Scott Morris, MD, Orthopedic Foot and Ankle Surgeon in Birmingham, AL, explains 3 disorders of the toes. Claw Toes, Hammer Toes, and Mallet Toes are disorders of the toes and are common disorders in the forefoot. Sometime the terms are confusing - especially the differences between claw toes and hammer toes. Mallet Toe is a bending down of the distal toe. * not as common * rarely needs surgery unless it's causing problems, then it can be straightened out surgically. Hammer Toe is a bend of the toe at the PIP joint (Proximal interphalangeal). * more common * Treatments - (conservative) digital pads (surgical) remove joint and pin it straight Claw Toe is a combination of disorders in one toe. * more serious * pulling up at base of toe * bending of toe at Hammer Toe joint * Treatments - Hammer Toe surgery - remove joint & pin in straight Base of Toe - release capsule & release tendons

#Diabetes, #Foot Neuropathy, #Vasculopathy, #Ulcers Scott Morris, MD, Orthopedic Foot and Ankle Surgeon explains Diabetic Foot complications: Neuropathy, Vasculopathy, and Ulcers of the Heel and Forefoot. Diabetes - inability to handle sugar (glucose) Too much glucose in the blood stream becomes toxic to tissues. Complications: 1) Neuropathy - inability to feel; loss of sensation * nerve does not function normally * tingling, burning, thickness * balance troubles * feeling like your foot is in a vice 2) Vasculopathy - blood vessels affected * decreased blood flow * trouble with tissue oxygenation * can lead to foot ulcers 3) Heel Ulcer * does not heal as well * harder to off-load the ulcer * greater concern for physicians 4) Forefoot Ulcer (treatment) * take pressure off ulcer * exercise to lengthen heel cord * surgically remove bones to relieve pressure under the ulcer Diabetic Foot Care * Examine feet daily * Check for ulcers * Check shoes fit * Check bloodwork Advantage for insulin dependent, insurance companies often help cover shoes and inserts yearly.

Scott Morris, MD, Orthopedic Foot and Ankle Surgeon explains 4 Ligament Tears that are common sources of pain. Ligaments of the Foot & Ankle, 4 Common Tears: Syndesmotic Ligament, also called “High Ankle Sprain” Treatment: Conservative: boot, brace, physical therapy Surgical: tightrope or screws 2) Ankle Sprain, the most common ligament tear, “Loose Ankle” Treatment: Conservative: boot, brace, physical therapy Surgical: repair ligament 3) Lateral Foot Sprain Treatment: Conservative: boot, brace, physical therapy Surgical: uncommon 4) LisFranc Ligament Tear Treatment: Conservative: (if partial tear or stable)- boot or therapy Surgical: (if complete tear or unstable) - open reduction, internal fixation or fusion

Scott Morris, MD, Orthopedic Foot and Ankle Surgeon explains 5 Arthritic Joints that are commonly sources of pain. 5 Most Common Arthritic Deformities: 1. Ankle Arthritis (A) Location - the junction where the foot comes off the tibia & fibula Cause (possibly) - old injury: fracture, repeated ankle sprains cause the ankle to wear out over time. Treatment - (conservative) braces, anti-inflammatories, steroid shots; (surgical) fusion to lock joint together, artificial ankle 2. Talo-navicular Arthritis (TN) Location - the next joint below the ankle joint Treatment - (conservative) anti-inflammatories, braces, steroid shots; (surgical) fusion to lock joint together 3. Midfoot Arthritis (M) more common in women than in men Treatment - (conservative) anti-inflammatories, steroid shots, inserts, stiff shoes; (surgical) fusion to lock joint together 4. Hallux Rigidus (HR), "Great Toe Arthritis" Location - base of great toe, on top Cause (possibly) - a stubbed toe that damaged the cartilage Pain - stiff, achy, swelling on top of the toe Treatment - (conservative) anti-inflammatories, steroid shots, carbon fiber plate, stiff shoes; (surgical) fusion to lock joint together 5. Subtalar Arthritis (ST) Location - below fibula on outside of ankle where the "in & out" motion of the foot occurs Treatment - (conservative) anti-inflammatories, braces, steroid shots; (surgical) fusion to lock joint together

Bunion, Hallux Rigidus, Bunionette Orthopedic Surgeon Scott Morris, MD explains Bunion, Hallux Rigidus, and Bunionette. A Bunion is a painful bump on the medial aspect, or on the inside, at the base of the Great Toe. A Bunion is actually a turn of the bone of the Big Toe that causes a bump. Pain also occurs when shoes rub or put pressure on bunion. Bunion Treatment: * Wide Toe Box Shoes * Bunion Pad * Splint - to help symptoms but does not correct the bunion * Surgery - a combination of ligament and bone correction “Bunionectomy” Hallux Rigidus is pain on top of the Big Toe and causes limited motion and pain when moving the big toe. Hallux Rigidus is also called Arthritis at the base of the Big Toe. Hallux Rigidus Treatment: * Injections * Anti-inflammatories * Stiff Shoes * Carbon Fiber Plate * Surgery - “Fusion” lock or grow the 2 bones together A Bunionette is pain at the outside base of the Little Toe when shoes rub or press. It can be a growth of the 5th metatarsal head or a turn of the 5th metatarsal bone. Bunionette Treatment: * Wide Toe Box Shoes * Bunionette Pads * Surgery - trim bone Daughter requests her dad do her foot surgery - #bunionectomy #orthopedicsurgeon

Scott Morris, MD, Orthopedic Foot and Ankle Surgeon explains four tendons that are commonly sources of pain. These 4 tendons diagnosis include: (1) Anterior Tibial Tendonitis (less common) (2) Posterior Tibial Tendonitis (more common) (3) Peroneal Tendonitis (4) Achilles Tendonitis Anterior Tibial Tendonitis function - pulls ankle up pain - #1 anterior ankle #2 medial mid-foot (insertional) patients - diabetics, rheumatoid treatment - boots, therapy rarely surgery - since rupture of AT is uncommon phenomenon Posterior Tibial Tendonitis function - pulls foot inward, medially pain - inside ankle, medially treatment -inserts, injection, brace*, therapy *ASO brace - Ankle Support Orthosis rarely surgery Peroneal Tendonitis function - pulls foot out, laterally pain - #1 behind fibula (chafes behind the ankle) #2 at peroneal tubercle tunnel #3 at 5th metatarsal base (insertional) treatment - brace, boots, injection (at tunnel & insertion), therapy Achilles Tendonitis - “major player” - does a lot of work in foot & ankle function - pulls foot down pain - #1 within muscle (“Charlie Horse”) #2 watershed area (mid tendon) poor blood supply, potential rupture here #3 insertion at calcaneus treatment -therapy, dorsiflexion hinged boot

Foot and Ankle Orthopedic Surgeon MD explains pain on the sole, or bottom, or plantar aspect of the foot. Plantar foot pain including: Neuroma (scar tissue within the nerve), Metatarsalgia (pain at the heads of the metatarsals), and Plantar Fasciitis (sometimes incorrectly referred to as Heel Spurs). Treatment include both operative and non-operative options. Neuroma (Morton's Neuroma) problems includes pain at the base of the toes on the bottom of the foot. Neuromas of the foot can cause burning, tingling, and numbness into the toes, including a sensation of a sock wadded up or the feeling of swelling at the base of the toes. Initial neuroma treatment -- shots, anti-inflammatories, "off loading" pad, to take pressure off the neuroma. Surgical neuroma treatment -- removal of neuroma. Metatarsalgia pain occurs on the bottom of the foot, at the heads of the metatarsal bones. An off-loading pad helps take pressure off the bones. Achilles stretching exercises help strengthen the upward motion of the foot which helps relieve pain. Surgical treatment is rare and involves shaving or breaking the metatarsals. Plantar Fasciitis is common, and is NOT caused by heel spurs, although pain is often felt in the heel. Plantar Fasciitis is caused by the tearing of fascia at the heel and is usually caused by a tight achilles tendon. Conservative Plantar Fasciitis treatment includes shots, a cushion insert, an extension boot, a night splint, and exercises to stretch the achilles tendon. Surgical treatment of Plantar Fasciitis involves releasing the tarsal tunnel and releasing part of the plantar fascia.

Foot and Ankle Orthopedic Surgeon MD explains pain on the dorsally, or on top, of the forefoot. This includes: Arthritis, Metatarsal Stress Fractures, and 2nd Metatarsophalangeal Synovitis (base of the 2nd toe). * Arthritis of the Midfoot - Conservative treatment - stiffer shoes, anti-inflammatories, carbon fiber plates inside shoe under liner, achilles tendon stretching exercises, and shots for swelling and pain - Surgical treatment - fusion or locking the bones (TMT or tarsometatarsal) together * Metatarsal Stress Fractures - Conservative treatment - stiffer shoes, boot, post-op shoe, anti-inflammatories, and carbon fiber plates inside shoe under liner - Surgical treatment - open reduction, internal fixation (ORIF) of the metatarsals * 2nd Metatarsophalangeal Synovitis (base of the 2nd toe - can appear as a deviation of the 2nd toe toward the great toe) - Conservative treatment - anti-inflammatories, metatarsal pads, shots - Surgical treatment - Arthrotomy of the 2nd MP joint (opening of the joint)

Scott Morris, MD, Orthopedic Foot and Ankle Surgeon in Birmingham, Alabama with offices in Hoover and Trussville. Dr. Morris performs surgeries at the following locations: * OSE (Outpatient Services East), Trussville, AL * St. Vincent’s East, Trussville, AL * Grandview Hospital, Birmingham, AL. Married 32 years, 5 children Deeply committed Christian - effects everything in life Devoted husband and father Enjoys praying with patients before surgery All patients in this video are Dr. Morris’s children. His children’s surgeries include his daughter’s bunioectomies which he successfully performed. One of his sons had a brain tumor with surgeries at ages 13 (for brain tumor removal) and age 19 for scar tissue mapping and removal. His youngest son has had T-cell lymphoma diagnosed at age 11 with multiple relapses and treatments for the last 10 years. His family’s surgeries among other trials have helped make Dr. Morris even more compassionate and relatable. Dr. Morris likes to pray to God the Father for godly wisdom in how best to treat his patients and to show love and compassion to them. Like most orthopedic surgeons, Dr. Scott Morris grew up playing sports. He has enjoyed participating in sports and has enjoyed taking care of patients with sports injuries. Hobbies - hunting, fishing, wood-working Church - elder at OMPC in Birmingham, AL Exercise - walking with the family, pickleball, hiking, playing ball Edge activities - sky-diving & bungy jumping #nicetomeetyouScottMorris, #93kilos, #waytogodad, #excellentMD, #compassionatedoctor, #orthopedicsurgeon #footandankle

Dr. Scott Morris is an Orthopedic Surgeon specializing in Foot and Ankle Surgery. He currently has two location in the Birmingham, Alabama area, in Hoover and Trussville. In this video, you will learn more about his extensive education path. Hometown - Birmingham, Alabama 4 years - Medical School at UAB Medical Center 3 years - General Surgery 2 years - Orthopaedic Research at UAB 4 years - Orthopaedic Surgery Residency at UAB 1 year Foot & Ankle Fellowship in Dallas, TX under James Brodsky, MD OrthoAlabama Spine & Sports 205-228-7600