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These are some of the comments that our patients have sent us regarding their treatment at our clinic. We publish some of the comments on our web site for the benefit of other patients only where our patients have given us explicit permission to do so.


Surgery for Morton's Neuroma:
Mrs Julie D

I had surgery to remove a Morton’s Nueroma from my left foot six weeks ago.   The procedure was carried out under a spinal anaesthetic.   I had suffered for some time with the condition which gradually worsened over several months due to running.  The conditions worsened to the point were I could not drive short distances without numbness to my 2nd and 3rd toes.   

The operation itself took less than 20 minutes with a tourniquet being applied.  The spinal anaesthetic meant I was awake throughout the operation but could not feel anything.   I was given an ankle block which was extremely effective and I was pain free for almost twenty four hours.  I was able to go home within six hours of surgery once the spinal anaesthetic had worn off.  The dressing on my foot was bulky and did take a little getting use to (that meant no PARTY shoes for a while!!!!).  I was given a special shoe and crutches to mobilize with. I took painkillers for a further twenty four hours but nothing after that.   The dressing was kept on for 2 weeks when the sutures were due to be removed.  The dressing had to be kept dry and not removed, easier said than done!!!!  I was able to put my weight on the affected foot almost immediately although it was a little uncomfortable initially.

Once the sutures where removed, which was absolutely painless, my toes (the ones where the neuroma was removed) were numb but not in a bad way.  Having had the sutures out I was able to wear normal footwear, but footwear with a little padding such as training shoes were more comfortable for a short period of time.  The scar was tender for a period of several days but once I started wearing normal footwear the tenderness subsided.  After six weeks I began running short distances with none of the pain or the numbness to my toes that I had before surgery.  I hope now I will be able to complete the Half Marathon I am aiming for without any more pain or discomfort !

Julie D


Bunion Surgery:
Mrs PW

I started with painful bunions about ten years ago, but because of other more serious health problems which followed,  decided to leave them. Over the last  year, however, I started to have very painful, burning shins during the night after exercising or working a nursing shift. Because of my past medical history, I was sent for an X Ray and Bone Scan where the staff recommended that I see Mr. Zubairy as the pain could be associated with my feet. It was explained to me that because of the angle of the toes, I was walking badly to compensate  and this could eventually cause knee and hip problems. I was given plenty of information about possible surgery and the opportunity to ask questions regarding the operation and aftercare.

I had my right foot corrected in March 2009. I chose to have a spinal anaesthetic which was a good decision as it can avoid  the after effects following a general. I remained in hospital overnight and the following morning the physiotherapist gave me a special shoe and explained the use of crutches and how to go up and down stairs. It is very important to rest, elevate the foot and use ice packs over the following few days. Pain relief was only needed for 3-4 days and the ankle block used during the operation was very effective.

After two weeks the large, padded dressing was removed and a  bandage applied to keep the tendons stretched so they did not pull the big toe out of line. After this, I started taking more walks and soon began swimming again. It is important to continue wearing the special shoe to stop the toes from bending and to use the crutches for weight bearing or balance. At this stage I found that the muscles at the back of my legs ached because of the shoe making me walk differently. Walking is very beneficial as it encourages bone growth and so helps healing.

After six weeks the shoe and the crutches were cast off and over the following weeks, I found that, although the foot was still swollen, I could walk without the shin pain experienced previously. Comfortable, wide footwear is essential for a few months after the surgery.

After I returned from a walking and cycling holiday  I decided to have the left toe corrected too. I am glad to have had them done separately as it was much easier to balance and mobilise. I also experienced a bruised feeling under the toes as I started to use the foot normally, but this gradually wore off as the swelling went down over a few weeks.  It probably took about five to six months for the foot to return to normal size.

The second operation also went well and the only change of routine was that the dressing was left on for four weeks instead of two. I had found that a small area of the incision had opened slightly on the first foot after two weeks so this was to protect the area to allow healing.

I am now six weeks on from the second operation and am pleased to report that this has also been a great success.

I am very grateful to Mr Zubairy and his excellent team for all their care and support.
 


Bunion and Hammer Toe:
Mrs BL

Dear Sir / Madam,
Surgery for Bunion and hammer toe
I had surgery for both of these foot problems performed by Mr Zubairy at Gisburn Park hospital. My stay at the hospital was very comfortable and I am delighted with the results of the surgery.

Not only is walking now pain-free but my foot looks so good as well. My only regret is not having the surgery done years ago but I was talked out of it by 'well-meaning' people who said it was never successful. How wrong they were!

I intend to have the bunion on the other foot corrected next year and have no hesitation in recommending this procedure and Mr Zubairy.
 



Minimally Invasive (MIS) Chielectomy for Stiff Big Toe. Hallux Rigidus:
Mrs E H J P


Dear Sir / Madam,

For several years I have had arthritis in my right big toe joint, (Hallux Rigidus). Due to the pain in this joint I tend to walk slightly over to the outside of my foot, this has put strain on the small bones (metatarsals) in my foot and last year I presented with two stress fractures in the third and fourth metatarsals. This was very painful and I was referred to Mr Zubairy at the Lancashire Foot Clinic. The fractures eventually healed but the painful big toe joint remained. Following X-Ray and a further consultation with Mr Zubairy, in which he explained my condition and how it could be treated. I was given the option of having the joint permanently fused or a ‘cheilectomy’, which is an operation to remove the boney spurs from the arthritic joint and thereby reduce the pain and free up the joint. I decided to go with the second option, the cheilectomy. Mr Zubairy explained that he was in the process of introducing key-hole surgery and was hoping it would be in place by the time I was due for surgery.
Following my arrival at Gisburne Park Hospital I was taken to my room by a staff nurse who explained the admission procedure to me and settled me in. Once all the usual admission procedures had been completed I was visited by the anaesthetist, and then by Mr Zubairy. I was delighted when he told me that he would be able to perform the operation using key-hole surgery. He explained the procedure to me and said he would give me a nerve block to ensure I had minimal pain following surgery. I went down to the operating theatre in the afternoon and, following a general anaesthetic, woke up in the recovery room. I had no pain and was soon transferred back to my room and returned to bed with my foot elevated. After eating a light tea and recovering from the effects of the anaesthetic. I was once more seen by Mr Zubairy and I was allowed to go home later that evening. I was given a special shoe to wear to protect my foot (not very glamorous, but certainly effective), general advice on post-op care, and a load of pain killers (which incidently I didn’t need due to the effectiveness of the nerve block)
I was very surprised when I got home at how little discomfort I had. There was virtually no pain and indeed the worst part was the dressing which felt most uncomfortable at times, I couldn’t wait to have it removed and when the time came, 9 days after surgery, I was amazed at the size of the incision, it was so tiny and almost completely healed. I did find it helpful for the first few nights to use a pillow to elevate my foot when in bed.
For the next few weeks I wore some MBT sandals, which I had purchased when I had fractured my foot initially. These shoes are very expensive but, to me, they were worth every penny as they were the only shoes I was comfortable in. I gradually tried some of my other ‘sensible’ shoes and increased my walking to about 3 - 5 miles most days. Today, 8 weeks after surgery, I have worn a pair of shoes with a small heel and it felt wonderful. I am amazed at how quickly I have recovered from the surgery and am looking forward to returning to doing all the things I love, such as dancing and taking long walks in the countryside. I find that, although I am not completely pain free, I can now walk much further, and with much more ease than I did before the operation and as it is still early days I am hoping that, given time, things will improve even more.
 
Removal of lump foot:
Mrs K W

Dear Sir / Madam,

I had surgery to me right foot , to remove a lump about 3 months ago.
I was really well looked after and kept informed throughout the whole proceedure, from pre-op to after care. I was a little aprehensive about having it done with an epidural but found I need not have worried. I would like to thank Dr Zubairy and his staff for their care throughout.
 
Toe on my left foot Straightened:
Mrs M J

Dear Sir / Madam,

I had a toe straightened about six weeks ago by Mr Zubairy. I was surprised when I did not need any pain relief tablets.  Everything went well with the operation and Mr Zubairy and his staff are excellant. I had a previous operation also done by Mr Zubairy on the same foot about 2 yrs ago so I had an insight as to what to expect, the over night accommodation / staff were excellant and I would have no hesitation in recommending Mr Zubairy and his staff to other people.

Bunions both feet:
Mrs J B

Dear Sir / Madam,

I have suffered with painful bunions most of my life, but learnt to just live with them - the thought of an operation on my feet made me feel ill!
However, a year ago, after realising that my bunions were painful even when wearing flip flops, and that I was waking up during the night with throbbing pains, I decided to look into having surgery.
My right foot was operated on in June 2012. I was quite amazed at how little pain there was. The ankle block kept me pain free for almost 36 hours, and I then took painkillers for another three days. After that, it was tender, but less painful than before the operation. I didn't need to stay in hospital overnight, and could walk without my crutches after a couple of days. After two weeks my bandages were taken off and it was very strange looking at my new foot. It took me about a week to get used to it without a bump! I was also surprised at the scar. I thought it would be a big ugly scar down the top of my foot, but Mr Zubairy made the incision down the side and is hardly noticable. Now six months on, all the swelling has gone, the scar has faded, and it is now painfree and much better looking!
I couldn't wait to get my left foot operated on in November, and was actually quite looking forward to it. That was just over six weeks ago, and I can now walk without the surgical boot. My toe is still a little bit stiff, but Mr Zubairy showed me some exercises to do, which I do regularly, and I can feel the stiffness slowly going.
I am so happy with my new painless feet, and am very grateful to Mr Zubairy for giving them to me!
I have added pictures of my right foot six months after surgery, and my left foot before surgery. (unfortunately it was not possible to load photographs that the patient had sent us)
 


Lateral Hip Pain. Trochanteric Bursitis (fasciopathy)
Treatment with Shock wave therapy (ESWT)

Mrs J P

Dear Sir / Madam,

After suffering severe pain in my hip for 18months.I was seen by Mr Zubairy, Who recommended that I should have a scan. Resulting in him diagnosing a swollen and inflamed Bursa in my hip. He recommended that I have Extracorporeal Shock Wave Therapy Which would be 3 10minute treatments over 15 Days.

Which after having severe pain over 18 months seemed to unbelievable.

The treatment started , the first session was painful. The second less so, the third even less so. After a month pain gone(unbelievable).
Now walking normally no sign of previous limp.
 


Bunions both Feet:
Mrs Pat B


Dear Sir / Madam,

I had bunions on both feet and had two operations January and May 2013.
Problems: Painful feet, I found it hard to walk any distance, very poor balance, feet were very sore, shoes didn't really fit, left foot was particularly deformed. I had swelling around one knee and had bad back ache.

Mr Zubairy, my consultant, was very easy to talk to, he answered all my questions, giving me the pros and the cons. He instilled confidence into me.

The staff at Gisburn Park (on the NHS) were exemplary and the care I received was really good - you hear such a lot of criticism of hospitals but I was very well looked after.

The operation went very well and I had expected to experience a lot of pain, indeed I had previously been advised by medical & chiropody professionals to 'buy good shoes and avoid surgery.' but there was NOT any pain - neither after the op nor during the recovery.

I want to stress that I did not have any pain at all. After the operation my foot was well bandaged and I had pain killers. Returning home, the hardest part was mastering the crutches to get upstairs and I'll be honest I sat downstairs and hardly moved for the first couple of weeks. I was lucky to have good support. There wasn't any pain at all, but I had to sit still with foot elevated to reduce the swelling. This took weeks rather than days, particularly for the first foot.

I had several checkups and saw Mr Zubairy at each visit and he gave me advice as to what I should be doing to help the progress of my big toe.

Attached are some photos, before, after op and final foot. Mr Zubairy did a magnificent job on both feet.

It is now twelve months since I went in for my first op. I can stand up straight and feel much firmer on the ground. My backache and swollen knee have gone. It takes a lot of exercising your feet to get the mobility back, but.....

Both feet are straight. I am so pleased and I am now much better able to enjoy my retirement. My feet feel firm on the ground and I can now walk for miles comfortably and confidently across uneven surfaces and balance much better at yoga.

I was amazed that although recovery is quite a long process, it really was pain free. I really appreciate Mr. Zubairy's skill which has greatly improved my quality of life.

' I have got full movement of my big toes without pain (can put weight completely on toes in yoga class).  In addition the scars are so fine that they were virtually invisible by 9 months.  My feet look straight and I am proud of them'

Thank you, Pat


 


Bunion and Hammer toe:
Dear Sir / Madam,

It is eight weeks since I had surgery on my left foot for a Bunion and Hammer Toe correction. I underwent the same procedure on 
my right foot last January. I was admitted as an NHS daycare patient. Both operations were performed by Mr. Zubairy at Gisburne Park Hospital.

Initially, for a few days after the operation, there was pain. I was prescribed pain relief tablets and  given advice. I never had a night of disturbed sleep. I wore a Donjoy surgical shoe and used crutches for six weeks.

Three weeks after the January operation and two weeks after the June operation the sutures were removed. Although still bandaged my feet were more comfortable.  

The pins inserted to correct the hammer toes were removed six weeks after each operation. I never had any discomfort and their removal, on a scale of one to ten, was two and four respectively.

The shoe and crutches were discarded two weeks ago. Although my left foot is still a little swollen I am able to walk longer distances with ease.

I am very grateful to Mr. Zubairy and his excellent team for their care and support. All the staff at Gisburne Park are caring and friendly, concerned to put one at ease. 

Mrs D S

 


Dear Sir / Madam,

SURGERY FOR ARTHRODESIS (Fusion) OF LEFT TALONAVICULAR SUBTALAR +/- CALCANEOCUBOID JOINT, BONE GRAFT/FIXATION

Having had pain for teens of years on both feet and after trying various painkillers and later the steroid injections I decided it was time to try for a complete cure to the problem.

I was booked into Gisburn Park Hospital on Wednesday 29th April 2015 for the above operation.
Although all aspects of the operation were explained by Mr A Zubairy my consultant I was still a bit worried about pain and how I would cope with two/three of my bones in my foot fused together. 

The operation was carried out with an injection into the spine which meant that I was totally numb from the waist down but was concious for the operation which lasted for nearly two hours. I felt no pain at all during the operation. I had a full bandage with reinforced back fitted to my leg from foot to just below the knee, and was again told that foot was non weight bearing.

After being transferred back to my room I was offered drinks and checked on constantly by the nursing staff. The following morning I ate breakfast and was totally content with no hint of pain, probably because of the painkillers I had been given during the night. Later in the morning a physiotherapist visited me with a zimmer frame and helped me take a few steps to familiarise me with it. Then lunch, and home by teatime and as yet no pain whatsoever. I spent the next two weeks sitting with my foot up being waited on constantly.

Two weeks later I was back at the hospital for the removal of the sutures and after being checked over by Mr Zubairy I was fitted with a hard bandage (cast) reminded that my foot was still non weight bearing and sent home, for more rest and relaxation which I was beginning to enjoy. I had experienced no pain at all since having the operation done.

Two and a half weeks later I was back at the hospital for the removal of the hard bandage and was equipped with an adjustable Maxtrax boot which came to just below the knee. I was told I could put very light weight on my foot but only if supported with crutches.

Two weeks later a quick check at the hospital to see if everything was going ok with no pain or problems and slight adjustment to the Maxtrax boot which allowed me to bend my ankle and walk more normally.

Then a final eight weeks gently walking around with crutches before my final consultation with Mr Zubairy who declared me fit and well and I could take off the boot and start physiotherapy to rebuild the muscles I'd lost with my most enjoyable easy life waiting for my foot to heal.

Now, a month later and I'm fully fit and walking about quite normally but with NO pain on that foot and hopeful that I can have the same procedure on the other foot.

A big big thank you to Mr Zubairy and all the nursing and operation staff at Gisburn Park for a totally trouble free and pain free operation.

Mr J C
 


‘DJ’ Duo Global post-operative shoe. Patient review.

“Fabulously supportive and comfortable from day one.
· No pressure points over the wound sites.
· Easy to apply with Broad Velcro straps; practice needed with the amount of pressure at the ankle strap over the ankle joint line.
· The integral rocker shoe design facilitated an early heel-toe action with the metacarpal support lifting the forefoot from pressure. This enabled an early near –normal walking pattern.
· Aesthetically chunky & 'sporty- looking'; easy to match up to existing footwear.

I walked in it at week 1-2 with an elbow crutch, attended the gym in the boot only at week 3-4 and envisage wearing it occasionally on my return to work”.

S F. May 2017.
 







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