FAQ | Ankle and Foot Medical Center (2024)

What is Lapiplasty?

Lapiplasty 3D bunion correction is a revolutionary procedure through which foot and ankle surgeons tackle the foundation of your bunion problem. This procedure not only alleviates your foot pain, but it also significantly reduces the chances of you ever having to suffer another bunion again.

A bunion forms when your big toe pushes on your neighboring toe due to a weakened bone foundation. This can cause mild to severe pain and also causes some excess bone to stick out. Traditional surgeries simply cut off the excess bone and, since the weakened foundation is left untreated, your bunion can easily return again.

With Lapiplasty 3D bunion correction treatment, your podiatrist doesn't cut off the excess bone. Instead, they realign your bones properly and further strengthen their weakened foundation with titanium fillings. Since they take care of the root of your bunion problem, the chances of you having to experience this painful foot situation again are highly decreased.

What are the results of Lapiplasty?

Success of Lapiplasty has shown potential to far exceed the results of traditional bunion surgery. Published research shows a 97.3% success rate with Lapiplasty.

Is Lapiplasty covered by Insurance?

Lapiplasty surgery is for a true orthopaedic condition and is most frequently covered by most commercial and government insurances. Each insurance plan is different, and cost may be subject to deductible, coinsurance, and maximum out of pocket. For most insurances we can provide an estimate after your initial consultation.

Can I return to normal activity after the Lapiplasty procedure?

You can definitely return to your day-to-day activities after the surgery, though you need some recovery time. Most patients typically begin walking again - with the assistance of a surgical boot 3+ days after your surgery.

Most patients return to walking shoes between 6-7 weeks after the surgery, low impact activity around 3 to 3 1/2 months, and back to all activity and exercise around 4 months. It is important to note, however, that everyone's recovery is different.

Am I too young or old for Lapiplasty?

Lapiplasty is approved for patients as young as 16 years old, so long as the growth plates of the bones are closed. There is no upper age limit; however, sometimes, older patients with bunions may have developed arthritis with the bunion, and this might change the surgical options.

Do I need to be put to sleep for surgery?

Usually, yes. Most patients get a "lighter" anesthesia, where you are asleep but wake up more gently.

Will surgery be painful?

All surgery causes pain. We do everything we can to help with the pain. We will use a nerve block, extra anesthetic called TXA, and have a post-operative pain medication protocol in place. Your pain regimen will be enhanced with following proper icing and elevating instructions.

When will I be able to walk after surgery?

Most patients are able to start walking, in a boot, on day 3 after surgery. The boot is worn for at least 6 weeks.

What if I live out of town/out of state?

Dr Kinghorn will need to see you prior for an initial consultation and pre-operative appointment within 30 days of surgery. We can work with you on arranging a dressing change for 3 days post operatively either by yourself or a local physician. Dr Kinghorn will need to see you 2 weeks post operatively for a suture removal and again 6 weeks post operatively for final evaluation.

Will I need to use any assistive devices (wheelchair, walker, cane, etc.) after surgery?

A device to assist with non-weightbearing will be needed for the first 3 days after surgery. Dr Kinghorn recommends crutches but if those are not feasible then a roll-about scooter will be arranged.

When will I return to work after surgery?

Patients' time returning to work differs by each case. Generally, most patient return to work between 4-6 weeks. We recommend returning no sooner than 2 weeks to focus on swelling control.

When can I drive after surgery?

Driving is not recommended while on pain medication. Following surgery on your right foot, return to driving may be as short as a few weeks, if you are comfortable, while wearing a surgical shoe.

What if I need surgery on both feet?

Dr Kinghorn recommends no less than 12 weeks between surgeries.

How long will my swelling last?

Swelling is common after all foot surgeries. It is not unusual to have swelling for 9-12 months.

What about my surgical scar?

Fortunately, scars of the foot are very forgiving and, if treated well, will fade to almost invisible by 1 year in most cases. It is important in the first year that you do not get suntan or sunburn to your foot and to use sunscreen. This prevents pigmentation of the scar.

FAQ | Ankle and Foot Medical Center (2024)


What should I wear to the foot doctor? ›

Wear comfortable, supportive shoes to your appointment, and make sure they are easy to remove for the foot inspection. Your podiatrist may need to examine the shoes you wear for work, as well as what you wear to exercise or play sports, so it is a good idea to bring any and all footwear that you wear regularly.

What is the difference between a foot and ankle and podiatrist? ›

A foot and ankle orthopedic surgeon performs complex surgical procedures, not performed by a podiatrist. There can be some overlap in what a podiatrist treats and what an orthopedic foot and ankle specialist treats such as the simpler conditions of sprains and strains.

What type of feet do podiatrist deal with? ›

What Conditions Can a Podiatrist Treat?
  • Bunions. A bunion is a type of bony bump that forms at the joint where the big toe connects to the foot. ...
  • Hammer Toes. ...
  • Toenail Problems. ...
  • Foot Sprains and Fractures. ...
  • Athlete's Foot. ...
  • Issues With Growing Feet. ...
  • Flat Feet. ...
  • Heel Problems.

Do podiatrists look at feet? ›

Physical Appearance. Your podiatrist will start your appointment by asking about your symptoms and reviewing your medical history. They will also perform a physical exam to take a close look at your feet.

Should you get a pedicure before going to the podiatrist? ›

Now, a podiatrist will appreciate clean feet. But they will advise against getting a pedicure for their benefit, for a number of reasons: When done in non-sterile conditions, pedicures increase the risk of foot infections.

What does a foot exam consist of? ›

Your provider will check: The skin of your feet to look for dryness, cracking, calluses, blisters, ulcers, and other damage or abnormal areas. Your toenails for cracks and fungal infection. The temperature of your feet to see if they are the same.

What is the best doctor to see for foot pain? ›

As a general rule, if foot pain is your only issue, a podiatrist is a great choice. If you have pain all throughout your body, such as the neck and back, you should see an orthopedic doctor. If you can find a doctor that is trained in both orthopedics and podiatry, that is much better in the long run.

Is it better to have foot surgery by a podiatrist or an orthopedic surgeon? ›

Both podiatrists and orthopaedic surgeons are qualified to treat foot and ankle conditions, surgically and non-surgically. In general, the best bet is to choose the doctor you feel the most comfortable with, or who has the most experience treating your particular condition.

Can a podiatrist diagnose foot problems? ›

Podiatrists may also: Diagnose foot problems like skin and nail diseases, congenital (at-birth) deformities, tumors, and ulcers. Treat conditions like corns, arch problems, heel spurs, shortened tendons, bone disorders, and cysts. Make flexible casts to hold foot and ankle injuries like sprains or fractures steady.

What are 7 common foot problems? ›

Treat conditions such as: bone disorders, bunions, corns, calluses, cysts, heel spurs, infections, ingrown nails, and plantar fasciitis.

What is the most common problem treated by podiatrists? ›

The 10 most common foot problems we treat in our podiatry clinics
  1. Plantar Fasciitis. ...
  2. Heel Pain. ...
  3. Blisters. ...
  4. Corns and Calluses. ...
  5. Bunions. ...
  6. Ingrown Toenails. ...
  7. Gnarly or thick toenails. ...
  8. Achilles Tendinitis.
Oct 22, 2020

What can a podiatrist do for neuropathy of the feet? ›

Orthotics, custom-designed shoe inserts, may also be recommended, particularly if your feet have become numb. Orthotics reduce foot movement when you wear shoes, preventing blisters. Transcutaneous electrical nerve stimulation (TENS) treatment may be helpful in relieving neuropathy symptoms.

Does a podiatrist cut toenails? ›

Your podiatrist can safely cut your nails and remove fungus without spreading it. They can also prescribe antifungal creams and sprays to help the nail heal.

Why do podiatrists not go to medical school? ›

A podiatrist goes to Podiatric Medical School and earns the DPM degree. Like other medical schools, podiatric medical schools require the MCAT test and are competitive. However, pod schools get fewer applicants than general med schools, and are therefore easier to get into.

Does a podiatrist check circulation? ›

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might.

Should I wear socks to a podiatrist? ›

Be cognizant of what type of shoe or boot you will be wearing. If your shoe fits close to the foot, a thin or lightweight sock will be preferable.

Should I wear shorts to the podiatrist? ›

If possible, try to wear clothes that you feel comfortable in and will allow your Podiatrist to assess as far as your knees. Pants that you can roll up are particularly handy if you can't wear shorts.

Why do doctors want to look at your feet? ›

We check your legs and feet to look for swelling. People with heart or liver disease may have fluid back-up in their legs, but it can also be a sign of infection or blood clots. We also check the pulses in your feet and look for any skin problems.

What clothes to wear for foot surgery? ›

What should you wear? On the day of surgery, you should wear loose, comfortable clothing. You often will have a bulky dressing and/or plaster splint on your operated leg, ankle, and/or foot after surgery, and your clothes must fit around your dressing and/or splint.


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