Foot and Ankle Surgery is a versatile approach employed to address a range of conditions affecting the foot and ankle, including bunions, tendon tears, and severe arthritis. Typically, surgical intervention is considered when nonsurgical treatments have been exhausted without achieving the desired outcome. However, certain urgent cases like ankle fractures may necessitate immediate surgery.

Various surgical procedures are available for treating foot and ankle conditions. The specific procedure depends on the type of condition present. The surgical goals may involve realigning fractured bones, fusing painful joints, excising overgrown tissue, or repairing torn ligaments or tendons. In instances of extensive damage and intense pain in the ankle joint, a total ankle replacement might be recommended as a viable option.

Bunion surgery

Bunion surgery aims to alleviate pain and correct the deformity caused by a bunion, which is an enlargement of the bone or tissue around the joint at the base of either the big toe or the little toe. The former is known as a "bunion" or "hallux valgus," while the latter is referred to as a "bunionette" or "tailor's bunion." Bunions usually develop due to prolonged stress on the joint, and they are more commonly observed in women, often associated with wearing tight, pointed, and restrictive shoes.

Additionally, bunions can be hereditary or result from arthritis, particularly affecting the big toe joint. In such cases, surgical intervention becomes a viable option to address the discomfort and correct the deformity. What are the risks of bunion surgery? As with any surgical procedure, complications can happen. Some possible complications may include:

• Stiffness
• Numbness
• Swelling
• Delayed healing
• Infection

Achilles tendon repair surgery

Achilles tendon repair surgery is a type of surgery to fix a damaged Achilles tendon. The Achilles tendon is a strong, fibrous cord in the lower leg. It connects the muscles of your calf to your heel. It’s the largest tendon in your body. It helps you walk, run, and jump.

Posterior tibialis tendon surgery

Posterior tibialis tendon surgery is a procedure aimed at repairing the tendon located at the back of your calf, which extends down the inside part of your ankle. There are several types of surgery that a surgeon can perform to address issues with this tendon.

The posterior tibialis tendon is a robust cord of tissue and holds significant importance in your leg. It connects the posterior tibialis muscle at the back of your calf to the bones on the inner side of your foot. This tendon plays a crucial role in supporting your foot and maintaining its arch while walking.

Lateral ankle ligament reconstruction

Lateral ankle ligament reconstruction, also known as the Brostrom procedure, is a surgical method used to tighten and strengthen one or more ankle ligaments situated on the outer side of the ankle. This outpatient surgery allows patients to return home on the same day.

Your ankle serves as a hinge joint, enabling both upward and downward movements, as well as side-to-side motions. To maintain the stability of the ankle and foot, several ligaments act as strong band-like structures, securely connecting the bones in your ankle and feet.

Notably, the outer side of your foot houses significant ligaments, such as the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL), which play a crucial role in providing stability and steadiness to your ankle and foot during walking and other activities.

The Brostrom procedure addresses any laxity or damage in these ligaments, promoting enhanced stability and function of the lateral aspect of the ankle. Certain mechanical problems with your foot can make you more likely to develop an unstable ankle, such as:

• Hindfoot varus
• Plantar flexion of the first ray
• Midfoot cavus (high arches)
• General looseness of your ligaments—for example, from a medical condition like Ehlers-Danlos

Ankle replacement surgery

Ankle replacement surgery is the replacement of a damaged ankle joint with an artificial implant. The ankle joint (tibiotalar joint) is where your shinbone (tibia) rests on top of a bone of your foot, the talus. Arthritis can affect this joint as well as other joints in the foot. Over time, the smooth cartilage on the surface of the bones wears away. This can result in pain, inflammation, and swelling of your joint.

Why might I need ankle replacement surgery?

Ankle replacement surgery may make sense for you if you have severe arthritis in your ankle. This can cause symptoms like severe pain, inflammation, and stiffness, which can lead to difficulty walking. The main types of ankle arthritis are:

• Osteoarthritis. This is “wear and tear” arthritis that develops in older adults.
• Rheumatoid arthritis. This is a system-wide autoimmune disease that affects the joints.
• Arthritis. This can happen because of a past injury of your joint.

Minimally Invasive Surgery (MIS)

Due to the standardization of the operation and the follow-up treatment, minimally invasive techniques have prevailed in recent years and have brought very good results.

Advantages of minimally invasive surgery:

• Small wounds l small scares
• Little pain postoperatively
• Mostly no implants
• Less risk of infection
• Less operation time
• Less anesthesia time

Which foot deformity and foot diseases can be performed surgically in the minimally invasive procedure?

• Hammer toe, claw toe, curly toe, and post-traumatic toe deformity
• Tailor's bunion (bunion of the fifth toe)
• DMMO (distal metaphyseal metatarsal osteotomy)
• Cheilectomy
• Haglund's heel (Haglund exsostosis)
• Bone exostosis removal
• Arthroereisis of the subtalar joint in flexible symptomatic planovalgus in children

Arm pain can make it difficult to carry on with daily activity without discomfort and inconvenience. Experts at SGH Dubai provide dedicated diagnosing and treatment for arm pain so that they can relieve pain as quickly as possible and return to daily activities.

What is arm pain?

Arm pain can be caused by a wide variety of problems, varying from joint injuries to compressed nerves. Depending on the cause, arm pain can start suddenly or develop over time. Arm pain can be experienced anywhere throughout the arm, and it can include pain in the wrist, elbow, and shoulder. Depending on the cause, the pain may start suddenly, go away or it may increase gradually.

Causes for Arm pain

Arm pain can result from abnormalities or injury of the skin, nerves, bones, joints, blood vessels, and soft tissues. Some causes of arm pain include:

• Broken bone
• Bursitis
• Carpal tunnel syndrome
• Dislocated joint
• Pinched nerve
• Arthritis
• Rotator cuff injury
• Sprain or strain
• Tendinitis

Symptoms of Arm Pain

Arm pain symptoms depend on the location, type, and severity.

• Arm redness
• Pain
• Stiffness
• Swelling
• Swollen lymph nodes under the arm
• Tingling
• Numbness
• Sharp pain
• Muscle weakness
• Bruising
• Visible deformity
• Difficulty moving the arm

Sometimes arm pain or weakness is a symptom of a serious problem with the heart, nerves, or brain.

Diagnosis for Arm Pain

Arm pain diagnosis may include X-rays and blood tests. To implement proper treatment, the doctor will first diagnose the underlying cause of arm pain. A medical history and physical exam will be conducted to find out your activities, potential injuries, and symptoms. Some methods of diagnosis include:

• Performing specific motions to evaluate your range of motion to identify the location and cause of potential injuries or pain.
• Blood tests
• X-rays to help diagnose broken or fractured bones.
• If your doctor thinks your arm pain is associated with potential heart complications, tests may be ordered to see how your heart is working and to evaluate the blood flow through your heart.
• Ultrasounds to detect problems with joints, ligaments, and tendons.
• MRIs and CT scans to get a more detailed image of soft tissue and bones.

Arm pain treatment can include physical therapy.

• Prescription medicine
• Anti-inflammatory medications
• Physical therapy for arm strength and improved motion.
• Surgery in severe cases of arm pain

Arm pain prevention can include stretching and exercise.

All arm pain can be avoided, there are some preventative measures that can be taken to reduce the risk of arm pain altogether. Some steps to prevent arm pain are:

• Stretch regularly before exercise and sports
• Practice the correct form for the exercises you’re performing to prevent injury
• Wear protective equipment while playing sports
• Engage in physical activity daily
• Lift objects carefully and with proper form.

Saudi German Hospital’s paediatric orthopaedics centre is fully equipped with the modern and latest technology. The doctors at the Paediatric Orthopaedic Centre are well-learned and qualified in their fields.

They specialize in providing the best medical care to your child. Saudi German Hospital provides both surgical and non-surgical treatments for an extensive range of various paediatric orthopaedic conditions and congenital defects including

• Bone and joint conditions
• Deformities of the limbs
• Deformities of the spine

However, some of the common conditions that we treat include:

• Bowleg and Knock-Knees
• Clubfoot
• Flatfeet
• Hip Dysplasia
• Scoliosis Treatment

Paediatric Patients have access to all the available resources and services being offered at the Saudi German Hospital. Our staff at the Paediatric Orthopaedic Centre is affiliated with the German Medical Board. Therefore, giving the best treatment is our main goal and your satisfaction is our reward.

Sports Medicine doctors are called Orthopaedic Specialists. These experts work with athletes and those with musculoskeletal injuries. Orthopaedic specialists deal with any kind of injury that is associated with sports, ranging from joint pain to osteoarthritis to nutrition.

Our Team at Saudi German Hospital is committed to providing you with the best sports medicine facilities including

• Training to bridge the gap between elite athlete and the recreational warrior by offering the highest level of ultra-modern performance and training
• Providing professional and elite athlete training
• From the needs of exercise and sports to all levels, we deliver health care from elite to amateur
• Delivering latest and first-class teachings, research, and care in sports and exercise medicine

Our Expertise in Sports Medicine Management:

Faith in Saudi German Hospital Sports Medicine Management: Getting injured on the ground or from repetitive stress is inevitable for athletes. However, what matters is where you get the right treatment and care from. Top athletes and active recreational individuals rely on Saudi German Hospital’s sports medicine and hence find a home-like place to get the right medical care and attention leading to fitness and excellence in performance.

Exceptional Expertise at Saudi German Hospital: When you are not feeling alright then it is time to receive the right kind of treatment on time. You have access to our highly-maintained, well-equipped state-of-the-art technology.

Our well-learned and competent orthopaedic surgeons, psychiatrists, and family practitioners with background knowledge in sports knowledge will grant you the best kind of treatment that you require.

Our physical therapists and trainers are also working alongside you for your satisfaction and betterment. Our target is to ensure a successful and healthy return to your activity, training, and learning that will directly boost your confidence and performance.

For the athlete, our program includes services for football, golf, tennis, and running, as well as consultation and advice about ACL injury risk reduction and returning to sport following an injury.

Right kind of Treatment Right Away

Saudi German Hospital is one of the topmost leading hospital chains in the UAE. We specialize in all kinds of sports musculoskeletal injury prevention and rehabilitation treatment, surgical and non-surgical treatments, physical and mental therapies, latest technology MRI, and Ultrasound Scans. We aim to provide you with the best sports medicine care and facility by ensuring the finest treatment for both simple and complex injuries.

What are the conditions that are treated at the Saudi German Hospital?

• HIP: Whether it is a muscle strain or an injury in the hip joint, we are at your back to get you on the right track.
• Foot and Ankle: For severe injuries or chronic conditions, we will treat you with the best medical care and facilities
• Knee: Knee injuries are common among athletes. There have been cases of chronic knee injuries and acute ACL tears. We treat every individual patient with the latest treatment techniques.
• Shoulders: Shoulder Injuries are one of the most painful and complex injuries holding you back from various activities. In this case, we are offering minimally invasive surgical processes, medication therapy followed by individual exercise programs.
• Neck and Spine: The Neck and Spine work as the central processing unit in your body as it is the most important unit therefore, it requires special assistance and care. Saudi German Hospital is offering trailblazing and ultra-modern techniques to provide you the best treatment in the spectrum of fractures, disc herniations, and degeneration, to give you long-lasting relief and optimal function.
• Head: Sports Injury on the head is a very common problem but it can lead to serious problems and, therefore, the right treatment at the right time is very important. SGH ensures you the optimum and unique facilities by the care providers for your health and well-being.