Complete Medical and Surgical Care of the Foot and Ankle
Custom foot orthotics (arch supports) and Bracing
Foot orthotics are custom made arch supports used to control and support the foot, ankle and lower leg. These devices will vary in appearance and materials depending on the specific foot/ankle condition being treated. Foot orthotics are durable, made of quality materials, and are designed to last for many, many years. Most foot orthotics can be "moved from shoe to shoe" to accommodate your changing shoe gear needs, although some types are only designed to work in certain types of shoes, such as athletic or dress. Foot orthotics are commonly used to treat plantar fasciitis (heel and arch pain), flatfoot, tendonitis, bunions, osteoarthritis and metatarsalgia (pain to the ball of the foot) and Morton's neuroma. Some patients even notice a substantial decrease in knee, hip and lower back pain!
For patients requiring more control of their foot and ankle, we supply custom Ankle-Foot-Orthotics (AFO's) to provide more stability to the ankle joint. AFO's are commonly used for ankle instability (weak ankles), severe flatfoot deformities, advanced osteoarthritis and dropfoot conditions.
Sports Medicine/Athletic Injuries
The treatment of sports and exercise injuries are challenging because patients want to resume their athletic training as soon as possible, even though they may be at greater risk of reinjuring their foot or ankle! Dr. Dan and Ann Hanon understand athletic injuries, because they exercise themselves! Whether it be running, cycling, aerobics, basketball, weight training or ballet, Drs. Hanon can formulate a treatment plan for you.
Common injuries include sprained ankles, stress fractures, tendonitis, plantar fasciitis, Morton's neuroma, "turf toe", and capsulitis (inflamed, swollen joints). Physical therapy, immobilization, proper shoes, foot orthotics, bracing and non-steroidal anti-inflammatories are used during the rehabilitation process. And when our patients are ready to resume their activities, we provide the resources to prevent future injuries!
Surgical Correction of foot conditions (bunions, hammertoes,etc.)
Surgical Correction of Foot Conditions: Some foot and ankle conditions will require surgical care, even though extensive conservative treatment was performed. Other conditions may be progressive and require surgery to prevent worsening disability. The majority of foot and ankle surgery is performed on an "outpatient" basis, also called "same day surgery", although more complex procedures may require an overnight hospital stay. Below are some common surgeries we perform to improve function and relieve pain.
- Hammertoe correction
- Bone Spurs
- Plantar Fasciotomy
- Morton's Neuroma Excision
- Ganglion Cyst and Soft Tissue Mass Removal
- Tendon and Ligament Repairs
- Joint Fusions for Osteoarthritis
- Diabetic Amputations/Limb Salvage
- Ingrown Toenails, Warts and corn removal
We commonly treat Acute Fractures (bold) due to a traumatic injury, and Stress Fractures (bold), sometimes called "hairline fractures", that are usually caused by repetitive activities. Most fractures can be treated by placing the patient in a cast, walking cast boot or fracture shoe. Some fractures require no body weight to the foot for healing, others can tolerate some walking if they are adequately protected. If a foot or ankle fracture is out of alignment, it usually requires reduction (realignment) with hardware (screws, pins, plates)to hold the bones in place to allow proper healing. The rapid developments in surgical technology allow faster bone healing and earlier return to normal activities.
We treat all foot and ankle fractures, including the metatarsals, tarsal bones, calcaneus (heel) and ankle (tibia and fibula) using Swiss AO surgical principles.
Corn and Callous Removal
Corns and calluses are thickened areas of the skin that build-up and often become painful. These lesions can be trimmed in our office periodically, but they usually return, despite padding and protecting the skin. Some types of corns can be surgically removed in-office with little chance of ever returning!
Ingrown toenail and Wart Removal
In-office removal of ingrown toenails and warts are effective treatments for these common and painful conditions. A small portion of the toenail border can be removed "cosmetically", in a permanent fashion so that it never returns! This cosmetically appealing procedure leaves the rest of the toenail intact with a normal appearance.
Warts may be either surgically removed or chemically destroyed in-office, depending on the patient's desired treatment plan. Surgical removal requires an injection to anesthetize or "numb up" the wart, while chemical destruction does not require a needle injection. Both methods are effective treatment options!
Diabetic Foot Examination and Care
Drs. Hanon are experts in the treatment of diabetic foot conditions. We treat severe foot and leg infections, wounds and foot deformities related to diabetes mellitus. Just as important, we perform thorough evaluations of our diabetic patients to help prevent future problems! We also provide diabetic shoes, arch supports and bracing.
Drs. Hanon are experts in wound care, with years of experience in all aspects of wound treatment. Their intimate knowledge biomechanics, the function of the foot, ankle and leg allow them to heal wounds and prevent foot and leg amputations with a very high level of success. Dr. Daniel Hanon has worked continuously at St. Mary's Wound Care Center since 2004, gaining valuable experience in treating severe diabetic, traumatic, venous and arterial wounds. Dr. Ann Hanon is a consulting physician with the Cass Medical Center Wound Care Clinic in Harrisonville, MO.
Wound treatment may include antibiotics, special leg and foot bandages, skin grafts, laboratory grown skin products, topical medicines and dressings and debridement(trimming)of non-viable tissue. Sometimes surgery is needed to completely heel a wound and save the foot or leg from amputation. Drs. Hanon also have the knowledge to prescribe and fit patients with the proper shoes, insoles, braces and therapeutic compression hose (support stockings)to heal wounds and prevent their recurrence.
Circulation Testing (in-office)
We provide in-office circulation testing using a state-of-the-art Duplex Doppler Ultrasound. We can measure the blood flow down the leg into the foot and even the toes! This important screening tool helps diagnose PAD (Peripheral Arterial Disease) and gives the doctors the necessary information if a referral to a circulation specialist is needed (e.g. Vascular Surgeon).