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Dr. Timothy Young
, a Board Certified Foot Surgeon, Discusses Supartz Injections for Ankle Arthritis

Synthetic joints lubricants such as Supartz are an effective treatment that we have been using at our clinic for over 10 years. Many of the patients who have arthritis believe that surgery is the only other option for them and are not aware of options such as Supartz. We typically use ultrasound guidance to make certain that we are directly within the joint itself.  A local anesthetic is also utilized ahead of time to help make our patients more comfortable during the Supartz procedure.

Studies with this treatment recommend a series of five Supartz injections. Our typical protocol would be to do five injections at 1–2-week intervals. Many of our patients have relief after the first injection and the relief continues to improve with each additional injection. Many of our patients are virtually pain-free after this and this relief can last up to a year or longer.  Supartz his one of the commercially available highly refined sympathetic joint lubricants with the primary ingredient being hyaluronic acid.  This type of treatment is a fraction of the cost of surgery and without the surgical risks.  Unlike cortisone there is no typical "injection flare“ after the injection.  Our patients can go back to normal physical activity the next day.
If you have ankle pain or have injuries and have residual ankle arthritis and pain please contact our office for a consultation. Give us a call at 425-391-8666 or make an appointment online today. 
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Dr. Timothy 
Young, a board-certified foot surgeon discusses treatment options for arthritis of the ankle.
Arthritis of the ankle can be a challenging problem to treat. This is a condition that can happen years after an injury with posttraumatic arthritis, degenerative joint disease and arthritic spurs or osteophytes. Some of the internal damage to the joint can involve damage to the cartilage. The end result is pain in the joint, especially with motion and with activity.
Treatment for arthritis can range from supplements to help decrease some of the inflammation and pain anti-inflammatory pain medication, braces to help limit motion, antiInflammatories, topical and oral, changing activities, or surgery.

However, there is another treatment option that is extremely effective.  Synthetic joint lubricants can offer relief quickly they can last for a year or longer.
Prior to this type of treatment, it was common to do cortisone injections. However, cortisone can further damage the joint overtime and. Cortisone injections are a short-term fix that can have long-term residual damage to the joint: weakening the existing cartilage.  Repeated injections can also weaken the bone.  Surgery can offer relief but takes significant time to heal.  There are ankle implants and there is fusion of the ankle.

If you are experiencing foot or ankle pain, give us a call at 425-391-8666 or make an appointment online today. 

Bunion


Bunion surgery
has been around for almost 200 years.  There have been many types of bunion surgeries performed during this time.  The vast majority involved cutting the bone and realigning the joint.  The recent years have allowed for advancement in correction techniques and better long-term outcomes.  Presently most surgeons either utilize a head technique, cutting the bone and realigning, or a base technique, which usually involves fusion or a Lapidus type procedure.

Lapiplasty has improved outcomes by creating a system that is reproducible and easier for surgeons to execute.  It involves a system of tools that the surgeon gets the proper correction for all patients.   The Lapiplasty is a new way of doing a bunion surgery that has been around for over 100 years.    The Lapidus bunionectomy is one of the most tried and true bunion correction surgeries and has great outcomes.  It is the primary work horse of bunion surgery and is probably the most common procedure I utilize.  If you have a painful bunion and would like to have it evaluated, make an appointment today and I will help you come up with a long term plan. Give us a call at 425-391-8666 or make an appointment online today. 

Sincerely,

Dr. Brandon Nelson

Bunion xray


Bunion surgery
is probably the most common procedure I execute.  Most bunions can be fixed in about 2 hours and provide great long-term results.  The most important factor is to have a thorough workup and x-rays to evaluate the foot.  Once the foot and x-rays have been done then a plan for surgical or conservative care can be formulated. 

If surgical intervention is called for, our office has an onsite surgery center which can save the average patient thousands of dollars as compared to free standing ASC’s or the Hospital.  Our certified surgery center provides the best possible patient experience and has been functioning for over 15 years.  If you have a bunion and have been contemplating what to do, I can help.  I really enjoy helping people with bunions.  Please make an appointment and we can discuss your options. Give us a call at 425-391-8666 or make an appointment online today. 

Sincerely,

Dr. Brandon Nelson

Bunion

Bunion surgery
is one of the most performed surgical procedures in the United States.  The bunion can be corrected with many different types of procedure from osteotomies (the cutting of bone) to arthrodesis (the fusion of bones).  Lapiplasty procedure is relatively new but utilizes a technique that has been around for years.  The procedure is based on a Lapidus bunion surgery. 

This procedure was named after a Dr Lapidus.  It involves fusion of a tarsometatarsal joint to stabilize the foot and fix the bunion.  The Lapiplasty allows for surgeons to have reproducible results utilizing special equipment and cutting jigs.  I find Lapiplasty to be a reliable tool for bunion correction.  Especially useful in large bunion cases and with people that have had long standing bunions.  If you have a large bunion and would like to speak with a Lapiplasty Surgeon please contact my office and we can see if you are a candidate. Give us a call at 425-391-8666 or make an appointment online today. 

Sincerely,

Dr. Brandon Nelson

Bunion xray

The Lapiplasty technique has created an effective tool for bunion surgery.  The foot and ankle surgeon community has seen a reproducible tool that has helped revolutionize bunion surgery.  This procedure has helped bunion surgeons get the best possible correction with incredible long term outcomes.  The Lapiplasty combines a tried-and-true bunion surgery technique with modern jigs and fixation.  Bunion surgery is challenging and any tools that can help with getting better outcomes are looked upon favorably.  This is the case for the Lapiplasty system. 

As a Board-Certified Surgeon and Physician and somebody that has done 1000’s of bunion surgeries, this is a welcomed tool in my armamentarium.  I have found that Lapiplasty is a game changer.  I find my results are outstanding and long lasting.  I look forward to helping more patients with bunion recover faster and returning earlier to activities is a giant plus! If you suffer from bunion pain come see if you are a candidate for Lapiplasty. Give us a call at 425-391-8666 or make an appointment online today. 

Sincerely,

Dr. Brandon Nelson

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Dr. Timothy Young
, A Board Certified Foot Surgeon, discusses postsurgical scar formation and supplements.  
There is always scar tissue formation after foot surgery.  The obvious scar formation is the skin incision.  But the scar extends all the way deep to the entire surgical area that was treated with surgery.  For example, with bunion surgery the capsule of the great toe joint has to be incised to access the joint and the bony prominence and also allow for any bone work or osteotomy.  After the deep bone work is complete the capsule is sutured back together and has to heal.  But the capsule may scar down tightly and limit post surgical range of motion.  

In addition after bone is resected bone often has excellent blood flow and there can be a blood clot or hematoma on the surface of the bone, deep within the wound.  This can be resorbed by the body and also can eventually convert to scar tissue and again cause ongoing swelling or stiffness to the surgical site.  Two supplements may be helpful for this.  One is nattokinase and the other is serrapeptase.  Both of these supplements should be taken 30 minutes before food for best absorption.  The nattokinase can be taken once a day and this serrapeptase can be taken twice a day.  Talk to your surgeon or naturopath to further discuss the role of these supplements with your particular situation.

If you are experiencing foot or ankle pain, give us a call at 425-391-8666 or make an appointment online today. 

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Dr. Timothy Young
, a board-certified foot surgeon, discusses neuroma treatments:

Our Doctors have been using Alcohol injections for Morton's Neuroma for over 10 years with excellent success.  Most patients have between 6 - 8 injections at weekly intervals.  Occasionally a "mini-series" will be done after 12 months.  For most patients, there is minimal discomfort after the injections and there is progressive relief from the Neuroma symptoms. 

We typically use between 20-30% dehydrated alcohol.  Ultrasound guidance is critical for correct injection technique.  Most frequently we treat the 3rd intermetatarsal space, and runner up is the 2nd intermetatarsal space.  This provides an excellent alternative to surgical treatment, and we also treat stump neuroma problems (where there is reoccurrence of the neuroma symptoms after prior foot surgery).  

If you are experiencing foot or ankle pain, give us a call today at 425-391-8666 or make an appointment online


austin bunionectomy

Dr Brandon Nelson, A Board Certified Physician and Surgeon, Discusses the American College of Foot and Ankle Surgeons Consensus on Bunions

This month the American College of Foot and Ankle Surgeons released an updated version of statements regarding bunion deformities.  It was released to look at the best available evidence, clinical practice, and clinical experience to treat bunions.  As a member and Board-Certified Surgeon, I feel it is an essential tool to have in our clinical practice.  I will summarize some of the important findings:

1.     The bunion is a deformity that should be considered chronic, progressive, and degenerative in nature.  

2.     The juvenile bunion should be evaluated and managed differently than the adult.   

3.     Effective assessment and evaluation require and x-ray.

4.     Procedural decision making for bunions should address the specific anatomy of the deformity.

5.     Bunions should always be addressed with joint preserving procedures when appropriate.

This is a main summary of what was stated.  Bunions continue to be a difficult pathology for patients.  If you have bunion pain I am happy to help come up with a treatment plan. Give us a call at 425-391-8666 or make an appointment online today. 

Sincerely,

Dr. Brandon Nelson

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Dr. Timothy Young, a Board Certified foot surgeon, discusses collagen supplements after surgery.
We have discussed at length supplements and the role with bone healing.  Today we're going to discuss supplements and tendon and soft tissue healing. Tendons are made of collagen. Many structures in the body have collagen skin hair nails and even bone.  Tendons especially have a very high collagen content.  Supplemental collagen is recommended, and for example 6000 mg per day total of the youtheory tablets is a good starting dose (3000 mg twice a day) .  

For example Achilles tendon surgery or repair of an Achilles tendon rupture.  Peroneal or posterior tibial tendon surgery.  In addition zinc (25 mg up to 50 mg per day) and boron  (3 mg per day) are supplements the can be helpful with deep tissue healing and wound healing.  It's important to note that zinc can compete with some other essential elements such as calcium and magnesium so it's best to take zinc by itself for example at lunchtime.  Remember there are always things that you can do to help your body heal.

If you are experiencing foot or ankle pain, please give us a call at 425-391-8666 or make an appointment online today. 
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