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Hammertoes occur from contracture normally of the interphalangeal joints of the toes.  These can occur in conjunction with other types of foot deformities like bunions or flat feet.  These are fairly straightforward to fix surgically and have a very short recovery. One of the most important things I can encourage is to make sure other foot deformities are evaluated and treated.  Normally the surgical procedure involves removing a small section of bone and pinning the toe for about 4 weeks.  Most people are walking usually in a boot to protect the toes and physical therapy is not normally required.  At the Bellevue foot surgery Center this procedure can normally performed and less than half an hour people often go back to work the next day.  There are additional options for patients that don’t want third toes pinned, we continues internal splinting.  Hammertoe deformity and wanted to discuss either conservative or surgical care we would be happy to review your options.  If you live in Issaquah, Bellevue, Seattle, Redmond, Sammamish, Maple Valley and Renton please call us at 425–391–8666. 

The Bellevue foot surgery Center gets quite a few questions about minimally invasive bunionectomies. Minimally invasive bunionectomies refer to a very small incision to decrease the appearance of scarring and some doctors report quicker recovery times. The Bellevue Foot Surgery Center has performed thousand surgical procedures and from experience we continued there is no quick fix or minimally invasive technique for the majority of bunions. The most important thing when contemplating bunion surgery is proper procedure selection and this dictates the size of your incision. Very small bunions we can perform a minimally invasive incision however by the time most people like to have surgery for bunionectomy there bunions are fairly large. However, the fact that we perform so many bunionectomies we normally can keep our incisions fairly small and have advanced protocols to increase recovery injury to back to your preoperative activities. We have taken years to perfect our protocols and will guide with the postoperative course including physical therapy, nutritional supplements, bone healing and other advanced techniques or outcome. If you have a bunion or contemplating surgery and live in Seattle, Bellevue, Issaquah, Kirkland, Maple Valley please call the Bellevue Foot Surgery Center a division of Issaquah Foot & Ankle Specialists at 425-391-8666.

Pain and swelling around the joint is often indicative of arthritis.  There are many treatment options available for arthritis including bracing, injections and surgery.  Today I’ll focus on arthritis of the great toe joint or the first MTPJ.  This is a chronic condition we see often described as hallux limitus or hallux rigidus.  Many times patients have had injuries like turf toe or spraining of the toe joint, however this can be genetic as well.  Usually pain presents with activities and often limits patient’s ability to play sports or running.  Proper evaluation usually involves an x-ray see x-ray below was a good example of arthritis of the big toe joint.

The picture above shows pretty severe arthritis of the big toe joint.  This patient would require fusion of the toe or arthrodesis in order to provide long-term pain relief.  This procedure is relatively straightforward usually involves 2 screws and a period of weightbearing in a boot for 6-8 weeks.  Patients can return to activities that they did preoperatively with a limitation of inability to wear high heel shoes.  There are other procedures available for osteoarthritis of the great toe joint if it is not as severe as the above xray including; opening up the joint space to increase range of motion or just cleaning up the joint.  If you currently have great toe pain and live in Seattle, Bellevue, Issaquah, or anywhere on the East side like Maple Valley call the Bellevue foot surgery Center division of the Issaquah foot and ankle specialists at 425-391-8666.  Our clinic has an onsite surgery center which will save you thousands of dollars versus going to an Outpatient Surgery Center or the hospital.

We have quite a few patients who’ve expressed interest in the removal screws and plates and/or pins. They’ve previously had surgery and would like their hardware taken out, often times because of irritation. Generally there appears to be an inflammatory-type reaction that some people experience from the retained hardware. Hardware removal is a very simple procedure that can be done in our surgery center oftentimes in less than 30 minutes. There’s usually hardly any recovery time, including minimal time off work if not just the day of surgery. Postoperative pain is often not present. We have very few people take any pain medication after this hardware removal. A common question patients have concerns the hole left behind by the hardware. Normally, new bone formation covers the hole in a relatively short period of time. If you have any questions about hardware removal or would like to be evaluated for hardware removal, please feel free to contact us at 425-391-8666.

The cost of bunion surgery can vary greatly depending upon the severity of the bunion, the procedure, insurance coverage and facility charges. However, the Washington Bunion Center, a division of Issaquah Foot and Ankle Specialists, offers bunion surgery at our own ambulatory surgery facility located within our offices. Because we can perform the majority of our bunion surgeries in our own facility, in a comfortable outpatient setting, patients typically spend much less on their procedure and enjoy a more comfortable environment.

“With our own onsite surgery center you can save thousands of dollars by having bunion correction procedures performed here versus a hospital or a free standing ambulatory surgery center. We provide experienced surgeons, comfortable environment and cost savings compared to other facilities. This is why many patients travel from all over the state to visit us.”

Bunion surgery cost can vary, especially concerning insurance providers. The doctors of the Washington Bunion Center provide the same procedures performed in a hospital, in their surgery center for a lower cost to patients. Insurance coverage will be verified before surgery and cost structure explained in full detail prior to procedure.

Take the first step to addressing your bunion and get one step closer to bunion relief, request your appointment.

Is surgery needed to treat my bunions?

The answer to this question is based on the severity of the bunion deformity and the patient.  Bunion surgery is typically elective surgery used after using more conservative treatments. The typical cost of bunion surgery can vary depending upon the procedure used, insurance coverage  and the facility where the procedure is performed. Read more information about bunion surgery cost.

X-ray image of a Bunion

Initial evaluation including x-rays and a gait analysis will be performed. Bunion surgery is an ambulatory procedure. This means that the procedure is performed in an outpatient setting and typically takes an hour or two to perform the surgery. Bunion surgery is typically performed with a local anesthesia and either Arthroplasty or Osteotomy is performed. These procedures will reshape or cut the protrusion and typically titanium screws are inserted. The surgical screws will hold the bones in the new corrected position and provide long term stability to the area. However, there are more than 100 different surgical procedures for bunions. Bunions are a progressive condition, which the severity of the condition worsens over time. As a result, the ideal procedure, amount of soft tissue and bone effected, and recovery time will vary with each patient. If surgery is recommended for your bunion(s) speak to the doctors about the type of procedure for your case and anticipated recovery times. If your bunions are not severe enough for surgery at this time it is advised you take some action to slow the progression of bunions. Contact the Washington Bunion Center today for an appointment to learn more about surgeries or how to slow bunion progression.

The surgery is painless with minimal discomfort the during recovery period, which is treated with over the counter pain relievers. Dependent upon the severity and degree of correction, many patients are back on their feet in a few days. Many factors will determine your level of discomfort and anticipated recovery time from bunion surgery. These factors include the degree of repair and the type of procedure performed to correct your bunions. Recovery times can vary based on these factors, however many patients will be back on their feet after a few days.

Bunion surgery is only recommended after conservative bunion treatments have been proven ineffective. If surgery is a recommended course of action , the type of procedure performed is specific to each patient’s unique bunion. There is no best bunion surgery, the best method for repairing a patients bunion is determined by the patient’s unique foot structure, gait and other factors.

The Washington Bunion Center is equipped with an ambulatory surgery center. The doctors perform these surgeries in the office, this reduces costs for patients. Bunion surgery performed in our surgical suite does not require a hospital stay and operating costs are less than performing the same procedure in a hospital. The doctors do perform surgeries in local hospitals when necessary, however most patients appreciate the opportunity to have their surgery performed in a relaxed and familiar setting with staff they are already familiar with. The costs are lower compared to having the procedure performed in a hospital and does not require a hospital stay. Our bunion surgery patients are released the same day as the procedure.

 

 

 

 

 

 

 

A Cartiva Implant is used to treat arthritis in the joint of the big toe. When you have arthritis, the cartilage tissue in the big toe wears down. Cartiva is made of a polymer that is biocompatible, durable, and organic -- similar to how natural cartilage is. We specialize in Cartiva Implants here at Issaquah Foot & Ankle Specialists.

For more information on Cartiva Implants, please read the Patient Information Brochure.

In addition, make sure to check out the Frequently Asked Questions concerning Cartiva Implants.

Cartiva Implants have been found to be safe and effective, as many peer reviewed studies have shown.

Testimonials

 

Cartiva In The Media

 

 

For more videos on Cartiva, be sure to check out our Youtube channel.

Issaquah Foot and Ankle Specialists

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE REVIEW IT CAREFULLY. THE PRIVACY OF YOUR MEDICAL INFORMATION IS IMPORTANT TO US.

 

Our Legal Duty

We are required by applicable federal and state laws to maintain the privacy of your protected health information. We are also required to give you this notice about our privacy practices, our legal duties, and your rights concerning your protected health information. We must follow the privacy practices that are described in this notice while it is in effect. This notice takes effect April 14, 2003, and will remain in effect until we replace it.

We reserve the right to change our privacy practices and the terms of this notice at any time, provided that such changes are permitted by applicable law. We reserve the right to make the changes in our privacy practices and the new terms of our notice effective for all protected health information that we maintain, including medical information we created or received before we made the changes.

You may request a copy of our notice (or any subsequent revised notice) at any time. For more information about our privacy practices, or for additional copies of this notice, please contact us using the information listed at the end of this notice.

 

Uses and Disclosures of Protected Health Information

We will use and disclose your protected health information about you for treatment, payment, and health care operations. Following are examples of the types of uses and disclosures of your protected health care information that may occur. These examples are not meant to be exhaustive, but to describe the types of uses and disclosures that may be made by our office.

Treatment: We will use and disclose your protected health information to provide, coordinate or manage your health care and any related services. This includes the coordination or management of your health care with a third party. For example, we would disclose your protected health information, as necessary, to a home health agency that provides care to you. We will also disclose protected health information to other physicians who may be treating you. For example, your protected health information may be provided to a physician to whom you have been referred to ensure that the physician has the necessary information to diagnose or treat you.

In addition, we may disclose your protected health information from time to time to another physician or health care provider (e.g., a specialist or laboratory) who, at the request of your physician, becomes involved in your care by providing assistance with your health care diagnosis or treatment to your physician.

Payment: Your protected health information will be used, as needed, to obtain payment for your health care services. This may include certain activities that your health insurance plan may undertake before it approves or pays for the health care services we recommend for you, such as: making a determination of eligibility or coverage for insurance benefits, reviewing services provided to you for protected health necessity, and undertaking utilization review activities. For example, obtaining approval for a hospital stay may require that your relevant protected health information be disclosed to the health plan to obtain approval for the hospital admission.

Health Care Operations: We may use or disclose, as needed, your protected health information in order to conduct certain business and operational activities. These activities include, but are not limited to, quality assessment activities, employee review activities, training of students, licensing, and conducting or arranging for other business activities.

For example, we may use a sign-in sheet at the registration desk where you will be asked to sign your name. We may also call you by name in the waiting room when your doctor is ready to see you. We may use or disclose your protected health information, as necessary, to contact you by telephone or mail to remind you of your appointment.

We will share your protected health information with third party "business associates" that perform various activities (e.g., billing, transcription services) for the practice. Whenever an arrangement between our office and a business associate involves the use or disclosure of your protected health information, we will have a written contract that contains terms that will protect the privacy of your protected health information.

We may use or disclose your protected health information, as necessary, to provide you with information about treatment alternatives or other health-related benefits and services that may be of interest to you. We may also use and disclose your protected health information for other marketing activities. For example, your name and address may be used to send you a newsletter about our practice and the services we offer. We may also send you information about products or services that we believe may be beneficial to you. You may contact us to request that these materials not be sent to you.

Uses and Disclosures Based On Your Written Authorization: Other uses and disclosures of your protected health information will be made only with your authorization, unless otherwise permitted or required by law as described below.

You may give us written authorization to use your protected health information or to disclose it to anyone for any purpose. If you give us an authorization, you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it was in effect. Without your written authorization, we will not disclose your health care information except as described in this notice.

Others Involved in Your Health Care: Unless you object, we may disclose to a member of your family, a relative, a close friend or any other person you identify, your protected health information that directly relates to that person's involvement in your health care. If you are unable to agree or object to such a disclosure, we may disclose such information as necessary if we determine that it is in your best interest based on our professional judgment. We may use or disclose protected health information to notify or assist in notifying a family member, personal representative or any other person that is responsible for your care of your location, general condition or death.

Marketing: We may use your protected health information to contact you with information about treatment alternatives that may be of interest to you. We may disclose your protected health information to a business associate to assist us in these activities. Unless the information is provided to you by a general newsletter or in person or is for products or services of nominal value, you may opt out of receiving further such information by telling us using the contact information listed at the end of this notice.

Research; Death; Organ Donation: We may use or disclose your protected health information for research purposes in limited circumstances. We may disclose the protected health information of a deceased person to a coroner, protected health examiner, funeral director or organ procurement organization for certain purposes.

Public Health and Safety: We may disclose your protected health information to the extent necessary to avert a serious and imminent threat to your health or safety, or the health or safety of others. We may disclose your protected health information to a government agency authorized to oversee the health care system or government programs or its contractors, and to public health authorities for public health purposes.

Health Oversight: We may disclose protected health information to a health oversight agency for activities authorized by law, such as audits, investigations and inspections. Oversight agencies seeking this information include government agencies that oversee the health care system, government benefit programs, other government regulatory programs and civil rights laws.

Abuse or Neglect: We may disclose your protected health information to a public health authority that is authorized by law to receive reports of child abuse or neglect. In addition, we may disclose your protected health information if we believe that you have been a victim of abuse, neglect or domestic violence to the governmental entity or agency authorized to receive such information. In this case, the disclosure will be made consistent with the requirements of applicable federal and state laws.

Food and Drug Administration: We may disclose your protected health information to a person or company required by the Food and Drug Administration to report adverse events, product defects or problems, biologic product deviations; to track products; to enable product recalls; to make repairs or replacements; or to conduct post marketing surveillance, as required.

Criminal Activity: Consistent with applicable federal and state laws, we may disclose your protected health information, if we believe that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public. We may also disclose protected health information if it is necessary for law enforcement authorities to identify or apprehend an individual.

Required by Law: We may use or disclose your protected health information when we are required to do so by law. For example, we must disclose your protected health information to the U.S. Department of Health and Human Services upon request for purposes of determining whether we are in compliance with federal privacy laws. We may disclose your protected health information when authorized by workers' compensation or similar laws.

Process and Proceedings: We may disclose your protected health information in response to a court or administrative order, subpoena, discovery request or other lawful process, under certain circumstances. Under limited circumstances, such as a court order, warrant or grand jury subpoena, we may disclose your protected health information to law enforcement officials.

Law Enforcement: We may disclose limited information to a law enforcement official concerning the protected health information of a suspect, fugitive, material witness, crime victim or missing person. We may disclose the protected health information of an inmate or other person in lawful custody to a law enforcement official or correctional institution under certain circumstances. We may disclose protected health information where necessary to assist law enforcement officials to capture an individual who has admitted to participation in a crime or has escaped from lawful custody.

 

Patient Rights

Access: You have the right to look at or get copies of your protected health information, with limited exceptions. You must make a request in writing to the contact person listed herein to obtain access to your protected health information. You may also request access by sending us a letter to the address at the end of this notice. If you request a copy of your protected health information, we may charge you a reasonable fee for the copying, postage, labor, and supplies used in meeting your request. If you prefer, we will prepare a summary or an explanation of your protected health information for a fee. Contact us using the information listed at the end of this notice for a full explanation of our fee structure.

Accounting of Disclosures: You have the right to receive a list of instances in which we or our business associates disclosed your protected health information for purposes other than treatment, payment, health care operations and certain other activities after April 14, 2003. After April 14, 2009, the accounting will be provided for the past six (6) years. We will provide you with the date on which we made the disclosure, the name of the person or entity to whom we disclosed your protected health information, a description of the protected health information we disclosed, the reason for the disclosure, and certain other information. If you request this list more than once in a 12-month period, we may charge you a reasonable, cost-based fee for responding to these additional requests. Contact us using the information listed at the end of this notice for a full explanation of our fee structure.

Restriction Requests: You have the right to request that we place additional restrictions on our use or disclosure of your protected health information. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in an emergency). Any agreement we may make to a request for additional restrictions must be in writing signed by a person authorized to make such an agreement on our behalf. We will not be bound unless our agreement is so memorialized in writing.

Confidential Communication: You have the right to request that we communicate with you in confidence about your protected health information by alternative means or to an alternative location. You must make your request in writing. We must accommodate your request if it is reasonable, specifies the alternative means or location, and continues to permit us to bill and collect payment from you.

Amendment: You have the right to request that we amend your protected health information. Your request must be in writing, and it must explain why the information should be amended. We may deny your request if we did not create the information you want amended or for certain other reasons. If we deny your request, we will provide you a written explanation. You may respond with a statement of disagreement to be appended to the information you wanted amended. If we accept your request to amend the information, we will make reasonable efforts to inform others, including people or entities you name, of the amendment and to include the changes in any future disclosures of that information.

Electronic Notice: If you receive this notice on our website or by electronic mail (e-mail), you are entitled to receive this notice in written form. Please contact us using the information listed at the end of this notice to obtain this notice in written form.

 

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Questions and Complaints

If you want more information about our privacy practices or have questions or concerns, please contact us using the information below. If you believe that we may have violated your privacy rights, or you disagree with a decision we made about access to your protected health information or in response to a request you made, you may complain to us using the contact information below. You also may submit a written complaint to the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request.

We support your right to protect the privacy of your protected health information. We will not retaliate in any way if you choose to file a complaint with us or with the U.S. Department of Health and Human Services

Issaquah Foot and Ankle Specialists
450 N.W. Gilman Blvd.
Suite 303
Issaquah WA
98027-2483 US

(425) 391-8666 Phone

(425) 392-6433 Fax