
7 minute read
Don’t Let Great Toe Pain
DON’T LET Great Toe Pain Slow You Down
By Dr. Warren Windram, D.P.M. Foot & Ankle Surgeon
Does your big toe joint hurt? Does Motion cause you pain and discomfort? This might be a form of arthritis called Hallux rigidus, which is actually a form of degenerative arthritis in the big toe (first metatarsal phalangeal joint). Sometimes this progresses to the point where surgery is the only way to eliminate or reduce the pain associated with this condition.
The goal of hallux rigidus surgery is to reduce pain, improve function and decrease deformity to enable the patient to resume normal activities. Various types of surgery are available to treat hallux rigidus. In selecting the procedure or combination of procedures for your particular case, your surgeon has taken into consideration the extent of your deformity based on x-ray findings, your age, your activity level, and other factors.
One common procedure that is proven to eliminate pain at the joint and the limitation which it puts on daily activities is an arthrodesis or as commonly called, a joint fusion. During this procedure the surgeon makes an incision at the top of the joint of the big toe and then removes bone spurs (bony growths) that are present, removes the cartilage in the joint and completely reshapes the joint itself. They then realign the joint to a corrected position and insert fixation hardware to secure the joint to allow for fusion. The incision is then closed with a plastic type technique to reduce scar formation, leaving an excellent cosmetic result. The patient is then placed in a splint and recovery begins. Recovery from these procedures generally takes 6 to 12 weeks. During a portion of this period, weight bearing on the operative foot will be gradually permitted.
⊲ Dr. Windram specializes in foot & ankle reconstructive/trauma surgery, with a particular interest in total ankle joint replace ment 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
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 • Toe Walkers • High Arches • In Toe • Fractures • Out Toe • Growing Pains • Limping • Warts • 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 Dr. Michael Cohen, D.P.M.
Board Certified FOOT, ANKLE, & LEG SPECIALIST
WESTON
1600 Town Center Blvd.
954-389-5900 PEMBROKE PINES
17842 NW 2nd St.
954-430-9901 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
New Patient . . . . . . . . . . . . . . $200 Follow Up Visit . . . . . . . . $50-$100 PRP . . . . . . . . . . . . . . . . . . . . . $600
SELF PAY RATES (Procedure cost is in addition to office visit.) Surgery Consult . . . . . . . . . . . $200 Orthotics . . . . . . . . . . . . . . . . . $350 Shockwave (3 sessions) . . . . $500
(FOR CHRONIC HEEL PAIN & TENDONITIS) Injections . . . . . . . . . .$75 per shot Ingrown Nail . . . . . . . . . . . . . .$125 Laceration Repair . . . . . . . . . $250 Casts . . . . . . . . . . . . . . . . . . . . .$175 X-Rays . . . . . . . . . . . . $50 per area Wound Care . . . . . . . . . . .$75-$125
SPORTS MEDICINE ASSOCIATES (Self Pay Rates Do Not Apply To This Practice Below) Dr. Fernando Moya, M.D.
BUSINESS SPOTLIGHT The B12 Store Dedicated to Health & Wellness

By Jon Duka
When you walk into The B-12 Store, it is unlike any store you’ve ever been in. The space is open and inviting, and
What types of solutions do you offer your clients?
We provide a variety of Vitamin injections. We offer Vitamins such as B-12 to help boost you are always greeted with a smile as soon as you arrive.
The B-12 store offers several Health, Wellness and Weight loss options such as vitamin injections, IV Therapy, cavitation, Lipo-laser treatments, and a variety of supplements. The store is staffed with board-certified nurses and a Medical Director. Their injections are a safe and clinically proven wellness tool that can help replenish the vital nutrients and minerals your body needs to perform optimally. They provide solutions for health-minded consumers, fitness enthusiasts, customers interested in losing weight and clients looking to help rebuild their immune systems to help fight off viruses.
We sat down with Ligia Anastasi, the District Manager of the Pembroke Lakes and Coral Square Mall to learn more.
Tell us about the B-12 Store.
The B-12 store specializes in all-natural FDA approved vitamin injections that help with weight loss, treat vitamin deficiencies, and we also provide IV therapy for dehydration and nutrients for your body. metabolic function and energy, Biotin to help with the growth of skin-hair and nails. Vitamin C encourages wound healing, preventing cell damage, D-3 is vital in regulating the absorption of calcium, phosphorus , and facilitating normal immune system function. We also provide Lipotropic injections for weight loss, glutathione for memory and immune response, NAD+ which helps slow down the aging process, rebuilds collagen and our latest and greatest FDA approved injection is the Tri Boost Immunity injection which is formulated to strengthen, boost, and maintain your immune response while reducing inflammation. It is packed with powerful antioxidants including glutathione and ascorbic acid, in addition to the mineral zinc. In addition to our injections, we have a full line of supplements, including a detox colon cleanse, Omega, Prothin and Lipo BC. We have also incorporated Cavitation and Lipo-laser treatments to help with weight loss. Our friendly and knowledgeable staff is always here to assist with new and returning clients. We will make sure you get exactly what you need.
What makes the B-12 Store different from other places we could get vitamin supplements?
It really comes down to the people that work here. We have a passion for what we do. The bond we develop with every single client who walks into our stores is real. Our goal is to help them meet their wellness and health goals, and it shows. It is not only important for us to have satisfied customers, but also to positively impact their lives, health, and well-being as much as we can through the products and services we offer.
Do you need to make an appointment?
No. In fact, the best way to learn more about us is to stop by and check us out at either of our two Broward County locations!
⊲ The B-12 Store is located inside the Pembroke
Lakes Mall and at the Coral Square
Mall. For more info, visit one of their stores, go to www.theb12stores.com or call 954-438-010.
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