The foot contains 28 bones and many more ligaments and tendons. As such it is often difficult to get a clear diagnosis as to what exactly is causing your symptoms. My philosophy is that to successfully treat your problem, I need to identify and fully understand the root cause of your symptoms.
To achieve this, I take you through an extremely thorough history and physical examination, looking at the alignment of your legs, the tightness in the muscles, the shape of your foot and then focussing on the areas that are causing your symptoms. If needed I will arrange for you to have appropriate xrays and scans and make sure that we are happy that we know exactly what the problems that we are dealing with are.
I am a firm believer in a multidisciplinary approach to the management of foot and ankle conditions and I work with trusted physiotherapists, orthotists, podiatrists and other medical specialists to ensure that we take a comprehensive approach to the management of your condition. I find that with this approach we can design a personalised treatment plan to get you back to fitness and in many cases avoid surgical interventions. One of my key priorities is educating my patients so that they can maintain self care and reduce the risk of suffering from the same problems again.
If surgery is required, I am a specialist fellowship trained foot and ankle surgeon and my elective practice is based solely on foot and ankle surgery. I have experienced the best methods of practice in London, Scotland, Australia and Canada. I use this training to provide a busy high quality NHS practice at Kings NHS trust south sites and bring the same focus to my private practice with a more personalised experience.
I prefer to use individualised rehabilitation programmes which are goal based rather than time based as everyone has different things they want to do and people get better after surgery at their own pace. This is why I prefer to use a patient specific goal directed rehabilitation programme with a stepwise increase in activity from walking on the flat, to jogging to sports specific training. All patients have different goals and when we discuss your surgery part of planning is making a list of your goals and a step wise plan. A lot of this will be done in conjunction with your rehab therapist. Every patient will be given a plan for their immobilisation and early appointments and recovery and again this will be based on the type of procedure we agree is best suited to your problem. I make every effort to take your life situations and lifestyle into account when planning for your recovery and the timing of your surgery.
I am a huge believer in advanced aids to help patients recover from surgery. I will discuss this with you in detail if it is appropriate to your care. Some examples of aids are the “even up” shoe.
This is a slip on shoe that you put over a trainer if you have to wear a boot for any period of time. By evening up your leg length this can increase your mobility and decrease hip and back pain. In fact, my recently published paper in Foot and Ankle international, which won the 2018 national society prize showed that if patients have to wear a recovery shoe which causes a mismatch in leg length this significantly reduces their satisfaction with their recovery and holds them back from early recovery.
I also recommend my post-surgical patients use a LIMBO device and I can arrange this in the clinic. This is a very convenient plastic sleeve with a suction cup that you can use to bathe and shower whilst keeping your surgical site clean and dry.
Other aids I commonly use are the i-walker, knee rollator, beagle brace and the vacoped boot. I will discuss all appropriate aids with you in the clinic.