Podiatrist Toronto, ON
Sheldon H. Nadal D.P.M.
586 Eglinton Avenue E. Suite 501
Toronto, Ontario M4P1P2
Local: 416-486-9917
Toll free: (877) 456-3338

My Blog

Posts for: January, 2012

By contactus
January 29, 2012

On Friday January 20 2012 I attended the Percutaneous (minimally invasive) Foot Surgery Conference in Barcelona, Spain.

It wasn't easy. I left Toronto Wed. night at 10pm and changed planes in Frankfurt Germany where I met up with my friend Dr. Stephen Isham, who was on his way to lecture at the conference. We arrived in Barcelona Thursday afternoon and headed for the Gran Havana hotel in Barcelona. I had time to rest for a short period before it was time to have dinner with the conference instructors. They were some of the best known orthopedic foot surgeons in Europe.

On Friday morning we re picked up by bus at 730 a.m. and taken to the University of Barcelona medical school along with attendees from Spain, Italy, Germany, France England and Mexico.  I was the sole representative from Canada and Steve was the only American.

The main topic for the morning was minimally invasive surgical procedures (M.I.S.) for the treatment if hallux valgus, or Bunions. These lectures included the Reverdin Isham Osteotomy ( named after my friend Dr.sham, and a procedure I perform in my Toronto foot clinic), the Lapidus procedure and the Chevron procedure which is very similar to the Modified Wilson Osteotomy, which I  perform in my Toronto podiatry office. I also lectured on the Modified Wilson Osteotomy, at another Spanish conference, in Madrid in June 2011.

Other surgical topics included the treatment of Tailor's bunions, or bunionettes (those annoying bunion-like bumps at the side of the foot near the baby toe), plantar fasciitis (a leading cause of Heel Pain. and arch pain) and contracted toes or hammer toes (which can make it difficult for people to wear shoes comfortably and cause painful corns). these deformities can be treated without pins and screws whlie leaving very small scars which may not be visible following healing.

Another topic was hallux rigidus which results in stiffness at the first metetarsal joint near the big toe due to arthritis. Hallux rigidus (also called hallux limitus) is often treated in hospitals by fusing the arthritic joint or replacing the joint with an implant - both of these procedures destroy what is left of the joint. In my Toronto podiatry clinic, I prefer to work through small openings in the skin, under local anaesthetic, to remove the arthritic bone spurs, and, in many cases, shorten the first metatatarsal to reduce the jamming of the joint and preserve the joint, not destroy it. In many cases, this will result in less pain and increased mobilty in the joint.

After a long day, the bus brought us back to the hotel at 830 pm and this was followed with a late night dinner, which I am told is typical for Spain.

Saturday was a free day so Steve and I saw some of the sights in Barcelona, including the amazing Gaudi church, which is still not quite finished after 125 years, Old Spain, which is a recreation of an old Spanish town, and the waterfront, where we had lunch. This was followed by a long walk, back to our hotel via a famous boulevard called La Ramblas.

That evening I had dinner with my friends Steve Isham and Fernando Barosso, an orthopedic surgeon from Mexico city.

The next day, Sunday, it was time to fly back to Toronto, again via Frankfurt, so that I could be back to work by Monday. It was short, but sweet.

 

 


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By contactus
January 08, 2012

 

It is winter in Canada and while  many of us are outside enjoying our favourite winter sports, it is alwys important to use the right equiptment.

According to the website of the U.S. Figure Skating Association, improper or poorly fitting skating equiptment may lead to injuries to the low back, patella (kneecap), hip, groin, ankle and foot.

The most common foot problems, according to the artticle, include Bunion deformities, found in 57 percent of skaters. The navicular bone in the arch was found to be enlarged 31 percent of the time. These problems may be due to improper fit or uncorrected pronation problems.

Pump bumps at the back of the heel may be due to the heel slipping in the boot, and are found in 49 percent of skaters. Hammer toes are found in 18 percent of skaters and may also be aggravated by heel slippage. Other problems include ankle bursitis as well as skin irritation and lace bite.

if you suffer from these or other foot problems and they are not solved with improved or adjusted equiptment, please call our Toronto foot clinic at 416-486-9917 for a private consultation to find out how you may benefit from consevative treatments such as Laser Pain Treatment, or, if surgery is necessary, from Minimally Invasive Surgery

 

 


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