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Regenerative Tissue Injection Therapy
screen_cosmeticWeight Management Preventative Medicine

*Cosmetic
Foot Surgery

*Covered by Insurance,
Great Results

Bunion (“Joint Straightening”) Surgery
Bunionette (“Tailor’s Bunion”) Surgery
Toe Shortening / Realignment Surgery
Hammertoe (“Claw Toe”) Surgery
Permanent Corn / Bone Spur Removal
Haglund’s (“Pump Bump”) Removal

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Foot & Ankle
Joint Pain

Simple Solutions.
Fast Recoveries

Topical / Oral Prescriptions
Regenerative / Pain Injections
Arthritis / Gout Treatment
First Big Toe Joint Replacement
Ankle Arthroscopy & Repair
Ankle Instability / Ligament Repair

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Top & Bottom
Foot Pain

Fast Relief,
Quality Products

Topical / Oral Prescriptions
Regenerative / Pain Injections
Orthotics (Work /Sports)
Heel Spur / Plantar Fascia Surgery
Neuroma Surgery
Flat Foot / Reconstructive Surgery

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Ingrown & Fungal
Toenails

Permanent Results,
Safe Treatment

Oral Antibiotic Medication
Ingrown Toenail Surgery
Topical Anti-Fungal Medication
Oral Anti-Fungal Medication
Laboratory Testing On Site
Fungal Toenail Removal

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and watch to learn more...

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At Moore, Foot and Ankle, we specialize in all podiatry treatment areas to deal with your foot problems and ankle problems including foot surgery and ankle surgery.  As a Houston podiatrist, we treat a myriad of different foot problems including Plantar Fasciitis, heel pain, foot pain, tendonitis, flat feet, hammertoes, bunions, ingrown toenail, gout and everything in between (all of which are covered by health insurance).

In addition, one area where we have seen increasing interest is cosmetic foot surgery (where we use surgical and non-surgical techniques to improve the appearance of what some patient’s perceive as ugly feet).  As a Houston podiatrist and specialist in foot surgery, Cosmetic Foot Surgery is one of the most rewarding things about being a foot doctor. 

In particular, what’s great about cosmetic foot surgery are the stories behind some of the outcomes and some of the patients who’ve had great results (when they were not experiencing foot pain, but instead where experiencing psychological pain, often much worse than physical foot problems). 

One of which was a young lady who came into the office and was very embarrassed about her feet and as a man, you just don’t think about these things.   She was not only nervous but a little bit weepy eyed and her mom was there and I could feel the stress in the room. 

And I just asked “what are you here for, what would you like and how can I help you with your feet?”

She went on to talk about how thought she had ugly feet and toes.

“What do you mean?  Is it the way your toes are curled up or the way this bump is over here?”

And, she just started crying.  She said “I can’t even go to the pool with my friends.  I’m 17 and I’m about to go to college and just I’m so embarrassed that I don’t even want to wear open toed shoes.”  It was moving and as a foot specialist, I was determined to help this patient.  And, by the time, we actually discussed the foot surgery and had it scheduled, she was a little bit more confident.  But, more importantly, we talked through everything to the point where she felt like “ok, this is going to be a new start for me”.   Those are the kinds of things that make being a cosmetic foot surgeon and Houston podiatrist a fantastic vocation.

But, even the aftermath with taking the stitches out and the whole visits with the family and the mom.  We got to know each other.  It was a neat feeling that when the scar tissue finally regressed and her toes did look normal, she came into the office and gave me a big hug and said just how happy she was to be able to wear sandals and go to the beach and not be embarrassed and it’s those types of things you never forget. 

 

What are the different types of Cosmetic Foot Surgery?

Cosmetic Foot Surgery is a specialty within a specialty and is not offered by most podiatrists or foot surgeons.  Instead, you must find a foot specialist that has experience with this area of podiatry.  And, when patients come in for Cosmetic Foot Surgery, I first ask “what do you want done, what displeases you, what is painful?”

Once we get through all that, I can explain to them that Cosmetic Foot Surgery has a few areas that are the most common that we can fix very easily and others are just “per patient”. 

So for example, the patient comes in for the big toe joint or bunion treatment.  That’s when the bump on the first big toe joint is prominent, it’s pushed over and crowding the second toe or rubbing on the shoe or discoloring.  Often, there is also toe pain associated with the visual deformity. 

The second type of surgery are digital surgeries and that’s everything from a long second toe or the toe is getting pushed up in the shoe or the quintessential hammertoe or claw toe, some of which are associated with foot pain. 

Different types of foot corn deformities or discolorations in the skin from rubbing or pressing on the shoe and we might recommend a corn removal procedure. 

Pain of course.  The 5th toe is another real common one besides the second toe, pressing in against the shoe and creating toe pain on the fifth toe when any type of slim type of shoe that is enclosed.  The most common is the female dress shoe or pump, if you will.

And, speaking of pump, there is something that we’ve coined the “pump bump” and that is the bump on the back of the heel from rubbing on the shoe.  This area back here will become raised and painful but also discolored and not too attractive.  Those are also very, very easy to fix. 

Other procedures include treatments for Hallux Valgus, where the bones are twisting unnaturally away from the foot and of course, callus removal, wart removal, bunion treatment or bunion removal and other very simple procedures. 

 

Is Cosmetic Foot Surgery covered by insurance?

I remember a patient coming in one day for some foot problems including ankle pain and noticed that she had some derangement of the toes in the front of her foot.

And, she wanted to talk about how it was swollen and bothering her with exercise. 

And, I casually mentioned the toe that was pushed up in the air and another problem with her big toe joint, the quintessential bunionette deformity. 

She said, “no, I just don’t have the money for that.  It’s not hurting, but it is a little uncomfortable in shoes.”

And, I said “it’s covered by insurance”. 

As a podiatrist and foot doctor, that is one of the most common problems I think that I see in the office with Cosmetic Foot Surgery.  Not so much “what’s going to happen and how are we going to fix this problem”? 

But, patients just assume it’s not covered.  These procedures are covered by insurance. 

 

 

Foot and ankle joint surgery is another exciting area of medicine at Moore, Foot and Ankle because there’s so much we can do now that was unavailable in the past. As a Houston podiatrist, one of the most common areas of foot pain identified by our patients involves the big toe joint where foot pain is often related to an accelerated level of arthritis which could be related to degenerative joint disease. Alternatively, foot pain associated with this first big toe joint could be related to sport injuries, jamming the joint while walking or from other genetic issues. As you’ll see below, we have several non-surgical options for this and we also have a very effective toe joint replacement surgery that is working wonders for our patients in resolving their joint pain.

A quick story on one patient that needed big toe joint replacement surgery

A couple years ago, I had a new patient call from Los Angeles.  I was surprised that he wanted to travel all the way to Houston to visit us since it was so far from where he lived.  He said “well, I called the medical equipment company that makes the toe joint replacement device.  And, this company told me that Moore, Foot and Ankle is the foot doctor that puts in more of their toe joint replacement devices than any other podiatrist or foot surgeon in Houston and that was good enough for me.”  This patient also commented that he liked the fact that he could watch the toe joint replacement surgery video on our website so he understood exactly what was involved with the surgery process.  Anyway, he felt comfortable enough to fly out to see us and make us his foot specialist.  As a result, we replaced his big toe joints in both feet.  I should mention that his big toe joints were very damaged, he was experiencing significant foot pain, and he really needed to have surgery to get back to a normal quality of life and mobility.  By the time the sutures came in about two weeks, he was comfortable enough to go back into shoes had total relief from his joint pain and flew back home to Los Angeles.

What treatments are available if you are having problems with your ankle?

Moving over the ankle joint, we’re very excited about the new treatment options for our patients with ankle pain and problems.  While I am a podiatrist and foot specialist, I am also an ankle surgeon.  Accordingly, we have created an entire ankle treatment clinic environment to help our patients who are experiencing ankle pain (including problems such as a sprained ankle, ankle fracture, twisted ankle, high ankle sprain, ankle swelling and ankle joint pain).   So, for example, someone says “I have arthritis in the ankle joint” or they call up our office and they say “listen my joints hurt, I think it’s tendonitis” or “I’m having pain in my Achilles Tendon”. 

As is often the case, when the patient is having a hard time explaining their specific problem in the ankle, we almost always know where to start helping them.  So, for example, patients if the patient says ankle sprain or ankle swelling, an ankle that gives out, an ankle that catches, an ankle that aches at the end of the day or only at nighttime, we know that all of these descriptions usually involve similar problems.  So, we will start by offering oral anti-inflammatories and cortisone shots which can reduce ankle pain and push the surgery off into the future if that’s helpful to the patient.

Related to all of this is that fact that all medical specialties, including podiatry, have benefited from the science of arthroscopy.  Specifically, the treatment of ankle problems has greatly improved now that we can scope the ankle just like the knee.  I explain to patients, it’s just a little TV camera.  And, it’s literally, we don’t have to open it up, it’s two little holes in the front of the ankle joint here.  You put the scope in and you can actually see what’s wrong with the ankle once you’re inside the ankle joint with the camera. 

Along with the arthroscopy scope and MRI (to check out the ligaments and tendons), we also have some new treatment options with new biologics and injectables that have been developed as a result of stem cell therapy research.  Specifically, we can put these materials inside the ankle joint after surgery to make it heal faster and possibly regenerate cartilage in the joint often eliminating any residual joint pain.

Of course, in other cases, there are ankle problems that do require surgery.  For example, some of our patients are to a level where the ankle joint is completely destroyed resulting in significant ankle pain.  In the past, joint fusion was used (and can still be a good procedure occasionally for certain types of patients).  However, now, as a ankle surgeon, I’m pleased that we can offer patients a full ankle replacement (which is often the best solution).  This ankle replacement device is a complicated piece of machinery that has taken years to perfect.  But we we’re very confident with that is designed so that individual pieces can be replaced in the future without requiring the replacement of the entire device (a much simpler process).  Moreover, given that the medical industry now has about 15 years of experience with these ankle replacement devices, it’s quite possible that the entire device will last for the life of the patient (as our experience with them has been outstanding in terms of durability).   

Again, to recap, when it comes to foot and ankle joint pain, we can help you with non-surgical treatments and strategies that can help you improve the quality of your life (without surgery) or we can provide a host of different surgical options (all the way to a full ankle replacement) that can optimize your range of motion.  Whatever your needs for toe joint or ankle joint pain or problems (from a torn Achilles to a toe joint replacement), we can provide you with the level of care you deserve.

 

Another very common problem that we see in podiatry is problems related to the top and bottom of the foot.  Specifically, the sole or complete bottom surface of the foot is where it contacts the ground so obviously there is going to be some problems there.  But, essentially there are really only three areas, the heel, the arch and the ball of the foot.  As a podiatrist and foot specialist, it’s important for me to tell you that there are some important things you need to know about these areas before you engage in non-aggressive or aggressive treatment.

First, heel pain comes in many forms including commonly those first few steps in the morning.  Next, the arch is also often connected to the heel pain (sometimes caused by fallen arches or flat feet).  Or, in other cases, the arch can hurt as the result of athletics.  In any case, this arch problem will often feel like a chronic burning.  Finally, the ball of the foot is a little bit more complex.

In all of these situation, there are easy ways to get relief without surgery and there are simple surgeries that you can perform to fix the problem if the foot pain is chronic or long standing.

Dr. Moore talks about one of his patients with heel pain

I have several types of patients that come in for heel pain.   And, most of them want to try the conservative options but every once in a while, they want it fixed.  And, the procedure is great.  I had a guy come in who races cars and he said “listen, I’m not here to try any kind of injections or arch supports, I just need this fixed, I saw your video”.  And, it was nice because he was a little bit more aggressive than most of my patients.   And, was walking around by the second day by putting most of the weight on the ball of his foot.  The stitches came out in two weeks and he was back to racing right thereafter.

This is a great procedure that will get you back to what you need to get done immediately but then, of course, it’s a permanent fix on top of that.

What you should know if you have pain in the arch of the foot.

Arch pain is very simple.  It’s something that patients come in for fatigue and it’s connected with the ball or the heel or just the central portion.  In short, it’s something that patients are coming in with knowing the diagnosis called Plantar Fasciitis.  It’s nice to know that everybody is so educated now.  And, this ligament, of course, is just a bow string.  If this is your arch and this is the ligament, it’s a bow string.  And, if the arch drops, the bow string is going to get tight.  And, if it’s pulled enough through exercise or lack of support in the shoes, it can cause a burning pain, some pain in the morning with your first few steps.  But, don’t lose the fact that this type of injury or overuse syndrome will not heal unless you have the proper support and the proper rest. 

With that in mind, we have different conservative options in the office with injection therapy which is an anti-inflammatory cortisone to get rid of the pain immediately and we have permanent arch supports that are molded to your feet so they’re accustomed to support the surface and create the arch in a more neutral position to relax the ligament to not only heal the problem, but keep it from coming back.

Dr. Moore discusses some common types of pain in the ball of the foot and the best treatment options.

The ball of the foot is an interesting area.  It’s not only a lot of pressure per square inch where you have a complete flat surface but then when you take just one little concentrated area and you put all of your body weight on there all day or for my female patients, you vault the foot forward and the high heel puts more pressure on the ball of the foot, you have a more intense pain. 

That being said, the bones or knuckles you can feel right here on the ball of your foot, if they’re not sore enough, there is another condition called a neuroma which is a nerve branch between the two heads and that can become swollen, irritated or pinched.

The good news with this area is that there are several conservative options like cortisone injections to shrink up these nerve masses or calm down the ball of the foot pain temporarily.  We can use orthotics or arch supports that simply put more pressure in the arch to alleviate just the foot hitting the ball and heel portion, so, it fills in the gap and takes the pressure off the ball of the foot.  Then, we can discuss different types of shoe gear to get the patient by or actually cure the problem.

I have one patient that came in and she had multiple problems with the ball of her foot and she had been seeing other surgeons and was signed up to have surgery and we simply gave her a few injections, and put her in orthotics and the pain went away.

On the flip side, I had another patient who had tried everything and was about to have some type of new laser procedure performed and we did an MRI and saw that the actual size of the nerve mass was huge and there was a ganglion or fluid filled sack associated with that so hers was a little more complicated and the removal that we performed gave her 100% relief so I recommend that these problems get the full conservative attempt but also the testing is fully performed afterwards if the problem is not resolved to make sure that the right problem is being fixed.

 

When it comes to ingrown toenails, the biggest fear my patients have is that their toe is going to look ugly after the procedure because of how much of the toenail edge we have to remove.  And after many years as a podiatrist and foot surgeon, I know that the second fear people have is that the procedure we use to fix the ingrown toenail is going to hurt and cause substantial foot pain. 

First, let’s discuss toe pain.  Before we do the ingrown toenail surgery, we anesthetize the area behind the toenail making the entire toe completely numb.   This process of anesthetizing the toe is very quick and easy resulting in very minor foot pain (and most patients barely even feel the anesthetizing needle).   Also, we take care to place the needle on an area of the toe that is not very sensitive at the base of the toe (which all but eliminates any associated toe pain).  And, that’s the nice part about the way that we administer the anesthesia where it’s not injected right into the toenail like some emergency personnel will do who are not foot specialists.  So, once and for all, when you come in to fix your ingrown toenail, you will experience a complete toe numbing with virtually no foot pain and this numbing process is performed in the office by myself or one of nurses.

For the ingrown toenail surgery procedure, over the years, we have developed a technique where it’s not necessary any more to take a large piece of the toenail, but, just the piece that disappears down into the nail fold where it’s really digging in.  And, once that piece is pulled out under anesthesia, then I push the skin up against the new edge to make sure that it looks cosmetically nice where the old ingrown toenail portion is then removed utilizing a chemical and a special technique with a tool that we use.  And, in short, what happens is just the ingrown toenail area below the nail fold down in the grove that was causing the pain is gone and it does not come back.  As a podiatrist, this “will not come back” benefit is huge for my patients because I have had patients come to me after one, two or three removals from different practitioners or their family practitioner.  So, while these earlier ingrown toenail procedures did provide them with relief, they did not solve the foot pain problem and our ingrown toenail surgery technique will eliminate this ingrown toenail permanently.

Once the ingrown toenail surgery is finished, it will drain slightly since it is a mild chemical burn.  And, with certain patients, we might place them on antibiotics if they had a bad infection.  In other cases, our patients are concerned with the over growth of the soft portion of the nail in the skin area (sometimes caused by an infection) but we can fix that too at the time of the nail procedure.  So, in short, ingrown toenail surgery is painless and permanent.  Cosmetically, we can remove all of the infected tissue and remove just the edge to make sure that it’s cosmetically appealing after it heals.

Dr. Moore talks about fungal toenail treatment options

Foot fungus and fungal infection of the toenails is a bittersweet discussion with some of my patients especially my female patients.  I asked my girls, I have twin daughters, “What is the most important thing on your list” and they said clothing and, I think shoes, and then of course pedicures.  And, it’s funny how important a good looking toenail is to some of my patients. 

Also, when it comes to foot fungus, many of my patients have been told myths about fungal infections that are completely untrue (such as the idea that you have some terrible fungal disease that you can spread to family members or whatever).  This is completely false.

So, let’s start off on what causes a fungal infections in toenails.  I tell my patients, there’s some good news and bad news with foot fungus.  First, pressure is really the culprit behind some of the thick dark toenails included the dreaded black toenail.  And, 9 times out of 10, it’s the pressure against the shoe.  For instance, my runners or folks with tight shoes, that constant beating on a toenail will make it thicker because toenails are the same protein as callouses and if you have pressure on a certain area, it will make a thick callous.  So, if you have pressure on a toenail, it will respond and get thicker and darker even when there’s not a fungal infection.

Next, and this is a little bit of bad news, there’s a little bit of genetics involved with who is going to get fungal infections.  So, for example, if grandma and grandpa have thick discolored nails, there’s a chance that it’s going to passed down to you.  And, some of my patients that have more pigment in their skin or darker colored in their skin coloring will produce stripes and also little veins of darkness in the toenail.  Remember, this has nothing to do with some sort of some dreaded fungal infection.  It’s just from pounding on the toenail again and again over time.

Of course, there are many cases where there is a fungal infection.  Often, the toenail can actually lift up or become so thick the layers are spread out and then the foot fungus gets in.   Before we recommend any procedure or topical medicine, we test samples from the toenail area in question.  Then, depending on whether there is or is not a fungal infection, we can make the appropriate medical recommendation (whether that’s a change in their exercise routine or use of one or more foot fungus medications).

On this point, if we determine that you have a fungal infection, I’m a firm believer in the oral anti-fungals.  As a foot doctor in Houston for the past 25 years, one of the most frequent concerns that I hear from patients is about these anti-fungal medications and if they will damage the patient’s liver.  Here’s the deal on that.  First, these medications have come a long way and improved over the years in terms of how they impact the liver and overall body.  Second, yes, these antiviral medications do make the liver work harder.  But, to put you at ease, so does alcohol.  So does Tylenol.  And, a lot of these drugs that make the liver work harder just means that it detoxifies the drug and for the vast majority of patients, these drugs are safe and effective for treating foot fungus.

That said, we do a full examination and check your medications before we prescribe the foot fungus medications for you.  Specifically, our electronic computer system will see if there’s any adverse drug interactions with the medications that you’re currently taking.  And, then if there’s any questions about a heart patient or someone with any pre-existing liver problems, we will contact their primary care and internal medical doctor or, of course, cardiologist, just to make sure there are not any cholesterol drugs that interact with the antiviral foot fungus medications.  Once we feel comfortable that the antiviral drug presents no issues, I can assure you that these antivirals are not dangerous.  And, the new standards for these antiviral drugs are so improved now that it is not mandated that we test liver function after administering this drug.  Even so, I will still test probably test the patient’s liver function two to three weeks into giving the drug just to make sure that the patient has not had any adverse reaction to the drug.
Therefore, if you have a fungal infection, my recommendation as a foot surgeon and podiatrist is to take the antiviral medications for about three months.  In 25 years as a Houston podiatrist, I’ve never had any problems in my clinic with liver problems associated with these antiviral drugs.  Specifically, my patients have done very well with this protocol because the antiviral medication gets right into the root then over time, the medication will gradually push the foot fungus up and out of the toe (eliminate the black toenail appearance).  (On this point, some patients think that the antiviral medication will circulate around the foot fungus and clear it out throughout the black toenail all at once.  It doesn’t work like that.  Instead, the antiviral medication starts at the base of the toenail and then slowly grows up pushing the foot fungus out through the top of the black toenail over time.)  So, remember, it will usually take 6 to 9 months to push out the entire black toenail and then have a clean new toenail in its place. 

But, this process is worth it.  I’ve had a lot of patients that have had great success eliminating their fungal infections.  I just tell them to keep your eye on the prize (no more black toenails).  Then, I have them measure out the distance of two or three millimeters.  I then explain that on average a toenail grows a millimeter a month.  So, if they measure out 3 millimeters, they can see the progress they will have in about 3 months.  So, in a few months’ time, if you can be patient, you will have a clean toenail that will hopefully flatten out with less thickness as we recommend some lifestyle changes that will reduce any pressure on the toes.

 

Why should you choose Dr. Moore?

Another important question that patients ask at our office is “why?”, “why should they use me or our surgeons to have this procedure or procedures performed”.

It’s a very fair question. 

Personally, it’s hard to say how good I am and why am I the best at these types of procedures?   But, to be honest, it’s a serious question.  They need to know that practicing as a foot and ankle specialist this is all I’ve done.  25 years of this.  No starting in one specialty and slid into this later.  Foot and ankle surgery is all I’ve done for 25 years and I’ve performed thousands of the types of procedures you will see on my website.

Another important point is the board certification.  Board certified with the national credentials that you would like your foot doctor to have.  I am also a member of the Podiatry Association of Houston.

And, we keep it fresh in our practice where the students are constantly revolving through and I’ve been a surgical instructor now for over 15 years at two residency programs here in Houston.

Lastly, understanding the equipment is important. 

So, I actually invested a bone screw back in 2000 and went ahead on to patent it with a surgical equipment company.

And, it’s still in use today to be able to make one the surgeries we perform go a little bit smoother and faster.

Finally, we specialize in same day appointments as we know how foot problems and ankle pain can require urgent care and treatment.  And, we are a Podiatrist in Houston which makes our clinic easily accessible to nearly 6 million people in the Houston Metro area.

 

Dr. Moore talks about one his patients and the techniques he used to eliminate her pain

We put something called dexamethasone phosphate which is a very short acting cortisone that basically acts like putting a bunch of Advil right underneath the skin. 

And, I did that around the forefoot and the digital surgery she had performed on the toes and assured her that this would really calm things down.  And, after the foot surgery, she was elated.

She came back in for her 72 hour check which we do at our office where we check for infection and change the bandages.  And, said on a 1 to 10, the first time she had a 9 or a 10, on her first foot surgery, and with our foot surgery, she said that her foot pain was only about a 1 or a 2. 

And, ended up taking one or two pain pills and some anti-inflammatories.  And virtually had no foot pain or joint pain from that point forward.

 

Anesthesiology – What are the best options, and how safe is it?

As a podiatrist and foot surgeon, one of the most important factors is helping patients understand the surgery process.  We let them know that the type of anesthesia that we use for extremity foot surgery is very light.  They are out which is what most people want to know, they’re not going to wake up during the procedure.

But, it’s very light, it’s very safe.  The procedures are always around an hour to two hours max so there’s not as much time under and henceforth, less complications and less difficulties waking up and feeling groggy or hungover.

 

What about post-operative recovery and rehabilitation?

Lastly, is the post-operative recovery.  We have all of our parameters laid out unless things change of course.

You can always get into our office with texts or email or phone calls if anything happens during hours or after hours.

And, furthermore, we prepare for anything.  For example, I had a patient who probably needed a special type of walking boot because it was a surgical fracture that I was correcting.  And, they wanted a little bit more freedom so we have these knee boards with wheels on them, it’s kind of like a scooter so they can get around the house easier.  Wheelchairs, walkers, even a bedside commode because a patient didn’t want to have to walk all of the way to the bathroom

But, we have covered all bases.  So, whatever your needs are, we can take care of the post-operative period and make sure that you are comfortable.

And, then of source, the rehabilitation, some procedures don’t need rehabilitation.  Other procedures do.

And, we can coordinate work, return, lighter duty.  Things of that nature.

Of course, the forms for family leave, regular sick time, short term disability, all of these types of entities that have to be worked out before foot surgery are done by my staff.

 

What about costs, financial and other logistics?

We covered pain and other types of outcome concerns that my patients have but another high concern they have is about financing and also what’s going to happen after surgery so I would like to talk a little bit about patient concerns on that level. 

Over the years, the nice thing about practicing for this long is we have a staff that takes care of everything.

And, of course, I over simplify it when I’m with a patient.  Cause it’s not simple.  But we have, when they come into the office, their insurance is already verified.  We check to see where their deductible is, what type of out of pocket expenses they have, just for the office visit. 

So, at least you know where you are on that level and not all offices perform that service.

Second of all, we look into the type of facility.  For example, we have in-network and out of network facilities.    I am an In-Network foot doctor and foot surgeon in Houston provider so they don’t have to worry about my coverage on their insurance.

And, then of course, our office submits what type of procedures, are they going to be approved or not, so you’re guaranteed that they’re covered.

 

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