Dr. Joshua FaleyMichigan Foot & Ankle Center understands the importance of staying current with changes in medicine, technological advancements, and the newest surgical techniques in foot and ankle surgery. Recently, Drs. Faley and Kaczander have been trained in performing Lapiplasty – a surgical advancement in correcting bunion deformities. Lapiplasty appropriately corrects the bunion deformity while addressing key biomechanical factors in the deformity. Traditional surgical procedures aimed at bunion deformities often fail with reoccurrence (over 50% will redevelop the bunion!). When considering surgical correction of your bunion, make sure your surgeon has been trained and performed in these procedures.

Another advancement in foot and ankle surgery is the Cartiva implant. The Cartiva implant was developed for patients who suffer from arthritic pain in the great toe joint. Until recent, standard surgical correction involved fusing the joint (removing the motion of the great toe), replacing the joint with an implant (studies vary on patient satisfaction), and joint clean-up. The Cartiva implant helps to restore missing cartilage and resurfaces a portion of the joint. Motion is restored and patients are back on their feet very quickly. Cartiva implantation has received widespread media coverage. See the recent article in the Detroit Free Press (http://on.freep.com/2nuwLJE) and Dr. Baravarian (podiatrist @ UCLA) cover it on ABC news.

This past week, Dr. Faley, DPM, spoke to over 80 physicians from St. Joseph’s Medical System at St. Mary Mercy Hospital. He was invited to address the doctors at Grand Rounds. This is a monthly forum given by leaders in their specialty. Talks are directed at educating other doctors on the most up-to-date topics within their specialty. Dr. Faley discussed, “Appropriate Recognition, Diagnosis, and Treatment of Lower Extremity Pathologies,” with an emphasis on diabetic wounds.

This past weekend, Dr. Faley spoke to the Northern Michigan Podiatric Medical Association at The Grand Traverse Resort Golf & Spa in beautiful Traverse City, MI. Dr. Faley was invited to speak on updates in surgical procedures of the foot. He addressed correcting the painful toe joint of the lesser toes. Commonly and incorrectly known as “Metatarsalgia.” Now coined plantar plate injury or plantar plate dysfunction. This pain is usually underneath the joints of the ball of the foot. It can feel like, burning, stabbing, or as if a sock has become “wadded up” under the toe. Advanced features usually lead to the dreaded “hammertoe.” Commonly this is misdiagnosed and injections are given into the area of pain. Steroid injections unfortunately can have dire consequences in injuring the plantar plate. Discuss your pain and deformities with our foot and ankle surgeons.

Dr. Faley, DPM, will be headed to Georgetown University in May. He will be completing a preceptorship under the Comprehensive Limb Salvage Program. This is a unique opportunity to enhance his wound care and surgical skills with the top physicians in the country. Currently Dr. Faley and Galea provide wound care services at the Wound Care Center @ St. Mary Mercy Hospital, Livonia, MI.

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