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Items filtered by date: October 2025

Total ankle replacement is a surgical procedure designed to relieve pain and restore movement for people with severe ankle arthritis or injury. During the procedure, damaged bone and cartilage are replaced with artificial components that mimic the natural joint, allowing smoother motion and better flexibility. Unlike ankle fusion, which limits movement, this advanced technique preserves joint mobility and can improve overall balance and gait. Recovery takes time and involves targeted exercises to strengthen muscles and improve the range of motion. Wearing supportive footwear and a gradual return to activity can help protect the new joint. Many patients experience significant pain relief and improved quality of life after surgery. If chronic ankle pain or stiffness limits your ability to walk comfortably, it is suggested that you consult a podiatrist who can evaluate whether total ankle replacement is the right option to help you move freely again.

In certain cases, in which the patient suffers from extreme pain or damage in a joint, joint replacement surgery may be deemed useful. If you have constant pain in a foot joint, consult with Roy Rothman, DPM from Florida. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Joint Replacement Surgery?

Over time, joints wear down; this can be exacerbated by diseases and conditions. Joint replacement surgery, also known as arthroplasty, is when a damaged joint is surgically removed and replaced with a prosthesis. Prostheses, which can be made of ceramic, plastic, or metal, act as joints in lieu of an actual joint. One of the most prevalent causes for joint replacement is arthritis.

Arthritis in the Foot

Arthritis can occur in any joint in the body, including in the feet. Common types of arthritis in the foot are osteoarthritis, rheumatoid arthritis, and gout. The big toe is usually where arthritis occurs in the foot; this is known as hallux rigidus.

Joint Replacement Surgery in the Foot

The most common form of joint replacement in the foot is a first metatarsophalangeal (MTP) joint placement. MTP joint replacement surgery is designed to treat hallux rigidus. Surgery is not intensive, and recovery occurs within one to two months after the procedure has been done. Overall, joint replacement surgery is a safe and effective way to treat pain in the joint of the foot.

If you have any questions, please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Published in Blog
Wednesday, 22 October 2025 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Published in Blog

Psoriatic arthritis is a chronic condition that can cause pain, swelling, and stiffness in the feet, often making it difficult to walk or stand for long periods. of time. The inflammation may involve any of the 26 foot bones and ankle joints, as well as their surrounding soft tissues. A common feature of psoriatic arthritis is dactylitis, also called sausage toes, where the entire toe becomes swollen and tender. Heel pain may also occur when the Achilles tendon becomes inflamed, creating symptoms similar to plantar fasciitis. Over time, the toes can curl into claw-like shapes, the big toe may bend upward, or the foot arch may flatten. Skin around the joints may appear red or purple, and stiffness often worsens after periods of rest. A podiatrist can evaluate these symptoms, recommend proper footwear or custom orthotics, and discuss possible surgery if joint damage is severe. If you have foot pain from psoriatic arthritis, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Roy Rothman, DPM from Florida. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

If you have any questions please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Published in Blog
Tuesday, 14 October 2025 00:00

External Fixation for Broken Ankles

External fixation of an ankle fracture is a surgical treatment that uses a frame outside the leg connected to pins or wires that are placed into the bone. This method stabilizes the fracture and allows proper healing, especially when swelling or severe trauma prevents immediate internal fixation. Ankle fractures can result from falls, sports injuries, or accidents, leading to pain, swelling, and instability. During surgery, the podiatric surgeon places pins into the bone above and below the fracture, attaching them to an external frame to keep the bones aligned. A podiatrist helps guide recovery, monitor healing, and manage long-term function. If you have sustained an ankle injury, it is suggested that you contact a podiatrist who can provide you with effective treatment solutions, which may include this type of surgery. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Roy Rothman, DPM of Florida. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions, please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Published in Blog
Tuesday, 07 October 2025 00:00

Common Causes of Gout

Gout is a form of arthritis that often affects the feet, especially the big toe joint, where it can cause sudden and intense pain. Attacks of gout occur when uric acid builds up in the bloodstream and forms sharp crystals that settle in the joints of the toes, feet, or ankles. During such a flare, the affected area may become red, swollen, warm, and tender, making it difficult to walk or even tolerate the pressure of a shoe, sock, or bed sheet. Men are more likely to develop gout in middle age, while the risk in women increases after menopause, often due to changes in protective hormones. Factors that contribute to gout include decreased kidney clearance of uric acid, hereditary influences, and metabolic disorders. Repeated flares can lead to chronic joint damage and tophi, which are hard deposits of uric acid crystals surrounding the toes and ankles. A podiatrist can diagnose gout in the feet and provide treatment to protect joint health. If you are experiencing the symptoms of gout, it is suggested that you schedule an appointment with a podiatrist for help in managing this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Roy Rothman, DPM from Florida. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our office located in DeBary, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Published in Blog

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