What is the main cause of bunions? The vast majority of bunions affect people with a genetic pre-disposition to the condition. It is said that there are bunion-proof feet and bunion-prone feet. It is therefore, very much a hereditary condition. Almost invariably there is a family history and the reason why women are more commonly Read More
Foot Pain and the Role of the Tight Calf Muscle There are many reasons why the forefoot can become painful. The more common ones can be linked to modern lifestyle. Inappropriate footwear, sedentary working life or excessive impact activities are just a few of them. On the other hand, pathologies “higher up” in the body Read More
1. Is it only partly torn?
When the Achilles tendon ruptures it (virtually) always tears completely. There are very rare instances where part of the tendon remains intact. If in doubt you should assume it is completely torn and seek medical help.
2. Do I need a scan?
A scan is not needed to determine whether or not the tendon is torn. A ...Read More
Case of the Month
Justine (not her real name), is a 31-year-old active lady who enjoys competitive netball. She presented to The London Foot and Ankle Centre in April 2018 with a history of three years of pain affecting both of her heels. Initially, her pain was only present first thing in the morning. She sought advice from podiatry and was ...Read More
Mrs Black had a nasty road traffic accident aged 20 which involved a complicated injury to her left ankle. At the age of 32 she sustained another but less severe injury to her left ankle. Over the years her ankle became more and more arthritic but despite the injury, she kept on being very active. Read More
By Matt Solan
Life is full of ups and downs. Sometimes it is the little things that make a big difference.
An injury that initially seems like a disaster may in fact need a lot less “treatment” than your patient was initially told in the Accident and Emergency department.
Casts and crutches get in the way of work, travel, driving, bathing and just ...Read More
By Martin Klinke
Over the last decades life expectancy has increased and will continue to do so in the future. Fortunately many people are staying fit and remain active at the later stages of life.
Whereas improved implants for the hips, knees and other parts of the muskulo-skeletal system have proven to be very beneficial there has been a lot less attention ...Read More
By Mark Davies
We all know that as we get older body parts have a nasty habit of failing.
Whilst organs fail, our skeletons degenerate and whilst we do not talk of skeletal failure that is what inevitably happens with time, to many of us.
Whilst we enjoy good health we rarely pay our feet much attention but when they start to trouble ...Read More
Tendon injuries can be caused by a sudden stress or trauma and also by untreated inflammation and degeneration.
The tendons perform a very important function within the body, connecting the ends of the muscles to the bones. Unlike the muscles, the tendons degenerate very slowly and if severely damaged, may not degenerate at all.
Of the numerous tendons in the foot, the ...Read More
Bone and ankle fractures (breaks) are a risk when there is a trauma, or injury. The ankle bones are commonly fractured and may need surgery to restore the anatomical alignment if they are displaced. Fractures can range from less serious avulsion injuries (small piece of bone pulled off) to severe shattering-type fractures of the bones and dislocations.
Ankle fractures are most ...Read More
Podiatrist, London Foot and Ankle Centre
Most women are quite knowledgeable about their body shape – whether they are an ‘apple’ or a ‘pear’ – and some of the health implications of their shape.
But are people equally informed about their foot shape? Many of the problems we see in clinic are directly related to the patient’s foot shape.
High arches and ...Read More
Mr Anthony Perera
Consultant orthopaedic surgeon, London Foot and Ankle Centre
As a foot and ankle surgeon based in the rugby heartland of South Wales, I spend a significant amount of time treating injured players.
I enjoy working with sportspeople; they are highly motivated, and for the surgeon, there is the challenge of getting them back on the field quickly without compromising performance.
But ...Read More
Ten years ago, Mark Davies was in San Diego, a lone UK surgeon attending a meeting of American foot and ankle surgeons.
“I remember being really impressed, but at the same time, it was depressing because in the UK, we were lagging so far behind.”
Shortly after that, Mr Davies would set up the London Foot and Ankle Centre, the first of ...Read More
LFAC surgeon Anthony Perera has carried out the first study in the world which directly compares outcomes of open and minimally invasive bunion surgery.
The large study, encompassing 240 patients, compares clinical and x-ray outcomes after bunion surgery. It was presented at the recent American Foot and Ankle Society meeting in Florida.
Ten different x-ray measures were analysed, before and after surgery, ...Read More
While many acute injuries and some foot and ankle conditions evidently require a specialist referral, others are less clear-cut. Consultant orthopaedic surgeons Mr Martin Klinke, Mr Matthew Solan and Mr Anthony Perera provide a concise guide to when to refer, what to look for and commonly missed problems.
The ‘ankle sprain’ that won’t heal
Ankle sprains account for about 10 per cent ...Read More
The LFAC guide to sports injuries and the risks posed by different sporting activities.
The New Year’s resolution enthusiast
All age groups, sometimes with poor baseline fitness levels. The main risk factor for this group derives from a sudden increase in activity without adequate preparation or technique.
Stress fractures are the main problem when there is a sudden increase in activity. These ‘hairline’ ...Read More
Extracts originally published in Pregnancy and Birth magazine.
It is well known that women’s bodies change in many ways during pregnancy.
But many mothers-to-be are not aware of the impact pregnancy has on their feet and that without appropriate foot wear, these changes can lead to painful foot problems.
“I see a lot of women who find a year after giving birth, their ...Read More