Answers to Your Austin Foot & Ankle Surgery Questions

If you have questions about foot and ankle surgery in central Texas, the Austin Foot & Ankle Specialists has the answers. Our experienced doctors have advanced training in procedures such as reconstructive surgery, nerve decompression surgery, and even surgeries to repair procedures that were botched by other doctors.


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  • How Do You Treat Post-Static Dyskinesia?

    We treat post-static dyskinesia (meaning impaired movement after being at rest) in various ways, once we have determined what is causing your discomfort. Early morning heel pain when you first step out of bed is most often due to plantar fasciitis—inflammation of or damage to the ligament under your arch.

    RICE therapy (rest, icing, compression, elevation) can help bring down swelling and soreness, and stretching exercises can help recondition the ligament and reduce the damage to the heel from the ligament pulling on it too tightly. For persistent pain, we can try injection therapy using medication, extracorporeal shockwave therapy using energy waves, or cryotherapy using low temperatures. Once the pain has subsided, we will evaluate the biomechanical issues causing your plantar fasciitis and design custom orthotics to correct them.

    Try this: before you get out of bed, raise your leg and pull the toes toward you with a looped towel. Then trace the alphabet with extended toes, and alternately curl the toes downward and stretch them out. Finally, stand for a moment before that first step, and your pain may not be so bad. Call Austin Foot and Ankle Specialists in Texas at (512) 328-8900 for more helpful hints.

  • What are common bunionette causes?

    A long time ago, a bunionette was called a tailor’s bunion because tailors sat cross-legged with the outside of their feet rubbing against the ground. This put pressure on the joint of their fifth toe, or your pinky toe as we now commonly refer to it. Bunionette causes today include heredity and changes to your foot with age, but the main cause is simply wearing shoes that are too tight. If your pinky toe is squished toward the others, it forces the joint outward, resulting in friction from rubbing against your shoe. This constant pressure creates a painful knob on the outside of the foot. The best way to prevent this from happening, is to wear shoes that fit and have plenty of wiggle room.

    If you have a bunionette that is causing you pain, ask Dr. Craig H. Thomajan DPM, FACFAS and Dr. Shine John DPM, FACFAS about treatment options. Call (512) 328-8900, or visit Austin Foot and Ankle Specialists in Austin, TX today.

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  • What should I expect from bunionette surgery?

     If your bunionette, also known as a tailor’s bunion, is causing daily pain and affecting your mobility, surgery may be recommended. At Austin Foot and Ankle Specialists, you can expect on-site treatment that is tailor made (pun intended) for your feet. This foot deformity affects the joint near the small toe, and surgical intervention is used to remove the section of bone that is protruding due to misalignment. If necessary, the affected bone will be repositioned as well. 

    After surgery, you will be given specific aftercare instructions that typically include a period of staying off of the affected foot, protecting it with a boot or surgical shoe, and elevating it. Healing times can range from three weeks to twelve weeks, depending on the procedure that is used. Swelling may remain beyond that.

    Surgery, even if it’s on the small toe, isn’t a small matter. It’s important that you trust your feet to the Austin experts in foot surgery—Dr. Craig H. Thomajan DPM, FACFAS and Dr. Shine John DPM, FACFAS . Find relief today! Schedule an evaluation by calling (512) 328-8900 or visiting us online.

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  • Are orthotics helpful for treating bunion deformities?

    We get asked this question quite often during any given day. Most people have some limited motion of the first metatarsophalangeal joint (MTPJ), which causes compression of the joint when the toe attempts to move. The compensation for patients to partially mitigate this compression force is by pushing the first metatarsal medially, which may cause a bunion in some people. The functional control of a total contact orthotic allows patients with bunions to postiviely respond by restoring motion of the MTPJ during gait. The orthotics also allows the first MTPJ reduce the compression forces associated with a failure of the joint to move.

    If you believe that you may require an orthotic before surgical management of your bunion, call the doctors at Austin Foot and Ankle Specialists at 512-328-8900.

  • Should I be scared of having ingrown toenail surgery?

    Most patients fear has to do with the injection prior. After application of anesthesia, the procedure is relatively quick and painless.

  • Do you perform surgery in the office?

    Yes, minor foot and ankle surgeries may be performed in our office based surgical suite. We are JACHO accredited office based surgical suite.

  • I have a hammertoe deformity, will you break my toe to fix it?

    The correction of a hammertoe deformity requires a procedure called an arthroplasty or arthrodesis.  These procedures involve the removal of bone and soft tissue with meticulous surgical technique and small joint instruments.

  • Recovery time for hammertoe surgery?

    Depending on the exact procedure preformed recover may be 4-6 weeks or 6-8 weeks.

  • Why is the HemiCAP placed on the metatarsal side?

    The HemiCAP implant is unique in that it is designed for the metatarsal side of the joint where the arthritic changes begin and which generally has more wear and tear on it. Other hemiarthroplasty devices replace only the end of the phalangeal side which may still have good remaining cartilage and do not address wear on the metatarsal side.

  • Is the INBONE Ankle a viable option for revision of other failed total ankles?

    Yes, the INBONE Total Ankle can be used to replace other failed total ankles.

    INBONE Ankle engineers developed certain design elements for this reason.