Ganglion cysts are benign, fluid-filled lumps that appear just below the skin. If you develop one on your foot, your doctor may recommend an aspiration to remove the fluid in the cyst so that it goes down. If your foot doctor in Sugar Land has recommended that you undergo a ganglion cyst aspiration, it’s natural to feel a little anxious. This information will help you feel more confident when you walk into your appointment.
What happens during ganglion cyst aspiration?
During the procedure, your foot doctor will wipe the area with an antiseptic cleanser and then administer a local anesthetic for your comfort. Once the area around the cyst is numb, your foot doctor will use a fine needle to puncture the cyst so that the fluid comes out. The process is very fast and is usually completed within minutes. There is no required recovery time, and you should be able to return to your normal activities right away.
Is it painful?
Your doctor will use a local anesthetic so that you are comfortable during the procedure. You may feel pressure, but you shouldn’t feel pain. In some cases, you may experience some minor swelling or discomfort around the site of the aspiration when the anesthesia wears off. These symptoms should be short-lived and can easily be managed with ice and over-the-counter pain medicines. Most people are in less pain after the procedure, since releasing the fluid eases the pressure within the cyst. If you are concerned about pain, talk to your foot doctor about your worries. In some cases, you could benefit from taking a sedative before the procedure, under the management of your doctor.
Am I a good candidate?
Ganglion cyst aspiration is not right for everyone. If your cyst is small and not causing any symptoms, then your doctor may recommend watchful waiting before trying any treatment. There is also a risk that cysts can grow back after aspiration. If your foot doctor thinks that your cyst won’t be effectively treated by aspiration, he or she may recommend a different treatment plan.
Bunions are foot deformities that cannot be reversed non-surgically. If a bunion specialist in the Sugar Land area diagnoses you with this condition, it means that you have an abnormal, bony bump that protrudes away from the foot. This bump develops at the base of the big toe. Even if you’re not sure if you’re ready to have surgery, you should talk to a specialist about your conservative treatment options. Simple lifestyle changes, like a change in footwear, can help prevent bunions from getting worse.
Asymptomatic bunions might not require surgery.
The surgical realignment of the toe is a serious procedure. If your condition isn’t causing painful symptoms, your doctor will likely recommend that you avoid surgical intervention. It’s possible to develop chronic pain in the area after surgery, even if you didn’t have pain there beforehand. On the other hand, your doctor may determine that surgery is an appropriate option for you if any of the following problems apply to you.
- You have chronic inflammation that isn’t relieved with rest or medicine.
- You’re no longer able to bend and straighten the affected toe.
- You’re experiencing pain despite lifestyle modifications and medications.
- You suffer from significant foot pain that interferes with your daily activities.
There are several types of bunion surgery.
Bunion surgery is complex, and there are several approaches your doctor could use. The technique used on your foot depends on the underlying cause of the deformity. An osteotomy involves cutting the bone and realigning the ends. The bone pieces are held in place with surgical hardware like screws or pins. An osteotomy may be performed in combination with soft tissue correction, if your soft tissues are too tight on one side of the toe, and too loose on the other side. Other surgical options include arthrodesis and resection arthroplasty.
You have a few anesthesia options.
It usually isn’t necessary to have general anesthesia for bunion surgery. Some patients have the operation with just local anesthesia, which numbs the foot. Regional anesthesia is injected at the knee area to numb some of the leg above the foot. Spinal anesthesia eliminates all feeling below the waist. If you choose local, regional, or spinal anesthesia, you may decide to request a sedative to help you stay relaxed during the procedure.
Bunion surgery is the only way to correct this painful foot deformity . Unfortunately, it’s possible for the surgery to fail, and for the patient to require reconstructive foot surgery. Foot surgeons in Sugar Land strongly recommend that patients carefully follow their aftercare instructions, as doing so improves the chances of a successful recovery and reduces the risk that reconstructive surgery will be needed later.
Familiarize yourself with your aftercare instructions before you have bunion surgery. Preparing for your recovery can make it easier for you to follow these instructions. You’ll need to keep weight off your foot for a certain period of time, and keep that foot elevated as much as possible. At first, you’ll wear a cast or walking boot, and you’ll use crutches. After the cast is removed, you’ll need to work with a physical therapist to regain your strength and range of motion. If you typically wear high heels, you’ll have to avoid this for at least six months. Faithfully following your aftercare instructions will yield a much more favorable outcome.
Patients with flat feet in the Sugar Land area can have reconstructive foot surgery to prevent complications of this condition, such as hammertoes, bunions, tight heel cords, calf pain, and foot fatigue. Foot surgeons can treat flat feet with multiple reconstructive approaches, depending on the patient’s specific needs and severity of symptoms. To plan the surgery, the podiatrist will review imaging scans. These can include X-rays, CT scans, and MRIs.
To correct the muscle imbalance, the foot surgeon may repair the soft tissues such as the tendon. If the tendon cannot be repaired, the doctor may need to harvest tendon tissue from elsewhere in the body and graft it to the foot. Some patients may need an artificial joint implanted to replace a damaged natural joint, while others may need to have some bones realigned. Reconstructive foot surgery might also involve fusing two or more bones together to inhibit movement between them, which can prevent symptoms and complications
If you’re suffering from foot pain, a neuroma could be to blame. Neuromas, which are also known as pinched nerves or nerve tumors, are benign nerve tissue growths that often occur between the third and fourth toes, typically in women. If you’re experiencing foot pain, see your podiatrist in Sugar Land to get a diagnosis and to start treatment. Here are the answers to some question that you may have about neuromas.
What causes neuromas?
Foot specialists are not sure exactly what causes neuromas, but there are some factors that seem to increase the risk. Trauma that damages nerves in the feet could cause inflammation that leads to neuromas. Repetitive motions that put strain on the region of the foot usually affected by neuromas can also increase the risk. Wearing shoes that pinch the toes or put pressure on the forefoot also seem to raise the odds of developing neuromas. These include pointed toe shoes and high heels.
What are the symptoms?
Pain in the forefoot and between the toes is the most common symptom of neuromas. Some people also experience swelling between the toes. Pain, tingling, and numbness may also affect the ball of the foot, particularly when you take steps. The pain can become severe with movement and will often get worse when left untreated.
What treatments are available?
Treatments vary depending on the severity of your symptoms. If you see your foot specialist at the first sign of symptoms, conservative, non-invasive treatments are usually effective. Padding and taping the ball of the foot can help, as can custom orthotic devices that control your foot functioning and prevent you from aggravating the condition. Sometimes, anti-inflammatory medications and cortisone injections can also ease the pain. Wearing wide-toe box shoes and avoiding high heels is also necessary.
If these treatments are not successful or your neuroma is diagnosed in an advanced state, then surgical treatment may be needed. During surgery, the affected nerve tissue is removed to cure the condition.
Bunions, which affect women more often than men, might not be dangerous to your overall health, but they are certainly painful. They occur as the result of an enlargement in the joint at the base of the big toe. Because that joint bears a large portion of your weight when you step, a bunion can cause pain with every step. If you’re dealing with a bunion in Sugar Land , should you consider surgery?
Watch this video for some insights about bunion surgery. If your symptoms aren’t relieved by conservative treatments, your foot specialist may recommend surgery. If you develop a bunion, see your podiatrist as soon as possible. Conservative treatments are most effective when they are started early.
After being diagnosed with diabetes, a podiatrist in Sugar Land will become an important member of your care team. Foot doctors are experts in treating patients with diabetes-related foot problems, including peripheral neuropathy. Peripheral neuropathy is nerve damage that affects the limbs, hands, or feet. Most often, the symptoms are felt in the toes, feet, and lower legs. Diabetes patients are at a higher risk of peripheral neuropathy because uncontrolled blood glucose levels can damage the sensitive nerves.
As a result of the nerve damage, patients may suffer from foot pain, numbness, weakness, and tingling. The pain of peripheral neuropathy is often described as a pins and needles sensation, or a sharp, burning pain. When working with patients with diabetes, the podiatrist will routinely check nerve function in the feet, look for wounds, and provide foot care counseling. With the proper podiatric care, patients with diabetes can greatly reduce their risk of neuropathy-related complications, including infected foot wounds, systemic infections, and amputation.
Bunions can be quite frustrating for patients, especially when they’ve already had bunion surgery once. It isn’t uncommon for initial bunion surgeries to fail, leading to the need for revision surgeries. If your bunion recurs, your foot pain persists, or your toe is uncomfortably stiff, it may be time to talk to a podiatrist in Sugar Land about having a second bunion surgery .
Should I consider having a revision bunion surgery?
You and your foot specialist will discuss this issue at length. Revision surgery isn’t right for every patient with bunion surgery failure, but it may be right for you if you experience post-surgical arthritis, bone necrosis, compromised foot function, or severe stiffness. Overcorrection and under-correction are also possible reasons for considering a bunion revision. When you’re making your decision, consider the extent to which your symptoms interfere with your daily activities or affect your quality of life. Consider your level of commitment to strictly following your post-surgical discharge instructions. The recovery and rehabilitation processes are crucial for a successful outcome. Your doctor will also consider your overall health when determining if you’re a good candidate for surgery, including whether you have compromised nerve function or blood flow.
Are there any additional risks?
Yes. Revision bunion surgery is far more challenging than the original surgery. It’s essential to work with a podiatrist who has extensive experience performing revision surgeries, as these surgeries often require fixing the technical mistakes made by the original surgeon. The risks associated with any surgery include adverse reactions to the anesthesia, blood clots, bleeding, infections, and damage to nearby blood vessels and nerves. The risks specifically associated with this surgery include the failure of the bone to heal, problems with blood circulation, nerve damage, and prolonged foot swelling.
What is the recovery process like?
To obtain a successful outcome for your revision surgery, it’s essential not to rush your recovery. It’s possible that a full recovery will take four to six months. You’ll be asked to keep weight off the affected foot for quite some time, perhaps for six to eight weeks. It’s important to plan your recovery carefully by making any necessary home modifications, arranging for help around the house, and taking enough time off work.
The appearance of a lump under the skin can be alarming, but fortunately, lumps aren’t always cancerous. Sometimes, the development of lumps along the joints of the feet and ankles indicates ganglion cysts . These benign lumps are round or oval, filled with viscous fluid, and occasionally painful. If you’ve been diagnosed with one or more ganglion cysts, your podiatrist in Sugar Land will explain your treatment options. There are both nonsurgical and surgical options for resolving your foot pain.
It might not always be necessary to treat a ganglion cyst, especially if it doesn’t cause foot pain. Your podiatrist might recommend closely monitoring the cyst for a while. If the cyst does later press on a nearby nerve, you’ll feel tingling, numbness, muscle weakness, and pain. At this point, it’s time to consider treating it.
Changing your footwear may help relieve your symptoms. Your podiatrist might recommend switching to a larger or wider shoe to prevent friction from irritating the cyst. You might also use some extra padding inside the shoe to protect the area.
Let your foot doctor know if the ganglion cyst is causing troublesome pain or is interfering with your day-to-day activities. It might be time to aspirate the cyst, which refers to the nonsurgical removal of the viscous fluid inside the lump. First, the doctor will thoroughly numb the skin in the area to prevent you from feeling any pain. Then, a sterile needle is used to puncture the cyst and draw out the fluid. You may be asked to rest the area for a day or two. Apply an ice pack wrapped in a soft towel to the area for about 20 minutes. You can use an ice pack about every hour or two to decrease the swelling. It is possible for a ganglion cyst to come back after it’s been aspirated.
If the cyst does come back after aspiration, it may be time to consider having foot surgery. Ganglion cyst surgery is a straightforward procedure that only requires a small incision to excise the cyst. Most patients resume their normal activities within three to six weeks.
Bunions are a painful foot deformity that may require surgery. Unfortunately, the first surgery doesn’t always fix the problem. If you’re frustrated by recurring foot problems, it may be time to consider reconstructive foot surgery , commonly called revision surgery. Visit a knowledgeable and skillful podiatrist in Sugar Land to discuss whether reconstructive foot surgery might be right for you. There are several surgical techniques that may be appropriate, depending on your specific situation.
Fixing a Recurrent Bunion
It’s possible for a bunion to come back after the original corrective surgery. This may occur if the first foot surgeon failed to fully grasp the severity of the deformity or used an inappropriate surgical approach. People with particularly flexible feet may be more likely to have a recurrence. When this situation arises, the podiatrist performing the revision surgery might do a Lapidus procedure. The Lapidus approach involves the fusion of the first tarsal-metatarsal (TMT) joint . After realigning the bones, the surgeon fuses the joint to prevent the first metatarsal from moving too much. The Lapidus procedure should prevent the bunion from recurring again.
Addressing Overcorrection of a Bunion
Sometimes, the first foot surgeon might have overcorrected the bunion, such as by tightening the ligaments too much, removing the sesamoid bone, or removing too much of the other bone mass. To address the overcorrection, the reconstructive foot surgeon might make revision bone cuts or fuse the big toe joint in place.
Lengthening a Short Toe
When a foot surgeon must remove some of the bone in order to realign it, the toe becomes shorter. The same effect occurs when the TMT joint is fused. Although some shortening is to be expected, too much shortening can cause problems with the foot’s functioning. Foot pain may also develop. If this is the case, the revision surgery may involve making bone cuts to lengthen the toe. Sometimes, it’s necessary to add bone graft material to rebuild the bone mass.
Solving Post-Surgical Arthritis
Occasionally, bunion patients might develop arthritis in the toe after having the original surgery. Arthritic symptoms might be caused by improper positioning, bone spurs, or infection. Reconstructive foot surgery may be appropriate to remove bone spurs, fuse the joint, or realign the bones.
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