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Houston's Premiere Foot & Ankle Clinic

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Ask Dr. Moore


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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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Listen to other patients and their views…

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Watch the actual surgery if you want

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See new medical advances we use

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Contact Us Now! 

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the office visit or costs.

 

Thank You, We Look Forward to Meeting You.

 

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. 

 

 

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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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