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Foot and ankle disorders in Hertfordshire


At Pinehill Hopsital in Hitchin Hertfordshire, we are able to offer treatment for the vast majority of foot and ankle disorders. 

We are extremely fortunate to have the Hertfordshire Orthopaedic Centre and other highly skilled Consultants based here at Pinehill. A sample of some of the conditions we treat are listed below. We have 3 experienced and highly skilled consultants who specialise in these and other foot and ankle conditions; Mr Jay SarkarMr Mohamed Hakmi and Mr Rupinderbir Deol. 

For more information on how we can help, whether you have private medical insurance or are a self paying patient, please call us on: 01462 410 002.

Conditions and treatments include:

Bunion correction

A bunion is a bony prominence on the inner aspect of the base of the big toe. Bunions are extremely common in the United Kingdom. The cause of bunions remains uncertain although they seem to be more common in families where bunions are prevalent and there is some evidence to suggest that wearing narrow shoes may also be a cause. A large number of patients with bunions do not require surgical treatment. It is only when they become painful and when conservative treatment is unsuccessful that surgery should be considered.

Lesser toe deformities

These are common deformities that often happen with the affected toe being painful and rubbing on shoes or the neighbouring toe. Surgical correction is indicated if other measures fail. The correction recommended depends on the nature of the deformity.

Heel pain (Plantar Fascitis)

Plantar fasciitis is a common cause of heel pain which typically occurs at the base of the heel and is worse in the morning. It can take up to 18 months to resolve. Conservative treatment involves pain killers, heel pads and physio. Night splints, steroid injections and ultrasoundtherapy may also be helpful.
Surgical treatment involves the release of the plantar fascia, lthough this is rarely necessary.

Arthritis of the foot and ankle

There are many different types of arthritis that may affect joints; osteoarthritis and rheumatoid arthritis are the two commonest seen in the foot and ankle. Osteoarthritis refers to a degenerative loss of cartilage that normally lines the joint. It is seen as patients get older or may be a result of a previous injury that has disrupted the joint. Pinehill also offers a full ankle replacement service. The Consultant who is highly experienced in this area is Mr Jay Sarkar. Please call 01462 410 002 for more information.

Rheumatoid arthritis

is an inflammatory condition that causes destruction of bone and cartilage. Both conditions are normally painful with swelling and reduced mobility. If the pain is severe and does not respond to conservative measures, then surgery may be an option. The options include:

Steriod/local anasathic injection

This may be helpful in rheumatoid disease or osteoarthritis of the big toe joint but it is unlikely to provide long lasting pain relief.


Performed for the big toe where the upper part of the arthritic joint is removed.

Arthoroscopy with debridement

Useful for osteochondral defects and tears in the cartilage in the ankle joint which may be curetted or shaved.


It involves the refashioning and subsequent stiffening of the joint with high levels of patient satisfaction when correctly performed.


Treatment for all fractures of the foot and ankle including calcaneal, pilon and lisfranc injuries.

Sports injuries of the foot and ankle

Treatment for all sports injuries of the foot and ankle including chronic ankle sprains, chondral/osteochondral defects of the ankle, midfoot sprains, stress fractures, sesamoid injuries, freibergs disease and nerve entrapment syndromes.

Achilles tendon

This structure is very important in walking and by providing the power to ‘toe off’. The tendon may become inflamed(tendinitis), tear(complete or partial) or become degenerative. Conservative treatment for Achilles tendon problems includes immobilisation in a plaster(for acute ruptures not for surgery), physiotherapy (tendinitis), orthotics and ultrasoundtherapy.

Peroneal tendon

These tendons lift the foot up and out during walking. Following a twisting injury, these tendons may tear causing pain and swelling behind the fibula(outer bone of the ankle) or may dislocate to lie in front of the fibula.

Tibialis posterior tendon

An important structure in walking that pushes the foot down and also maintains the inner foot arch. Tendon dysfunction causes pain behind the inner aspect of the ankle and a flat foot.

Morton neuroma

This is a common cause of forefoot pain and tingling, typically affecting the 2nd and 3rd toes. It is due to a swelling on the nerve in the sole of the foot.

Please call 01462 410 002 to ask your questions and book an appointment.

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