Prof Mason

Liverpool Foot and Ankle Clinic

What’s causing your medial arch pain after an ankle fracture? It might be tibialis posterior tendon entrapment! 🦶⚠️

@drlyndonmason and colleagues published a study highlighting that 22% of posterior malleolar ankle and pilon fractures resulted in tibialis posterior tendon (TPT) entrapment—a condition that often goes undiagnosed and can lead to persistent pain and dysfunction.

🔍 Key findings:
✅ If the fracture line enters the TPT sheath, there is a 45% risk of tendon entrapment.
✅ Both pilon and posterior malleolar fractures have similar rates of entrapment.
✅ Many cases are missed preoperatively, and residual pain is common at 6 months.
✅ Preoperative CT scans are essential to assess tendon involvement.

💡 Why does this matter?
TPT entrapment can alter foot mechanics, cause medial arch pain, and lead to long-term dysfunction if not addressed. Surgeons should assess pre-op imaging carefully and consider intraoperative exploration for patients with persistent post-fracture pain.

🔗 Read the full study:
Aamir J, Syziu A, Andritsos L, Caldwell R, Mason L. Tibialis posterior tendon entrapment in posterior malleolar and pilon injuries of the ankle: a retrospective analysis. Eur J Orthop Surg Traumatol. 2023. DOI: 10.1007/s00590-023-03714-8

#FootAndAnkle #AnkleFracture #TibialisPosterior#OrthoResearch #AnkleSurgery #MedialArchPain#FixTheFracture #OrthoLife #SurgicalEducation#traumasurgery #anklepain #drlyndonmason#liverpoolfootandankle #iom #iomfootandankle

🚨 Smoking & Ankle Surgery: A Risk You Can Avoid 🚨

A new study highlights the negative impact of smoking on recovery after arthroscopic bone marrow stimulation (BMS or microfracture) for osteochondral lesions of the talus (OLTs). If you’re a smoker undergoing this procedure, you may face poorer outcomes and reduced ankle function.

📌 Key Findings (Cheng et al., 2024):
❌ Smokers had worse postoperative pain and lower AOFAS & Karlsson-Peterson scores (ankle function).
❌ Larger OLTs (>50 mm²) worsened smoking’s negative impact on recovery.
❌ Smokers over 32 years old were less likely to return to high-level activity.
✅ Nonsmokers had significantly better pain relief & functional recovery after surgery.

🔑 Takeaway:
Smoking impairs healing, delays recovery, and worsens outcomes after BMS for OLTs. If you’re considering ankle surgery, quitting smoking could be one of the best decisions for your long-term foot and ankle health!

📖 Reference:
Cheng X, Su T, Dong J, et al. Effect of Cigarette Smoking on Postoperative Outcomes After Arthroscopic Bone Marrow Stimulation for Osteochondral Lesions of the Talus. Foot & Ankle International. 2024;45(8). doi:10.1177/10711007241250007

💬 Do you discuss smoking cessation with your patients before surgery? Let’s talk below! 👇🏼

📍 For more insights, visit @drlyndonmason

#AnkleSurgery #BoneMarrowStimulation#OsteochondralLesion #SmokingCessation #Orthopaedics#FootAndAnkle #SportsMedicine #AnkleInjury#CartilageHealing #SurgicalOutcomes #AnkleRehabilitation#SportsInjury #HealingMatters #QuitSmoking #AnkleHealth#Podiatry #OrthopedicResearch #SurgeonLife #cartilage#cartilagerepair #cartilageregeneration #quitsmoking#quitsmokingtoday

What are the risks of smoking in foot and ankle surgery? 🚬⚠️

Smoking has a significant impact on foot and ankle surgery outcomes. @drlyndonmason published a review of the evidence, showing that smokers face higher rates of wound complications, delayed healing, and non-union—particularly in ankle and hindfoot fusions. 🚨

🔹 Trauma cases: Increased infections and delayed bone healing
🔹 Elective surgery: Higher non-union rates, especially in fusions
🔹 Diabetes patients: Increased ulceration risk and potential for amputation
🔹 Smoking cessation: Even 4 weeks before surgery can significantly reduce risks!

This research reinforces the importance of smoking cessation in optimizing surgical outcomes. 

Full reference:
Heyes G, Weigelt L, Molloy A, Mason L. The influence of smoking on foot and ankle surgery: a review of the literature. The Foot. 2020; https://doi.org/10.1016/j.foot.2020.101735

#OrthoResearch #FootAndAnkle #AnkleSurgery#SmokingAndHealing #BoneHealth #OrthoLife#SurgicalOutcomes #FootAndAnkleSurgery #TraumaSurgery#SmokingCessation #OrthoCommunity #FixTheFracture#fracturehealing #drlyndonmason #liverpoolfootandankle#iom #iomfootandankle

The Liverpool Foot and Ankle Clinic is proud to collaborate with Ruth Cooil Physiotherapy & Healthcare Services in the Isle of Man

The Liverpool Foot and Ankle Clinic is proud to collaborate with Ruth Cooil Physiotherapy & Healthcare Services in the Isle of Man, ensuring that patients receive seamless, expert-led rehabilitation and post-operative care close to home.

By working closely with Ruth Cooil and her team, patients benefit from:
✅ Individualized rehabilitation programs
✅ Targeted strength & mobility exercises
✅ Hands-on physiotherapy techniques to optimize recovery

This collaboration ensures that Isle of Man patients receive consistent, high-quality care, reducing the need for frequent travel while maintaining direct specialist oversight from Mr. Hassan Ridha and the Liverpool Foot and Ankle Clinic team.

📍 Private Clinics Now Available!
🔗 For appointments and more info, contact us:
📍 Spire Liverpool
📧 E-mail: admin@liverpoolfootandankle.com
📞 Contact Team: 0151 522 1860

📍 Isle of Man
📧 E-mail: ruth@ruthcooilphysiotherapy.com
📞 Contact Ruth Cooil Team: 07624 244923

📍 For more insights, visit @drlyndonmason

#LiverpoolFootAndAnkle #IsleOfMan #FootAndAnkleCare#Physiotherapy #Orthopaedics #FootPain #SportsMedicine#AnkleInjury #HeelPain #Podiatry #Rehabilitation#RunningInjury #FootHealth #SurgeonLife#MedicalCollaboration #PrivateClinic #PostOpCare#AnkleSurgery #StrengthAndMobility #RecoveryJourney

🔹 Gastrocnemius Release for Chronic Plantar Fasciitis: Long-Term Results 🔹

Chronic plantar fasciitis can be frustrating, especially when conservative treatments fail. But new evidence suggests gastrocnemius release could be the key to long-term relief! A 6-year randomized controlled trial compared proximal medial gastrocnemius recession (PMGR) + stretching vs. stretching alone—and the results are compelling.

📌 Key Findings (Riiser et al., 2024):
✅ Significantly less pain in the surgical group at 6 years (VAS 2.5 vs 5.5, P < .001).
✅ Better function in the surgical group (AOFAS score 88.9 vs 78.6, P = .012).
✅ Improved quality of life (MOxFQ total score significantly better with surgery).
✅ No long-term loss of Achilles complex strength—confirming PMGR is a safe procedure.

❗ What does this mean?
If plantar fasciitis persists beyond 12 months and gastrocnemius contracture is present, surgical calf release may offer lasting relief where stretching alone falls short.

📖 Reference:
Riiser MO, Husebye EE, Hellesnes J, Molund M. Outcomes After Proximal Medial Gastrocnemius Recession and Stretching vs. Stretching as Treatment of Chronic Plantar Fasciitis at 6-Year Follow-up. Foot & Ankle International. 2024;45(1):1-9. doi:10.1177/10711007231205559

📍 For more information book a visit with @drlyndonmason

💬 Would you consider gastrocnemius release for stubborn plantar fasciitis? Share your thoughts! 👇🏼

#PlantarFasciitis #HeelPain #GastrocnemiusRelease#CalfTightness #FootAndAnkle #Orthopaedics#SportsMedicine #AnklePain #Surgery #Biomechanics#PainRelief #AchillesTendon #Rehabilitation #FootHealth#RunningInjury #Podiatry #MedicalEducation #HeelSpurs#GaitAnalysis #Physiotherapy #OrthopedicSurgery#SurgeonLife #plantarfasciitistreatment#liverpoolfootandankle #iom #iomfootandankle

🔹 Calf Release for Plantar Fasciitis: A Game-Changer? 🔹

#plantarfasciitis can be debilitating, affecting daily movement and quality of life. But what if tight calf muscles were a hidden contributor? A new systematic review suggests that gastrocnemius release could be an effective surgical option for chronic cases unresponsive to conservative treatment.

📌 Key Findings (Arshad et al., 2022):
✅ Significant pain relief and functional improvement postoperatively.
✅ Better outcomes than plantar fasciotomy and conservative stretching in some studies.
✅ Increased ankle dorsiflexion and maintained plantarflexion power.
✅ Quick return to weightbearing, work, and sports.
❗ Complications were low (~8.5%), but sural nerve injury is a rare risk.

🔑 Takeaway:
If chronic plantar fasciitis isn’t improving, calf tightness could be the missing link. Surgical calf release may provide a solution—especially for those with gastrocnemius contracture.

📖 Reference:
Arshad Z, Aslam A, Razzaq MA, Bhatia M. Gastrocnemius Release in the Management of Chronic Plantar Fasciitis: A Systematic Review. Foot & Ankle International. 2022;43(4):568-575. doi:10.1177/10711007211052290

📍 Book and appointment with @drlyndonmason to learn more.

💬 Would you consider calf release for plantar fasciitis? Let’s discuss! 👇🏼

#PlantarFasciitis #HeelPain #CalfTightness#GastrocnemiusRelease #AchillesTendon #FootAndAnkle#Orthopaedics #SportsMedicine #Podiatry #AnklePain#HeelSpurs #GaitAnalysis #Physiotherapy #Rehab#FootSurgery #RunningInjury #SportsInjury #FootHealth#AnkleRehab #SurgeonLife #OrthopedicSurgery#MedicalEducation #Biomechanics #painrelief#liverpoolfootsurgeon #isleofman

🔹 Ankle Stabilization & Microfracture: Long-Term Outcomes 🔹

🔹 Ankle Stabilization & Microfracture: Long-Term Outcomes 🔹

Chronic lateral ankle instability (CLAI) is often associated with osteochondral lesions of the talus (OLTs - areas of cartilage injury). But what happens when both issues are addressed simultaneously? A new study provides long-term evidence on outcomes after open ligament repair surgery combined with arthroscopic bone marrow stimulation (BMS also called microfracture).

📌 Key Findings:
✅ Patients undergoing open ligament repair + BMS had significant pain relief & functional improvement, comparable to those who only had open ligament repair surgery.
✅ Mild osteoarthritis progression was observed in both groups, with no significant differences in long-term joint degeneration.
✅ Return to sports was similar across groups, with high activity levels post-surgery.
❗ However, larger OLTs (>50 mm²) were linked to lower functional scores and greater joint degeneration over time.

🔑 Takeaway:
For CLAI patients with small OLTs, a combined approach of ankle stabilization + microfracture leads to excellent long-term outcomes. However, as lesion size increases, the predictability of good results declines—making OLT size a crucial factor in surgical planning.

📖 Reference:
Su T, Cheng X, Zhu Y, et al. Patients With Chronic Lateral Ankle Instability and Small Osteochondral Lesions of the Talus Obtain Good Postoperative Results: A Minimum 10-Year Follow-up With Radiographic Evidence. Foot & Ankle International. 2025;0(0). doi:10.1177/10711007241311858

💬 Have you managed CLAI cases with OLTs? What’s your preferred approach? Share your thoughts below! 👇🏼

#AnkleInstability #BrostromGould #Microfracture#Orthopaedics #SportsMedicine #FootAndAnkle#OsteochondralLesions #ankleinjury #ankleinstability#cartilageinjury #longtermresults #ligamentrepair#microfracture #microfracturesurgery#bonemarrowstimulation #liverpoolfootandankle#iomfootandankle #sportsinjury

🏃‍♂️Fusion of the Big Toe in Elite Athletes: Can They Return to Sport? 🏆⚽🎾

🏃‍♂️Fusion of the Big Toe in Elite Athletes: Can They Return to Sport? 🏆⚽🎾

First metatarsophalangeal joint (MTPJ) fusion is a well-established procedure for pain relief and function restoration, but can elite athletes get back to their peak performance after surgery? A new study sheds light on this question.
Reference: Return to Sport after First Metatarsophalangeal Arthrodesis in Elite Athletes

Dror Maor, Daniel Meyerkort, Salar Sobhi, James Calder
Journal of ISAKOS, 100390, 2025

📊 Key Findings:
✅ 75% of elite athletes returned to their original level of sport after MTPJ fusion.
✅ Significant pain reduction (VAS improved from 5.6 to 0.4, p < 0.001).
✅ Marked functional improvement across all functional scores.
✅ 100% satisfaction reported at final follow-up.

🔹 Who struggled to return out of the 16 patients reviewed?
🔻 2 soccer players dropped a division.
🔻 1 ATP tennis player never regained his original ranking.
🔻 1 badminton player couldn’t return to the same level.

Conclusion:
This is the first study examining elite athlete return to sport after big toe fusion, confirming that most can get back to competition with improved pain and function. While some may face challenges, overall satisfaction is high.

💬 What do you think? Would you opt for fusion if it meant playing pain-free? Drop your thoughts below! 👇 #SportsMedicine #FootAndAnkle #BigToeFusion#AthleteRecovery #orthopedicsurgery #AthleteRecovery#EliteAthletes #SportsPerformance #AthleteHealth#ReturnToPlay #SportsRehab #StrengthAndConditioning#HighPerformanceAthlete
#FootAndAnkleSurgery #BigToeArthrodesis #HalluxFusion#MTPJArthrodesis #Podiatry #liverpoolfootandankle#iomfootandankle

👣 Does a Big Toe Fusion Improve Flatfoot Deformity? 👣

👣 Does a Big Toe Fusion Improve Flatfoot Deformity? 👣

Flatfoot deformity, or pes planus, is often thought of as a problem with the medial longitudinal arch. But what role does the distal aspect of the arch—like the big toe joint—play in its correction?

📚 Our @drlyndonmason and his team, published after reviewing 511 cases of first metatarsophalangeal joint (MTPJ) fusion, showing the procedure can indeed improve certain flatfoot parameters, though it doesn’t fully restore the arch to “clinically normal” levels.

🔑 Study Findings:
After first MTPJ fusion, patients with flatfoot deformity showed statistically significant improvements in:
• Meary Angle: Reduced by 3.75° (indicating less arch collapse).
• Talonavicular Coverage Angle: Reduced by 1.48° (better alignment).
• Calcaneal Pitch Angle: Increased by 2.32° (suggesting a raised arch).
• Medial Cuneiform Height: Increased by 1.25 mm (a subtle but measurable improvement).

🔎 What Does This Mean?
• In patients with bunions, and flat feet, fusion of the big toe joint can play a role in stabilizing the distal medial longitudinal arch and improving flatfoot deformity.
• Choosing fusion of the big toe may have unrealized advantages of fusion of more proximal joints in first ray instability.

💬 Considering a fusion for big toe arthritis or bunions with a flat foot? Book to see @drlyndonmason to understand how this procedure might benefit you.

📚 Reference: Association of Fusion of the First Metatarsophalangeal Joint and Pes Planus Deformity Correction James Chapman et al. Foot Ankle Int. 2023 May

#Flatfoot #PesPlanus #BigToeFusion #FootAndAnkleSpecialist#LiverpoolFootAndAnkle #Orthopaedics#MedialLongitudinalArch #FootHealth #CuttingEdgeCare#ArchSupport #DrLyndonMason #OrthopaedicResearch#StayActive #footsurgery #worldclasscare

👣 What is Plantar Fibromatosis (Ledderhose Disease)? 👣

👣 What is Plantar Fibromatosis (Ledderhose Disease)? 👣

Plantar fibromatosis (PF), also known as Ledderhose disease, is a rare but often frustrating condition affecting the plantar fascia—the connective tissue in the arch of the foot. It involves the growth of benign, fibrous nodules on the bottom of the foot, which can range from painless to significantly painful and debilitating.

🔑 Key Facts About Plantar Fibromatosis:
1️⃣ Origins and History: First described by George Ledderhose in 1897, this condition is related to Dupuytren’s contracture in the hand and Peyronie’s disease in the penis. Co-occurrence with these conditions is not uncommon.
2️⃣ What Happens? Fibroblasts in the plantar fascia overproduce, forming nodules that may grow larger over time, potentially leading to toe contractures in severe cases.
3️⃣ Risk Factors: PF is more common in middle-aged Caucasian males and may be associated with heredity, repetitive trauma, diabetes, chronic liver disease, and long-term alcohol use.

💡 Symptoms to Watch For:
• Slow-growing nodules along the arch of the foot.
• Pain when walking, particularly during the toe-off phase of gait.
• Possible tenderness, redness, or difficulty wearing shoes.

🔍 Diagnosis and Imaging:
• Ultrasound or MRI can confirm the presence and size of nodules.
• Imaging also helps rule out other conditions like fibromas, liposarcomas, or neurofibromas.

🔑 How Is It Treated?
1️⃣ Conservative Management (First Line):
• Orthotics or custom insoles to offload pressure.
• Soft-soled shoes or rocker-bottom footwear for shock absorption.
• Activity modifications and NSAIDs to manage pain.
2️⃣ Advanced Options:
• Corticosteroid injections or radiation therapy may reduce inflammation and slow progression.
• Surgery (wide excision or plantar fasciectomy) is reserved for severe, persistent cases but carries risks of recurrence and complications.

💬 Have painful nodules in your feet? Contact us at the Liverpool Foot and Ankle Clinic to discuss your symptoms and explore treatment #plantarfibroma #plantarfibromatosis#plantarfasciitis

👣 What is Keyhole bunion surgery, and is it better than traditional surgery? 👣

🔑 Traditional Open Surgery (Scarf and Akin Osteotomy):
• Widely used in the UK with good clinical and radiological outcomes
.• Corrects the bunion by reshaping the bone and soft tissues
.• Associated with high patient satisfaction, even in varying degrees of deformity
.• Concerns include potential for recurrence (especially in people with flat feet) and larger scars due to open incisions

.

🔑 Minimally Invasive (Keyhole) Surgery (MIS):
• Performed through small incisions, leading to smaller scars and less early postoperative pain.
• Fourth-generation MIS emphasizes multiplanar deformity correction with stable fixation.
• May offer superior correction for severe deformities by addressing the bone alignment directly, rather than relying on soft tissue adjustments.
• Evidence is promising but currently relies on single-surgeon case series, making standardization a challenge.

💡 Key Comparisons:
1️⃣ Outcomes: Both techniques achieve similar clinical and radiological results, but MIS may reduce recovery time and improve scar appearance.
2️⃣ Recurrence Rates: MIS shows potential for lower recurrence rates in severe deformities although more long term evidence needed in specific populations.
3️⃣ Postoperative Pain: MIS tends to result in less pain early on due to reduced soft-tissue trauma.

💬 Curious about which option might suit you? At the Liverpool Foot and Ankle Clinic we offer both procedures, book and appointment with @drlyndonmason for personalized advice and expert care!

📚 Reference: @profmangwani Bone Joint J 2025;107-B(1):10–18

#BunionSurgery #KeyholeSurgery #MinimallyInvasiveSurgery#HalluxValgus #FootAndAnkleSpecialist#LiverpoolFootAndAnkle #Orthopaedics #ScarfAndAkin#CuttingEdgeCare #BunionRelief #FootHealth#MISFootSurgery #PatientCare #StayActive #keyholebunion

👣 Metatarsophalangeal Joint Injuries: Turf Toe and Sand Toe 👣

👣 Metatarsophalangeal Joint Injuries: Turf Toe and Sand Toe 👣

Injuries to the metatarsophalangeal (MTP) joint—the joint at the base of your big toe—can be painful and debilitating, particularly in active individuals and athletes. Two common injuries are turf toe and sand toe, both of which involve trauma to the first MTP joint but with distinct mechanisms.

📚 As detailed by @drlyndonmason in “Turf Toe and Disorders of the Sesamoid Complex” (Clin Sports Med, 2015), these injuries cover a wide spectrum of trauma that ranges from mild to severe.

🔎 What Are Turf Toe and Sand Toe?
• Turf Toe: Caused by hyperextension of the big toe, often seen in athletes playing on hard surfaces like turf. It can lead to ligament sprains, sesamoid injuries, cartilage damage, and even traumatic hallux valgus (a bunion-like deformity).
• Sand Toe: Occurs with hyperflexion, often seen in activities like beach volleyball or barefoot sports, resulting in similar but opposite strain to the joint.

💡 Key Symptoms:
• Pain, swelling, and tenderness at the base of the big toe.
• Difficulty walking or pushing off during movement.
• Limited joint motion or visible deformity in severe cases.

🔑 Treatment Options:
1️⃣ Conservative Management:
• Rest, ice, and NSAIDs to manage inflammation.
• Taping or stiff-soled shoes to limit movement and protect the joint.
• Physical therapy to regain strength and range of motion.
2️⃣ Surgical Intervention: Reserved for severe injuries with sesamoid fractures, joint instability, or when conservative treatments fail.

If you’re experiencing pain or instability in your big toe, don’t wait—reach out to a foot and ankle specialist for accurate diagnosis and personalized care.

📚 Reference: Mason LW, et al. Turf Toe and Disorders of the Sesamoid Complex. Clin Sports Med. 2015.

#TurfToe #SandToe #MetatarsophalangealJoint#FootAndAnkleInjuries #SportsMedicine #Orthopaedics#FootAndAnkleSpecialist #LiverpoolFootAndAnkle#InjuryPrevention #CuttingEdgeCare #StayActive#DrLyndonMason #FootHealth #AthleteCare#SportsInjuryRecovery

👣 What is the Sesamoid Bone in the Foot, and Why Does Mine Hurt? 👣

👣 What is the Sesamoid Bone in the Foot, and Why Does Mine Hurt? 👣

The sesamoid bones in the foot are small, sesame seed (and thus the name!!) bones located beneath the joint of your big toe. Embedded within the tendons of the flexor hallucis brevis, they play a critical role in weight distribution, stabilization of the big toe, and enhancing the mechanical advantage of tendons during movement. There are two of them, and they act like pulleys, ensuring smooth toe function during activities like walking, running, and jumping.

🔎 Why Is My Sesamoid Painful?
As highlighted in the study by Sims and Kurup (World J Orthop, 2014), sesamoid pain can arise from various conditions:
• Overuse Injuries: High-impact activities like running or dancing can cause sesamoiditis (inflammation of the sesamoids).
• Fractures: Acute or stress fractures can occur, especially in the medial sesamoid, which bears the most weight.
• Avascular Necrosis: A lack of blood supply can lead to bone death, resulting in chronic pain.
• Bipartite Sesamoids: A normal anatomical variant where the sesamoid fails to fuse, which can mimic a fracture.
• Arthritis or Trauma: Joint degeneration or direct injury can also cause discomfort.

💡 Diagnosis and Management:
1️⃣ Early Imaging: An MRI or bone scan is often crucial to distinguish between conditions like fractures, bipartite sesamoids, or avascular necrosis.
2️⃣ Conservative Treatment:
• Rest and reduce weight-bearing activities.
• Use custom orthotics to offload pressure from the sesamoids.
• NSAIDs can help reduce inflammation.
• Steroid injections under radiological guidance may provide relief in some cases.
3️⃣ Surgical Options: Reserved for persistent cases, options include sesamoidectomy (removal of one sesamoid) or fixation for fractures.

🔑 Key Takeaway: Most sesamoid pain can be managed conservatively. Early evaluation, imaging, and review by a foot and ankle specialist can help identify the cause and guide treatment effectively.

💬 Struggling with sesamoid pain? Book in with @drlyndonmason for expert diagnosis and personalized care!
#sesamoid #sesamoiditis😧 #sesamoidpain#liverpoolfootandankle #iomfootandankle

👣 Achilles Tendon Ruptures: The Weekend Warrior Effect 👣

👣 Achilles Tendon Ruptures: The Weekend Warrior Effect 👣

Did you know that Achilles tendon ruptures are most common in the general population after the age of 40, especially among those with low-activity occupations (like desk jobs) who only engage in physical activity about once a week? This phenomenon is often referred to as the “weekend warrior” effect.

When we spend most of the week being sedentary and then engage in intense activity without proper conditioning, it can strain the Achilles tendon, leading to a rupture. The combination of age-related changes in tendon strength and the sudden demand of high-intensity sports, like football or tennis, creates the perfect storm for injury.

🎉 A Winning Research Insight!
This was highlighted in the prize winning research “Mechanisms of Achilles Tendon Rupture in the Normal Population” by @drlyndonmason team. Natalie Limaye presented and won the research prize @rsm.ortho future orthopaedic surgeon conference with coauthors @junaidaamir28 and @loukas

💡 Tips to Prevent Achilles Ruptures:
• Gradually build up activity levels with regular exercise.
• Warm up and stretch properly before sports.
• Strengthen your calf muscles to reduce strain on the tendon.

Congratulations again to Natalie for shedding light on this critical topic and helping us better understand how to prevent these injuries!

#AchillesTendon #WeekendWarrior #AchillesRupture#FootAndAnkleSpecialist #LiverpoolFootAndAnkle#OrthopaedicResearch #RoyalSocietyOfMedicine#rsmwinners #SportsInjuries #StayActive #InjuryPrevention#HealthyFeet #OrthopaedicCare #CuttingEdgeResearch#FootHealth

🚨 Misinformation Alert: Orthopaedic Conditions on TikTok & Instagram

🚨 Misinformation Alert: Orthopaedic Conditions on TikTok & Instagram

A recent study titled “Misinformation About Orthopaedic Conditions on Social Media: Analysis of TikTok and Instagram” by Oluwadamilola Kolade et al. (Cureus, 2023) highlights a critical issue: the prevalence of low-quality, inaccurate information about common orthopaedic conditions on social media platforms.

🔑 Key Insights from the Study:
• Platforms Analyzed: TikTok (165.7M views) and Instagram (9.6M views) were reviewed for posts related to six common orthopaedic conditions:
• Achilles tendon tears
• ACL injuries
• Meniscus tears
• Tennis elbow
• Rotator cuff tears
• Ankle sprains
• Accuracy Gap: Physician-generated posts were significantly more accurate compared to non-physician content.
• Engagement Imbalance: Despite being more accurate, physician content attracted only 16.1% of total engagement, compared to 83.9% for non-physician posts.

📉 What Does This Mean for Patients?

Millions of viewers are being exposed to misleading information, which can affect treatment decisions and patient outcomes. Non-expert creators often prioritize entertainment and engagement over accuracy, leading to misinformation about diagnosis, treatment, and recovery.

🩺 How Can We Combat This?

1️⃣ Healthcare Professionals on Social Media: Increased participation from physicians is essential to ensure the availability of reliable, evidence-based content.
2️⃣ Patient Awareness: Patients must critically evaluate health information online and prioritize advice from certified professionals.
3️⃣ Tools like DISCERN: Use instruments like the DISCERN scale to assess the reliability and quality of medical content. 📢 Call to Action:

Healthcare professionals, let’s bridge the gap between accuracy and engagement! Use platforms like TikTok and Instagram to share trustworthy, patient-centered content and counteract the misinformation trend.

#OrthopaedicEducation #HealthMisinformation #TikTok#Instagram #PatientSafety #EvidenceBasedMedicine#liverpoolfootandankle #iomfootandankle#britishorthopaedicassociation #spirehealthcare

💥 Stress Fractures of the Foot and Ankle: A Hidden Challenge for Athletes 👣

💥 Stress Fractures of the Foot and Ankle: A Hidden Challenge for Athletes 👣

Stress fractures are a common but often underdiagnosed injury in recreational and elite athletes. These micro-injuries occur when repetitive stress on the foot and ankle overwhelms the bone’s ability to repair itself, leading to fractures that can sideline athletes for weeks or months.

🔍 What Causes Stress Fractures?

Stress fractures develop due to an imbalance between bone repair and stress from:
• Intrinsic factors: Bone health, hormonal imbalances, or age.
• Extrinsic factors: Sudden changes in training, poor biomechanics, or improper footwear.

🩺 Diagnosis & Treatment
• Low-risk fractures (e.g., tibia, fibula, calcaneus, metatarsal shafts):
• Treated conservatively with activity modification and gradual return to sport.
• Weight-bearing is usually allowed as pain resolves.
• High-risk fractures (e.g., navicular, talus, medial malleolus, proximal 5th metatarsal):
• Require proactive management due to poor healing potential.
• May involve casting, restricted weight-bearing, or surgical fixation.

💡 Prevention Tips

1️⃣ Gradual Training Progression: Avoid sudden increases in activity.
2️⃣ Nutrition: Ensure adequate calcium, vitamin D, and overall caloric intake.
3️⃣ Biomechanics: Address alignment issues or foot deformities with orthotics if needed.
4️⃣ Recovery Time: Prioritize rest and recovery to prevent overuse injuries.

⚠️ Why It Matters

If left untreated, stress fractures can lead to complications like non-union or chronic pain, requiring more invasive treatments. Early diagnosis with tools like MRI and careful management can ensure a quicker return to sport and daily activities.

📖 Reference: Stress Fractures of the Foot and Ankle in Athletes, Philip B. Kaiser, Daniel Guss, Christopher W. DiGiovanni, Foot & Ankle Orthopaedics, 2018.

#StressFractures #FootAndAnkleHealth #AthleteInjury#SportsMedicine #Orthopedics #BoneHealth#injuryprevention #liverpoolfootandankle #iomfootandankle#stressfracture #footpain #femaletriad #healthyfeet

👣 Top Internet Searches for Foot & Ankle Conditions 🩺

👣 Top Internet Searches for Foot & Ankle Conditions 🩺

Ever wondered what foot and ankle issues people are googling the most? Here’s a list of the most commonly searched conditions and what you should know about them:

1️⃣ Plantar Fasciitis: Heel pain, especially on first step out of bed in the morning, caused by inflammation of the thick tissue connecting the heel@and the ball of the foot.
2️⃣ Ankle Sprains: Ligament injuries from twisting or turning the ankle.
3️⃣ Bunions: A bony bump at the base of the big toe that can cause pain and swelling with outward deviation of the big toe.
4️⃣ Achilles Tendinitis: Pain and stiffness at the back of the heel either at the mid portion of the Achilles or where it attaches to the calcaneum.
5️⃣ Morton’s Neuroma: Pain in the ball of the foot from thickened tissue around a nerve.
6️⃣ Stress Fractures: Small bone cracks, often due to overuse or repetitive stress.
7️⃣ Flat Feet: Collapsed arches leading to discomfort or misalignment.
8️⃣ Heel Spurs: Calcium deposits causing a bony protrusion on the heel, often linked to plantar fasciitis.
9️⃣ Hammertoes: Toes bent downward at the middle joint, causing pain or difficulty walking.
🔟 Gout: Sudden attacks of pain and swelling, commonly affecting the big toe.

💡 Why This Matters: These conditions impact millions and often lead to discomfort, mobility issues, and a reduced quality of life. Early awareness and treatment are key to staying active and pain-free.

👟 Tip: If you’re experiencing any of these issues, book a consultation with @drlyndonmason and don’t rely solely on Google for solutions! Check other posts from the clinic for further information on these conditions and our website or YouTube channel.

#FootHealth #AnkleCare #PlantarFasciitis #AnkleSprain#Bunions #AchillesTendinitis #StressFractures #FlatFeet#HeelPain #GoutAwareness #HealthyFeet#liverpoolfootandankle #iomfootandankle #mortonsneuroma#achillespain

💡 Second-Line Treatments for Plantar Fasciitis: What Works? 👣

💡 Second-Line Treatments for Plantar Fasciitis: What Works? 👣

Plantar fasciitis (PF) is a common cause of persistent heel pain, often managed conservatively. But what happens when first-line treatments like rest, stretching, changing sleep position and NSAIDs don’t work? A recent study sheds light on extracorporeal shock wave therapy (ESWT) and its comparison to other second-line options.

🛠️ Study Insights

📊 ESWT vs. Placebo
• ESWT significantly outperformed placebo in reducing pain and improving foot function.

📊 ESWT vs. Other Treatments
• PRP (Platelet-Rich Plasma): Showed better outcomes for pain relief and foot function but is technically more complex.
• Custom Orthotics: Provided greater improvement in foot function compared to ESWT.
• Other Modalities: No significant differences were found when compared with ESWT.

⚖️ Key Takeaways
• ESWT is a proven and effective option for patients who don’t respond to initial treatments.
• PRP offers superior results but involves a more invasive and challenging procedure.
• Custom Orthotics remain a valuable tool for improving foot function in PF patients.

💡 What Does This Mean for You?

If you’re struggling with persistent heel pain, consider discussing these second-line options. @drlyndonmason is an expert in the field and has run the a tertiary referral #heelpainclinic for over a decade. At @spire.healthcare in Liverpool we have all options of treatment including #shockwave and #prpinjections. Each treatment has its strengths, and the choice depends on your condition, goals, and lifestyle.

📖 Reference: Extracorporeal Shock Wave Therapy Shows Comparative Results with Other Modalities for the Management of Plantar Fasciitis: A Systematic Review and Meta-Analysis, Wei Shao Tung et al., Foot Ankle Surg, 2024.

#PlantarFasciitis #HeelPain #ESWT #PRPTherapy #Orthotics#FootHealth #ChronicPainManagement #SportsMedicine#conservativetreatment #shockwave #liverpoolfootandankle#iomfootandankle #heelpain #prp

🩺 Infection Risks After Foot & Ankle Surgery: What the Research Says 🦶

🩺 Infection Risks After Foot & Ankle Surgery: What the Research Says 🦶

Infection after surgery is an unwanted complication which can be minor, but in rare instances can cause major issues. A recent systematic review and meta-analysis involving over 10,000 patients sheds light on the risk of surgical site infections (SSI) in patients undergoing foot and ankle surgery. Here are the key findings:

🔎 Risk of SSI:
• Overall risk: 4.2%
• Higher risk in fractures of the hindfoot (ankle/calcaneum/talus): 4.9%
• Men are at greater risk compared to women (Odds Ratio: 1.335).

📊 Risk higher in certain instances :
• Diabetes Mellitus (DM): 9.1%
• Hypertension (HTN): 5.5%
• Tobacco use: 6.6%

⚠️ These findings highlight the significant role of other medical conditions and lifestyle factors in increasing infection risks.

Reducing Infection Risk

📌 Address modifiable risk factors like smoking and optimize management of chronic conditions such as diabetes and hypertension.
📌 Strict adherence to surgical protocols and early identification of at-risk patients can reduce complications.
📌 Personalized care plans for high-risk groups are essential.

🧑‍⚕️ For patients and healthcare professionals alike, awareness is the first step toward prevention. Let’s work together to reduce post-surgical complications and improve outcomes!

📖 Reference: Prevalence of surgical site infection and risk factors in patients after foot and ankle surgery: A systematic review and meta-analysis, Jiaguo Cheng et al., International Wound Journal, January 2024.

#FootAndAnkleSurgery #SurgicalSiteInfection #SSI#Orthopedics #DiabetesCare #HypertensionAwareness#SmokingCessation #SurgicalComplications #PatientSafety#infectioncontrol #liverpoolfootandankle  #iomfootandankle#diabeticfoot #infection #infectionprevention

The Hidden Risk of Long-Haul Flights: Deep Vein Thrombosis (DVT)

The Hidden Risk of Long-Haul Flights: Deep Vein Thrombosis (DVT)

Each year, nearly two billion people travel by air, with over 300 million taking long-haul flights. While air travel is generally safe, it can pose a serious health risk: venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE).

What Increases the Risk?

Long flights, particularly those lasting over 8 hours, can double the risk of VTE. Factors contributing to this include:
• Stasis: Prolonged sitting restricts blood flow in the legs.
• Hypoxia: Reduced oxygen levels in airplane cabins can activate blood coagulation.
• Dehydration: Low cabin humidity and diuretics like caffeine or alcohol can thicken the blood.

Who is at Higher Risk?
1. Age >40
2. Female gender (especially those on hormonal contraceptives or HRT)
3. Obesity
4. Varicose veins
5. Genetic thrombophilia
6. Pregnancy or recent childbirth
7. Recent surgery or injury

Prevention Tips for All Travelers
1. Stay Hydrated: Drink plenty of water and avoid alcohol or caffeine.
2. Move Often: Walk the aisle every 2-3 hours and stretch your legs while seated.
3. Exercise Your Calves: Perform ankle circles or leg lifts in your seat.
4. Wear Compression Stockings: Proven to reduce the risk of DVT by improving blood flow.

High-Risk Passengers

For those at higher risk, specific treatments can help:
• Low-Molecular-Weight Heparin (LMWH): A single dose before the flight can significantly lower VTE risk.
• Aspirin: In certain cases, low-dose aspirin may be recommended to reduce clotting risk. However, this should be used only after consulting with a healthcare provider.

Why It Matters

While symptomatic VTE is rare (affecting about 1 in 500 passengers on flights over 12 hours), asymptomatic cases are more common. Preventative steps are essential, as the risk can persist for up to 4 weeks after landing.

For further information, see Air travel and the risk of thromboembolism, Israel Gavish et al., Internal and Emergency Medicine, 2011.
#liverpoolfootandankle #dvt #clot #flight

“My New Year’s Resolution Was to Run Every Morning. Now My Heels Hurt!” 🏃‍♂️🌄

“My New Year’s Resolution Was to Run Every Morning. Now My Heels Hurt!” 🏃‍♂️🌄

Starting the year with morning runs is a fantastic resolution, but heel pain can quickly derail your progress. Here’s why it might be happening and how to fix it:

1️⃣ Post-Holiday Weight Gain
• Overindulgence during the holidays can lead to extra weight, increasing pressure on your feet.
• This added stress can irritate your plantar fascia (the ligament running from your heel to your toes), causing plantar fasciitis.

2️⃣ Sudden Intensity
• If you haven’t been running regularly, jumping straight into daily runs can strain your feet and calves.
• This overuse can lead to microtears in the plantar fascia, resulting in heel pain.

3️⃣ Tight Calves and Sleeping Position
• Belly or side sleepers often rest with their feet in plantar flexion (pointed down), leaving calf muscles and the plantar fascia tight in the morning.
• Using the Foot-zz pillow from @putnamscomfort can keep your feet in a neutral position overnight, reducing strain on your plantar fascia and calves.

How to Fix It?

✔️ Warm-Up First: Stretch your calves and plantar fascia before every run. Use exercises like calf stretches and rolling your foot over a ball.
✔️ Start Gradually: Ease into your running routine. Begin with shorter runs and low intensity, increasing distance and pace over time.
✔️ Choose the Right Shoes: Invest in proper running shoes with good arch support and cushioning.
✔️ Improve Sleep Position: Avoid plantar flexion during sleep by using the Foot-zz pillow for better foot alignment and comfort.
✔️ Recovery Is Key: After your run, stretch, foam roll, and ice your heels to reduce inflammation.

If heel pain persists, consult an expert like @drlyndonmason, who has over a decade of being a the consultant lead for a heel pain clinic. With the right approach, you can stick to your resolution and run pain-free!

#HeelPain #PlantarFasciitis #MorningRuns#RunningResolution #HealthyFeet #Orthopaedics#LiverpoolFootAndAnkle #IOMFootAndAnkle #TightCalves#FitnessGoals #FootPainRelief #ExpertCare #PutnamsComfort#FootzzPillow #achilles #achillestendon #achillespain

“Will My Orthopaedic Implants Set Off Airport Alarms?” ✈️🦴

“Will My Orthopaedic Implants Set Off Airport Alarms?” ✈️🦴

If you’ve had orthopaedic surgery, you might be wondering whether your implants will trigger airport security metal detectors. Here’s what the research says:

What Are the Chances?

According to a study by Kunasuntiwarakul & Poopitaya (2020):
• 86.78% of implants were detected by airport-level hand-held metal detectors.
• Total joint prostheses (like hip or knee replacements) are almost always detected (99.35% for prosthetic replacements).
• Plates, nails, and large implants in the lower limb or spine are highly likely to trigger alarms.
• Small screws, Kirschner wires, and upper limb implants are less likely to be detected.

Why Are Some Implants Detected?
• Implants made of cobalt-chromium or titanium are more likely to set off detectors than stainless steel.
• The location and size of the implant also influence detection rates (lower extremity implants are detected twice as often as upper extremity implants).

What Can You Do?

✔️ Travel Prepared: A letter or medical card from your surgeon detailing your implants is not mandatory, but can save time at security.
✔️ Be Transparent: Inform security staff about your implants before screening.
✔️ Expect Extra Screening: If your implant triggers the alarm, you may be asked for further checks like a pat-down.

Remember, airport security is designed to ensure safety, and being prepared can make the process smooth and stress-free.

Reference:
Kunasuntiwarakul P, Poopitaya S. Detection of Orthopedics Implants in Vivo by Hand-Held Metal Detectors. J Med Assoc Thai 2020;103(9).

#OrthopaedicSurgery #AirportSecurity #TravelTips #Implants#MetalDetector #MedicalTravel #KneeReplacement#HipReplacement #Orthopaedics #LiverpoolFootAndAnkle#IOMFootAndAnkle #BoneHealth #ProstheticLife#AirportAlarms #medicalpreparedness #FAQorthopaedics

“When Can I Drive After Foot and Ankle Surgery?” 🚗🦶

“When Can I Drive After Foot and Ankle Surgery?” 🚗🦶

Recovering from foot or ankle surgery and wondering when it’s safe to return to driving? Here’s what the evidence and guidelines say:

Key Considerations

1️⃣ UK DVLA Guidelines 🇬🇧
• You must be able to perform an emergency stop safely and without pain before driving again.
• Notify the DVLA if you’re unable to drive for more than 3 months post-surgery.
•. Contact the DVLA for further information especially on not driving if still using a splint.

2️⃣ Evidence from Research 📖
A systematic review by Lundy et al. (2022) highlights that:
• Right Foot Surgery: Reaction times may be significantly impaired for 6–8 weeks post-surgery. This aligns with general advice to avoid driving for at least 6 weeks for safety.
• Left Foot Surgery: If you drive an automatic car, you may return to driving sooner, provided pain and function allow it.
• The review emphasizes individual assessment and surgeon advice as crucial for safe return to driving.

What You Can Do

✔️ Test Your Ability: Practice an emergency stop in a controlled, safe environment.
✔️ Consult Your Surgeon: Always get clearance from your healthcare provider before returning to driving.
✔️ Prioritize Safety: Ensure you are pain-free, mobile, and confident in your ability to drive safely.

Key Takeaway

Driving after foot and ankle surgery is highly individualized. While general timelines exist, the final decision should be based on your recovery progress and the advice of your medical team.

Reference:
Lundy A, Piscoya A, Rodkey D, Bedrin M, Eckel T. Return to Driving after Elective Foot and Ankle Surgery: A Systematic Review. Osteology 2022;2(3):121-128.

#FootSurgery #AnkleSurgery #DrivingAfterSurgery #DVLA#RoadSafety #PostSurgeryRecovery #LiverpoolFootAndAnkle#IOMFootAndAnkle #Orthopaedics #SystematicReview#SafeDriving #PatientCare #drivingpostsurgery

“What Is a Morton’s Neuroma?”

“What Is a Morton’s Neuroma?”

Despite its name, a Morton’s neuroma isn’t actually a neuroma (a tumor of nerve tissue). It’s a painful condition caused by irritation or thickening of the nerve between the toes, most commonly between the 3rd and 4th toes. This irritation can cause burning pain, numbness, or the feeling of a pebble in your shoe.

What Causes It?
👉 Tight or high-heeled shoes that squeeze the toes
👉 Repeated trauma or pressure on the foot
👉 Foot shape, like flat feet or high arches and tight calf’s 

Treatment Options
1️⃣ Conservative Management:
• Changing footwear to wider, supportive shoes
• Orthotic insoles to offload pressure and physiotherapy to reduce calf tightness 
• Corticosteroid injections to reduce inflammation

2️⃣ Advanced Treatments:
• Cryosurgery: Minimally invasive freezing of the nerve to stop pain
• Excision: Surgical removal of the damaged nerve for long-term relief

Left untreated, Morton’s neuroma can worsen and significantly impact your quality of life. If you’re experiencing persistent foot pain, don’t hesitate to seek help from the team. Our Dr Lam is one of the few in the country offering cryosurgery for the condition.

#MortonsNeuroma #FootPain #NeuromaTreatment#Cryosurgery #FootAndAnkleCare #LiverpoolFootAndAnkle#IOMFootAndAnkle #NervePain #HealthyFeet #Orthopaedics#FootSpecialist #ToePain #FootHealth#MortonsNeuromaRelief #SurgicalTreatment

“I Twisted My Ankle and Now It Hurts All the Time—What Can I Do?”

“I Twisted My Ankle and Now It Hurts All the Time—What Can I Do?”

An ankle sprain can feel like a minor injury, but for some people, the pain doesn’t go away. If your ankle hurts long after the initial injury, it could be due to:

1️⃣ Lingering Ligament Damage
A sprain stretches or tears the ligaments in your ankle. If they don’t heal properly, you might experience chronic instability or pain.

2️⃣ Cartilage Injury
Twisting your ankle can damage the cartilage in the joint, leading to conditions like osteochondral lesions or early arthritis.

3️⃣ Scar Tissue Build-Up
As your ankle heals, scar tissue can form. Excessive scar tissue can restrict movement and cause ongoing pain or stiffness.

4️⃣ Undiagnosed Fracture
Sometimes, a small fracture is missed during the initial injury, causing persistent pain and swelling if it doesn’t heal.

5️⃣ Tendon or Nerve Injury
Tendons or nerves around the ankle can also be injured during a sprain, leading to ongoing discomfort or weakness.

What Can You Do?
✔️ See a Specialist: A thorough assessment (including imaging like X-rays or MRIs) can help identify any underlying issues. Book with @drlyndonmason for expert advice
✔️ Rehabilitation: Physical therapy can strengthen your ankle, improve balance, and address scar tissue or stiffness.
✔️ Bracing or Orthotics: Using ankle supports can reduce strain and prevent further injury, although overuse can give weakness.
✔️ Consider Further Treatment: Persistent pain may require targeted interventions, like injections or surgery, to address cartilage damage or instability.

Don’t ignore ongoing ankle pain—it’s your body’s way of telling you something isn’t right. Early intervention can help prevent long-term issues and get you back on your feet!

#AnkleSprain #ChronicAnklePain #TwistedAnkle #AnkleInjury#ScarTissue #FootAndAnkleCare #LiverpoolFootAndAnkle#IOMFootAndAnkle #SportsInjury #Rehabilitation#AnkleSupport #Orthopaedics #PersistentPain#InjuryRecovery #AnkleInstability #CartilageInjury#AnkleHealth #healthyfeet

“I Have Flat Feet—Why Do They Hurt?”

“I Have Flat Feet—Why Do They Hurt?”

Flat feet, or pes planus, are quite common, with about 1 in 4 people having them. For many, flat feet are normal and don’t cause any problems. However, developing flat feet in adulthood (adult-acquired flatfoot) is less common and more likely to lead to pain. Here’s why:

1️⃣ Overloading the Soft Tissues
Flat feet can strain the ligaments, tendons, and muscles that support your foot. The posterior tibial tendon and ligaments, which helps lift your arch, are often overworked and can become inflamed, leading to pain along the inner side of your ankle or arch.

2️⃣ Misalignment
Without proper arch support, your foot may roll inward (overpronation), altering your gait. This misalignment can cause pain in your ankles, knees, hips, and even your lower back.

3️⃣ Increased Pressure
A flat foot may distribute pressure unevenly, leading to sore spots on the sole or impingement pain on the outer ankle, especially during long periods of standing or walking.

4️⃣ Underlying Conditions
Developing flat feet in adulthood can sometimes signal conditions like posterior tibial tendon dysfunction, arthritis, or joint and ligament instability, which can result in pain and stiffness.

What Can You Do?
✔️ Wear Supportive Shoes: Choose footwear with good arch support and cushioning.
✔️ Use Orthotics: Custom or off-the-shelf insoles can help realign your foot and reduce strain with arch support and heel cup.
✔️ Strengthen and Stretch: Exercises like toe curls, calf stretches, and posterior tibial tendon strengthening can help.
✔️ Seek Professional Advice: If pain persists, make an appointment with @drlyndonmason for a tailored treatment plan.

Pain isn’t inevitable with flat feet. While it’s normal for some to have flat arches without issues, adult-onset flat feet should be evaluated to ensure your feet stay healthy and pain-free!

#FlatFeet #FootPain #HealthyFeet #Orthopaedics#FootAndAnkleCare #LiverpoolFootAndAnkle#IOMFootAndAnkle #FootSpecialist #PesPlanus #ArchSupport#AnklePain #FlatFootPain #HealthyLiving #FootHealth#PosteriorTibialTendon #AdultFlatFeet #FootPainRelief#GaitAnalysis #CustomOrthotics #FlatFootSupport #archpain

🌟 Big Toe Arthritis: What’s the Best Treatment? 🌟

🌟 Big Toe Arthritis: What’s the Best Treatment? 🌟

If you’re struggling with big toe arthritis, you’re not alone—this is a common condition that can cause pain, stiffness, and difficulty with everyday activities. But what’s the best treatment?

👉 For Early Arthritis:
If caught early, non-surgical treatments can often help:
✅ Activity modification: Avoid high-impact activities that aggravate the joint.
✅ Custom orthotics: These can reduce pressure on the big toe and improve pain.
✅ Anti-inflammatory medications: Oral or topical NSAIDs can help manage symptoms.
✅ Steroid injections: Temporary relief for inflammation and pain.
✅ Joint-preserving surgery: Options like cheilectomy (removing bone spurs) and osteotomy can improve mobility and reduce pain.

👉 For Advanced Arthritis:
When arthritis progresses and the joint becomes too damaged to salvage, fusion surgery is the gold standard. Fusion provides reliable pain relief, long-term durability, and excellent functional outcomes.

👨‍⚕️ With over a decade of experience and multiple research publications in the subject, @drlyndonmason is here to guide you through all stages of treatment. Book an appointment if you want to discuss further, from early interventions to advanced surgical options tailored to your needs.

#ToeArthritis #HalluxRigidus #FusionSurgery #Orthopedics#DrLyndonMason #ArthritisTreatment#BigToePain#ArthritisCare #HalluxRigidusTreatment #ToeFusion#FootAndAnkleSpecialist #LiverpoolFootClinic #IOMFootClinic#FootArthritis #ToeArthritisSolutions #FootPainRelief#FusionSurgeryExperts #OrthopedicSpecialist#FootAndAnkleCare #LiverpoolOrthopedics#IsleOfManFootClinic #HalluxSurgery #FootHealthMatters#AdvancedArthritisCare #FusionSurgeryGoldStandard#BigToeSurgery #ToeArthritisHelp

👣 “I Keep Going Over on My Ankle – What Can I Do?” 👣

👣 “I Keep Going Over on My Ankle – What Can I Do?” 👣

Repeatedly rolling or twisting your ankle might be a sign of Chronic Ankle Instability (CAI), a condition where the ankle feels unstable and is prone to sprains. This can occur after multiple injuries that weaken the ligaments or due to poor rehabilitation after an initial sprain.

📚 @drlyndonmason published on “Chronic Ankle Instability” (Orthopaedics and Trauma, 2011), writing that CAI occurs due to a combination of mechanical instability (weakened or stretched ligaments) and functional instability (poor neuromuscular control).

⚠️ Did you know?
Certain foot shapes, such as high arches, can predispose you to ankle instability. High arches limit the surface area of the foot that contacts the ground, reducing stability and increasing the likelihood of rolling the ankle.

🔑 What Can You Do?
1️⃣ Strengthening Exercises: Work on your ankle’s strength and stability with targeted exercises like resistance band work or single-leg balance drills.
2️⃣ Proprioception (your brain and spinal reflex knowing where the limb is in space) Training: Balance and coordination exercises can improve your body’s ability to sense and stabilize the joint.
3️⃣ Supportive Footwear: Proper footwear, and sometimes orthotics, can help stabilize high-arched feet and reduce the risk of ankle injuries.
4️⃣ Physical Therapy: A specialist can tailor a rehab program to address your unique needs.
5️⃣ Surgical Options: If conservative measures fail, surgery may be required to repair or reconstruct the damaged ligaments.

💡 Early intervention is key! If you’re struggling with ankle instability, book a consult a with @drlyndonmason to explore your treatment options and prevent further injuries.

#ChronicAnkleInstability #AnklePain #AnkleSprains#FootAndAnkleSpecialist #Orthopaedics #AnkleRehabilitation#AnkleStability #SportsInjuries #HighArches#FootShapeMatters #AnkleInjury #LiverpoolFootAndAnkle#OrthopaedicCare #CuttingEdgeCare #AnkleRecovery#StayActive #FootHealth #BalanceTraining #Proprioception#AnkleStabilitySolutions #DrLyndonMason #iomfootandankle

👣 Why Does the Ball of My Foot Hurt? 👣

👣 Why Does the Ball of My Foot Hurt? 👣

Pain under the ball of your foot, also known as metatarsalgia, can make walking and daily activities uncomfortable. This condition isn’t a diagnosis on its own but rather a symptom of various underlying issues.

📚 According to “Differential Diagnosis of Metatarsalgia” by Afonso et al. (Semin Musculoskelet Radiol, 2023), the causes of metatarsalgia can vary widely, requiring careful evaluation.

🔑 Common Causes of Metatarsalgia:
1️⃣ Mechanical Overload: Excess pressure on the metatarsal heads due to high arches, flat feet, tight calf’s or improper footwear.
2️⃣ Toe Deformities: Conditions like #hammertoes or #bunionscan alter weight distribution.
3️⃣ Fat Pad Atrophy: Thinning of the protective fat under the ball of the foot.
4️⃣ #mortonsneuroma: A nerve entrapment causing burning or tingling pain.
5️⃣ Inflammatory Arthritis: #Rheumatoidarthritis or #gout can lead to inflammation and discomfort.
6️⃣ #stressfracture or #frieburgsdisease : Overuse injuries in athletes or those with repetitive impact activities or uncommonly loss of blood supply to metatarsal head

🔎 Accurate diagnosis is essential, as treatment depends on the root cause. Imaging, such as X-rays, US or MRIs, is often needed to rule out specific conditions.

💡 Tips for Relief:
• Choose supportive footwear with a cushioned sole.
• Use custom orthotics to redistribute pressure.
• Consider physical therapy or stretches to improve foot mechanics and calf tightness.

If you’re struggling with foot pain, book a consultation with our foot and ankle specialist, @drlyndonmason to find the right solution for your needs!

#Metatarsalgia #BallOfFootPain #FootHealth#FootAndAnkleSpecialist #MortonsNeuroma #PlantarPain#Orthopaedics #FootPainRelief  #liverpoolfootandankle#IOMfootandankle #FlatFeet #FootMechanics #PainFreeLiving#OrthopaedicCare #LiverpoolFootAndAnkle #SportsInjury#CustomOrthotics #CuttingEdgeCare #FootWellness#footpainawareness #worldclasscare #isleofmann #iom

👣 Why Do My Heels Hurt in the Morning? 👣

👣 Why Do My Heels Hurt in the Morning? 👣

If you experience heel pain when you get out of bed, you’re not alone! This is a common issue, often linked to a condition called plantar fasciitis or the Achilles, but did you know your sleep position might also play a key role?

📊 A recent survey by @drlyndonmason revealed that forced plantar flexion during sleep (when your feet point downward due you sleeping on your front or side) can tighten the gastrocnemius muscle (calf muscle). This tightness leads to strain on the plantar fascia when you take your first steps in the morning and throughout the day.

🔑 The Solution:
To address this, @drlyndonmason designed a special foot pillow, now available through @putnamscomfort ,
which helps keep your feet in a neutral position overnight. By reducing plantar flexion, it prevents calf muscle tightness and relieves morning heel pain.

💡 This simple adjustment can make a world of difference for your morning comfort and is already helping many people wake up pain-free!

📩 For further treatments on heel pain book an appointment with @drlyndonmason and to purchase a pillow (Foot-ZZ) go to @putnamscomfort to learn more about this innovative product.

#HeelPain #MorningHeelPain #PlantarFasciitis #FootPainRelief#SleepPositionMatters #GastrocnemiusTightness #FootHealth#OrthopaedicInnovation #wakeuppainfree #FootCare#PutnamComfort #PainFreeMornings#FootAndAnkleSpecialist #LiverpoolFootAndAnkle#OrthopaedicSolutions #SleepComfort #PlantarFasciitisRelief#CuttingEdgeCare #footwellnessmatters #achillies

🌦️ Why Does Arthritic Pain Feel Worse in Cold Weather? 🌡️

🌦️ Why Does Arthritic Pain Feel Worse in Cold Weather? 🌡️

Many people living with arthritis often report that their pain worsens during cold weather. But what does the research say?

📚 A recent study, “Come rain or shine: is weather a risk factor for musculoskeletal pain?” by Ferreira et al. (Seminars in Arthritis and Rheumatism, 2024), systematically reviewed data on weather’s impact on pain. While anecdotal reports suggest weather plays a role, the study found no significant link between cold temperatures, humidity, or precipitation and increased pain for conditions like rheumatoid arthritis, knee pain, or low back pain.

However, gout sufferers may experience more pain during high temperatures combined with low humidity, linked to joint swelling and redness.

So why do we feel worse in the cold?
❄️ Cold Weather and Arthritis:
• Joint Stiffness: Cold temperatures can make muscles and tissues less elastic, increasing stiffness.
• Barometric Pressure Drops: Lower air pressure may allow joints to expand slightly, increasing sensitivity.
• Reduced Activity: Cold weather often means less movement, which can worsen stiffness and pain.

👉 While weather may not be the primary cause, it’s clear that perception and other indirect factors (like reduced circulation and lifestyle changes in colder months) can contribute to discomfort.

If you struggle more in winter, consider gentle stretching, staying warm, and keeping active to ease symptoms!

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👣 What Causes Bunions (Hallux Valgus)? 👣

👣 What Causes Bunions (Hallux Valgus)? 👣

Bunions, or hallux valgus, are a common foot condition where the big toe drifts towards the smaller toes, causing a bony bump on the side of the foot. But what actually causes them?

📖 According to @drlyndonmason and the landmark paper he co-authored, The Pathogenesis of Hallux Valgus (Perera AM et al., J Bone Joint Surg Am, 2011), bunions develop due to a complex interplay of biomechanics, anatomy, and genetics:

🦵 Biomechanics
• Instability in the joint at the base of the big toe (first metatarsophalangeal joint) is a key driver.
• Faulty foot mechanics like overpronation can put extra strain on the joint, contributing to its misalignment.

👣 Anatomical Factors
• A flat or unstable arch can predispose the big toe to drift.
• An abnormal shape of the first metatarsal bone or a misaligned sesamoid complex can also contribute.

🧬 Genetics
• Family history plays a major role! Certain foot shapes and mechanical tendencies are inherited, making some people more prone to developing bunions.

👠 External Factors
• While tight, narrow footwear (like high heels) doesn’t cause bunions outright, it can accelerate their progression in someone predisposed.

Understanding the causes is the first step in effective treatment! If you’re struggling with bunions, consult a foot and ankle specialist for advice tailored to your condition.

📚 Reference: Perera AM, Mason LW, et al. The Pathogenesis of Hallux Valgus, JBJS Am. 2011. 

#Bunions #HalluxValgus #FootHealth #Biomechanics#Podiatry #orthopaedicspecialist #bunion #liverpoolfootclinic#footsurgery #footpain #footandankledoctor#footandanklesurgeons #footandankleclinic #liverpool