Services

Foot + Ankle

Services

WHETHER YOU ARE SUFFERING FROM AN ONGOING AILMENT, A DISEASE THAT PREDISPOSES YOU TO FOOT ISSUES, OR HAVE SUFFERED AN INJURY, WE WILL HELP YOU GET BACK ON YOUR FEET! WITH A FOCUS ON HEALING AND CONTINUED EDUCATION, COUNTY WIDE FOOT, ANKLE AND WOUND CARE WILL HELP YOU PUT YOUR BEST FOOT FORWARD.

WHILE THIS PAGE SERVES AS A USEFUL TOOL, WE INVITE YOU TO CONTACT US DIRECTLY TO DISCUSS YOUR UNIQUE FOOT OR ANKLE ISSUES, AND TO SCHEDULE AN APPOINTMENT AT OUR BOYNTON BEACH or wellington OFFICE. OUR OFFICEs are OPEN FOR APPOINTMENTS MONDAY – FRIDAY: 9AM – 5PM. IF YOU ARE HAVING AN EMERGENCY, WE RECOMMEND CALLING NEAREST HOSPITAL OR URGENT CARE CENTER.

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Clinical & Surgical

Services

Achilles Tendon Surgery

The Achilles Tendon is a fibrous cord connecting the muscles of your calf to your heel. It’s possible to rupture or tear this tendon through a strong force, such as during physical activity or by quickly twisting the foot. In other cases, the Achilles tendon can slowly degenerate through overuse over a long period of time (known as tendonitis). Achilles tendon surgery effectively repairs the broken or ruptured tendon by re-attaching it, or by removing the damages part(s) if it has degeneration. Surgery to repair the tendon will restore proper functioning. 

Amniotic Stem Cell Injections

Amniotic fluid, found in stem cells, are naturally regenerative and used in a host of procedures to help stimulate tissue growth and help to naturally reduce inflammation. They also contain hyaluronic acid, which aids in cartilage growth. This procedure helps with arthritis, Achilles tears, tendon or ligament tears, joint pain and wound healing.

Ankle Arthroscopy

Arthroscopy is a procedure by which a thin fiber-optic camera is inserted into the ankle joint to take images, which are used to diagnose and treat ankle joint issues. It’s uses are vast in helping to treat a myriad of ankle issues, including fracture, arthritis, infection and more.

Ankle/Foot Fracture/Dislocation Surgery

A foot or ankle fracture can vary in severity and should always be treated by a podiatrist as it may be misinterpreted as a sprain. Depending on the fracture point(s), it may require either stabilization or surgery.

Ankle fractures are quite common and can also cause displacement of the ankle joint. If an ankle fracture is displaced, surgery will be required to fix it. During surgery, the bones are aligned back together and metal plates and/or screws are used to hold the bones in place for proper healing and to avoid future pain, issues or arthritis.

Arthritis Joint Surgery

Arthritis Joint Surgery is used to reduce pain and improve joint function for those who are still experiencing issues despite non-invasive treatments to the area. With 33 joints in each foot, there are many opportunities for this disease of inflammation to strike, causing pain and swelling. Depending on the affected area, you may qualify for Debridement or Fusion surgery to improve your arthritis-related foot pain. 

Bunion Surgery

A bunion (aka hallux valgus) is an enlargement of the bone or tissue surrounding the big toe or little toe joint. It can be genetic, a symptom of arthritis, or the result of stress on the foot from ill-fitting, restrictive shoes. There are several types of bunion surgeries. Depending on the severity of the deformity, surgery will help correct bones, ligaments tendons and/or nerves. An osteotomy will realign the big toe joint. An Exostectomy removes the bunion without realigning the joint. And an Arthrodesis replaces the join with screws or metal plates to correct the deformity, usually used in patients with arthritis.

Calcaneal Fractures

The calcaneal is also known as the heel. A heel bone fracture is an often painful and traumatic event, resulting from a strong force such as a crash or fall. Without surgical reconstruction, a Calcaneal Fracture can result in permanent deformity and the inability to walk correctly again. Most Calcaneal Fractures require surgery as they necessitate the need to realign bones or clean debris.

Diabetic Foot Care

Bunions consist of both bone and soft tissues, causing a deformity that often requires surgical intervention to be remove. Bunions are through to be a pressure response brought on by wearing shoes that are too small or narrow. Surgery helps correct this problem along with proper footwear use.

Custom Orthotics

Many people suffer from an imbalanced posture due to the anatomy of their leg and foot structure. Custom orthotics, a type of insole, are made by producing impressions of the foot. The finished product, which slips into ones shoe, helps to align the foot and ankle in the most anatomically efficient position to reduce the stress on your body that contributes to pain.

Flatfoot Surgery

Flatfoot reconstruction is a combination of surgical procedures that repair the foot’s ligaments and tendons and correct deformities of the bones to restore and support the arch. These adjustments can reduce pain and help the patient return to an active life. Flat-footedness can happen due to several factors, such as tendon tear, tendon disease, arthritis, diabetes, inflammation and injury. Reconstruction of the tendons, ligaments and bones may be necessary depending on the specific type and severity of flat-footedness.

Ganglion Cyst/Soft tissue Mass Removal

Consisting of benign fluid, a Ganglion Cyst is a jelly-like fluid that originates from a tendon sheath or joint capsule. They may be removed either surgically or through draining, depending on the severity of the cyst and its placement.

Hammertoe Surgery

A hammertoe is when the toe joint is permanently bent upward. Over time, it can cause corns, callouses and discomfort in the foot from rubbing on the surface of shoes. There are also different types of hammertoes: Flexible Hammertoe vs Stiff Hammertoe. A flexible hammertoe can be fixed with surgery by performing ligament and tendon lengthening. If you have a stiff hammertoe, bone may be removed instead. Pins or fusing will also need to be done to restore the stability of the toe. Tendon transfer surgery, joint re-sectioning or a fusion procedure can effectively correct the issue.

Lisfranc Trauma

Lisfranc Trauma is when one or more of the metatarsal bones have been displaced from the tarsus, or if the ligaments in the mid foot have been injured. Without surgery, collapse of the foot or arthritis can develop. Surgery is often used to correct this injury by realigning the joints and repairing the damage to the midfoot area.

Nerve Decompression Surgery

Numbness and tingling in the foot as a result of Diabetic Peripheral Neuropathy (DPN) may be improved with Nerve Decompression Surgery. This surgery helps relieve tightness in the area, allowing blood to flow more freely to the nerve, reversing the effects of DPN.

Certain nerves are susceptible to pressure, crowding and pain. Diabetic Peripheral Neuropathy, Morton’s Neuroma or Tarsal Tunnel Syndrome are all known to affect the nerves of the feet, leading to pain or numbness and tingling. Nerve Decompression Surgery successfully releases the pressure surrounding the nerve to help reduce pain and inflammation, and helps to restore healthy blood flow.

Neuroma Surgery

A Neuroma affects the ball of the foot, making the patient feel uncomfortable – like they are “stepping on a stone”. This surgery is employed when other methods fail to provide relief by removing the affected nerve.

OCD Lesions of the Talus

Osteochondritis Dissecans result in abnormal, damaged cartilage at the top of the talus bone. It is often a result of a traumatic injury, such as a severe ankle sprain but can happen with chronic overuse or overloading of the foot. These symptoms often affect different regions of the tarsal. Surgery is performed to remove any debris from the area. Cartilage grafts may also be used to try to repair the injury during surgery.

Peripheral Neuropathy

Small fiber Peripheral Neuropathy is a condition that affects many, many people and targets the small nerves of the body. Often, the issue can present itself first in the feet, but is known to travel up the body if left undiagnosed, and can affect the hands, torso and even the face.

This disease specifically relates to the small diameter myelinated and non-myelinated nerve fibers, commonly referred to as the “small nerve fibers of the skin,” as opposed to the large nerves found around the body.

Common complaints of Small Fiber Peripheral Neuropathy can include tingling, burning, and numbness – to name a few. Though, one of the classic issues with SFPN is that the symptoms may not be readily obvious. In fact, many with SFPN go undiagnosed because standard testing can lead to diagnostic confusion. This is why it’s important to get treated by a podiatrist who offers Epidermal Nerve Fiber Density Testing.

Plantar Fasciitis Surgery

Plantar Fasciitis is among the most common foot problems for adults. It is an inflammation of the tissue that runs along the bottom of the foot as a result of overuse of the foot or improper footwear, causing heel pain which can occur in the morning and after elongated periods of standing and/or walking. For patients who are unsuccessful with relieving the pain and symptoms of Plantar Fasciitis with non-invasive therapies, surgery may be necessary by releasing part of the plantar fascia. Dr. Garzon performs an endoscopic plantar fasciotomy to relief the plantar fasciitis. This procedure is a minimally invasive and minimally traumatic surgical treatment for the common problem of chronic plantar fasciitis which allows the patient to ambulate immediately after surgery. During recovery, the connective tissue builds new growth and promotes lengthening of the fascia.

Tendon Repair

A torn or damaged tendon can be fixed by performing tendon repair surgery, where the tendon is sewn back together, or grafted with another tendon to repair mobility.

Talus/Navicular Fractures/Dislocations

A torn or damaged tendon can be fixed by performing tendon repair surgery, where the tendon is sewn back together, or grafted with another tendon to repair mobility.

Mid-foot fractures and dislocations are less common but do happen, especially in the feet of athletes resulting in stress fractures. However, Talus fractures are often the result of a traumatic injury, such as a fall or car accident. In both cases, surgery is only necessary if the injury is severe, or the bones are out of place. Especially in the case of a Talus injury, proper healing is critical for the prolonged health of the foot and patient. Surgery helps prevent arthritis, malunion, Osteonecrosis, infection, nonunion, foot deformity, and chronic pain.

Toenail Fungal Treatment

While toenail fungus is relatively common, seeking a podiatrist to help cure the infection is important if the fungus is resistant to non-invasive treatments. However there are time when in office Surgical removal of the nail(s)  is rendered and apply antifungal to the surface of the infection directly.

Wound Care

Diabetes is said to affect more than 26 million Americans. One of the most common symptoms is Diabetic Foot Ulcerations. Not all podiatrists specialize in wound care, but Dr. Garzon is especially trained in this field to treat foot wounds – those as a result of Diabetes and those otherwise – to help to preserve the future health of the foot.