization of the fusion site using internal fixation (e.g., screws or plates)
In some cases, arthroscopy is used to assist in preparing the joint surfaces
Additional small incisions may be made to address soft tissue concerns or remove foreign objects (such as glass) when applicable.
3-Month Recovery: Real Results
At the three-month follow-up, our patient was able to:
Walk confidently and pain-free
Show fully healed incisions
Display proper alignment and stability during movement
Report satisfaction with the surgical outcome
Imaging studies confirmed successful bone fusion, with no complications.
What to Expect After Surgery
Post-operative recovery includes:
A period of non-weight-bearing (usually 6–8 weeks)
Transitioning into a walking boot or brace as fusion progresses
Physical therapy to rebuild strength and mobility
Full recovery in approximately 3–6 months for most patients
The ultimate goal is to relieve chronic pain, restore function, and help patients return to an active lifestyle—without the discomfort they experienced before surgery.
Ankle and subtalar joint fusion is a proven procedure that can dramatically improve the quality of life for patients suffering from joint degeneration or deformity. As seen in this case, with expert care and a carefully managed recovery, patients can look forward to walking comfortably again—pain-free and stable.
If you're struggling with chronic foot or ankle pain, don’t wait. Reach out to our team to learn more about your options for long-term relief and lasting results.
For individuals facing complex wounds, chronic ulcers, or traumatic injuries, orthoplastics—a specialized approach combining orthopedic and plastic surgical techniques—offers cutting-edge solutions for wound reconstruction and limb preservation. These advanced treatments help restore function, promote faster recovery, and significantly improve patients’ quality of life.
What is Orthoplastics?
Orthoplastics is a multidisciplinary field that integrates orthopedic surgery and plastic surgery to address severe wounds, particularly in the lower extremities. This specialized approach is crucial for patients with diabetic foot ulcers, traumatic injuries, surgical complications, and non-healing wounds where exposed bone, tendon, or nerves require expert intervention. The primary goal is to preserve as much function as possible while ensuring proper wound healing and reducing the risk of infection or further complications.
Techniques Used in Orthoplastic Reconstruction
Several advanced techniques are employed to achieve successful wound closure and healing, including:
- Microsurgical Free Tissue Transfer: Using tissue from another part of the body to cover and heal severe wounds.
- Flap Procedures: Transferring healthy tissue with blood supply to reconstruct damaged areas.
- Skin Grafting: Using donor skin to promote healing over open wounds.
- Bone Stabilization: Ensuring structural integrity in cases where the wound affects the bone.
- Negative Pressure Wound Therapy (NPWT): Enhancing healing by applying controlled suction to the wound.
Importance of Limb Preservation
Limb preservation is a crucial component of orthoplastics, especially for patients with **diabetes, vascular disease, or severe trauma**. The goal is to prevent **amputation** whenever possible by treating infections, restoring blood flow, and utilizing advanced surgical techniques. Preserving the limb not only improves mobility and function but also enhances overall well-being and independence.
Who Can Benefit from Orthoplastic Treatment?
Patients with the following conditions may benefit from orthoplastic wound reconstruction and limb preservation:
- Diabetic Foot Ulcers
- Peripheral Artery Disease (PAD) and Poor Circulation
- Surgical Wound Complications
- Open Fractures and Severe Traumatic Injuries
- Chronic, Non-Healing Wounds
The Future of Orthoplastics
With advancements in regenerative medicine, stem cell therapy, and bioengineered tissues, the future of orthoplastic wound reconstruction and limb preservation continues to evolve. These innovations offer minimally invasive options and improved healing rates, providing hope for patients who once faced limited treatment choices.
For individuals dealing with chronic wounds or severe foot and leg conditions, seeking expert care early can make all the difference. Orthoplastics is transforming lives, offering patients a path to recovery and renewed mobility.
Dr. Kevin Lam and his team at Family Foot & Leg Center (FFLC) offer comprehensive care for patients with severe wounds and lower extremity conditions. With multiple locations in Southwest Florida, FFLC is a premier destination for advanced wound care, limb preservation, and reconstructive surgery.
📍 Family Foot & Leg Center
For more information or to schedule a consultation call (239) 430-3668.
Plantar fasciitis is a common and often debilitating condition that affects millions of people worldwide. Characterized by pain and inflammation in the plantar fascia—a thick band of tissue that connects the heel to the toes—it can severely limit daily activities. While conservative treatments like physical therapy, orthotics, and steroid injections can alleviate symptoms for many patients, some individuals continue to experience chronic pain. For these cases, post endoscopic cutting of the plantar fascia offers a minimally invasive and highly effective surgical solution.
Understanding Chronic Plantar Fasciitis
The plantar fascia plays a critical role in supporting the arch of the foot and absorbing shock during movement. Chronic plantar fasciitis occurs when this tissue becomes persistently inflamed or thickened due to overuse, biomechanical issues, or insufficient healing. Over time, patients may develop a condition called plantar fasciosis, marked by degeneration of the fascia rather than inflammation.
Symptoms typically include:
- Intense heel pain, especially in the morning or after prolonged periods of inactivity.
- Pain that worsens after activity or long periods of standing.
- Stiffness or tenderness in the arch of the foot.
When nonsurgical options fail to provide relief, surgical intervention may be necessary.
What Is Endoscopic Cutting of the Plantar Fascia?
Post endoscopic cutting of the plantar fascia, also known as endoscopic plantar fasciotomy, is a minimally invasive procedure designed to release tension on the plantar fascia and allow the tissue to heal properly. The procedure involves:
1. Small Incisions: Two tiny incisions are made near the heel.
2. Insertion of an Endoscope: A small camera, or endoscope, is inserted through one incision to provide a clear view of the plantar fascia.
3. Precise Fascia Release: Through the other incision, a specialized instrument is used to carefully release a portion of the plantar fascia. This reduces tension and encourages proper healing.
The minimally invasive nature of this procedure minimizes tissue disruption and promotes faster recovery compared to traditional open surgeries.
Benefits of Endoscopic Plantar Fasciotomy
- Shorter Recovery Time: Patients typically experience a quicker return to normal activities due to the minimally invasive approach.
- Reduced Pain and Scarring: Smaller incisions mean less postoperative pain and minimal scarring.
- High Success Rates: Studies show significant improvement in pain and functionality for the majority of patients undergoing this procedure.
- Lower Risk of Complications: Compared to open surgery, endoscopic techniques carry a reduced risk of infection and other complications.
Who Is a Candidate for This Procedure?
Endoscopic plantar fasciotomy is typically recommended for patients who:
- Have suffered from chronic plantar fasciitis for six months or longer.
- Have not responded to conservative treatments such as stretching, physical therapy, and injections.
- Experience significant pain that interferes with daily activities and quality of life.
What to Expect After Surgery
Following the procedure, patients can expect:
- Immediate Pain Relief: Many patients report a noticeable reduction in pain shortly after surgery.
- Postoperative Care: The use of supportive footwear or orthotics and adherence to a rehabilitation plan can help optimize recovery.
- Gradual Return to Activity: Most patients can resume light activities within a few weeks, with a full return to normal activities in approximately six to eight weeks.
Partner with a Specialist You Can Trust
At Family Foot & Leg Center, we specialize in advanced, minimally invasive treatments for foot and ankle conditions, including endoscopic plantar fasciotomy. Dr. Kevin Lam’s expertise ensures that patients receive personalized care tailored to their unique needs, enabling them to regain mobility and enjoy a pain-free life.
If chronic plantar fasciitis is holding you back, schedule a consultation today to explore whether post endoscopic cutting of the plantar fascia is the right solution for you.
Achilles tendon ruptures are one of the most common injuries among athletes, particularly in those engaging in high-impact sports. In a recent video by Dr. Kevin Lam, viewers get a rare, up-close look at what an Achilles rupture appears like before surgery begins. The tendon is located in a region known as the “watershed area”—a section with limited blood supply, making it more prone to injuries. The video highlights the characteristic "smiley face" shape formed by the gastrocnemius muscle and details how understanding this anatomy is crucial for effective treatment and recovery.
Why Achilles Tendon Injuries Are Common
The Achilles tendon is one of the most frequently injured tendons in the human body, particularly among athletes and active individuals. Its crucial role in walking, running, jumping, and pushing off the ground makes it highly susceptible to strain and injury. But why are Achilles injuries so common?
1. The Anatomy of the Achilles Tendon
The Achilles tendon is the thick band of tissue that connects the calf muscles (the gastrocnemius and soleus) to the heel bone (calcaneus). It is the strongest tendon in the body and endures a tremendous amount of stress, especially during explosive movements like sprinting or jumping. However, despite its strength, it is also prone to injury because of its anatomical structure.
One of the primary reasons is the "watershed area" located approximately 2-6 cm above the heel. This section of the tendon has a limited blood supply, making it more vulnerable to wear and tear. The reduced blood flow in this region hampers its ability to heal quickly, leaving it at risk for partial tears, inflammation, or a complete rupture.
2. Common Causes of Achilles Tendon Injuries
- Overuse: Repetitive stress from activities such as running, basketball, or tennis can lead to microtears in the tendon. Over time, this can result in chronic conditions like Achilles tendinitis or even a full rupture.
- Sudden Increases in Activity: Athletes who ramp up their training intensity too quickly are at risk of overstressing the tendon. This is especially common in weekend warriors who engage in high-intensity sports after prolonged periods of inactivity.
- Tight Calf Muscles: Limited flexibility in the calf muscles can put extra tension on the Achilles tendon, increasing the risk of injury. Stretching and strengthening exercises are essential to maintain flexibility and prevent strain.
- Age and Degeneration: As people age, the tendon loses elasticity and becomes stiffer, increasing the likelihood of injuries. Men over 30 who play recreational sports are particularly prone to Achilles ruptures.
3. Preventing Achilles Injuries
- Stretching and Strengthening: Regularly stretching the calf muscles and strengthening the lower leg can help reduce strain on the Achilles tendon.
- Gradual Training Progression: Avoid sudden increases in training intensity. A gradual build-up in running distance or intensity can help prevent overuse injuries.
- Proper Footwear: Wearing supportive shoes that provide adequate cushioning can reduce the impact on the Achilles tendon, especially during high-impact sports.
4. Treatment and Recovery
Achilles tendon injuries can range from mild inflammation to a complete rupture. Early diagnosis is key to preventing further damage. Treatment may include rest, physical therapy, or, in severe cases, surgery. Recovery times can vary based on the severity of the injury, with ruptures often requiring several months of rehabilitation.
Understanding why Achilles tendon injuries are so common can help athletes and active individuals take preventative measures. If you are experiencing persistent heel pain or suspect an Achilles injury, it’s crucial to consult with a specialist for an accurate diagnosis and treatment plan.
For more information on Achilles injuries, treatment options, and personalized care, visit http://www.drkevinlam.com
When it comes to foot injuries, a Jones fracture—occurring at the base of the 5th metatarsal—can be one of the trickiest to heal. This type of fracture often results from stress or trauma and is notorious for its tendency to heal poorly, sometimes requiring surgical intervention for optimal recovery. One critical aspect of that surgery is the size and placement of the screw used to fix the bone. Dr. Kevin Lam, a leading foot and ankle surgeon at Family Foot & Leg Center, emphasizes the significance of choosing the right screw size for successful Jones fracture surgeries.
Why Screw Size Matters in Jones Fracture Surgery
The goal of Jones fracture surgery is to stabilize the fractured bone while promoting proper healing. The surgical procedure typically involves inserting a screw into the bone to provide fixation and prevent further displacement. But it’s not just any screw that will do the job—it’s all about choosing the right size.
A properly sized screw should fit perfectly into the canal of the 5th metatarsal, which is the bone that has been fractured. If the screw is too small, it won’t provide enough stabilization, leading to a higher risk of re-injury or non-union, where the bone fails to heal correctly. On the other hand, an oversized screw can put too much pressure on the bone, potentially causing more damage.
By selecting the ideal screw size, surgeons ensure that the fracture is stabilized securely, offering excellent fixation. This not only helps the bone heal properly but also protects against future complications or re-fractures.
Benefits of Using the Right Screw
1. Superior Fixation
When the screw fits properly in the canal of the bone, it provides strong support, which is crucial for patients who are active or need to get back on their feet quickly. Superior fixation means the bone is held in place, promoting faster and more reliable healing.
2. Reduced Risk of Re-Injury
Jones fractures have a high risk of non-union and re-fracture if not treated correctly. The correct screw size helps prevent the bone from moving during the healing process, reducing the likelihood of complications down the road.
3. Long-Term Protection
The right-sized screw doesn’t just fix the current fracture; it also provides long-term protection. By fitting securely within the bone’s canal, it minimizes the chances of future fractures in the same location, offering peace of mind for patients who may be worried about reinjury.
Dr. Kevin Lam, a renowned podiatrist and foot and ankle surgeon, has performed numerous Jones fracture surgeries with successful outcomes. His attention to detail and thorough understanding of the biomechanics of the foot make him one of the leading experts in treating this type of fracture. As a TUSPM alumnus and FFLC Reconstructive Fellowship-trained surgeon, Dr. Lam combines advanced surgical techniques with patient-centered care.
Recovering from Jones Fracture Surgery
After surgery, patients can expect a period of rest and rehabilitation to ensure proper healing. Physical therapy may be recommended to regain strength and mobility in the foot. With the correct surgical approach, including the use of a properly sized screw, most patients can return to their normal activities without long-term issues.
The key to a successful recovery from a Jones fracture lies in the details. Choosing the correct screw size during surgery is essential for ensuring stable fixation, reducing the risk of re-injury, and promoting long-term healing. If you're facing a Jones fracture and considering surgery, consulting with an experienced surgeon like Dr. Kevin Lam is the best way to ensure a positive outcome.
For more information or to schedule a consultation, visit Family Foot & Leg Center and take the first step towards a full recovery.
#TBTsome good ole fashioned#traumacase. patient unable to walk due to the contracture of the foot and ankle in varus.#ilizarovmethod and teamwork with#orthopedicsto 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
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.
Let us look into the fascinating world of foot surgery, specifically focusing on procedures for conditions like Fifth Toe, Curly Toe, and Hammertoe. These often-misunderstood conditions can cause discomfort and impact mobility, but with the right knowledge and treatment, patients can find relief and regain their quality of life. Join us as we uncover the secrets behind these surgeries and explore how Family Foot & Leg Center is dedicated to providing effective solutions for these common foot ailments.
Understanding Fifth Toe, Curly Toe, and Hammertoe:
Fifth Toe, Curly Toe, and Hammertoe are all deformities that affect the toes, causing them to become misaligned or bent. Fifth Toe, also known as a "pinky toe," can develop a hammertoe-like appearance due to pressure from shoes or inherent structural issues. Curly Toe occurs when one or more toes bend downward or overlap, often causing discomfort and difficulty wearing shoes. Hammertoe is characterized by an abnormal bending of the toe joints, resulting in a hammer-like or claw-like appearance.
The Importance of Surgery:
While conservative treatments such as padding, orthotic devices, and shoe modifications can provide relief for mild cases, surgery may be necessary for more severe or persistent symptoms. Surgery aims to correct the underlying structural abnormalities, realign the toes, and restore proper function and aesthetics. At Family Foot & Leg Center, our experienced team headed by top podiatrist Dr. Kevin Lam specializes in advanced surgical techniques tailored to each patient's unique needs, ensuring optimal outcomes and long-term relief.
Depending on the severity of the deformity and the patient's individual circumstances, various surgical approaches may be employed, including minimally invasive techniques to minimize post-operative discomfort and expedite recovery.
If you're experiencing foot pain, discomfort, or cosmetic concerns, don't let these conditions hold you back any longer. At Family Foot & Leg Center, we're committed to providing compassionate care and innovative solutions to help you overcome these challenges and enjoy a life free from foot pain and limitations. Contact us today to schedule a consultation and take the first step toward healthier, happier feet.
Transform your toes and transform your life with surgical solutions from Family Foot & Leg Center. Experience the difference today!
The Family Foot & Leg Center (FFLC) proudly operates a network of cutting-edge clinics strategically positioned across Collier, Lee, Charlotte, and Sarasota Counties, ensuring that exceptional foot and ankle care is accessible throughout Florida. Our aim is to swiftly and effectively address your foot and ankle challenges, facilitating your return to an active lifestyle with minimal delay. Equipped with advanced treatment modalities and staffed by a team of devoted specialists, FFLC is steadfast in delivering top-tier care conveniently situated in your local community.
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This is Dr. Lam, we are doing a fifth toe arthroplasty, because this lady likes to wear stilettos and won't give it up and she has a nerve type pain right about here. So, see that big thing? Nice little callus, no we don't cut the callus out, we actually do the bone right underneath it, we're gonna get rid of, we're gonna rotate this toe straight, okay?
So I'm gonna go through this, you could keep on watching and -- she's numb already so this is not so brutal.
Right here, elliptical incision. I like to do this without using the tourniquet just because it decreases the amount of swelling.
I also give her some steroids. Already right in the site, as you can see the bone underneath right about here causing the problem, I'm gonna check for the joint, right here is the joint, releasing some ligaments around the bone, so I try not to cause too much damage while we go in here, so very carefully cutting around the bone here here's that knuckle that's been causing her pain right here, as you can see right about here that is the knuckle, you're looking at it, imagine that rubbing against the shoe, the nerves are all over it, etcetera, but that's the knuckle rubbing against the shoe.
Actually she has an extra growth so this is not just a regular arthroplasty. She actually developed a growth on this side, a cap growth right about here. This is the regular bone right here, that's the cap of the problem right here, so she formed a little extra growth almost like an osteoneoplasm, we call it osteochondroma, 'cause it's a cap with a cartilage, so here I'm just releasing the soft tissue here as I get the bone out in one piece.
This is the head of the proximal phalanx we're looking at it before right here, this is the part that's rubbing against her shoe, that extra knob, it's not supposed to be here. It's supposed to look as smooth as this side right here with nothing but she has extra growth right on the side right here, osteochondroma, that's what that is.
Had the cartilage in there and everything right about here. This is the extra tissue that's causing her the pain, we lift it up and we saw that callus right there. Callus is the body's natural way of protecting itself.
So now we have the bone out, it looks like a nice, clean clear cut and we'll go ahead and re-examine this, make sure there's no sharp edges and I don't see any but mostly this thing has to do with proper tissue rotation, taking out that space that's gonna form a scar tissue.
I'm gonna go ahead and repair the extensor tendon and then Dr. Nelson here will finish up the closure. but I'm gonna go ahead and let's get started on the closure. I'm gonna start the rotation with the soft tissue closure first. My assistant here Dr. Nelson just calling for the dressings right now while I start the deep closure. This will prevent it from being a floppy toe and help to create the foundation for the healing process right here.
The reason why I like to use absorbable sutures, imagine pulling the sutures out of the toe. It's very painful and this just dissolves in the next few weeks. She's going right back to work tomorrow.
So Dr. Nelson can take over, finish up the closure, as you can see the toenail is up in there, she has a low chance for another rotation right there. So a couple more stitches and a couple more rotations we'll be okay. We're good for now.
We'll see you at follow-up.
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At the Family Foot & Leg Center (FFLC), we take pride in our expansive network of cutting-edge clinics spread strategically throughout Collier, Lee, Charlotte, and Sarasota Counties, ensuring that no matter where you are in Florida, expert foot and ankle care is within reach. Our mission is to help you overcome your foot and ankle challenges swiftly and effectively, so you can return to your active lifestyle as quickly as possible. With our advanced treatment options and a team of dedicated specialists, FFLC is committed to providing you with the best care possible, conveniently located right in your neighborhood.
Are you contemplating a bunionectomy in Southwest Florida? Before you take the next step, it's crucial to be well-informed about what to expect. While your podiatrist will undoubtedly provide valuable guidance, there are certain aspects they may not always discuss.
Understanding the Bunionectomy Process:
A bunionectomy is a surgical procedure aimed at correcting a bunion—a bony bump that forms at the base of the big toe, often causing pain and discomfort. While the surgical techniques and approaches may vary, the primary goal is to realign the affected bones, remove the bunion, and restore proper foot function.
Empowering Yourself with Knowledge:
To ensure the best possible outcome from your bunionectomy, it's essential to take an active role in your treatment journey. Here are some steps you can take:
1. Ask Questions: Don't hesitate to ask your podiatrist about any concerns or questions you may have regarding the procedure, recovery, or potential risks.
2. Seek Second Opinions: Consider seeking a second opinion from another podiatrist to gain additional insights and ensure that a bunionectomy is the best course of action for your condition.
3. Educate Yourself: Take the time to research bunionectomies, familiarize yourself with the procedure, and understand what to expect before, during, and after surgery.
4. Choosing the right foot surgeon for your bunionectomy is essential. Begin by researching specialists in your area, ensuring they are board-certified and have relevant experience. Read patient reviews to gauge their skill and patient satisfaction. During consultations, inquire about their success rates and patient outcomes. Trust your instincts and select a surgeon with whom you feel comfortable and confident in their abilities to provide personalized care and achieve optimal results.
A bunionectomy is a significant decision that can greatly impact your quality of life. By being proactive, asking the right questions, and seeking out comprehensive information, you can ensure that you're fully prepared for the journey ahead. Remember, your podiatrist is there to guide you, but ultimately, the more informed you are, the better equipped you'll be to make decisions that prioritize your foot health and overall well-being.
Dr. Kevin Lam is Double Board Certified by the American Board of Podiatric Surgery. First Podiatrist in Collier County, Florida to achieve such double certification. Only 900+ DPM's are double certified in the United States. Named Amongst America’s Top Podiatrists and top Doctors in SWFL by various publications: 2011, 2012, 2014, 2015, 2016, 2018, 2019, 2024 he is also sought after for his expertise in minimally invasive bunion surgery technique. Dr. Lam modified the technique, Lam Bunionectomy, to be done in the office and to allow for the quickest healing without any complications.
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This is status-post four weeks bunionectomy -- minimally invasive bunionectomy. This is -- believe it or not -- this was the better foot, this was the worse foot, so we did that one first. This is four weeks, no scar.
We have one wire we're gonna keep in for another two weeks back there, but that was the incision right there.
So right here at the fifth, first and this is the better foot of the two. So again we're gonna let this one heal and then go on to that one. We're at four weeks now, very minimal swelling, she's doing really good, her range of motion for the first MPJ is really, really good.
So, no crepitus because there's no opening there. The opening is on the side. They're very beautiful, one stitch did the trick and we're ready.
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At the Family Foot & Leg Center (FFLC), we take pride in our expansive network of cutting-edge clinics spread strategically throughout Collier, Lee, Charlotte, and Sarasota Counties, ensuring that no matter where you are in Florida, expert foot and ankle care is within reach. Our mission is to help you overcome your foot and ankle challenges swiftly and effectively, so you can return to your active lifestyle as quickly as possible. With our advanced treatment options and a team of dedicated specialists, FFLC is committed to providing you with the best care possible, conveniently located right in your neighborhood.
At Family Foot & Leg Center, we understand the impact that foot conditions can have on your daily life. One such condition that can significantly affect mobility and quality of life is arthritis of the big toe joint. Big toe fusion surgery, also known as arthrodesis, is a transformative procedure that can provide relief and restore function to those suffering from this debilitating condition.
Understanding Big Toe Arthritis:
Arthritis of the big toe joint, also known as hallux rigidus, is a condition characterized by the degeneration of cartilage in the joint. This degeneration leads to pain, stiffness, and limited range of motion in the big toe. Everyday activities such as walking, standing, and even wearing shoes can become excruciatingly painful for individuals with this condition.
The Big Toe Fusion Solution:
Big toe fusion surgery is a highly effective treatment option for advanced cases of hallux rigidus. During the procedure, the damaged cartilage in the big toe joint is removed, and the bones are fused together using screws or plates. This fusion eliminates motion in the joint, effectively alleviating pain and restoring stability to the foot.
Transforming Lives:
The impact of big toe fusion surgery on patients' lives is truly remarkable. By eliminating the debilitating pain associated with hallux rigidus, this procedure enables individuals to regain their mobility and return to the activities they love. Whether it's walking, running, or simply enjoying a pain-free existence, big toe fusion surgery can significantly improve overall quality of life.
Recovery and Rehabilitation:
Following big toe fusion surgery, patients will undergo a period of recovery and rehabilitation. Our team at Family Foot & Leg Center will provide comprehensive post-operative care, including guidance on proper wound care, physical therapy exercises, and footwear recommendations. With dedication to the recovery process, patients can expect to resume normal activities within a few months post-surgery.
We're dedicated to transforming lives through advanced foot care solutions like big toe fusion surgery. If you're suffering from the debilitating effects of big toe arthritis, don't hesitate to reach out to our experienced team for personalized treatment options. Together, we can help you reclaim your mobility, alleviate pain, and get back to living life to the fullest.
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Call: 239 430 3668 @option 2 at voice prompt
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At the Family Foot & Leg Center (FFLC), we take pride in our expansive network of cutting-edge clinics spread strategically throughout Collier, Lee, Charlotte, and Sarasota Counties, ensuring that no matter where you are in Florida, expert foot and ankle care is within reach. Our mission is to help you overcome your foot and ankle challenges swiftly and effectively, so you can return to your active lifestyle as quickly as possible. With our advanced treatment options and a team of dedicated specialists, FFLC is committed to providing you with the best care possible, conveniently located right in your neighborhood.
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Dr. Lam here with a patient with a first MPJ fusion.. This patient had this surgery about six months ago and she has no pain, you're able to walk? No problems? Correct?
"Well, let's see, it was last September, once we took that extra screw out, not extra one but the one that was giving me problems, it's been great."
Awesome. Now a lot of people are afraid of this whole fusion thing but you know, but it takes away the pain, take away the arthritic joint, put plates and screw on top of it and typically patients do really well, you're able to go on your trip like you said you went to London and everything else and no problems there right? You are able to walk with these fancy shoes?
"No I had better shoes on." [laughs]
Okay, but it's looking really good, you can't even tell. The alignment is perfect on this. We go to a straight shot to the x-ray real quick, we have right here, the x-ray right about here we're gonna go actually right here, you see the plate and screws, everything's in order, everything is fused and we'll leave it at that.
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