Understanding Ankle Instability: The Talar Tilt Test

 

Ankle injuries are among the most common issues people face, particularly athletes, active individuals, and those who’ve suffered previous sprains. But how do you know if your ankle has healed properly, or if there’s lingering instability that could lead to further injury? One of the most effective ways to assess ankle stability is through the Talar Tilt Test, a diagnostic tool that checks the integrity of the lateral ankle ligaments.

What Is the Talar Tilt Test?

The Talar Tilt Test is used to evaluate whether the ligaments on the outer side of the ankle are functioning properly. Specifically, it assesses the lateral ligaments, which are responsible for stabilizing the ankle during movement. This test is often performed by a podiatrist under anesthesia to ensure accurate results, as muscle tension can affect the diagnosis.

How Does the Test Work?

During the test, the doctor manipulates the foot to see how much the talus (the bone inside the ankle) tilts in relation to the tibia. A healthy ankle should have minimal movement, with the talus staying in place and the clear spaces around the ankle remaining symmetrical. 

In the case of an unstable ankle, the talus tilts more than it should, indicating that the lateral ligaments are not holding the joint securely. This abnormal tilt reveals a condition known as ligament laxity, which can result in repeated ankle sprains and long-term instability if left untreated.

Why Is Symmetry Important?

An essential part of diagnosing ankle stability is examining the **clear space** around the talus. For a stable ankle, the clear space should be symmetrical on all sides—the lateral (outside), medial (inside), and on top. If these spaces are uneven or if the talus tilts excessively to one side, it’s a strong indication that the ankle ligaments are damaged.

What Does a Positive Talar Tilt Mean?

A positive Talar Tilt Test means the ankle tilts more than the normal range, confirming ligament damage or laxity. This type of instability can lead to chronic pain, limited mobility, and an increased risk of further injury, especially if you participate in activities that involve quick changes in direction or uneven surfaces.

Treatment Options for Ankle Instability

If you have a positive talar tilt test, it’s important to address the issue before it worsens. Treatment options include:

- Physical Therapy: Strengthening exercises to support the ankle and improve balance.

- Bracing or Taping: External support to stabilize the ankle during activity.

- Surgical Repair: In more severe cases, surgery may be necessary to repair torn ligaments and restore stability.

An unstable ankle is more than just a minor inconvenience—it can significantly impact your mobility and quality of life. If you’ve experienced recurring ankle sprains or suspect instability, the Talar Tilt Test is a vital diagnostic tool that can reveal underlying ligament damage. Early diagnosis and proper treatment are key to regaining stability and preventing future injuries.

If you're dealing with ankle instability, don’t hesitate to seek professional evaluation. Understanding your condition and getting the right treatment can help you stay active and avoid long-term complications.

Feel free to schedule a consultation with Dr. Kevin Lam at Family Foot & Leg Center for a thorough evaluation and personalized treatment plan to restore your ankle's stability.

Jones Fracture Surgery: Ensuring Stability and Long-Term Recover

When it comes to foot injuries, a Jones fracture—occurring at the base of the 5th metatarsal—can be one of the trickiest to heal. This type of fracture often results from stress or trauma and is notorious for its tendency to heal poorly, sometimes requiring surgical intervention for optimal recovery. One critical aspect of that surgery is the size and placement of the screw used to fix the bone. Dr. Kevin Lam, a leading foot and ankle surgeon at Family Foot & Leg Center, emphasizes the significance of choosing the right screw size for successful Jones fracture surgeries.

Why Screw Size Matters in Jones Fracture Surgery

The goal of Jones fracture surgery is to stabilize the fractured bone while promoting proper healing. The surgical procedure typically involves inserting a screw into the bone to provide fixation and prevent further displacement. But it’s not just any screw that will do the job—it’s all about choosing the right size.

A properly sized screw should fit perfectly into the canal of the 5th metatarsal, which is the bone that has been fractured. If the screw is too small, it won’t provide enough stabilization, leading to a higher risk of re-injury or non-union, where the bone fails to heal correctly. On the other hand, an oversized screw can put too much pressure on the bone, potentially causing more damage.

By selecting the ideal screw size, surgeons ensure that the fracture is stabilized securely, offering excellent fixation. This not only helps the bone heal properly but also protects against future complications or re-fractures.

Benefits of Using the Right Screw

1. Superior Fixation

When the screw fits properly in the canal of the bone, it provides strong support, which is crucial for patients who are active or need to get back on their feet quickly. Superior fixation means the bone is held in place, promoting faster and more reliable healing.

2. Reduced Risk of Re-Injury

Jones fractures have a high risk of non-union and re-fracture if not treated correctly. The correct screw size helps prevent the bone from moving during the healing process, reducing the likelihood of complications down the road.

3. Long-Term Protection

The right-sized screw doesn’t just fix the current fracture; it also provides long-term protection. By fitting securely within the bone’s canal, it minimizes the chances of future fractures in the same location, offering peace of mind for patients who may be worried about reinjury.

Dr. Kevin Lam, a renowned podiatrist and foot and ankle surgeon, has performed numerous Jones fracture surgeries with successful outcomes. His attention to detail and thorough understanding of the biomechanics of the foot make him one of the leading experts in treating this type of fracture. As a TUSPM alumnus and FFLC Reconstructive Fellowship-trained surgeon, Dr. Lam combines advanced surgical techniques with patient-centered care.

Recovering from Jones Fracture Surgery

After surgery, patients can expect a period of rest and rehabilitation to ensure proper healing. Physical therapy may be recommended to regain strength and mobility in the foot. With the correct surgical approach, including the use of a properly sized screw, most patients can return to their normal activities without long-term issues.

The key to a successful recovery from a Jones fracture lies in the details. Choosing the correct screw size during surgery is essential for ensuring stable fixation, reducing the risk of re-injury, and promoting long-term healing. If you're facing a Jones fracture and considering surgery, consulting with an experienced surgeon like Dr. Kevin Lam is the best way to ensure a positive outcome.

For more information or to schedule a consultation, visit Family Foot & Leg Center  and take the first step towards a full recovery.

Minimally Invasive Bunionectomy: A Success Story with Dr. Kevin Lam

Bunions can be painful, unsightly, and a source of discomfort for many people. The good news is that advancements in foot surgery, like minimally invasive bunionectomy, offer a more efficient and less invasive solution for those suffering from this condition. Dr. Kevin Lam is proud to provide this cutting-edge procedure to help patients regain their mobility and comfort with minimal downtime.

The Patient’s Journey

In a recent case, a patient returned to Dr. Lam’s office for her second minimally invasive bunionectomy, after achieving impressive results with her first surgery. The initial procedure had successfully corrected a severe bunion on one foot, leaving her with just a small scar and, most importantly, significant relief from the discomfort that once plagued her daily life. Now, she’s back to address the other foot and get the same excellent results.

Dr. Lam’s minimally invasive technique involves making a tiny incision to remove the bunion and correct the deformity. Unlike traditional bunion surgeries, which often require large incisions and longer recovery times, this approach allows for quicker healing and reduced scarring. After just three months, the patient had virtually no visible signs of the surgery, only a small scar, and was thrilled with her improved foot health.

What Makes Minimally Invasive Bunionectomy Different?

Traditional bunion surgery can be a daunting prospect for many patients due to the potential for extended recovery periods, noticeable scars, and discomfort during the healing process. However, minimally invasive bunionectomy, as performed by Dr. Lam, offers significant benefits, including:

- Smaller Incisions: The minimally invasive technique uses much smaller incisions, reducing scarring and speeding up the healing process.

- Quicker Recovery: Patients can typically resume normal activities much faster than with traditional surgeries.

- Less Pain: With less tissue disruption, patients often experience less post-surgical pain.

- Impressive Results: As seen in this case, the correction is effective, leaving patients with improved foot alignment and comfort.

Dr. Kevin Lam is a highly experienced podiatric surgeon specializing in minimally invasive techniques that help patients return to their daily routines as quickly as possible. He understands that bunions can affect more than just your feet—they can limit your overall mobility and impact your quality of life. That’s why he focuses on providing solutions that not only correct the problem but also minimize discomfort and scarring.

If you’re struggling with bunions and want to explore the option of minimally invasive surgery, Dr. Lam and his team are ready to help. Contact us today to learn more about how you can achieve long-lasting relief from bunion pain and get back to living your life to the fullest.

Bunion surgery doesn’t have to be a major ordeal. Thanks to Dr. Kevin Lam’s minimally invasive approach, you can enjoy quicker recovery times, less scarring, and outstanding results. Whether you’re dealing with a small bump or a severe bunion, this advanced technique offers an effective solution with minimal disruption to your life.

Don't let bunion pain slow you down—schedule a consultation with Dr. Kevin Lam today and take the first step toward healthier, happier feet!

What Does Skin Cancer on the Leg Look Like?

Skin cancer is often associated with areas like the face and arms, but the legs are also common spots where sun damage can lead to serious health risks. One of the early signs to watch out for is actinic keratosis, a rough, scaly patch that can progress into squamous cell carcinoma (SCC) if not treated. Below, we’ll guide you through what to look for and why it’s essential to act quickly if you notice any unusual changes in your skin.

What is Actinic Keratosis?

Actinic keratosis develops after years of sun exposure and presents as a small, rough patch that feels dry or scaly. It’s commonly found on the legs, arms, face, or any area frequently exposed to the sun. While this condition is not yet cancer, it is considered precancerous, meaning it has the potential to turn into squamous cell carcinoma if left unchecked.

Warning Signs: When Actinic Keratosis Becomes Squamous Cell Carcinoma

The transformation of actinic keratosis into squamous cell carcinoma is gradual but dangerous. One of the first signs is the appearance of a big red bump with a white, scaly surface. This bump is often a signal that the skin condition is evolving into something more serious.

Here’s what to look for:

- White, scaly top: The rough, scaly texture is typical of actinic keratosis, but if you notice it becoming more pronounced, it could be a sign of cancerous changes.

- Red, inflamed bump: Squamous cell carcinoma frequently appears as a red bump that feels firm to the touch. This is a sign that the skin’s deeper layers may be involved.

- Non-healing lesion: Any skin lesion that doesn’t heal or continues to grow over time should be evaluated by a medical professional as soon as possible.

Why Early Detection is Critical

Skin cancer, including squamous cell carcinoma, can be dangerous if not caught in time. While squamous cell carcinoma typically grows slowly, it can become invasive, spreading to surrounding tissues and other parts of the body. This makes early detection and treatment crucial for avoiding more severe complications.

Squamous cell carcinoma is generally treatable when caught early, but waiting too long increases the risk of more aggressive forms of cancer developing. The key is to pay attention to any changes in your skin and seek professional help at the first sign of trouble.

See Your Podiatrist or Dermatologist Immediately

If you notice any of these symptoms—especially the combination of a red bump with a white, scaly top—it’s time to consult a healthcare provider. Both podiatrists and dermatologists are skilled at identifying skin cancers, especially on areas like the legs and feet, which are often overlooked.

At Family Foot & Leg Center, we emphasize the importance of regular skin checks, particularly if you’ve spent a lot of time in the sun. Whether it’s a routine check-up or addressing a concerning lesion, getting professional care as soon as possible can make all the difference.

Take Action

If you’ve spotted any unusual changes in your skin, don’t wait. Schedule an appointment with your podiatrist or dermatologist today. Early intervention can help you avoid more serious health issues down the line, and it’s the best way to protect your skin from further damage.

Call us now at  at (239) 430-3668 (FOOT) or visit  NaplesPodiatrist.com to book your skin evaluation or consultation. Your health and well-being are our top priority. 

By taking a proactive approach, you can reduce your risk and ensure you receive the right care at the right time. Don’t wait for small concerns to turn into bigger problems—schedule your appointment today!

Serving Southwest Florida Since 2005, Family Foot & Leg Center has 9 convenient locations throughout Collier, Lee, Charlotte, and Sarasota Counties. Offering pediatric to geriatric family care: Ingrown Toenails, Heel Pain, Bunions, Foot / Ankle Arthritis Pain, Plantar Fasciitis, Foot / Ankle Surgery, Custom Orthotics, and Diabetic Wound Care. In office X-rays, ultrasounds, and minor surgical suite exam rooms. Practice powered by EMR and advanced technologies. Home of the Lam Minimally Invasive No-Scar Bunion Surgery! Come Discover Why Patients Love Our 5-Star Foot & Ankle Care! Same Day Appointments! Easy Online Appointment Scheduling

Arthroscopic Ankle Fusion: A Game-Changer for Mobility and Recovery

*By Dr. Kevin Lam, Family Foot & Leg Center*

Ankle fusion is often considered a last-resort procedure for patients suffering from severe arthritis, trauma, or joint deformity. Traditionally, many people assume that ankle fusion leads to a loss of mobility, leaving patients with a stiff or "peg leg." However, advancements in surgical techniques have revolutionized how ankle fusions are performed, offering better outcomes and quicker recoveries. In this blog, we'll explore the benefits of arthroscopic ankle fusion, a minimally invasive approach used at Family Foot & Leg Center by Dr. Kevin Lam.

What is Ankle Fusion?

Ankle fusion is a surgical procedure where the bones in the ankle joint are fused to relieve pain and improve stability. It's often recommended for patients who experience debilitating pain from conditions like arthritis, fractures, or degenerative joint disease. While traditional open ankle fusion involves large incisions and longer recovery periods, arthroscopic ankle fusion offers a minimally invasive alternative.

The Arthroscopic Advantage

At Family Foot & Leg Center, Dr. Kevin Lam uses arthroscopic techniques for ankle fusion, which means the procedure is performed with small incisions and a camera-guided tool. Here are some of the key benefits:

- Minimal Incisions: Unlike traditional surgery that requires large cuts, arthroscopic ankle fusion uses tiny incisions, reducing scarring and the risk of infection.

- Faster Recovery: With less tissue damage, patients experience quicker recovery times and can return to normal activities sooner.

- High Fusion Rates: Arthroscopic surgery boasts high fusion success rates, providing patients with long-lasting pain relief and stability.

- Lower Risk of Complications: Smaller incisions and minimal tissue disruption translate to fewer complications post-surgery.

Real Results: Pain-Free Walking and Mobility

In one of our recent cases, a patient with severe ankle arthritis underwent arthroscopic ankle fusion performed by Dr. Lam. Pre-surgery, the patient suffered from intense pain and difficulty walking. Post-surgery, they were able to move and walk pain-free, with excellent mobility.

Dr. Lam demonstrates the results:

"This is an X-ray of a patient with an ankle fusion. This is what it looks like clinically. Let's move it around, sir. Walking around without pain. Am I correct?"

The patient responds, confirming the absence of pain after the surgery.

Dr. Lam continues, "That ankle fusion looks good. Nice and solid. It's done arthroscopically, so you don’t have these major incisions on the side—the incisions are really small. It was done arthroscopically, so it's a high fusion rate with low complications."

He also highlights the remarkable improvement in the patient’s mobility:  

"How much pain did you have before surgery versus now?"

"A lot of pain before; no pain now," the patient replies.

Dr. Lam follows up:  

"Awesome. How many miles or steps are you walking a day?"

"A couple of miles a day," the patient proudly shares.

This case demonstrates the success of the arthroscopic ankle fusion procedure, providing the patient with not just a pain-free life, but also the ability to walk several miles a day without discomfort.

A High Fusion Success Rate, Low Risk

Dr. Kevin Lam’s arthroscopic approach minimizes the need for large incisions and lengthy recovery times, while ensuring a high rate of successful fusions. This method significantly reduces the likelihood of complications, such as infection or nerve damage, which are more common in traditional open procedures.

Is Arthroscopic Ankle Fusion Right for You?

If you’re struggling with chronic ankle pain, you don’t have to live with discomfort or limited mobility. Arthroscopic ankle fusion might be the solution you need. With minimal scarring, a quicker recovery, and excellent mobility post-surgery, this approach has changed the game for patients in need of ankle fusion.

At Family Foot & Leg Center, Dr. Kevin Lam and his team are dedicated to providing cutting-edge treatments that improve quality of life. If you're experiencing persistent ankle pain, schedule a consultation today to explore your options.

Contact Family Foot & Leg Center

Don’t let ankle pain hold you back any longer! To learn more about arthroscopic ankle fusion and other innovative treatments we offer, contact Dr. Kevin Lam at Family Foot & Leg Center. We're here to help you regain your mobility and live pain-free.

The Importance of Diabetic Foot Care: Why Regular Checkups with a Podiatrist Are Crucial

For individuals living with diabetes, maintaining proper foot health is often overlooked until complications arise. However, diabetic foot care is one of the most crucial aspects of diabetes management. Regular visits to a podiatrist can mean the difference between maintaining your mobility and facing severe complications like infections or amputations. Let us dive into the importance of diabetic foot care, key risk factors to watch for, and why regular checkups are vital to prevent complications.

Why Diabetic Foot Care Matters

Diabetes affects the body’s ability to heal, and when it comes to the feet, this can have devastating consequences. Two of the most common conditions that can lead to serious issues are neuropathy and peripheral arterial disease (PAD). Neuropathy results in a loss of sensation in the feet, making it harder to feel pain or discomfort. This can lead to unnoticed cuts, blisters, or ulcers that may become infected. PAD, on the other hand, restricts blood flow to the feet, making it difficult for wounds to heal. 

Without proper care, these conditions can escalate, leading to more severe infections, gangrene, and in worst cases, the loss of toes, feet, or even legs.

How Often Should You See a Podiatrist?

Dr. Kevin Lam of Family Foot & Leg Center recommends that individuals with diabetes should see a podiatrist regularly, depending on their risk factors:

- At-risk patients: Those with higher risk, including neuropathy or PAD, should visit every three months to closely monitor their foot health.

- Moderate risk patients: For those with fewer risk factors, six-month checkups are typically sufficient.

- Low or no-risk patients: Even if you have no immediate concerns, annual checkups are highly recommended to ensure your feet stay healthy and to catch potential issues early.

What Happens During a Diabetic Foot Exam?

A diabetic foot exam is more than just a routine checkup. It involves a thorough evaluation of your foot’s health, including checking for signs of nerve damage, skin changes, and circulation problems. Your podiatrist will:

- Examine the feet for sores, wounds, or ulcers

- Check for calluses or corns

- Assess circulation by feeling for pulses in the feet

- Conduct tests to check for loss of sensation (neuropathy)

- Provide guidance on footwear and daily care

Preventing Diabetic Foot Problems

Prevention is always better than treatment when it comes to diabetes. Here are a few tips to help you stay ahead of foot problems:

1. Daily inspections: Check your feet daily for cuts, blisters, or red spots, especially if you have neuropathy.

2. Proper footwear: Always wear shoes that fit properly and avoid going barefoot to prevent injuries.

3. Keep feet clean and moisturized: Wash your feet daily, and keep them moisturized to avoid cracks in the skin, which can lead to infections.

4. Trim nails carefully: Always cut nails straight across to prevent ingrown toenails.

5. Control blood sugar levels: Managing your diabetes with a healthy diet and exercise can significantly reduce your risk of foot complications.

Early Intervention is Key

Regular checkups with a podiatrist can help prevent the development of serious foot complications. When detected early, most foot issues can be treated with minimal intervention, avoiding the need for amputations or surgeries. Remember, neglecting diabetic foot care can lead to irreversible damage.

Schedule Your Diabetic Foot Exam Today

If you or a loved one is living with diabetes, don’t wait until it’s too late to address foot health. Schedule a diabetic foot exam with Family Foot & Leg Center today to ensure you’re taking the proper steps to maintain your health. You can reach us at (239) 430-3668 (FOOT) or schedule your appointment online at www.NaplesPodiatrist.com

Prevention starts with proper care—stay ahead of diabetic foot complications by visiting your podiatrist regularly!

The Benefits of Minimally Invasive Bunionectomy: A Patient's 6-Month Follow-Up

Bunions can be a painful and frustrating problem, often causing discomfort and limiting mobility. Traditionally, bunion surgery has been associated with large incisions, significant recovery time, and permanent screws or wires left inside the foot. However, Dr. Kevin Lam and his team at the Family Foot & Leg Center have developed an advanced, minimally invasive approach to bunionectomy that delivers impressive results with less downtime.

Recently, a patient returned for a six-month follow-up after undergoing this minimally invasive bunionectomy. She was so pleased with the outcome on her first foot that she requested the same procedure for her other foot. Let's take a closer look at what makes this surgery so effective and why patients are experiencing such positive results.

What Makes It Minimally Invasive?

One of the standout features of this bunionectomy is the small incision used. Unlike traditional bunion surgery, which often requires a large incision on the top of the foot, Dr. Lam’s minimally invasive technique involves a small cut on the side of the foot. This minimizes scarring and reduces recovery time, making it a more patient-friendly option.

Another key difference is the use of temporary wires instead of permanent screws or implants. In traditional bunion surgery, screws are often left in the foot to hold the bones in place during healing. In this procedure, the wires are removed in the office once healing has progressed, leaving nothing behind inside the foot.

Impressive Healing Results

At the six-month follow-up, Dr. Lam was able to show excellent bone healing, with strong callus formation around the treated area. The bones had shifted significantly to correct the bunion, a necessary move for proper alignment. This shift may seem dramatic, but it is exactly what is needed to achieve optimal results, and the healing process demonstrated the procedure's effectiveness.

Dr. Lam also addressed a common concern among his patients. Some people may consult other doctors unfamiliar with this technique, leading to worry about whether the significant bone shift will heal properly. As the follow-up with this patient showed, the minimally invasive bunionectomy produces excellent healing and strong results even with a significant bone shift.

Faster Recovery and Lasting Results

One of the greatest advantages of this minimally invasive approach is how quickly it can deliver results. The technique allows for high intrametatarsal angles to be corrected without the need for more invasive procedures, such as osteotomy at the base of the bone or fusion surgeries like lapidus or lapiplasty. This patient not only had her bunion corrected, but a tailor’s bunion on the other side of her foot was also fixed without complication.

This cutting-edge approach has proven to be both efficient and highly effective, making it a great option for patients looking for a faster, less invasive way to correct bunions. The results speak for themselves, with many patients, like this one, seeing such success they return for the same procedure on their other foot.

Why Choose a Minimally Invasive Bunionectomy?

If you're dealing with the pain and discomfort of bunions and want a less invasive option for correction, this procedure might be ideal for you. The benefits include:

- Smaller incisions: Less scarring and quicker recovery time.

- Temporary wires: No permanent screws or implants are left in the foot.

- Faster healing: Excellent bone healing and quicker return to activity.

- Lasting results: Significant corrections can be made without more invasive surgeries.

At the Family Foot & Leg Center, Dr. Kevin Lam and his team are dedicated to using the latest techniques to provide their patients with the best outcomes. If you’re considering bunion surgery, schedule a consultation today to find out if a minimally invasive bunionectomy is right for you.

This advanced technique is transforming the way bunions are treated, giving patients a quicker, more comfortable recovery and long-term results they can be proud of. If you're tired of dealing with bunion pain, this minimally invasive procedure may be just what you need.