When your feet are misaligned, it leads to a chain reaction of misalignment in the body, affecting the knees, hips and back, often resulting in pain when standing, walking and running. The most common sign of misaligned feet is the inward rolling of the ankles, which is called Hyperpronation. However, misaligned feet can lead to a variety of other symptoms including, flat feet, foot pain, back pain, knee pain, hip pain, bunions and hammertoe.
Arch supports are inserts that are placed inside your shoe and are typically used to restore a fallen arch and cushion the bottom of the foot. While arch supports may temporarily alleviate pain and imbalance symptoms, they cannot stabilize the ankle bone, prevent excessive ankle bone motion or permanently restore a misaligned foot. They also only work when they are worn, so if you are barefoot or want to wear open-heeled shoes, your symptoms will return.
To get a better understanding, compare the images below.
Rearfoot reconstructive surgery is typically reserved for patients with a severe deformity. These types of procedures often involve the cutting and shifting of bones, joint fusion and the transfer of tendons. This option requires a long recovery, is associated with numerous risks and complications, and, once performed, can not be reversed. Additionally, many patients must return to the operating room for removal of painful internal hardware such as pins, screws or plates.
HyProCure is a stent that fits into a naturally occurring space. There are no pins, drills or screws required. While the removal rate is low (less than 6%), HyProCure is easily removed without any permanent damage to the foot.
Compare reconstructive surgery to HyProCure below. Is all this really necessary?
The HyProCure procedure may be covered by your insurance plan. Check with your foot and ankle specialist or with your insurance carrier for specific coverage details. Coverage terms can vary among the different insurance plans and regions.
For patients without available coverage, the procedure can possibly be performed as an in-office procedure. Every doctor has his/her own fee schedule, and will provide that information to you directly. Most physicians are willing to discuss an out-of-pocket package price, as well as any financial and/or payment options that may be available.
There is no drilling or screwing involved with the HyProCure procedure. A small incision is made in the skin above the sinus tarsi and the stent simply slides into the natural space inside the foot. The threads on the stent are only to allow for the scar tissue to form around the grooves and lock the device in place during the normal healing process.
Once the tissues surrounding the stent are healed, there should be no limitation. The abnormal motion is no longer present and normal motion will occur. Usually, there is a significant improvement in running, jumping - any activity involving propulsion from the foot.
HyProCure stents are made from medical grade titanium which is not reactive to imaging modalities. However, as with any procedural implant, you should inform your doctors of the implant and follow their recommendation.
If a deformity is present, the sooner it is treated the less damage will occur. You don’t want to wait for pain. At that point there may be irreversible damage. We don’t wait until our car tires are worn to balance them!
The short answer is likely no, but this is not a guarantee. Normally, once the stent is inserted into the foot it never has to be changed. The bones will continue to grow peripherally around HyProCure.
Titanium is the choice material used in the body since it is the least reactive. HyProCure is made entirely of medical grade titanium.
If you have symptoms and other forms of conservative therapy, including orthotics, haven’t been able to provide you with relief, then this procedure would be helpful.
As long as the implant does not displace, you should not be able to feel HyProCure after the procedure. Sometimes for the first few months a hard substance may be felt in the area of the surgery. This is scar tissue and should dissipate after several months, if present at all.
The incision is less than an inch long and slender and this part of the skin heals remarkably well. With time, the scar should become virtually invisible, in most cases.
You will not need to premedicate prior to dental or other surgical procedures because the HyProCure stent is not embedded into the bone.
No one can completely predict the outcome of any surgical procedure, but this solution will improve your entire body’s alignment, and in many cases it will even fully correct it, provided there are no other skeletal defects in other parts of the body. As a consequence, reduction and relief of many pains caused by the foot imbalance will also be reduced or eliminated. However, it is possible that some of the joints and soft tissues in the body may have already suffered irreversible wear and tear, and in those cases other treatments or procedures might be necessary. In either case, correcting the root of the problem is still essential to stopping any further damage and to allowing for any additional therapies (if necessary) to be long lasting.
If the orthotics were dispensed to treat hyperpronation then you will no longer need them. However, there are other reasons for orthotics to be worn. Orthotics can be used to off-weight prominent areas to the bottom of the foot. If those areas are not surgically addressed, then orthotics may still be required after the procedure.
It is most commonly caused by hereditary or genetic factors.
Yes, every surgical procedure has its limitations. In very severe cases of talotarsal displacement, other surgical procedures may be necessary to achieve optimum correction.