Podiatric Surgery

You are here because you are experiencing discomfort caused by one, or several foot ailments. In some cases, surgery is required to correct the condition and relieve your pain.

What is Podiatric Surgery?

Podiatric Surgeons are qualified and specialise in the surgical correction of foot disorders. Established over 100 years ago, internally recognised as the gold standard of foot surgical care, today, Podiatric Surgeons can offer patients minimal post-operative discomfort with a good chance of success.

In the USA and UK, podiatric surgery is seen as the normal avenue for all foot treatment. Mr Edwards explains “there is a long way to go, however successful outcomes do speak for themselves and one day Podiatric Surgery in New Zealand will share that same profile.

Mr Edwards explains, “despite common misconceptions, it is often better to treat deformities of the foot earlier rather than later to avoid unnecessary damage to the rest of the foot. Indications for treatment are pain, irritation in footwear and infection”.

Your Surgery - What to expect

Your Initial Consultation

One of the most important things we can do for our patients is listen. Mr S R Edwards FNZCPS MChS, Podiatric Surgeon

Time will be spent talking to you about your foot disorder, asking many questions and listening about the problems that you have endured during the history of your condition. When, where and how you feel the problem began, what treatments you may have tried, what has and has not worked and ultimately, what you expect from your treatment while you are under my care.

I will do my best to fully explain your condition and the reality of any treatment that I may recommend. This will include the expected advantages and known risks of your recommended treatment. Sometimes further medical diagnostic investigation is required to help obtain a diagnosis that include, but are not limited to, MRI, ultrasound scan, haematological or histological investigations.

X-ray or Fluoroscopic investigation can be taken at the time of this initial consultation.

My hope is that you leave your initial consultation with a better understanding of your condition and where possible, a realistic view of the treatments that are available to you.

Initial consultations can take place in Auckland or Tauranga and normally last approximately 30 to 45 minutes depending on the nature of your condition. We often receive referrals from GP’s and other medical treatment providers, however you are also able to self-refer.

If you wish to make an appointment please contact:
Auckland 09 5790091
Tauranga 07 5790090
Or e-mail my rooms info@footcentre.co.nz

Once the decision for surgery has been made, a pre-operative or pre-surgery appointment is made, time permitting. This is a few days (up to a week) before the planned procedure. This assessment takes approximately 30 minutes and allows all relevant medical information to be obtained. This ensures your safety eg: list of medications, allergies to medication, family history, surgical history etc. Often blood tests are required, which are undertaken at Pathlab or Labtests).

As much as possible, we try and eliminate patients feeling anxious or unsure about anything to do with the procedure, therefore our staff outline what to expect. Information is given to you about what to do regarding caring for your foot/feet before surgery, the day of surgery and what to expect after surgery.

If mobility equipment is necessary after surgery, ie crutches, knee scooter or wheelchair, these may be provided at this time. All apparatus is organised and provided by our clinic for your and it is inclusive in the initial quotation.

In regards to children having surgery, we expect a parent or guardian to be there throughout the procedure. Depending on the age of the child, we encourage the parent/guardian to come into theatre. This is to ensure the child is as comfortable and as secure as they can be, as we understand that however small the procedure is, it can put strain on the child and their family, so we endeavour to make the experience as positive and comfortable as possible.

Extra time may also be required explaining the recommended surgery in detail. You will need to sign a medical/legal document (Informed Consent) that confirms that you fully understand the reasons why the surgery was recommended, how it will be performed and all known risks associated with it. During this consultation we will also discuss the ramifications with not proceeding with the surgical procedure and practical alternatives to surgery will be outlined where applicable. You are under no obligation to undertake surgery or to sign the Informed Consent document if you are not completely happy with any of the terms or the explanation you receive during this session.

Hopefully by the time your pre-operative appointment is over, your questions or concerns regarding your surgery will have been answered in full. Obviously should you have any questions later, please do not hesitate to ask, contact us today.

In accordance with standard AORN (American Organisation of Registered Nurses) an internationally recognised Gold Standard of Operating Room Service, The Foot Centre Limited adheres to all AORN theatre protocol.

We pride ourselves on the location and the layout of our operating theatre within The Foot Centre. It conforms to the ‘hub’ design, which minimises the traffic flow of people in and out of the sterile area. Again, this layout is internationally recognised at the Gold Standard of Operating Theatre design.

In accordance with AS1324, the operating theatre is also equipped with a HEPA (High efficiency particulate air) air filtration system that circulates fresh sterile air at a rate of 20 exchanges per hour. This unit is activated a minimum of 30 minutes prior to commencement of surgery.

Most of our procedures are undertaken under local anaesthetic in our own operating theatre. Some smaller procedures take place in our normal consultation rooms - in which case the procedures are less involved and take less time.

If the surgery is in the operating theatre, we will show you in to a consultation room and ask you to change into a gown or scrub suit. At this stage the foot area to be treated is made numb by anaesthetic. You will then be escorted next door into the operating theatre.

Before surgery it is recommended that you go to the toilet. Normally there are only two or three people in the surgery room, depending on the surgical procedure. The time in theatre varies between procedures, however is usually a minimum of 45 minutes, up to 3.5 hours for more involved procedures.

After surgery, you will be assisted back into the room where your belongings are, where you can then relax and enjoy a cup of tea or coffee and a biscuit. Your feet will be elevated. After approximately 20 or 30 minutes, you will be free to go home.

We understand that after a surgical procedure, support and communication is vital. We will explain what to expect, and a written sheet with useful information regarding your operation is given to you, as well as contact numbers for after hours enquiries. After your surgery, an appointment is made for you, for us to inspect and dress the area. This is usually 5 days after the surgery.

Depending on the type of surgery that has been undertaken, dressing appointments are made, generally every 3 to 4 days until the wound has healed. Stitches are removed usually about 2 weeks after surgery. Our dressing appointments are all inclusive in our initial quotation, so there are no hidden costs. We have decided to incorporate these services inclusively as it is our philosophy to offer the best service possible to achieve the best outcome.