My Blog

Posts for tag: surgery

July 30, 2016
Category: Bunion
Tags: Bunion   surgery   Rigid   cartilage  
Hallux rigidus

One problem that afflicts the big toe is called hallux rigidus. "Hallux" refers to the big toe, and "rigidus" indicates that this toe is rigid.

Most patients complain of pain when pushing off to walk or when wearing high heels.  Unlike a typical bunion, it is sometimes not visible externally. 

Ends of the bones are covered with articular cartilage for smooth joint movement. Gradual wear and tear or an injury can cause cartilage in joints to break down. The resulting bone-on-bone contact produces pain and stiffness. This can impinge on the way you walk and contribute to pain elsewhere in the body. 

Hallux rigidus is a progressive condition, monitored with x-rays. Nonsurgical treatments include stiff or rocker-bottom shoes, custom orthotics, and anti-inflammatory medication.  In some cases, surgery is the only way to eliminate pain. 

If you are suffering with pain at the base of the big toe,  schedule your evaluation by calling (847) 675-3400 or clicking

By Dr. Steven Miller
January 25, 2015
Category: Surgery
Tags: aspirin   blood thinner   surgery  

It’s time to get started on the New Year’s resolutions. For many, becoming healthier will necessitate surgery to repair a painful bunion or ingrown toenail. And for people taking blood thinners, including aspirin, the risk of an invasive procedure is a serious concern.

In conjunction with other clinicians in related specialities at NorthShore University HealthSystem (Skokie Hospital, Evanston Hospital, and Glenbrook Hospital), I authored an analysis to help doctors advise the millions of Americans who take blood thinners how to proceed before foot and ankle surgery. This guideline is published in the December 2014 print issue of Foot & Ankle Specialist® and details what the available evidence tells us about the different risks.

Our goal is to provide the most advanced podiatry care to patients with foot and ankle problems. To schedule an appointment or for more information, please call us at (847) 675-3400 or click here.