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Dr. Esway was very clear about the problem that I had and was quick to find out what could be done. He has a caring personality and is a fine surgeon.

THE ANKLE is a complex body part that plays a critical role in mobility and stability. Ankle pain may be due to sprains, arthritis, breaks and tendon problems.
THE FOREFOOT extends from the ball of the foot to the toes. Forefoot pain may be due to bunions, toe deformities and neuromas.
THE MIDFOOT runs from the ball of the foot to the heel and includes the arch. Midfoot pain may be due to arthritis or stress fractures.
THE HINDFOOT, also known as the heel, is the area between the ankle and the foot's arch. Heel pain may be due to plantar fasciitis or Achilles tendon problems.

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Forefoot Conditions

The forefoot extends from the ball of the foot to the toes. This area can be affected by tight shoes, injuries, genetic conditions and nerve damage. Dr. Jan-Eric Esway treats various forefoot conditions, including bunions, toe deformities and neuromas. (Each is described in more detail below.)


Bunions are a common and easily recognized foot condition. They appear as a prominence at the big toe's base. Factors causing bunions include genetics and tight-fitting footwear. If shoes are the cause, then wearing ones that better accommodate the foot's natural structure may relieve discomfort. Designers now make shoes that offer comfort without compromising style.

Bunion treatment can be complex. So, it's extremely important that your surgeon has the training and experience necessary to achieve good results. Surgery aims to relieve pain and restore normal alignment. Depending on the degree of deformity, this often is achieved by an osteotomy, which involves removing the prominence, tightening loose tissues, releasing tight tissues and, usually, realigning bones. Thanks to technological advancements, screws are only necessary for the most severe bunions. Post-surgical recovery periods vary depending on the patient and the procedure. However, many people return to normal routines in 12 weeks.

Toe Deformities

Toe Deformities are a source of pain. They may be caused by injuries, disease and footwear. Typically, they develop over time. The most common deformities include hammertoes and overlapping toes. Toe deformities may be accompanied by pain and may lead to the development of corns and calluses.

Generally, surgical procedures aim at returning toes to normal positions. This requires the surgeon to realign bones and may call for re-adjusting tendons. Sometimes, pins or screws are used to hold bones in place. The results of successful surgery can be enhanced, if, after the procedure, patients wear shoes that are comfortable and allow proper alignment.


Neuromas are a source of pain and result from nerve inflammation. Non-surgical treatments usually are successful. These include injections, shoe inserts and orthotics.

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