
Hammertoe Surgery

A hammertoe occurs when one of the three middle toes bends upward at the middle joint. Corns and calluses that can develop on the hammertoe can make wearing shoes and walking uncomfortable. If lifestyle changes, such as wearing wider shoes, using shoe inserts, or doing stretching and strengthening toe exercises do not help, surgery can be considered to correct a hammertoe. Hammertoe surgery is not a good option for those who have poor circulation in their feet, have a foot infection, or have other health problems making surgery a risk. If considered a good candidate for this surgery, it is typically a procedure that can be done as an outpatient under general anesthesia or using numbing medications. If the hammertoe is still somewhat flexible, a tendon transfer involving redirecting tendons from the bottom of the toe to the top where it is bent can be done to straighten the toe. If the hammertoe is fixed or rigid, a joint resection or fusion can be done. Joint resection is when tendons and ligaments are cut to help straighten the toe and the end of the bone is cut off so the toe can be fully extended. In fusion surgery, the ligaments and tendons are also cut but the two bones forming the affected joint are also cut for straightening the toe. If you have a painful hammertoe, it is suggested that you make an appointment with a podiatrist to see if more conservative treatment is possible or whether surgery is an option for you.
Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact John Mccain, DPM of Advanced Foot & Ankle Specialists, PA. Our doctor will assist you with all of your foot and ankle needs.
When Is Surgery Necessary?
Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:
- Removing foot deformities like bunions and bone spurs
- Severe arthritis that has caused bone issues
- Cosmetic reconstruction
What Types of Surgery Are There?
The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:
- Bunionectomy for painful bunions
- Surgical fusion for realignment of bones
- Neuropathy decompression surgery to treat nerve damage
Benefits of Surgery
Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.
Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.
If you have any questions, please feel free to contact one of our offices located in Stuart and Jupiter, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot and Ankle Surgery
When conservative, noninvasive methods prove ineffective, surgery may be selected as the next course of action for the treatment of your foot or ankle condition. A wide number of foot and ankle surgical procedures exist, and it is up to your podiatrist to determine which intervention will be most appropriate and helpful for your case. Some surgical procedures include bunion surgery, fusion, hammertoe surgery, heel spur surgery, metatarsal surgery, nail surgery, neuroma surgery, reconstructive surgery, skin surgery, and tendon surgery. Typically, surgery is turned to as a definitive way to alleviate excessive pain or discomfort and to return your foot to full mobility.
Regardless of the location on the body, all surgical procedures require preoperative testing and examination to ensure the surgery’s success and preferred outcome. A review of your medical history and medical conditions will take place, as will an evaluation of any current diseases, illnesses, allergies, and medications. Tests such as blood studies, urinalyses, EKG, X-rays, and blood flow studies may be ordered. Because the procedure involves the foot and/or ankle, the structures of your feet while walking may also be observed by your podiatrist.
Care post-surgery will depend on the type of surgical procedure performed. Typically, all postoperative care involves rest, ice, compression, and elevation. To improve and ensure a safe recovery, your foot and ankle surgeon may also employ the use of bandages, splints, surgical shoes, casts, crutches, or canes. He will also determine if and when you can bear weight. A timely and thorough recovery is a priority for both you and your podiatrist, and carefully following postoperative instructions can help achieve this.
What Is a Permanent Relief Solution for Ingrown Toenails?

An ingrown toenail is easily distinguishable and is defined as a toenail that grows into the skin instead of over it. An ingrown toenail often causes severe pain and discomfort, and it can become infected. This foot condition can happen for a variety of reasons. Common causes can include wearing shoes that are too tight and trimming the toenails incorrectly. There are some patients who have family members with ingrown toenails, which may increase the risk of developing this ailment. Temporary relief may be found when the affected nail is soaked in warm water. This can soften the skin enough so that a small piece of cotton can be used while gently pulling the nail away from the skin. Permanent relief is often found with medical attention. If you have developed an ingrown toenail, it is strongly suggested that you seek the counsel of a podiatrist who can provide appropriate treatment options, which may include minor surgery.
Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact John Mccain, DPM of Advanced Foot & Ankle Specialists, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
Ingrown Toenails
Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.
Causes
- Bacterial infections
- Improper nail cutting such as cutting it too short or not straight across
- Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
- Ill-fitting shoes that bunch the toes too close together
- Genetic predisposition
Prevention
Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.
Treatment
Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.
If you have any questions, please feel free to contact one of our offices located in Stuart and Jupiter, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Ingrown Toenails
Ingrown toenails (onychocryptosis) are a common foot ailment and it is very unpleasant to experience. The condition is caused by an increase in pressure from the ingrowth of the nail edge into the skin of the toe. Ingrown toenails commonly cause pain in those who experience them. In some cases, the skin surrounding the ingrown toenail may break which may lead bacteria to enter through and cause an infection. Common symptoms of this ailment include pain, redness, swelling, and warmth around the toe.
An imbalance between the size of the nail and the enlargement of the nail skin edge causes ingrown toenails. This condition is often caused by improperly trimming the toenails. If you are trying you cut your nails, you should always try to trim straight across instead of in a rounded shape. Ingrown toenails can also be an inherited condition and they may also be caused by improper shoe fitting.
Another common cause of the condition is wearing shoes that are either too small or too large. Other causes include poor foot hygiene, obesity, diabetes, arthritis, edema, and fungal infections. There are many risk factors that may make a person more likely to develop an ingrown toenail. Athletes who play “stop and start” sports such as tennis, soccer, and basketball are most likely to have ingrown toenails.
People who have diabetes, a compromised immune system, or poor circulation should immediately seek care from a podiatrist if they have an ingrown toenail. It is also recommended to seek professional assistance if at-home remedies are not successful within a week or if there is persistent pain.
Foot Pain and Fibromyalgia

Patients who have fibromyalgia can have pain anywhere in their bodies, including the feet. This type of pain can greatly impact the quality of life because walking is such an essential function. Those who have fibromyalgia and foot pain have described it as a burning sensation on the bottom of the feet. It can also be uncomfortable as the shoes touch the soles or tops of the feet. The reason some people with this ailment have foot pain is unknown, but some studies have shown the nerves of the feet may get triggered. Additionally, the inflammation that comes with fibromyalgia can affect the fascia, which is a band of tissue that runs from the heel to the toes. The plantar fascia is on the bottom of the foot and helps to support the arch and the joint just below the ankle. There may also be coexisting conditions such as rheumatoid arthritis or lupus that can exasperate the foot pain felt with fibromyalgia. Left untreated, foot pain and a change in gait can lead to problems in the rest of the body. If you have fibromyalgia and are experiencing foot pain, it is suggested that you see a podiatrist who can provide the best treatment for you.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with John Mccain, DPM from Advanced Foot & Ankle Specialists, PA. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact one of our offices located in Stuart and Jupiter, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Foot Pain
The feet, being the foundation of the body, carry all of the body’s weight and are therefore prone to experiencing pain and discomfort. If you are experiencing foot pain, it is important to determine where in the foot you are experiencing this pain to help discover the cause of it. While pain can be experienced virtually anywhere in the foot, the most common sites of foot pain are in the heel and ankle.
Heel pain can be due to a multitude of conditions including plantar fasciitis, Achilles tendinitis, and heel spurs. Pain experienced in the ankle can be a sign of an ankle sprain, arthritis, gout, ankle instability, ankle fracture, or nerve compression. In more serious cases, pain in the foot can be a sign of improper alignment or an infection.
Foot pain can be accompanied by symptoms including redness, swelling, stiffness and warmth in the affected area. Whether the pain can be described as sharp or dull depends on the foot condition behind it. It is important to visit your local podiatrist if your foot pain and its accompanying symptoms persist and do not improve over time.
Depending on the location and condition of your foot pain, your podiatrist may prescribe certain treatments. These treatments can include but are not limited to prescription or over-the-counter drugs and medications, certain therapies, cortisone injections, or surgery.
If you are experiencing persistent foot pain, it is important to consult with your foot and ankle specialist to determine the cause and location. He or she will then prescribe the best treatment for you. While milder cases of foot pain may respond well to rest and at-home treatments, more serious cases may take some time to fully recover.
Minor Wound Care Methods

A wound is defined as damage to the skin’s surface. Wounds occur when there is a break in the skin due to a cut or scrape. A wound can also be caused by an animal bite and bedridden patients may develop bed sores. For mild wounds, proper wound care can begin with washing the hands, followed by holding a clean cloth on the affected area to help stop the bleeding. It is beneficial to rinse the wound with water and remove any dirt that has lodged inside of it. When the wound is dried, a bandage or gauze can be used to cover it. It is beneficial to change the dressing daily which may help to keep it free of bacteria that may accumulate from daily activities. If you have a wound on your foot, it is strongly suggested that you speak with a podiatrist who can treat and monitor the severity of the wound.
Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with John Mccain, DPM from Advanced Foot & Ankle Specialists, PA. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
What Is Wound Care?
Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic.
What Is the Importance of Wound Care?
While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.
How to Care for Wounds
The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.
If you have any questions please contact one of our offices located in Stuart and Jupiter, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Wound Care
Diabetics must be wary of all wounds, regardless of depth or size. Diabetes, a chronic disease in which the body cannot properly use glucose the way it normally would, causes various complications that make wounds difficult to heal. Nerve damage or neuropathy will cause diabetics to have trouble feeling the pain of a blister or cut until the condition has significantly worsened or become infected. A diabetic’s weakened immune system can make even the most minor of wounds easily susceptible to infection. Diabetics are also more prone to developing narrow, clogged arteries, and are therefore more likely to develop wounds.
Wounds should be taken care of immediately after discovery, as even the smallest of wounds can become infected if enough bacteria build up within the wound. To remove dirt, wounds should be first rinsed under running water only. Soap, hydrogen peroxide, or iodine can irritate the injury and should be avoided. To prevent infection, apply antibiotic ointment to the wound and cover it with a bandage. The bandage should be changed daily. The skin around the wound may be cleaned with soap.
To prevent further exacerbation, see a doctor—especially if you have diabetes. Minor skin conditions can become larger problems if not properly inspected. As the wound heals, make sure to avoid applying pressure to the affected area.
Causes of Heel Pain

Heel pain is common and there are several causes. It can occur as a result of an injury or from wearing shoes that do not have adequate cushioning in the heel area. The foot condition known as plantar fasciitis can cause severe heel pain and a podiatrist is often consulted for relief. Additionally, enduring an Achilles tendon injury can also produce heel pain, and it can become difficult to walk. People who are afflicted with arthritis in the feet may have swollen heels and a reduced range of motion. For moderate heel pain, performing gentle stretches can help to strengthen the heel and it is helpful to avoid wearing high heels. A heel spur is a bony growth that forms on the bottom of the heel that causes heel pain, too. A heel spur can be diagnosed by having an X-ray taken to determine its size. If you have heel pain, it is strongly suggested that you are under the care of a podiatrist who can analyze the cause and offer you the correct treatment solutions.
Many people suffer from bouts of heel pain. For more information, contact John Mccain, DPM of Advanced Foot & Ankle Specialists, PA. Our doctor can provide the care you need to keep you pain-free and on your feet.
Causes of Heel Pain
Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.
Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.
Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.
Why Might Heel Pain Occur?
- Wearing ill-fitting shoes
- Wearing non-supportive shoes
- Weight change
- Excessive running
Treatments
Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.
If you have any questions, please feel free to contact one of our offices located in Stuart and Jupiter, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.







