Barcelona’s #Samuel #Umtiti has suffered a 5th #Metatarsal fracture. He is an elite footballer so is having immediate surgery. 5th Mt fractures are usually treated nonoperatively and heal up well. Few like my patient here end up with a #nonunion needing #surgery

#targeted #injections for foot and ankle joint pain is an excellent pain relieving procedure. These injections can be very painful. I suggest a sedative. Don’t hesitate to go for it. These are very successful.#foot #ankle

A #Cartiva joint #replacement of the #big #toe joint is a non metallic replacement for a painful arthritic joint. It’s an excellent solution for maintaining pain free movement of the big toe when performed for the right indication. #foot#surgery#replacement

3 month after #Cartiva replacement. Functional movement restored. #Pain free movement of the big toe joint. #foot #surgery #replacement

This gentleman has waited for years, finally deciding to get this fixed . He is in a lot of pain from all the #toes. #Surgery for #forefoot #deformities are indicated only for #pain relief and I am glad he waited till he could not cope. I have now offered him #surgery.

Are you really wearing the right #shoes? The best way to check is to place your foot on the top of your shoe. If you can see parts of the shoe beyond the inner and the outer border of your foot then your footwear passes the test. If not! consider changing ! #foot #footwear

#Arthritis of the big toe joint can present as a large and painful lump over the big toe. This not a true #bunion. You may not need an extensive surgery. Just a simple excision of the bump can reduce symptoms dramatically. #footsurgeon #anklesurgeon #pinakray #totalorthopaedics

Don’t ignore that innocent plantar foot pain that is sharp and tingles your toes. This is a #mortonsneuroma. Can end up being so painful, like my patient who is now unable to walk. #footandanklesurgeon #foot #mortons #neuroma #paininfoot #pinakray #footpain #totalorthopaedics

This is a tricky situation. The second toe here is the most painful toe. My 90 year old patient has two options. An extensive bunion and 2nd toe correction or a simpler amputation of the second toe. In certain very selective cases this is an excellent option. #foot #surgery

Lisfranc fracture dislocation after a kiting accident. These are high energy injuries and need fixing . 3 months post surgery he is doing very well. Long recovery. #foot #footsurgeon #footandanklesurgeon #totalorthopaedics #ankle #anklesurgery #fracture #lisfranc #footfracture

Acquired flat foot can affect anyone. Presents as sudden onset pain, swelling and redness over inner ankle . Usually settles down and then the arch progressively flattens. Can be very debilitating. See your doctor immediately ! #foot #ankle #footsurgeon #anklesurgeon #flatfoot

Excellent practical skills on display from all candidates... @DePuySynthes #orthotwitter

A real honour to have such eminent faculty providing practical classes for the candidates 🙌🏽 Deborah Eastwood Pinak Ray @RflSociety @DePuySynthes #orthotwitter

Another hip fracture fixed ⚒ #healwithsteel #orthotwitter Paddy Subramanian Akash Patel

Prize giving for 1st place candidate 🥇 and top faculty member 🏆 #topgun Paddy Subramanian Akash Patel

BOMSA London and the @RNOHRotation are VERY excited to collaborate on a new mentorship scheme for London- based medical students interested in a career in Trauma & Orthopaedics! Students will be paired with a T&O registrar mentor and offered opportunities to shadow in (1/)2

Percutaneous Achilles tendon repair. Excellent scar and early return to work and sports.#Achilles #achillestendonrepair #footandanklesurgeon #achillesrupture #sportsinjuries

What an amazing evening of teaching the Registrars the intricacies of foot surgery. It was a fun evening and the registrars got to work their magic on the saw bones! #FootAndAnkleSurgery #FootSurgery #Training #Bunion #BunionSurgery

We at #totalorthopaedics have regular Audit and Clinical governance meetings. This is a great way to learn from each other and give our patients a safe and amazing journey #patientcare #footandanklesurgery #shouldersurgery #spinesurgery #hipsurgery #kneesurgery

Ankle replacements have had bad press and are still way behind knee and hip replacement. But for the right patient and the right indication it’s life changing surgery. Here my patient 6 weeks after an ankle replacement is painfree and has a physiological gait#anklesurgery