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Understanding Ankle Pain By Dr. Warren Windram D.P.M. Foot & Ankle Surgeon
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nkle arthritis occurs when the protective cartilage between bones gradually wears down, causing bones to rub together. This bone-on-bone contact causes pain and makes it more difficult to move. Ankle arthritis can range from less severe to more severe with various degrees of lifestyle restriction. MoveWright™ Total Ankle Replacement is a treatment for severe ankle arthritis. Symptoms of Ankle Arthritis • Tenderness Or Pain • Reduced Ability To Move, Walk, Or Bear Weight • Stiffness • Swelling Main Causes of Ankle Arthritis • Previous injuries: Either a single trauma or a series of small, repeated injuries, such as sprains and strains endured over years of exercising and activity • Osteoarthritis (OA): Results from aging and gradual wear on the ankle over time Rheumatoid arthritis (RA): An autoimmune disease causing joint inflammation Total ankle replacement is for severe ankle arthritis. In ankle replacement, the physician replaces damaged cartilage with an implant
that bends and flexes easily, similar to a healthy ankle. Ankle replacement relieves ankle pain and increases mobility, allowing you to get back to activities you love. And it can take half the recovery time of the traditional procedure, ankle fusion. MoveWright™ Total Ankle Replacement procedures are the only to feature a personalized preoperative navigation system option. Using a CT scan of your ankle in advance of your surgery, MoveWright™ can create a plan for sizing and aligning the implant to your unique anatomy, for the most natural fit possible. Comparing Traditional Treatments For Severe Ankle Arthritis Non-Surgical Options Used for Less Severe Arthritis • Pain medications such as aspirin and ibuprofen • Shoe inserts such as pads and arch supports • Ankle-foot orthosis (AFO), a plastic brace worn on the lower leg and foot • Steroid injections into the ankle
For severe arthritis • Ankle fusion: Ankle bones are fused together. Because the joint cannot move or bend, there is less pain, but there is often an irregular gait (walking stride) • Total ankle replacement: An artificial implant allows the ankle to move and bend without pain. The person regains a more normal gait (walking stride). In fact, four out of five doctors surveyed agree that patients who undergo total ankle replacement have a better quality of life after the procedure!* Before Total Ankle Replacement, most patients would get an ankle fusion to help relieve end-stage ankle arthritis pain. While ankle fusion is still an effective option for relieving ankle arthritis pain, it prevents motion and many studies have shown benefits of Total Ankle Replacement over ankle fusion. ⊲ Dr. Windram specializes in foot & ankle reconstruc-
tive/trauma surgery, with a particular interest in total ankle joint replacement surgery. He has always been involved with podiatric surgical training, working as the podiatric surgical residency director at Memorial Health Care System. Dr. Windram is the current director of the Foot and Ankle Fellowship program at Westside Regional Medical Center and a clinical instructor at Westside and Memorial Health Care System’s podiatric surgical residency programs. South Florida Institute of Sports Medicine 220 S.W. 84th Avenue, Suite 102, Plantation, FL 33324
Surgical Options For Less Severe to Moderately Severe Arthritis • Debridement: Procedure removes bone spurs and loose pieces of cartilage if these are causing ankle pain
ACCEPTING: MEDICARE •BLUE CROSS BLUE SHIELD • UHC • CIGNA • AETNA • AV MED • AMBETTER • TRICARE WORKERS COMP • ACCIDENTS/LOPS • SIMPLY • STAYWELL • SUNSHINE • BETTER HEALTH • OSCAR • MEMORIAL PHO
South Florida Institute of Sports Medicine
FOOT, ANKLE, & LEG SPECIALISTS OF SOUTH FLORIDA
OPEN DAILY FOR SAME DAY APPOINTMENTS & TELEMEDICINE DURING THE COVID19 CRISIS
PEDIATRICS
• Flat feet • High Arches • Fractures • Growing Pains • Warts
• Toe Walkers • In Toe • Out Toe • Limping • Ingrown Nail
FRACTURES Why go to an Emergency Room? All Foot, Ankle, and Leg Fractures in Children and Adults! FOOT AND ANKLE ARTHRITIS Total Joint Replacement, Ankle Replacement, Arthroscopy, Fusions, Joint Realignment
CARTILAGE INJURIES Microfractures, Cartilage Transplants, Osteochondral Grafting RECONSTRUCTIVE FOOT, ANKLE AND LEG SURGERY Flat Foot, Bunions, Hammertoes, Ligament Repair, Achilles Tendon Tears, Arthritis Surgery SPORTS MEDICINE Tendon and Ligament injuries, Heel Pain, Shockwave Therapy, PRP & Stem Cell Injections, Arthroscopy and Tendoscopy, Shin Splints, Compartment Syndrome
SERVING OUR PATIENTS FOR OVER 30 YEARS Dr. Warren Windram, D.P.M.
Board Qualified FOOT, ANKLE, & LEG SPECIALIST
Dr. John Goodner, D.P.M.
Board Qualified FOOT, ANKLE, & LEG SPECIALIST
Dr. Robert Sheinberg, D.P.M. - In Loving Memory -
Dr. Carlo Messina, D.P.M.
Board Certified FOOT, ANKLE, & LEG SPECIALIST
WESTON
PEMBROKE PINES
954-389-5900
954-430-9901
1600 Town Center Blvd.
17842 NW 2nd St.
Dr. Michael Cohen, D.P.M.
Board Certified FOOT, ANKLE, & LEG SPECIALIST
PLANTATION
220 S.W. 84th Ave., #102
954-720-1530 SATURDAY HOURS
Make Your Appointment Online at www.SouthFloridaSportsMedicine.com
FOOT, ANKLE & LEG QUESTIONS? EMAIL THE DOCTOR! DrJohnGoodner@gmail.com (Don’t Send Protected Health Information)
IMEs • Personal Injury • Worker’s Compensation Most HMOs/PPOs • All Foot Ankle & Leg Emergencies Same Day Appointments • Saturday Appointments Early Morning & Evening Appointments
SELF PAY RATES (Procedure cost is in addition to office visit.) New Patient . . . . . . . . . . . . . . $200 Surgery Consult . . . . . . . . . . . $200 Injections . . . . . . . . . .$75 per shot Casts . . . . . . . . . . . . . . . . . . . . .$175 Follow Up Visit . . . . . . . . $50-$100 Orthotics . . . . . . . . . . . . . . . . . $350 Ingrown Nail . . . . . . . . . . . . . .$125 X-Rays . . . . . . . . . . . . $50 per area PRP . . . . . . . . . . . . . . . . . . . . .$600 Shockwave (3 sessions) . . . . $500 Laceration Repair . . . . . . . . . $250 Wound Care . . . . . . . . . . .$75-$125 (FOR CHRONIC HEEL PAIN & TENDONITIS)
SPORTS MEDICINE ASSOCIATES (Self Pay Rates Do Not Apply To This Practice Below)
Dr. Al DeSimone, M.D. Board Certified SHOULDER & KNEE SPECIALIST
Dr. Fernando Moya, M.D. Board Certified SHOULDER & KNEE SPECIALIST
Dr. David Shenassa, M.D. Board Qualified HAND & WRIST SURGEON
Dr. Alexander Bertot, M.D. Board Certified SPORTS MEDICINE SPECIALIST
Dr. Franz Jones, D.O. Board Certified SPINE SPECIALIST
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