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	<title>Hoosier Foot &#38; Ankle &#187; Foot Surgery</title>
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	<link>http://www.hoosierfootandankle.com</link>
	<description>Your Source for Foot and Ankle Care</description>
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		<title>When Amputation is the Best Solution &#124; Video</title>
		<link>http://www.hoosierfootandankle.com/2011/07/when-amputation-is-the-best-solution-video/</link>
		<comments>http://www.hoosierfootandankle.com/2011/07/when-amputation-is-the-best-solution-video/#comments</comments>
		<pubDate>Fri, 15 Jul 2011 12:57:14 +0000</pubDate>
		<dc:creator>Dr. DeHeer</dc:creator>
				<category><![CDATA[Foot Surgery]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[accidents]]></category>
		<category><![CDATA[amputation]]></category>
		<category><![CDATA[peripheral arterial disease]]></category>

		<guid isPermaLink="false">http://www.hoosierfootandankle.com/?p=1046</guid>
		<description><![CDATA[Accidents and health conditions are sometimes overcome only by partial amputation. Video]]></description>
			<content:encoded><![CDATA[<p>Last week you read a blog post here entitled <a href="http://www.hoosierfootandankle.com/2011/07/amputation-is-not-the-%E2%80%9Clost-cause%E2%80%9D-solution-catoire/" target="_blank">Amputation is Not the &#8220;Lost Cause&#8221; Solution</a>, about an article written by Dr. Shirley Catoire, DPM and Dr. Peter A. Blume, DPM and Dr. Bauer E. Sumpio, MD , which was published in PodiatryToday.com under the title &#8220;<a href="http://www.podiatrytoday.com/when-is-amputation-the-salvage-procedure?page=2" target="_blank">When Amputation is the Salvage Procedure</a>.</p>
<p>The crux of that article was about the salvage gain that can come from a decision to amputate.  So often, amputation of a limb or part of it seems like a defeat in the treatment plan.</p>
<p>But, the incidence of some catastrophic accidents or infections due to peripheral arterial disease is a very real issue.  Being able to make the treatment plan and amputate part of a foot such as occurred for the patient in the video means the patient can survive, can recover and possibly be mobile in the future.</p>
<p>Comments at our YouTube channel indicate that after the dreaded amputation has been accomplished, the future for a patient who recovers from the amputation has promise and comfort.</p>
<p>Granted, we choose amputation after making other attempts to accomplish a successful healing of foot conditions. But, sometimes, when pre-emergency efforts fail, then we can see a different type of success for the patient.</p>
<p>Avoid accidents when you can.  Pay attention to peripheral arterial conditions before gangrene can set in.  These efforts can help more than anything to prevent amputation.</p>
<p>When you have an emergency injury, call 800-315-1363 for help with your needs.  Call for a consultation if you are fighting peripheral arterial issues.  I am, with the new associate, Dr. Catoire, ready to help you at any of our five podiatry clinics in the Indianapolis area.</p>
<p>Remember,<strong> Our Passion – Your Solution – Innovative Podiatric Care</strong> is the tag line for<a href="http://www.hoosierfootandankle.com"> Hoosier Foot and Ankle.</a></p>
<p><iframe width="400" height="257" src="http://www.youtube.com/embed/wgSFGFnODLw?rel=0" frameborder="0" allowfullscreen></iframe></p>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>Amputation is Not the “Lost Cause” Solution &#124; Catoire</title>
		<link>http://www.hoosierfootandankle.com/2011/07/amputation-is-not-the-%e2%80%9clost-cause%e2%80%9d-solution-catoire/</link>
		<comments>http://www.hoosierfootandankle.com/2011/07/amputation-is-not-the-%e2%80%9clost-cause%e2%80%9d-solution-catoire/#comments</comments>
		<pubDate>Wed, 06 Jul 2011 13:14:29 +0000</pubDate>
		<dc:creator>Dr. DeHeer</dc:creator>
				<category><![CDATA[Foot Surgery]]></category>
		<category><![CDATA[amputation]]></category>
		<category><![CDATA[Catoire]]></category>
		<category><![CDATA[Diabetes]]></category>
		<category><![CDATA[salvage procedures]]></category>

		<guid isPermaLink="false">http://www.hoosierfootandankle.com/?p=1032</guid>
		<description><![CDATA[Amputation doesn't signal treatment failure or 'lost cause', but rather the decision to salvage the lifestyle, comfort and perhaps the life of the patient.]]></description>
			<content:encoded><![CDATA[<p>The decision to perform an amputation or partial amputation does not always fit the perception of a failure in treatment.</p>
<p>Amputation salvage procedures can preserve part of a limb or enhance the quality of life, even saving the life of the patient.  Those goals do not represent failure or lost causes.</p>
<p>Recently, Dr. Shirley Catoire, DPM joined Dr. Peter A. Blume, DPM and Dr. Bauer E. Sumpio, MD in authoring an article for PodiatryToday.com discussing the possibilities and considerations for a decision to perform amputation.</p>
<p>As a multidisciplinary team, the authors recommend assessment of the issues that led to the patient&#8217;s current condition, plus what procedures can control or eliminate those issues.</p>
<p>Frequently, the patient has diabetes as one of the conditions that contributes to the foot problems being considered for salvage amputation.</p>
<p>You can read more about the detailed assessment recommendation at the article entitiled <a href="http://www.podiatrytoday.com/when-is-amputation-the-salvage-procedure?page=2" target="_blank">“When Is Amputation The Salvage Procedure?” </a></p>
<p>As an associate at <a href="http://www.hoosierfootandankle.com">Hoosier Foot and Ankle</a>, Dr. Catoire is as committed as I am to avoiding unnecessary amputation.  However, as the article discusses, sometimes the amputation has the best prognosis for the patient&#8217;s future comfort.</p>
<p>When you consult with us at Hoosier Foot and Ankle, you can know that we put your condition and your future highest on the list as we prepare a plan of treatment.</p>
<p>You can learn more about foot conditions and treatment, plus patient reward programs in our newsletter.  Sign up at the Hoosier Foot and Ankle website today or text <strong>FOOTDOCS to 42828 </strong>to get started with our news.</p>
]]></content:encoded>
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		<title>Bacterin Osteosponge Bone Graft &#124; Successful Foot Surgery</title>
		<link>http://www.hoosierfootandankle.com/2011/05/bacterin-osteosponge-bone-graft-successful-foot-surgery/</link>
		<comments>http://www.hoosierfootandankle.com/2011/05/bacterin-osteosponge-bone-graft-successful-foot-surgery/#comments</comments>
		<pubDate>Fri, 13 May 2011 13:22:45 +0000</pubDate>
		<dc:creator>Dr. DeHeer</dc:creator>
				<category><![CDATA[Foot Surgery]]></category>
		<category><![CDATA[ankle surgery]]></category>
		<category><![CDATA[bacterin osteosponge]]></category>
		<category><![CDATA[bone graft]]></category>
		<category><![CDATA[foot surgery]]></category>

		<guid isPermaLink="false">http://www.hoosierfootandankle.com/?p=978</guid>
		<description><![CDATA[Bacterin Osteosponge material is useful for foot surgery. Call Hoosier Foot and Ankle at 877-207-9556 for an appointment and consultation about your foot conditions.]]></description>
			<content:encoded><![CDATA[<p>Using a Bacterin Osteosponge bone grafting material is becoming a preferred choice for my patients who need bone grafting precedures.  The video explains how the Osteosponge is configured using bone material.  Completely hydrated grafting material in the surgical procedure being filmed is pliable and can be used to fill voids and small spaces.  I am always happy when I can find a product that permits me to offer better service to patients.</p>
<p>If you have chronic foot pain from a condition that may need surgery and bone grafting, call 1-877-207-9556 for a consultation appointment or you may use the<a href="http://www.hoosierfootandankle.com/request-an-appointment/"><strong> online appointment</strong></a> request form available 24/7 for your convenience.  If you are a new patient, you can find the <a href="http://www.hoosierfootandankle.com/new-patients/">new patient forms and information</a> at our website.  The patient forms are printable so that you can read them over and gather the information needed ahead of time. You might prefer to look them over even if you complete them in the office.</p>
<p><iframe width="400" height="257" src="http://www.youtube.com/embed/PXB9qai2VlQ?rel=0" frameborder="0" allowfullscreen></iframe></p>
]]></content:encoded>
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		<title>Ingrown Toenails are Extremely Painful &#124; Treatment Can Help</title>
		<link>http://www.hoosierfootandankle.com/2011/04/ingrown-toenails-are-extremely-painful-treatment-can-help/</link>
		<comments>http://www.hoosierfootandankle.com/2011/04/ingrown-toenails-are-extremely-painful-treatment-can-help/#comments</comments>
		<pubDate>Fri, 15 Apr 2011 13:13:37 +0000</pubDate>
		<dc:creator>Dr. DeHeer</dc:creator>
				<category><![CDATA[Foot Surgery]]></category>
		<category><![CDATA[ingrown toenail video]]></category>

		<guid isPermaLink="false">http://www.hoosierfootandankle.com/?p=937</guid>
		<description><![CDATA[1-317-660-2155 &#124; At Hoosier Foot and Ankle, I am ready to treat your ingrown toenail condition as shown in the video. Don't continue to suffer pain and risk infection, call us today.]]></description>
			<content:encoded><![CDATA[<p>There can be many causes of ingrown toenail, although shoes seem to be at the foundation of most of these painful experiences.  Wearing shoes that are too tight, too shallow across the toe box, too short or have damage in the toe area can be the deed ending in pain and potential for infection.</p>
<p>Of course, if you have ever had a painful, ingrown toenail, you knew pretty fast what was the cause. What concerned you in the face of pain that hurt all over your body was “<strong>How am I going to get relief?</strong>”</p>
<p>The video shows a painful, swollen toe being treated with a method that will keep the toenail from growing back at all.  Total recovery time is a few weeks, but relief from the particular pain that can only be connected to an ingrown toenail is almost immediate.</p>
<p>If you or someone you know is suffering from an ingrown toenail, suffering doesn&#8217;t have to continue simply because there is a shoe choice to blame.  Avoid expanding pain and the risk of infection by seeking treatment.  At <a href="http://www.hoosierfootandankle.com">Hoosier Foot and Ankle</a>, I am prepared to help you get relief as is my professionally trained staff.  You are welcome to call 1-317-660-2115 to request an appointment or use the<a href="http://www.hoosierfootandankle.com/request-an-appointment/"> online appointment request</a> which is available 24/7 for your convenience.</p>
<p><iframe title="YouTube video player" width="400" height="255" src="http://www.youtube.com/embed/WL6Ietdnsq8?rel=0" frameborder="0" allowfullscreen></iframe></p>
]]></content:encoded>
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		<item>
		<title>What is Topaz and How Can This Tool Help Patients?</title>
		<link>http://www.hoosierfootandankle.com/2011/04/what-is-topaz-and-how-can-this-tool-help-patients/</link>
		<comments>http://www.hoosierfootandankle.com/2011/04/what-is-topaz-and-how-can-this-tool-help-patients/#comments</comments>
		<pubDate>Fri, 08 Apr 2011 04:46:02 +0000</pubDate>
		<dc:creator>Dr. DeHeer</dc:creator>
				<category><![CDATA[Foot Surgery]]></category>

		<guid isPermaLink="false">http://www.hoosierfootandankle.com/?p=927</guid>
		<description><![CDATA[Dr. DeHeer uses Topaz to treat peroneal tendon conditions when appropriate. This tool can lead to easier and quicker recovery.]]></description>
			<content:encoded><![CDATA[<p>When there is damage to the peroneal tendon, there are not many options for treatment.  Usually surgery has been the method chosen to remove tissue and accomplish debridement.</p>
<p>There is a tool, Topaz, which is a probe using radiofrequency (coblation) to achieve the necessary debridement with less severe effects than surgery.</p>
<p>Topaz works at a lower temperature than some other treatments and has quicker recovery time.  The patient is permitted to leave the clinic when recovered from light anesthetic with arrangements made for follow-up appointments.</p>
<p>This video demonstrates my use of Topaz for a patient when treating conditions of the Peroneal Tendon.  If you have tendon pain that needs treatment, contact us today for an appointment. You can call  317-660-2115 or use our handy <a href="http://www.hoosierfootandankle.com/request-an-appointment/">online appointment request option </a>which is available to you 24/7</p>
<p>Topaz may be the answer for your condition.</p>
<p><iframe title="YouTube video player" width="400" height="255" src="http://www.youtube.com/embed/_SDN2N_A2hw?rel=0" frameborder="0" allowfullscreen></iframe></p>
]]></content:encoded>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>Little Flat Feet Grow Up to be Big Flat Feet That Hurt</title>
		<link>http://www.hoosierfootandankle.com/2011/03/little-flat-feet-grow-up-to-be-big-flat-feet-that-hurt/</link>
		<comments>http://www.hoosierfootandankle.com/2011/03/little-flat-feet-grow-up-to-be-big-flat-feet-that-hurt/#comments</comments>
		<pubDate>Fri, 18 Mar 2011 13:23:10 +0000</pubDate>
		<dc:creator>Dr. DeHeer</dc:creator>
				<category><![CDATA[Foot Surgery]]></category>
		<category><![CDATA[children's podiatry]]></category>
		<category><![CDATA[flat foot correction]]></category>
		<category><![CDATA[flat foot surgery]]></category>
		<category><![CDATA[Foot Pain]]></category>

		<guid isPermaLink="false">http://www.hoosierfootandankle.com/?p=901</guid>
		<description><![CDATA[Flat feet in children can be painful and is almost certain to be painful when the child grows up. Early diagnosis and correction treatment can help prevent problems and pain later.]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.hoosierfootandankle.com/wp-content/uploads/2011/03/feetonfeet.jpg"><img class="alignnone size-medium wp-image-902" title="feetonfeet" src="http://www.hoosierfootandankle.com/wp-content/uploads/2011/03/feetonfeet-300x215.jpg" alt="" width="300" height="215" /></a></p>
<p>The little flat baby feet are so sweet.  Sometimes their flat condition causes pain that is not necessary for children, sometimes it doesn&#8217;t seem to bother.  But, flat feet for an adult can spell misery that is difficult to relieve.</p>
<p>Proper diagnosis and early correction brings a new outlook on life to the child whose feet are painful.  That is one of the best things I can see; the happy face of a kid without painful feet.</p>
<p>That same proper diagnosis and early correction can give an adult a more pleasant foot life as the years go by without developing pain and discomfort from long term flat feet.</p>
<p>The video shows a corrective procedure that inserts a subtolar implant into the foot.  The specific implant is an MBA implant and acts as an internal arch support. It is often used done with a Gastroc Recession.  I have the skills to perform this or other corrective treatment for flat feet.</p>
<p>If flat feet are an issue for you or someone you care for, call 1-800-615-1363 today for a consultation appointment at one of our five clinics.  Or you may use the convenient online appointment request which is available 24/7.</p>
<p>Let&#8217;s work together early for proper diagnosis and an action plan to keep the feet in your family happy feet.</p>
]]></content:encoded>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>Avoid Unnecessary Amputation &#124; Early Attention to Foot Problems</title>
		<link>http://www.hoosierfootandankle.com/2011/03/avoid-unnecessary-amputation-early-attention-to-foot-problems/</link>
		<comments>http://www.hoosierfootandankle.com/2011/03/avoid-unnecessary-amputation-early-attention-to-foot-problems/#comments</comments>
		<pubDate>Fri, 18 Mar 2011 13:15:18 +0000</pubDate>
		<dc:creator>Dr. DeHeer</dc:creator>
				<category><![CDATA[Foot Surgery]]></category>
		<category><![CDATA[foot care]]></category>
		<category><![CDATA[podiatric surgery]]></category>
		<category><![CDATA[videos]]></category>
		<category><![CDATA[youtube channel]]></category>

		<guid isPermaLink="false">http://www.hoosierfootandankle.com/?p=897</guid>
		<description><![CDATA[1-800-615-1363 &#124; Hoosier Foot and Ankle: PAD sufferers, call podiatrist for consultation for early foot care to avoid unnecessary amputation. Good foot care is part of PAD treatment.]]></description>
			<content:encoded><![CDATA[<p>At <a href="http://www.hoosierfootandankle.com">Hoosier Foot and Ankle</a>, I prefer to work with a patient before gangrene has had a chance to invade. Peripheral Arterial Disease (PAD) can lead to very poor circulation in feet.  That poor circulation can mean slower wound healing which in turn invites gangrene.</p>
<p>The video is graphic and an extreme case, but the problem was connected to these issues.</p>
<p><iframe title="YouTube video player" width="400" height="255" src="http://www.youtube.com/embed/WFeT3bqEG2o?rel=0" frameborder="0" allowfullscreen></iframe><br />
PAD, poor circulation, wounds that don&#8217;t heal and eventually destructive gangrene.</p>
<p>If you suffer from Peripheral Arterial Disease, among all of the issues that you face when managing the condition, please take care of your feet.  Do the wise things of avoiding shoes that rub sores, avoid cutting nails too short and above all keep track of scrapes or cuts.  If you notice issues with your feet that are getting beyond control with simple hygiene, consider an appointment for consultation and a care plan at Hoosier Foot and Ankle.</p>
<p>Your feet are important to your everyday life style.  I would rather help you manage your conditions  than have to perform an amputation that could have been avoided.</p>
<p>Call 1-800-615-1363 for a consultation appointment at one of our five clinics or use the <strong><a href="http://www.hoosierfootandankle.com/request-an-appointment/">online appointment option</a></strong> that is available 24/7 for your convenience.   Let&#8217;s work together to help you continue dancing.</p>
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		<item>
		<title>Heel Ulcer Treatment  &#124; 1st in a Video Series</title>
		<link>http://www.hoosierfootandankle.com/2011/02/heel-ulcer-treatment-1st-in-a-video-series/</link>
		<comments>http://www.hoosierfootandankle.com/2011/02/heel-ulcer-treatment-1st-in-a-video-series/#comments</comments>
		<pubDate>Fri, 04 Feb 2011 13:26:01 +0000</pubDate>
		<dc:creator>Dr. DeHeer</dc:creator>
				<category><![CDATA[Foot Surgery]]></category>
		<category><![CDATA[diabetic health]]></category>
		<category><![CDATA[diabetic nutrition. foot surgery]]></category>
		<category><![CDATA[foot ulcer]]></category>

		<guid isPermaLink="false">http://www.hoosierfootandankle.com/?p=828</guid>
		<description><![CDATA[Diabetic patients heal slower, a small wound from a rubbing shoe can get out of control more rapidly than one would expect. Infection is a serious threat because not only does it put the surrounding tissue at risk, it can spread throughout the patient's system, particularly to bone in the wound's nearby area.]]></description>
			<content:encoded><![CDATA[<p>Diabetic health issues include poor circulation and at extremities — hands and feet.  This condition can be joined by nerve damage which prevents prompt sense of hot or cold conditions. These issues combine to make foot ulcers difficult to overcome. Most foot ulcers for diabetic patients seem to begin with poor fitting shoes.  But the eventual control of damage is connected also to proper nutrition.</p>
<p>Diabetic patients heal slower, a small wound from a rubbing shoe can get out of control more rapidly than one would expect.  Infection is a serious threat because not only does it put the surrounding tissue at risk, it can spread throughout the patient&#8217;s system, particularly to bone in the wound&#8217;s nearby area.</p>
<p>Care regarding diet, exercise and lifestyle can help diabetics control their illness and help prevent the possibly permanent damage to a foot.  Amputation is avoidable with control and management of the diabetic life.</p>
<p>At <a href="http://www.hoosierfootandankle.com">Hoosier Foot and Ankle, </a>I am dedicated to providing care that will  help. That care is sometimes aimed at the heart and head of of the  patient to encourage self-care for the patient&#8217;s feet.</p>
<p>The video below is part one of a series which show the treatment for an extreme heel ulcer. I made the video series and have them online because I want to impress diabetic patients with the risks of not taking care of themselves.  The first line of action is the diet — proper diabetic nutrition.</p>
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		<title>Partial Amputation = Recommended Treatment Process</title>
		<link>http://www.hoosierfootandankle.com/2011/01/partial-amputation-recommended-treatment-process/</link>
		<comments>http://www.hoosierfootandankle.com/2011/01/partial-amputation-recommended-treatment-process/#comments</comments>
		<pubDate>Fri, 28 Jan 2011 12:51:44 +0000</pubDate>
		<dc:creator>Dr. DeHeer</dc:creator>
				<category><![CDATA[Foot Surgery]]></category>
		<category><![CDATA[fourth toe]]></category>
		<category><![CDATA[partial amputation]]></category>
		<category><![CDATA[serious injury]]></category>

		<guid isPermaLink="false">http://www.hoosierfootandankle.com/?p=820</guid>
		<description><![CDATA[Partial amputation of the fourth toe was the recommendation for the patient whose foot is featured in the video included in this post.]]></description>
			<content:encoded><![CDATA[<p>Partial amputation of the fourth toe was the recommendation for the patient whose foot is featured in the video included in this post.</p>
<p>The end result for patients and the path to recovery is influential in these tough decisions.  I avoid unnecessary amputation.  However, there comes a time when recovery and the future are linked in a decision to proceed.  When a heavy steel pipe dropped onto the patient’s foot, it cut through the shoe and severely damaged the fourth toe.</p>
<p>All toes are important, but the removal of a seriously damaged fourth toe won’t hinder mobility or balance after recovery.   Pain relief and safe recovery for the patient by removing the injured part of the digit was the final consideration.</p>
<p>I’m glad to be able to tell you that the patient recovered without complications.  That meets important criteria for the final result with my patients at <a href="http://www.hoosierfootandankle.com">Hoosier Foot and Ankle </a>clinics.</p>
<p><iframe title="YouTube video player" class="youtube-player" type="text/html" width="400" height="255" src="http://www.youtube.com/embed/IM2lM8sjIzs?rel=0" frameborder="0" allowFullScreen></iframe></p>
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		<title>Procedure to Lengthen the Gastrocnemius Muscle</title>
		<link>http://www.hoosierfootandankle.com/2010/12/procedure-to-lengthen-the-gastrocnemius-muscle/</link>
		<comments>http://www.hoosierfootandankle.com/2010/12/procedure-to-lengthen-the-gastrocnemius-muscle/#comments</comments>
		<pubDate>Wed, 01 Dec 2010 13:04:37 +0000</pubDate>
		<dc:creator>Dr. DeHeer</dc:creator>
				<category><![CDATA[Foot Surgery]]></category>
		<category><![CDATA[ankle issues]]></category>
		<category><![CDATA[Bunions]]></category>
		<category><![CDATA[flat foot]]></category>
		<category><![CDATA[gastroc procedure]]></category>

		<guid isPermaLink="false">http://www.hoosierfootandankle.com/?p=723</guid>
		<description><![CDATA[1-800-615-1363 &#124;Contact Hoosier Foot and Ankle for a consultation for foot pain involving ankle immobility.]]></description>
			<content:encoded><![CDATA[<p>When limited or compromised ankle motion goes untreated, other issues may be involved or can develop such as flat feet.</p>
<p>The treatment for this condition is called Gastroc Recession and is shown in the video entitled &#8220;Gastroc Recession for Pediatric Flatfoot Deformity.&#8221;</p>
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<p>While specific causes aren&#8217;t certain, the ankle may be compromised by hereditary conditions, aging, medical issues or immobilizing restraint from treatment.  The condition can show up in children or adults.</p>
<p>Expert corrective treatment from a qualified surgeon is usually quite successful.  If you have persistent pain in the front of your foot or have been living with a birth defect that makes you walk on your toes, call <a href="http://www.hoosierfootandankle.com">Hoosier Foot and Ankle</a> for a consultation appointment.  After Dr. Deheer examines your condition, he will be able to recommend treatment which can vary from exercises to surgery.</p>
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