Hyprocure Stent Surgery – A Solution to Partial TaloTarsal Dislocation

pic 1. right flat foot

pic 1. right flat foot

pic 2. left flat foot

pic 2. left flat foot

Hi Every One,  This blog is all about my upcoming Hyprocure Surgery.  I am hoping to have the first foot done in June of 2013.   Here is some of my story.  I was born with flat feet (see above pics. 1 & 2), or “ples planus”.   I think I kind of always knew I had some sort of flat feet,  due to my parent’s comments as I got older, and the fact that I could always clap my feet as well as I can clap my hands, which has been many a source of amusement to my really loved ones :).  Anyway, It wasn’t until I got insurance, (Medicaid – CDPHP) and saw my first podiatrist about three weeks ago that it was confirmed that I have flat feet.  My appointment did not go as smoothly as I would have liked with the doctor, (more on that later).  In the appointment, however, I was able to at least learn that I officially have flat feet and most importantly about hyprocure.  The doctor I saw had the hyprocure pamphlet in his office and here is where my journey begins.

Before going forward with my journey I feel I have to give you a little more background on me. First I want to state, I have mainly had to diagnose myself so far. You will see why as you read further down. So, I have had bad foot problems since I was around age 12.  I knew I walked kind of different and I believe I had a few comments from friends about it, but I never really paid them any mind until I was about 14. It was while I was in chorus and just standing and talking to my friend.  She suddenly looked at my shoes and said “What is wrong with your feet”, I replied with a shrug and she laughed (kindly) at my shoes because both of them where turned out and shaped like elf feet. I will never forget how my shoes looked after we compared them to hers, or her face. We were really shocked :). I experienced minor pain at those younger years. Every year as I got older the pain grew worse.  I believe I mentioned it to my parents, but we were not in a situation where my feet were that great of a concern.  There are 4 of us about 2 – 4 years apart. Not to mention my brother and I had asthma really bad and I guess my feet got pushed to the back burner.

So, back to hyprocure.  After the podiatrist appointment I went online to find out about this “hyprocure”.  In my research I was not able to find a lot of information on hyprocure. However, the research did lead me to learning more about my foot problems, and I will include that information in this blog.  It also brought me to some wonderful bloggers, who have influenced me to blog my own journey.  The blogs where so helpful to me, and I am hoping that this blog will be helpful to someone who may be searching like I was.

So, What Exactly Are Flat Feet?

I found that the information on the hyprocure website helped me to understand the best.  I copied some bits and pieces.  This is what I have below:
[ [A foot is considered to be “flat” when the arch has collapsed or “flattened,” either totally or partially, and the entire sole of the foot is in contact with the ground when standing, (pics 1 & 2). It is a relatively common condition, affecting both children and adults. Once present, it will not resolve on its own. However, this collapse of the arch is in itself not the cause for the deformity, but rather only a side effect of the real problem. The deformity originates in the rear of the foot, in the ankle and heel area, due to a condition called talotarsal displacement.] http://www.hyprocure.com]

Okay, So What is Talotarsal Displacement?

[ [Our foot’s arch is anchored in the rear of the foot. In this area, the ankle bone (talus) connects with the heel bone (calcaneus) and a midfoot bone (navicular). These structures are designed to interact with a specific proper alignment and balance, which allows for the shape of the foot’s arch to be formed. In a normal foot the arch is prominent and able to support a healthy foot and body anatomy. However, when the alignment of the ankle bone on the hindfoot bones is lost, the balance of weight and forces collapses inward. As a consequence, this deformity often causes the base of the arch to also collapse, therefore causing a flatter, less prominent arch and a compromised foot structure. This collapse of the rear foot alignment is called Partial Talotarsal Dislocation, and it is the direct cause of flexible flat feet, as well as the number one cause for the majority of foot and ankle deformities.] http://www.hyprocure.com]

Once it has been verified that we have flat feet, the question now becomes are they “flexible flat feet”, which is apparently a qualifying factor for the hyprocure. If you too are wondering if you have flexible flat feet, there was a really helpful website that stated: [The term “flexible” means that while the foot is flat when standing (weight-bearing), the arch returns when not standing]  (see pic. 3 & 4 Below) .  Here is the site if you want to read more. http://www.foothealthfacts.org/footankleinfo/flatfoot.htm.

pic 3. left flexible flat foot (weight bearing)

pic 3. left flexible flat foot (weight bearing)

pic. 4 left flexible flat foot

pic. 4 left flexible flat foot, (without weight)

So, What Is The Difference?  Flat Feet vs. Talotarsal Displacement 

After working my brain I tried to write down what I best understood.  The best I could understand is that talotarsal or partial talotarsal displacement is the cause of flat feet.  They are not the same thing.  A flat foot also has a lower than normal calcaneal inclination angle in addition to TTD (Talotarsal Displacement).  While a patient who has a normal calcaneal inclination angle or no flat foot, can still exhibit Talotarsal Displacement.  It is important to know this for ourselves, because it will determine your treatment options. Your doctor should be able to examine you and tell you which category you fall into.  If you want to know more, this article was very helpful and contributed to what I wrote above. http://www.slideshare.net/megdpm/flatfoot-versus-talotarsal-displacement.

 What Are The Disadvantages Or Complications Associated With Flat Feet?

[[Unfortunately, flat feet are more than just aesthetics or shape. Flat feet are a sign of a compromised foot structure that is not capable of maintaining proper balance and distribution of forces. It is a mechanically disadvantaged foot, and as such, these misaligned forces travel both through the foot itself and through the rest of the body, causing damage to joints, tendons, ligaments and bone structures.

It is common for patients with flat feet to suffer from foot pain and inflammation, heel pain, bunions, Achilles tendonitis and plantar fasciitis, among other foot ailments — as well as from other symptoms in the rest of the body like knee pain, hip pain, back pain, and even neck and shoulder complications.] http://www.hyprocure.com]

After doing this research I began to wonder if any of my symptoms were related to “MY” flat feet and the answer was a resounding “yes”.  I thought to include in this blog the afflictions that I have suffered from having flat feet and some information that I found helpful.  I hope that this information is helpful to someone.  Maybe that it will shed some light for someone else who may be suffering from the same problems, as it opened my eyes quite a bit.

Hyperpronation

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pic.3 hyperpronation front view

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pic 4. hyperpronation back view

I found a good website that described it as follows: [[To understand “hyperpronation” it is important to first understand pronation. Pronation is actually a normal function of the foot. It is the inward motion of the ankle bone and outward motion of the rest of the foot bones, which occurs naturally when the foot hits the ground and weight is applied. Pronation is a good thing; it cushions the foot and the entire body during the walking cycle. It keeps the foot and ankles protected from hard impact and an uneven ground surface.

Hyperpronation occurs when too much pronation is present. In other words, when the inward motion of the ankle bone is excessive and goes past the healthy point necessary for its intended functions, (see pics 3 & 4 above). This excessive motion is caused by a misalignment between the ankle bone (Talus) and the hindfoot bones (Tarsus). It creates an imbalance of forces and weight distribution in the foot that propagates throughout the entire body. Over time, this functional imbalance causes repetitive damage to joints, ligaments and bone structures. Left untreated, hyperpronation can lead to foot ailments such as bunions, heel pain (plantar faciitis), hammertoes, etc.  Furthermore, the excessive motion in the foot can travel up the body and cause knee, hip and lower back pain.] If you want to know more you can read the full document here. http://www.hyperpronation.com/]

So, this is how I looked at it;  Partial Talotarsal Dislocation causes Flat Feet, Flat Feet causes Hyperpronation and Hyperpronation can thereby result in other foot complications.

Calluses

pic 5. calluses on both right & left feet

pic 5. calluses on both right & left feet

I have calluses on the bottom of both the left and right foot (pic. 5). I thought that they were plantar warts for quite some time, but after seeing the podiatrist I found out that they are calluses. They developed from the odd way I walk and the pressure or friction I’ve put on those areas of my feet. He said that the calluses are good and formed to protect my feet. I am not sure about this, as they are another source of pain for me. Especially when I step on them the wrong way. Ouch!

Hammer Toes
I also have hammer toes (toes curled under like claws), which believe it or not I did not know. I did suspect but it was good to have the doctor confirm it. For those of you that have Hammer toes or like I was, are unsure if you do, I included my (below pics. 6 & 7) and the following little excerpt from Wikipedia: [Hammer toe most frequently results from wearing poorly fitting shoes that can force the toe into a bent position, such as excessively high heels or shoes that are too short or narrow for the foot. Having the toes bent for long periods of time can cause the muscles in them to shorten, resulting in the hammer toe deformity. This is often found in conjunction with bunions or other foot problems.] I am not sure how mine developed but wearing my doc martens all day while working at McDonald’s from age 16-18, I am sure did not help :).

pic 6. hammer toes on right foot & pinky corn

pic 6. hammer toes on right foot & pinky corn

pic. 7 hammer toes on left foot & pinky corn

pic. 7 hammer toes on left foot & pinky corn

Corns
Yep I have them too ;). I  developed painful corns on both of my pinky toes, (pics. 6 & 7); Here is a little of what Wikipedia said about them: [Corns (or clavus, plural clavi) is a specially-shaped callus of dead skin that usually occurs on thin or glabrous (hairless and smooth) skin surfaces, especially on the dorsal surface of toes or fingers. They can sometimes occur on the thicker palmar or plantar skin surfaces. Corns form when the pressure point against the skin traces an elliptical or semi-elliptical path during the rubbing motion, the center of which is at the point of pressure, gradually widening. If there is constant stimulation of the tissue producing the corns, even after the corn is surgically removed, the skin may continue to grow as a corn.[citation needed]. The hard part at the center of the corn resembles a funnel with a broad raised top and a pointed bottom. Because of their shape, corns intensify the pressure at the tip and can cause deep tissue damage and ulceration.

Plantar Fasciitis
Is another problem that I suffer with. It is on both of the bottom of my feet but the pain is mainly in my left foot. Unfortunately we can’t look and see plantar fasciitis or I would have put a picture in, lol,  but it is determined through an examination with maybe X rays and such. Wikipedia states: Plantar Fasciitis is a painful inflammatory process of the plantar fascia, the connective tissue on the sole (bottom surface) of the foot. It is often caused by overuse of the plantar fascia or arch tendon of the foot. The plantar fascia is a thick fibrous band of connective tissue originating on the bottom surface of the calcaneus (heel bone) and extending along the sole of the foot towards the toes. It is commonly associated with long periods of weight bearing. Among non-athletic populations, it is associated with a high body mass index. The pain is usually felt on the underside of the heel and is often most intense with the first steps of the day. Another symptom is that the sufferer has difficulty bending the foot so that the toes are brought toward the shin (decreased dorsiflexion of the ankle). A symptom commonly recognized among sufferers of plantar fasciitis is an increased probability of knee pains, especially among runners.

Heel Spurs
I also experience Heel Spurs: Which Wikipedia states: Heel spurs are associated with the plantar fasciitis. A heel spur, is a small bony calcification on the calcaneus heel bone, in which case it is the underlying plantar fasciitis that produces the pain, and not the spur itself. The plantar fasciitis condition is thereby responsible for the creation of the spur; the plantar fasciitis is not caused by the spur.

If that is not enough, I also experience waves of discomfort when I lie down sometimes.  It travels through my ankle to the top of my thigh.  It is not painful but it’s almost like a spasm without pain that is just really irritating. It feels like “restless leg syndrome” or something. I have not been diagnosed with it but after doing the research, it sounds right on. Occasional back pain, and an inability to walk, run or jog because of all the numerous problems aforementioned.

PHEW!

Maybe I could add  hypochondriac with all of this stuff :), but this is truly what I have suffered over the years. Each issue must have developed at different times but I have felt all of the above more intensely for about two years now. I am out of work for a period of time due to, believe it or not, brain surgery. I had 2 surgeries in which I had a meningioma tumor removed. I do not think I will blog that. That was intense. I am here though, thanks to great friends, family & of course God. If you have any questions though feel free to ask.

So… What is the Diagnoses, Solution?
What is All of This Leading To?


Finally!   The answer and the very purpose of this blog for me is hopefully the hyprocure surgery. I will now conclude (lol) with a brief explanation of Hyprocure.

What is HyProCure?
This information I included here is straight from the hyprocure websites.  

[ HyProCure is an Internal Stabilization Device that is placed inside the foot, into the collapsing space. It acts as a Stent to keep the space in its natural, open position. Immediately upon placement, the ankle and hindfoot bones will be situated into their proper alignment. The procedure instantly stabilizes and re-aligns the hindfoot, which in turn also helps to correct the imbalances created in the rest the body.

The HyProCure device is simply pushed into place. There is no drilling or screwing involved. Thanks to its unique, anatomical design, the HyProCure® device slides right into its natural corrective placement. The tissues inside the space will attach and hold it in place during the healing process.

The procedure is minimally invasive and is usually performed under local anesthesia or twilight sedation. The time to full recovery for all associated symptoms varies from patient to patient. Typically, most patients are back to normal walking within a few weeks.

This stent’s advanced design utilizes both the sinus and canalis portions of the sinus tarsi, yielding the best anatomical fit and biomechanical correction. These factors contribute to the low removal rate and high patient satisfaction, which in turns translates into great professional success for the physician. 

HyProCure offers a life-long solution and, due to its revolutionary design, offers patients from pediatric to geriatric with a flexible condition the option of this minimally invasive, life changing solution.]

In conclusion, the HyProCure Surgery has been shown to reverse if not remove many of the above symptoms.  The success rate has been very positive.  I did find information out there about the hyprocure procedure but it took a lot of research so I hope to help some of you cut that research time in half, by putting what I found to be helpful in one place, that would be here. ;).

Are You A Candidate?
http://hyprocure.com/the-hyprocure-solution/am-i-a-candidate/

Self – Check:
http://hyprocure.com/what-is-talotarsal-dislocation/self-check/

Hyprocure Websites:

http://www.slideshare.net/megdpm/hyprocure-myths-misconceptions

http://www.gramedica.com/solutions/hyprocure-solution/the-hyprocure-solution/

http://www.gramedica.com/solutions/hyprocure-solution/

I am done, Really.

To follow along with my journey you can either click down below, for the next post, or the area on the right under recent posts.

NEXT POST
—> Our HyProCure Journeys
https://samantha153.wordpress.com/2013/04/30/our-hyprocure-journeys/