I'm not sure why it's not letting me add comments under our previous thread. I have to start new ones. I will definitely be asking him next week. What if he says let's wait a couple months to see how it plays out? Yeti I'm off work on short term disability right now from it and would not like to go back just to have me off again because of this. I will be staying in touch with you. 😊
@DrOzanAmir3 күн бұрын
I would advise waiting also. Even of the surgery has not been able to achieve the desired outcomes, nothing can be done right now. I wouldn't have anyone touch the toe until complete healing has occured. Further trauma (more surgery) could cause other issues.
@scorson745 күн бұрын
@DrOzanAmir You're very welcome!! You have helped me understand this and are so informative! I have had X-rays at each follow up, but nothing has been said as to what they're doing yet. I did start going weight bearing after my pins were removed. I was able to start wearing a tennis shoe with a carbon fiber plate under the insole, but nothing is working. I'm very concerned about it and it's starting to ride on top of my fourth toe like your video. I'm not sure what to even ask him at my next appointment. Should I ask for a CT scan to be done or will that not make a difference?
@DrOzanAmir5 күн бұрын
I would discuss your concerns regarding outcomes and what he suggests in dealing with these issues. The CT won't make any difference. Evaluation of this problem is mainly clinical. Lmk how you go after the consult.
@carnivorevitality8 күн бұрын
Hey Doc. Commented on the other video too. I had this surgery done 24 months ago as a young 20 year old at st Leonard’s and they even removed 25% of the abductor hallucis. However the issue came back after surgery. What are your thoughts? There is a massive scar, I am trying to wear barefoot shoes, myofascial hydration and toe spacers to reverse it. Or is looking at another fasciotomty a better option. Thanks Doc please get back to me! I can book to see you in Sydney too
@DrOzanAmir7 күн бұрын
Yes, just read your other post and replied. Hopefully chat soon.
@carnivorevitality8 күн бұрын
Hey Doctor. I have had the exact same fasciotomy surgery performed and it fixed it for 7-14 days but after an infection in the foot the compartment syndrome returned in my abductor hallucis. They also took out 25% of the muscle as it was too big due to being hypertrophied for year 5 years. I am located in Sydney, could we perform another same surgery and do it right this time? Or am I too long gone, I assume I need an assessment but what do you think? Thank you so much Doctor I’m 20 years old this pain has ruined my life
@DrOzanAmir7 күн бұрын
Hi, I know how debilitating this problem can be. I can assess and see if anything further can be done. If you can contact my prac manager Maree, she can help you to make an appointment at [email protected] If you speak with Maree, please send through to her all your reports, so I can have a read before the appointment.
@PhilipMarshman10 күн бұрын
Great video Oz, keep doing them! Great training tool for our team ;)
@DrOzanAmir10 күн бұрын
Thanks Philip, really appreciate the comment. Cheers Oz
@derekdarks453311 күн бұрын
How much does it cost to do this surgery
@DrOzanAmir11 күн бұрын
Hi, the cost will vary greatly. Will depend on the surgeon and the country you are in. Hospital and anaesthetic costs need to also be factored in.
@paulmabunda280416 күн бұрын
I did mine on the left foot six weeks ago....it's not that painful...cannot wait to do my right foot.
@44moka2217 күн бұрын
Hello, many thanks for the video. Is the second excision about intermetatarsal bursectomy?
@DrOzanAmir17 күн бұрын
Thank you, Im happy you liked it. The second excision is another adventitial bursa.
@44moka2217 күн бұрын
I see, I thought the second is sth else as the location is not on the side. Do you also have some video or pictures of the excision of the intermetatarsal bursa?
@DrOzanAmir17 күн бұрын
@44moka22 I don't have a video of an intermetatarsal bursal excision. I know these are reported often with a neuroma. Interestingly, when I excise a neuroma, I rarely see the intermetatarsal bursa.
@jeemun19 күн бұрын
I wish my nurse had seen this before cutting mine off for my 1 week wound check.. she just left the foot with a thick plaster 😩 two week check with surgeon on Friday
@pctechnic0119 күн бұрын
I regret to say that kinesio tapes do not provide any useless support, because there is a serious epidermis in the middle. It serves no purpose other than visuality. decided by experience.
@DrOzanAmir19 күн бұрын
Can replace with sports tape
@scotterman100022 күн бұрын
Dr Amir Was This Surgery Done In Your Office Under An Local Anesthic Yes Or No Scott Erman USA
@DrOzanAmir22 күн бұрын
Hi Scott, yes it was performed under local in my office. I have a room I use specifically for procedures.
@S-fl8sz23 күн бұрын
: For bunions, or post op, does one have to wear a cam boot after it or can slowly take steps to see comfortabiltiu and then wear sneakers
@DrOzanAmir22 күн бұрын
Hi, I usually keep patients in a cam boot or a post operative shoe for 3 weeks, and then get them into a sneaker.
@Faithwynn199627 күн бұрын
I’m officially 5 months from all American foot surgery I’m no longer suffering. Now I’m suffering on my left foot
@DrOzanAmir27 күн бұрын
Good to hear the right foot has healed.
@Nisi443Ай бұрын
Amazing surgery it was a lots of works it takes a lot of patience to do that may god bless the works of their hands everything went well 💖❤️💖❤️🌝🌝👍
@DrOzanAmirАй бұрын
Thank you for the very nice comment.
@venchamadmАй бұрын
Absolutamente maravilloso
@DrOzanAmirАй бұрын
muchas gracias
@scorson74Ай бұрын
I had this done recently and my 5th toe is deviated. Will this go down in time? I'm trying everything to tape it down to train it in fear of scar tissue setting it and causing it to be permanent. I emailed my Dr 2 days ago asking and haven't heard back yet. PLEASE HELP!!
@DrOzanAmirАй бұрын
Hi, continue taping as you have been in the corrected position. As the tissue heals and swelling goes down, the deviation most often reduces. This can take several weeks. Hopefully you'll be able to consult with your surgeon soon and have him assess progression of healing.
@scorson74Ай бұрын
@DrOzanAmir Thank you so much!! This helps me tremendously! He did reply last night and said this. "I would would work on massaging the incision sites, and passively flexing the toe down, by holding at the base of the toe (not the tip) and flex the toe down for 15-20 seconds, 4-5 times. Will help stretch the soft tissue and allow the toe to sit better aligned. " Do you feel this will help as well? I will do what he said, plus I'll constitute to tape it down. He didn't mention how many times a day to do this 4-5 times. If you have any other suggestions, I would love to hear them. I have been post-op since May 31, 2024.
@DrOzanAmirАй бұрын
@scorson74 it's still early days. The massage and holding the toe down is a very good thing to do. If the stretch is not causing pain, you can repeat a few times a day.
@scorson74Ай бұрын
@@DrOzanAmir Thank you a million for your help and responses! I will continue to head your advice!! Have a wonderful day!
@scorson747 күн бұрын
@DrOzanAmir Hello again! I'm still very concerned that my 5th toe is not moving, going down or purchasing the ground. My Dr said the way he did it, it will eventually go down. It is rigid and stiff as a board, sticking to my 4th toe as it did when I had the pins taken out on July 9th. I still tape my toe down but had to give it a break because it became bruised on the top. My 4th toe also had a k wire, but that is not rigid like my 5th toe. I'm so upset and don't know if it will go down without a tendon release surgery. I'm your opinion, what are your thoughts since I'm 4 weeks out from wire removal and no improvement at all. I don't see my foot Dr until a week from this Tuesday (Aug. 20, 2024). I can't even wear a shoe with sides or any top to it as it would rub and squeeze my toes together. I trust your opinion, and you have been so great at answering my questions.
@sharonhoussou6032Ай бұрын
Dr. Amir, what kind of tape do you use? I just had tarsal tunnel release - can I use tape post-surgery?
@DrOzanAmirАй бұрын
Hi Sharon, There shouldn't be a need for taping post surgery. However, some patients like the mild compression from the tape. I would check with your surgeon before trying this taping technique. I used kinesio tape (rock tape) and sport tape (5cm width).
@user-lj8qb3br9lАй бұрын
Just yesterday I had that surgery on both feet.🙏🏻🙌🏻
@violetm4Ай бұрын
Is this the minimally invasive type of the surgery? The surgery looks so small and simple, I can't believe you have to be off your feet for so long! I have an extreme tailors bunion, I cant see an example online as bad as mine, but the recovery time needed after surgery is really worrying me
@DrOzanAmirАй бұрын
Hi, this is actually an 'open' technique, though the incision is small.
@DrOzanAmirАй бұрын
What advise were you given regarding the recovery time?
@kaliroy04Ай бұрын
Awesome procedure. Definitely I need a surgery like this one. Thank you
@DrOzanAmirАй бұрын
Thanks for the nice reply. Hope you get to consult with a podiatric surgeon in the near future.
@kaliroy04Ай бұрын
@@DrOzanAmir Absolutely. I didn't know about this surgery. A wonderful option to avoid my soft corn coming back over and over. Thank you so much again for your video.
@rostycosyАй бұрын
Doesn't hold up the flesh around with clips or something
@DrOzanAmirАй бұрын
Putting clips on skin causes unnecessary trauma.
@AAD2120Ай бұрын
Can you go back to being active and play tennis. Volleyball and other sports after tenetomy for hammer toes?
@DrOzanAmirАй бұрын
Hi, there is always a risk of complications, however with an isolated tenotomy (1 toe) I have not seen a complication arise that has prevented returning back to sports. When multiple tenotomies are performed on several toes, swelling can be excessive, nerve damage is a greater risk and also muscle weakness in the toes.
@AAD2120Ай бұрын
@@DrOzanAmir thank you! So you suggest not doing 4 toes at once? What if you just do 2 toes at a time? I wasn’t sure it cause you to lose the ability to use your toes at all when you walk and run? Thus, limiting you in sports if you’ve been an athlete your whole life.
@DrOzanAmirАй бұрын
@AAD2120 it is difficult for me to comment without examining your problem. There are several factors that can affect outcomes. It maybe OK doing all 4 toes but you need to be aware of the associated risks. If you are unsure of the advise given by your surgeon, it is a good idea to get a second opinion. Have another surgeon examine you thoroughly and compare the advise given.
@AmitSharma-qg3tuАй бұрын
Hello doctor. I have undergone tendon debridement and repair 4 years back. Now, I have a very tight soleus muscle and chronic Achilles tendinitis (not resolving by stretch). Now, doctors have recommended for gastroc recession (cutting the layer over muscle) surgery to remove tightness. Would the video procedure work for soleus and Achilles region tightness. And are their chances that one loses permanent strength over legs.
@DrOzanAmirАй бұрын
Hi, yes this technique also allows lengthening of the soleus. I have not seen permanent loss in strength, only temporary. Specific exercises can be given post surgery to help build strength back up again.
@AmitSharma-qg3tuАй бұрын
@@DrOzanAmir thank you doctor.
@rabaevangelistaАй бұрын
speak little English, and I use a translator
@rabaevangelistaАй бұрын
Thanks to you too, because I have that problem and I think I need that surgery so that my days in old age that God wants to give me are not so painful and difficult to walk, I am an evangelical missionary by Divine mandate, and I want to continue fulfilling God's purpose for humanity to be saved, but I must also make the corresponding arrangements in my body. Thank you again for that contribution, blessings, in the name of Jesus, amen.
@DrOzanAmirАй бұрын
Thank you for the very nice message. I hope you have an uneventful recovery when it comes time for your surgery.
@alemzewdholsey248Ай бұрын
Hello Dr Amir how many weeks or months do I need to recover because I’m planning to get surgery in few months
@DrOzanAmirАй бұрын
Hi, it will depend on the type of bunion procedure you are having performed and if you have any issues that may delay healing. For the Chevron bunionectomy patients are back in a jogging shoe around 3 weeks after surgery, however the bone won't be fully healed until week 7 and the surrounding soft tissue till week 12. There is continued healing even for 12 months after surgery.
@alemzewdholsey248Ай бұрын
Thank you Dr Amir
@louisadredge571Ай бұрын
Is the patient awake?
@DrOzanAmirАй бұрын
Hi, No, the patient was under general anaesthetic.
@christiank68402 ай бұрын
Will the fibroma now be replaced with a painful callus?
@DrOzanAmir2 ай бұрын
The plantar fibroma can reoccur, which I have seen. Usually the module is smaller than prior to surgery. I have not seen a callus form on the skin after excision.
@user-jh5sk9on4e2 ай бұрын
Прежде чем снимать, камеру надо настроить
@sonlady2 ай бұрын
I want to thank you so much. I'm a 20 year Lic. Massage Therapist in the US & am dealing with Tarsal Tunnel Syndrome. I've taken a course in Kinesiotaping but there's so many applications that I'm surely no pro at it. My knowledge of anatomy though proved very helpful. I ordered Rock Tape yesterday through Amazon & got it today. I now have it on following exactly how you showed here & it's working wonderfully so far!
@DrOzanAmir2 ай бұрын
This is so good to hear. I hope the taping continues to help and you become pain free.
@cafecito_cream2 ай бұрын
When they bent the toe down, i felt such a relief on my stiff toe lol
@DrOzanAmir2 ай бұрын
🙂
@JustMyOpinion-2 ай бұрын
What's the point of removing them if they just come back?
@yousef_afc9363Ай бұрын
Gets bigger, damages the skin, leads to risk on infection. You can even see the corns are leading to abnormal biomechanics
@DrOzanAmirАй бұрын
@yousef_afc9363 thank you for the clear response.
@zlife82942 ай бұрын
очень плохо снято видео
@DrOzanAmir2 ай бұрын
I know :)
@ArjuneS-sk7tp2 ай бұрын
Hello doc Thanks for the video , I will be undergoing the procedure in couple of weeks .. I slightly limp a little while walking because of foot drop and my dorsiflexion movements are restricted.. will this procedure to improve my walking posture again and reduce the limping during the walk ?
@DrOzanAmir2 ай бұрын
Hello, The idea of this procedure is to increase dorsiflexion at the ankle due to a tight gastrocnemius muscle If the heel is off the ground and this is responsible for the slight limp, this procedure should help. See this article attached. It should answer a few things. www.ncbi.nlm.nih.gov/pmc/articles/PMC8955202/
@ArjuneS-sk7tp2 ай бұрын
@@DrOzanAmir Yes hoping this procedure and few months of rehab can help me in improving my walking posture and reduce my limp . Thank you for the response . It clears my mind off . Would you please share your email id where i can ask few more question regarding the foot drop ?
@DrOzanAmir2 ай бұрын
@ArjuneS-sk7tp hope the procedure goes well. It can be difficult to answer questions without examining you properly. For this reason I ask people to consult with their specialist who has had the opportunity to perform a thorough clinical assessment.
@ArjuneS-sk7tp2 ай бұрын
@@DrOzanAmir Appreciate it , thank you !!
@krisfisher54042 ай бұрын
The most insane ingrown toenail removal kzfaq.info/get/bejne/nJZ1fpxi2cyxZ30.htmlsi=WzPPih5lf2-BwPMp Deeply satisfying.
@MrTeniguafez2 ай бұрын
Is this the same as the Winograd procedure? (Might be spelled wrong)
@DrOzanAmir2 ай бұрын
Yes it is. I recently added a vid and titled it as the Winograd kzfaq.info/get/bejne/eLl7opqIxLXJYX0.htmlsi=TqgHz2D4QFt9mviK
@roxanac28252 ай бұрын
What is the recovery time?
@DrOzanAmir2 ай бұрын
I am fairly conservative and keep patients in a protective shoe and limited activity for 3-4 weeks. This is followed by wearing a stable jogger and an ankle brace for another 3-4 weeks. Start with walking short distances and slowly increasing actvity. May take 12 weeks before full activity is recommended.
@ekachandra44682 ай бұрын
I had an accident that broke the base bone of my big toe, and a deep laceration opened on the sole of my foot. After 2 months my wound had healed and the K wire was removed from my big toe. Still the problem now is that my thumb is very stiff, it can only move 10%. Does this affect broken tendons or stiff tendons?
@DrOzanAmir2 ай бұрын
If the fracture went through the joint (intra-articular fracture), this can result in stiffness. If swelling is still present, this can also contribute to the joint being stiff. To know if the tendon was affected by the injury or the wound that occured, best to speak with your Dr. He/she may suggest an ultrasound to assess this.
@ekachandra44682 ай бұрын
@@DrOzanAmir thank you Dr. Ozan🙏😀 thankfully the broken bone was a little far from the joint. permission to ask Dr. If there is a problem with the tendon, it can cause stiffness in the fingers, as I experienced, my thumb is very stiff, it can only be moved downwards 10% and not upwards. sometimes my fingers feel cramped when I press on the soles of my feet...
@milliem11712 ай бұрын
Incomplete, it does not show how anesthesia was provided, very first part is missing
@DrOzanAmir2 ай бұрын
Hi, in this video, I didn't demonstrate the injection technique, but in a previous video, I go through the hallux block. I've attached the link. kzfaq.info/get/bejne/ldpdpJpzkpe6pZ8.html Hope this helps.
@mondoburley2 ай бұрын
Hi, I had a very aggressive paronchyia in March, and doc diagnosed cellulitis. 3 courses of antibiotics and my toe still has redness around it and doc says my cuticle is not sealed. I keep lining it with Vaseline but does not seem to be getting any better. Do these ever heal? I haven’t been to a podiatrist
@DrOzanAmir2 ай бұрын
Hi, Yes these can heal. I would also encourage that you see a podiatrist, especially if the infection is still present after 3 courses of antibiotics.
@mondoburley2 ай бұрын
I have an upcoming appointment. Wondering what is the best way to help my toe heal. Do I keep it dry at all times y/n?, wrapped up y/n? Vaseline y/n? Wear socks y/n?
@DrOzanAmir2 ай бұрын
@mondoburley keep it covered, keep dry (can wash with saline) and apply Betadine until your appointment. Your Dr will advise if antibiotics are required.
@zineguri85152 ай бұрын
I don't really understand why smoking is being highlighted as if its the primary cause of her problem here. I appreciate that the focus of the video isn't about the anatomical and bio-mechanical issues the patient had but I think its important to point out that HD is actually caused by these pressures. Looking at her skin integrity, color etc at this stage, she doesn't really strike as having significant peripheral vascular disease either - her issues are likely pressure related (bony prominence would be my bet) combined with poor footwear +/- neglect /lack of appropriate/timely access to care.
@DrOzanAmir2 ай бұрын
Hi, You're correct, the primary problem is related to pressure under the met heads. All practitioners would accept this. The heloma durum, that are highly sensitive (far more painful than they should be), I've noticed appear in chronic smokers. This is the reason I focused on smoking.
@apriyonJidung2 ай бұрын
Just one question does the nail grow back?
@DrOzanAmir2 ай бұрын
Hi, yes it does. Takes several months for full regrowth
@TheRobjc1232 ай бұрын
Did this patient have recurrence? Everyone says surgery is a big no no. Most everyone seems to regret it due to recurrence being worse. There are several other treatments.
@DrOzanAmir2 ай бұрын
This patient didn't have recurrence, but the rate is relatively high. A wide excision decreases the recurrence rate. Agree, there are other methods - padding, strapping, orthotics and cortisone injections etc. I wouldn't recommend or perform this procedure unless conservative care failed and the person was still in considerable pain.
@Kim-pt9ix2 ай бұрын
😭 I'm getting that next month, before surgery! Only I'm completely awake. After watching this video, I don't dare anymore
@IanReillyPodsurgeon2 ай бұрын
lovely vid Oz
@DrOzanAmir2 ай бұрын
Thanks always Ian.
@johnnyt37202 ай бұрын
Thanks for the video. What are you using for the injections? Is it just normal saline or something else. Thanks
@DrOzanAmir2 ай бұрын
Hi, I use various mixes, usually containing local anaesthetic and saline or dextrose and saline. In this vid I used ropivacaine and saline (50/50).
@johnnyt37202 ай бұрын
@@DrOzanAmir thanks
@dontshuks47292 ай бұрын
Dr Oz!, thank you for this thread. I wanted to ask if you have determined whether there is any disc bulging at the L4/5/S1 levels. Additionally, would it be advisable to use ultrasound guidance for high-volume injections to ensure accuracy and safety?"
@DrOzanAmir2 ай бұрын
Hello. No lower back issues. For anything deeper than the subcutaneous level, I would advise ultrasound. In this video, the injection was just below the skin. Eg: Hydrodissection for tarsal tunnel syndrome, I would use ultrasound (or a nerve stimulator as described by @Dr Ian Reilly).
@suzettebecker35812 ай бұрын
I hope mine goes this smoothly
@scotterman10002 ай бұрын
Dr Amir Was This Surgery Done As An Outpatient At The Surgical Centre Or At The Hospital Scott Erman USA
@DrOzanAmir2 ай бұрын
Hi Scott, it was performed at a day surgery hospital (under general anaesthetic)
@scotterman10002 ай бұрын
Dr Amir What Is The The Treatment For ipk Intraactible Plantar Keratosis You Explaining It Sir Scott Erman USA