Free Seminar: Lapiplasty Bunion Correction

JCMG Podiatry invites you to a free informational seminar on the groundbreaking Lapiplasty 3D Bunion Correction procedure. Learn from the most experienced Lapiplasty surgeons in Missouri: Dr. McAleer and Dr. Duke.

Wednesday, June 9 at 5:30pm
JCMG Training Room
1241 W Stadium Blvd.
Jefferson City, MO

Food and drinks provided. Social distancing observed.

Register: (573) 556-7724

By |2021-05-27T18:22:56-05:00May 27th, 2021|

Lapiplasty Patient Story: Meet Judy

With common risk factors for the development of bunions including genetics as well as wearing tight, restrictive footwear; it was no surprise to Judy (a 65 year-old retiree from Missouri) that she developed bunions on both feet. Not only do bunions run in her family, Judy spent much of her adult life in dress shoes as the owner of a retail-clothing store with long hours on her feet.

For more than thirty years as a successful business owner, office employee, and busy mother, Judy suffered some degree of pain. She tried over-the-counter orthopedic gel pads and inserts in search of relief, but to no avail. As the years progressed and the pain increased, Judy limited her mobility. And, as the bunions became visible though many of her shoes, she began to feel self-conscious about her appearance.

In 2016, a searing pain in the middle toe on her right foot sent her to Dr. Jody McAleer, a podiatrist in nearby Jefferson City. Dr. McAleer diagnosed the pain as a pinched nerve brought about by the bunion. He suggested correcting it through a common, surgical procedure called a Lapidus bunionectomy.

Judy underwent surgery on her right foot in October 2016. She endured a lengthy rehab associated with the traditional Lapidus bunionectomy which required her to be completely non-weight bearing for the first six weeks (no walking at all), before being allowed to move into a walking boot. Full recovery took close to six months.

Judy, a Lapiplasty patient

During one of her follow-up visits with Dr. McAleer, he informed her about a new surgical procedure called Lapiplasty® 3D Bunion Correction that he had learned about and had become trained on. Dr. McAleer felt this new procedure would be a good option for the bunion on her left foot.

Unlike the traditional Lapidus bunionectomy, the Lapiplasty® Procedure would do more by addressing all three-dimensions of the bunion deformity by rotating the patient’s entire affected metatarsal bone back into normal alignment instead of just shaving the bone and pushing it over. The unstable joint is also permanently stabilized with patented titanium plating technology. This 3D approach to bunion correction naturally removes the bump and straightens the toe, while the patented Lapiplasty® titanium plating technology enables patients to bear weight on their foot within days.

Judy’s Lapiplasty® Procedure took place in June 2017 and, compared to the first surgery on her right foot, she experienced an accelerated recovery. She was able to put weight on her left foot the day following the operation, in a walking boot. She was able to move out of the boot after six weeks into normal, comfortable shoe wear; and was walking pain free at 2 months.

“The difference between my first bunion surgery and the Lapiplasty® Procedure was like night and day. I was happy with how quickly I was on my feet and fully recovered with the new approach,” Judy said.

And today, according to Judy, she is pain-free, no longer self-conscious with her appearance, and enjoys life with her friends and family. She is content with the knowledge that if the bunion on her right foot should reappear, she can address it with the newer, novel approach of Lapiplasty® 3D Bunion Correction.

Judy, a Lapiplasty patient

Only a surgeon can tell if Lapiplasty® 3D Bunion Correction is right for you. As with any medical treatment, individual results may vary and this experience is unique and specific to this patient only. There are potential risks with surgery and recovery takes time. Potential risks include, but are not limited to: infection, discomfort from the presence of the implant, loosening of the implant, and loss of correction with nonunion or malunion.

By |2018-10-01T23:28:46-05:00June 14th, 2018|

Lapiplasty Patient Story: Meet Jim

Jim spent many years on his feet wearing steel-toed boots on concrete floors.  He worked in a factory for a while and then for the highway department.  Jim, now retired at 64, does a lot of work at home as well. Unfortunately, about five or ten years ago, he was slowed down when he began developing bunions on both feet. The bunion on his right foot was particularly painful.

Although in pain, Jim delayed doing anything about it because he knew several people who had had surgery to treat their bunions and they were off their feet for three months.  But, as time went on and his bunions became more painful, he found he could no longer run for exercise and was even limited playing with his grandchildren.

Then, one day, he saw that two local doctors, Dr. Jody McAleer and Dr. William Duke, were offering a seminar on a new procedure to treat bunions; Lapiplasty® 3D Bunion Correction™.

Jim, a Lapiplasty patient

Jim attended the seminar and learned about the benefits of Lapiplasty® 3D Bunion Correction™, a procedure which treats all three dimensions of the bunion deformity by returning the entire metatarsal bone to its normal alignment and permanently stabilizes the joint – naturally removing the bump and straightening the toe.  To Jim, Lapiplasty® 3D Bunion Correction™ looked like a better fix than a traditional bunionectomy because this surgical procedure addressed the root cause of the bunion rather than just addressing the cosmetic issue, and he decided to have the procedure.

Jim had the Lapiplasty® Procedure in January 2018 and is thrilled with the outcome. He was able to walk the next day after surgery, wearing a boot, and hardly needed any pain medication during his recovery. Today, Jim is able to play with his grandchildren and work around the house pain-free. He is now planning to have the procedure on his other foot sometime soon.

Jim said, “I had very little pain from the surgery. Overall it was easier than anticipated.”

Jim, a Lapiplasty patient

Only a surgeon can tell if Lapiplasty® 3D Bunion Correction is right for you and what level of activity you can expect after healing is complete.  As with any medical treatment, individual results may vary and this experience is unique and specific to this patient only.  There are potential risks with surgery and recovery takes time.  Potential risks include, but are not limited to: infection, discomfort from the presence of the implant, loosening of the implant, and loss of correction with nonunion or malunion.

By |2018-10-01T23:28:46-05:00June 14th, 2018|

Tarsal Tunnel Syndrome: What You Need to Know

At JCMG Podiatry we see an increased number of patients dealing with acute and chronic heel pain. In some cases this pain is associated with a condition known as tarsal tunnel syndrome. Tarsal tunnel syndrome in many ways parallels carpal tunnel syndrome in the hand and wrist.

The tarsal tunnel is located along the inside portion of the ankle and contains blood vessels, the tibial nerve and its branches as well as a number of tendons. The roof of the tarsal tunnel is a structure known as the flexor retinaculum. The flexor retinaculum is a tight structure and limits the amount of space in which the tibial nerve and surrounding structures can move.

Most patients who are suffering from tarsal tunnel syndrome present with a variety of symptoms, but pain and burning seem to be the most common. Pain can and often does radiate to the heel and into the arch of the foot. Additionally, cramping of the muscles into the arch can occur in the early and sub-acute stages of this condition. Numbness and tingling routinely develop as the condition progresses. It is not uncommon for numbness and tingling to extend into the toes.

Tarsal tunnel syndrome can develop for a number of reasons. The most common causes of tarsal tunnel syndrome are:

  • A direct injury to the nerve as a result of a severe sprain or fracture
  • Venous reflux or varicose vein formation overlying the tibial nerve
  • Cyst formation deep within or superficial to the tarsal tunnel
  • Systemic conditions like diabetes
  • Foot deformities such a decreased arch height

In each of these situations the tibial nerve becomes compressed and loses its ability to send the proper signal to the soft tissue structures it controls. Once the syndrome is activated, pain develops. At first pain may be intermittent in nature and relieved with rest and elevation of the limb, but as the condition progresses, pain becomes more consistent throughout the day.

Generally speaking, patients typically wait a prolonged period of time before presenting to their doctor after the onset of symptoms. This is both understandable and problematic. Obviously, very few people run to the doctor’s office at the first sign of every ache or pain that develops, but in this case as the duration of symptoms increase, the harder it becomes for conservative care to be effective.

Multiple modalities are used to help aid in the diagnosis of tarsal tunnel syndrome for patients, but ultimately the diagnosis is primarily based on a thorough history and physical exam. Oftentimes x-rays, MRIs and even a test to check the ability of the nerve to send the proper speed and strength of its signal (this test is called an EMG/NCV) are performed to help confirm the diagnosis of tarsal tunnel syndrome.

Non-surgical treatment options are attempted in an effort reduce the symptoms associated with tarsal tunnel syndrome, but they are often ineffective. Injection therapy, custom orthotics and physical therapy can all be helpful, but unless you address the root cause of the problem the symptoms will recur and ultimately the patient will be frustrated.

In most cases the tibial nerve will require decompression via a short outpatient surgical procedure. An incision is made over the inside portion of the ankle and the retinaculum overlying the tibial nerve is released and the nerve is freed of any surrounding adhesions. If any varicosities are noted overlying the tibial nerve during the procedure they are ligated as necessary. Intra-operatively if a cyst is present it will also be excised in order to relieve the compression of the tibial nerve. Once the tibial nerve has been freed of any compressive structures, the skin is repaired and a dressing applied to the operative limb. The retinaculum is not repaired in an effort to decrease the potential of scarring in the area. Any scarring could cause recurrent compression of the tibial nerve.

Tarsal tunnel syndrome is a very frustrating condition for patients. At JCMG Podiatry we have successfully treated a large number of patients suffering from this condition. Our goal is to get each patient back to their activities as quickly and as safely as possible, and reduce the risk of recurrence for this problem.  If you have been suffering with acute or chronic heel pain that hasn’t responded to conservative care, you will benefit from a thorough podiatric history and physical examination to ensure that you are not suffering with tarsal tunnel syndrome.  Same day and next day appointments are available at JCMG Podiatry. Please call (573) 556-7724.

By |2018-10-01T23:28:46-05:00April 11th, 2018|

Ankle Sprains and Instability: How the InternalBrace™ is Reshaping Traditional Treatments

It is estimated that 32,000 people a day suffer a sprained ankle! Obviously this injury occurs most commonly during exercise and sport activities, but during the winter months when snow and ice create slippery conditions an ankle sprain can occur at any time. Unfortunately out of these 32,000 sprains 15%, or just under 5,000 people, develop chronic instability of their ankle. This instability has a negative impact on a person’s ability to complete certain exercises or even compete at their previous level of competition in sports.

The outside of the ankle is composed of three very important ligaments, the anterior talofibular ligament, the calcaneofibular ligament and the posterior talofibular ligament. When an ankle sprain occurs the ligament that is most commonly affected is the anterior talofibular ligament. When this ligament tears an instability of the ankle occurs that leads to prolonged pain and a decreased ability to return to a previous level of exercise or sport activities.