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In the past, traditional operations for bunions were very painful and needed long recovery periods. Fortunately, minimally invasive foot surgery was developed and patients have avoided unnecessary pain and inconvenience.


Some patients might have heard from others that bunion surgery is one of the most painful surgeries. This is also why many people hold off on fixing their bunion until they feel pain in every step, they only have one pair of shoes that are comfortable to wear, or they hate the way their feet look.


Patients that seek minimally invasive bunion surgery fall into the following categories:

*They think that they have a growing bunion and they have questions about what to do and when the best time is to have it fixed.

*They have had bunions for some time and they want them fixed immediately.

*They have had bunion surgery in the past and it is still bothering them.

*The post-operative experience was not good so they would never have the bunion on the other foot fixed in the same way.


An Innovative Procedure

Minimally invasive bunion surgeries are performed by making a small, 5-millimetre incision. Long, thin instruments will be inserted in this opening. Traditional procedures normally require 2 or 3-inch incision, making minimally invasive procedures more advantageous. Larger incisions may cause more trauma, and they can also cause more pain and swelling. Larger incisions can also leave patients with longer visible scars.


If a patient has a moderate to a severe bunion, the minimally invasive procedure will still involve cutting through a bone in addition to repositioning the tendons and ligaments and shaving off the bunion bump.


Discovering a Better Method

Podiatrists came up with the idea for minimally invasive bunion surgery way back in the ‘60s and ‘70s. They have been refining the technique ever since. However, as of today minimally invasive bunion surgery is still not offered in many hospitals.


Recovery Time

For conventional surgeries, recovery time is around six months if there are no complications. For instance, if an average person has a broken bone, it would take about three months for that broken bone to heal. It could take at least six months for a person to be stable again. With minimally invasive procedures, patients may be back wearing their regular shoes within weeks instead of months!

Setup an appointment today with Sheldon H. Nadal, DPM and have your bunions fixed immediately!


Did you know that summer can be tough on our feet? The warmer months can unearth an array of foot-related problems such as bad odour, blisters, dry heels, and more!

Here is what you need to know about protecting our beloved feet this summer:



Are you embarrassed to take off your shoes because your feet smell? Many people think that fungus causes odour, but actually, the odour is caused by bacteria. In the summer, our feet tend to sweat more and that attracts bacteria. Each foot can actually sweat up to 8 oz. of moisture a day. The higher the moisture, the more chances of unwanted foot odour.



Those strappy, new sandals can come with painful reminders: blisters. What causes blisters? Blisters are caused by friction with shoes. If you are wearing ill-fitting shoes while walking around a lot, and there is rubbing on certain parts of the foot, then a blister can form. A blister is how the body protects our feet’s underlying structure. Be sure to NOT pop your blisters because a burst blister can be susceptible to infection.



This is something that many of us do not really spend time thinking about, but we carry most of our weight in our heels. The problem is, we do not often moisturize our heels enough with effective products. The skin on the soles of our feet is about 20 times thicker than anywhere else on our bodies. Calluses can form around the rim of the heel and if they are left there long enough, you can eventually develop cracks or ‘fissures’ which can become painful and also possibly infected.



Because our feet are on display so much in the summer, they are more exposed to the elements such as the sun’s rays and sharp objects. Keep in mind that the skin on top of our feet is extremely sensitive and is also susceptible to painful sunburns.



We do enjoy the convenience and comfort of wearing flip-flops, don’t we? The problem, however, is how long we wear them. Flip-flops do not provide any structural support around the foot. In addition, they also do not support our arches and this can lead to pain and fatigue.



Are you a winter runner with a blackened toenail? Or you might notice your nails looking a little think and possibly yellowed. A blackened toenail can be caused by a blood blister under the nail, but thick, yellowed toenails are often indicative of a fungus in the nails. It is best to leave the blackened nail alone as a new, healthy nail often grows underneath and the damaged nail will eventually fall off. Yellowed nails, however, need to be treated and our podiatrist, Sheldon H. Nadal, DPM can certainly help you with this problem.



Do you ever wonder what sort of questions you should be asking on your next podiatry appointment? Let us tell you now that you are not alone! Most people come to their podiatry appointment with questions and concerns, but when they go home, they will come home and realize that there are other concerns that they forgot to ask their podiatrist! Again, this is completely normal.


This is why we have gathered some tips on what you can ask at your next appointment with our podiatrist, Sheldon H. Nadal, DPM that might help stimulate a productive and valuable conversation about your foot health. Check them out here:


“Do I have flat feet?”

This is a great question to start out with for various reasons. Flat feet are not just common, but due to their commonality, they often go unnoticed. Because of this, someone might have unnecessary discomfort that he or she deals with on a daily basis. It can be a bit difficult to tell if your feet are flat, but asking Sheldon H. Nadal, DPM is the first step to finding out if they are, or whether you are at risk of developing flat feet and what it might mean for your foot health.


“Are my shoes appropriate for me?”

Just like with flat feet, the wearing of improper shoes can cause unnecessary discomfort for your feet every day and you might not even realize that the discomfort is related to your choice in footwear. Like most people, you might have gone for a cheaper pair of shoes to wear to the gym, but you have to consider what you actually do at the gym. Since you work out at the gym, your feet experience more activity than usual. The discomfort you may feel afterwards might not be normal and it might also be attributed to the kind of shoes that you wear.


“How can I improve my foot ’s health?”

This is, by far, a favorite question amongst podiatrists. Just like how the infamous saying goes, “An apple a day keeps the doctor away,” asking good questions to your podiatrist during your appointment can also keep your foot discomfort at bay! Who wouldn’t want that, right? By asking this particular question, your podiatrist will be able to tell you their thoughts that are custom-fit just for you. They know your foot history, and combining their education and training in podiatry, they will be able to give you the best possible advice that can help you keep your feet healthy and happy!


Here at Bayview Medical Center, we are all ears! Ask away at your next appointment. Setup an appointment with our podiatrist, Sheldon H. Nadal, DPM today!




When we talk about bony bumps on people’s big toes, we usually mention how women are more prone to have these misshapen joints as well as the horrors of wearing high heels often. This time, however, we will let the ladies off the hook. We will, instead, focus on bunions in children’s feet. This is a slightly different problem.


What are the causes of Juvenile Bunions?

This problem can occur so early in life, and when it does, it is usually not a matter of wearing the wrong shoes, although shoes that are too tight can make this problem worse. The underlying reason that your children are more likely to develop this deformity is that the ligaments in their metatarsophalangeal joint are more lax. That joint is where the big toe meets the foot. When the ligaments are too loose, then the joint can also move around in different, abnormal ways.


The problem just increases if a child has flat feet or other abnormalities in his or her foot mechanics. Normally, all our joints would stay lined up properly with each stride you take. However, when your gait is off, it can increase pressure on the side of the toe. This will cause it to be pushed in towards the other toes with each step you take. As a result, the joint will then move in the opposite direction and it will bend out a greater angle than normal. The bump that is visible is actually the end of the foot bone that is attached to the big toe bones.


Do Juvenile Bunions Hurt?

These foot deformities usually cause pain, but there are some cases that move from adolescence to adulthood that never end up causing any issues until later in life, when they are diagnosed with arthritis. In reality, there are many places in  the world where people are more comfortable to walk barefoot, and those people can have this foot condition without having to experience painful symptoms.


Because most children in Canada wear shoes, they are more likely to have concerns and problems with this deformity. The bony bump can rub against their shoes and can become irritated, swollen and sore. In such cases where the joint has moved quite far out of alignment, then it can ache and your child might have trouble finding shoes that will fit without it causing foot pain when he or she is walking.


How Sheldon H. Nadal, DPM Can Help Your Child

Sheldon H. Nadal, DPM has seen and treated crooked toe joints in both children and adults, so do not delay getting relief for your child’s bunion pain! Contact us today for an appointment.




Spring and summer can be hard on our feet. The combination of the heat and the sun can take a toll on them, but it does not have to be that way. Here are simple but great steps to help keep your feet healthy during the warmer months:


#01. Wear the right socks.

Synthetic and acrylic socks work best in wicking away perspiration that can lead to most fungal infections. Keep in mind that moisture of any kind is the perfect environment for fungus to thrive.


#02. Give your feet some air.

If it is possible, you should avoid wearing closed shoes during the warmer months. You can always go with sandals or open-toed shoes that have arch support if you can. Your shoes can be taken off periodically throughout the day so your feet can air out.


#03. Head off blisters.

Wearing of sandals, however, can often cause blisters to develop on your feet, especially when they rub against the bare skin. So, if you feel a blister coming on, you can use padding such as moleskin or even a liquid bandage product in order to reduce friction.


#04. Stay hydrated.

Staying hydrated by drinking plenty of water during the warmer weather can help minimize foot swelling due to the heat - so make sure you hydrate enough!


#05. Use sunscreen.

During the warmer months, it is best to slather sunscreen on the exposed parts of your feet. If you will go swimming or even if you exercise and you sweat heavily, you should re-apply sunscreen - even if the product you are using is ‘waterproof’. You should choose a sunscreen with 15 SPF (sun protection factor) or higher in order to guard you against skin cancer as well as premature aging of the skin on your feet.


#06. Moisturize.

Our Out feet tend to dry out more during spring and summer because you are not wearing socks all the time. So, if you want to keep the skin on your feet feeling baby-soft, moisturize in the morning after your shower and even at night before you go to bed. Just make sure to clean your feet first before applying moisturizer!


#07. Wear the right shoes for every activity.

There are certain activities such as rock climbing, boating, and other sports that require specific footwear for optimal foot safety and health. Be sure to plan ahead and always have the appropriate footwear ready.


#08. Keep your shoes and socks dry.

If your shoes and socks get wet, be sure to take them off right away and dry them completely before wearing them again. Doing this helps you to be guarded against fungal infections.


#09. Inspect old footwear.

Worn-out and tattered shoes can cause blisters. Before wearing your old sandals and flip-flops from the previous summer, be sure to check them out first and throw out those pairs that seem worn. If you are in doubt, just throw them out.


#10. Clean your feet after water activities.

After wading or swimming in a pool, lake or river, it is best to always clean your feet with clean water. The same goes when you step in puddles of water. Stagnant water in rivers, lakes, and puddles often contain bacteria that can lead to foot infections.


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