Treatments
From specialist assessment and injections to keyhole and reconstructive surgery. Most foot and ankle problems improve without an operation.
Operations explained
What each operation involves, what to expect on the day, a week-by-week recovery guide, expected outcomes and consent information.
- Bunion (hallux valgus) surgeryUsually a day case · Full recovery 3 to 6 months, longer for high-impact sport
- Big toe fusion surgeryUsually a day case · Full recovery 3 to 6 months for swelling to settle
- Big toe cheilectomy (excision of bone spurs)Day case · Full recovery 3 to 6 months
- Lesser toe correction surgeryUsually a day case · Full recovery Swelling can take over 6 months to settle
- Bunionette (tailor's bunion) correction surgeryUsually a day case · Full recovery 3 to 6 months
- Morton's neuroma surgeryUsually a day case · Full recovery 3 to 6 months; comfort can improve for up to 12 months
- Midfoot fusion surgeryUsually a day case · Full recovery 3 to 6 months and beyond
- Hindfoot fusion surgeryShort inpatient stay · Full recovery 3 to 6 months and beyond, depending on joints fused
- Ingrown toenail surgeryDay case · Full recovery 6 to 12 weeks
- Flat foot reconstructionFull recovery 6 to 12 months
- Ankle fusion surgeryDay case or short inpatient stay · Full recovery 3 to 6 months and beyond
- Ankle arthroscopy (keyhole ankle surgery)Day case · Full recovery 3 to 6 months for high-impact sport
- Ankle stabilisation (ligament reconstruction)Usually a day case · Full recovery 3 to 6 months; jogging often at 3 to 4 months
- Removal of painful metalworkUsually a day case · Full recovery 6 to 12 weeks
- Ganglion excision surgeryUsually a day case · Full recovery 3 to 6 months; comfort can improve for up to 12 months
- Achilles debridement surgeryUsually a day case · Full recovery 3 to 6 months; comfort improves for up to 12 months
- Haglund's deformity excision (heel bone spur)Usually a day case · Full recovery 6 months or more if the tendon is repaired
- Gastrocnemius (calf) release surgeryDay case · Full recovery 3 to 6 months
Assessment and non-surgical treatment
Specialist consultation
Full assessment of the foot, ankle and walking pattern, with X-rays, ultrasound, CT or MRI arranged when needed.
Image-guided injections
Steroid, PRP and Botox injections given under ultrasound or X-ray guidance for accuracy.
Shockwave therapy
For stubborn plantar fasciitis and Achilles tendinopathy, alongside a stretching and loading programme.
Cryotherapy (cryoablation)
Ultrasound-guided freezing of the nerve in Morton's neuroma, without an incision.
Insoles and rehabilitation
Orthotics and physiotherapy through our partners, including Isle of Man rehabilitation with Ruth Cooil Physiotherapy.
Forefoot surgery
Keyhole (MIS) bunion surgery
Minimally invasive correction through tiny incisions, as well as Scarf osteotomy and fusion.
Toe correction
Correction of hammer, claw, mallet and overlapping toes, and bunionette surgery.
Morton's neuroma surgery
Nerve decompression or removal when cryotherapy or injections have not worked.
Midfoot, hindfoot and ankle surgery
Fusion surgery
Midfoot, subtalar, double, triple and ankle fusions for arthritis and deformity.
Midfoot arthritis
Subtalar arthritis
Ankle arthritis
Talonavicular arthritis
Ankle arthroscopy
Keyhole surgery for cartilage injuries, impingement and loose bodies.
Ligament repair and reconstruction
Broström-Gould repair and reconstruction for recurrent ankle sprains.
Flat foot and high arch reconstruction
Tendon, ligament and bone realignment surgery tailored to the foot.
Achilles and calf surgery
Gastrocnemius release, Achilles debridement, Haglund's excision and Achilles reconstruction.
Injuries
Fractures and dislocations
Ankle, syndesmosis, talus, calcaneus, Lisfranc and Chopart, and metatarsal injuries, with internationally recognised expertise in complex ankle fractures.
Tendon ruptures
Achilles and other tendon ruptures, treated with or without surgery and a structured functional rehabilitation programme.
Problems after injury
Malunion reconstruction, removal of painful metalwork and management of ongoing pain.
Not sure what you need?
A consultation gives you a diagnosis and a clear plan, surgical or not.