Submitted by Brian Nagy, DPM The mention of foot surgery can cause a frightening reaction for many people. Even just hearing the word “surgery” can cause them to run in the other direction. The need to use their feet every day increases their anxiety because they feel like they can’t afford to be off their feet.
This no longer has to be the case. With the advancements in surgical techniques and podiatry, minimally invasive surgery (MIS) makes it possible for patients to leave the hospital the same day as the surgery – without crutches or significant time off their feet.
Minimally invasive surgery is a procedure done by making a very small incision directly through the skin to the bone to help correct foot problems without damaging the soft tissue. It’s also extremely effective when other conservative treatments are not.
MIS is performed using specially designed instruments, similar to the tiny instruments used by jewelers, which are inserted into the body through small incisions made through the skin directly to bone to help correct deformities without damaging the soft tissue.
The podiatrist uses a technique called fluoroscopy to see inside the body without having to open it up. Fluoroscopy is an imaging technique that is performed using a live x-ray machine with very low radiation. The images are sent to a video monitor set up in the operating room.
This allows the podiatrist to complete complicated and delicate procedures without exposing the patient to unnecessary risks, such as infection, scarring and an extended recovery time.
MIS allows for almost immediate use of the foot. Recovery is usually quicker – up to twice as fast – and less painful than a traditional open surgery. Depending on the condition, many patients are back on their feet within a few days following a minimally invasive procedure. Due to the small size of the incision, patients will have stitches for about a week, experience less pain during recovery, and are left with no visible scarring.
Instead of using crutches, surgical walking boots can be used to support the foot. This allows the patient greater mobility without fear of re-injuring the area while it is healing. The actual length of recovery time will depend on the foot problem being treated and a patient’s individual circumstances. The reality is, most of us can’t afford to be off our feet for very long. All the reasons that are causing someone to be scared, can be forgotten when a minimally invasive technique is used.