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Brisbane Gold Coast Foot Surgery

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Australia
Brisbane, QLD
Brisbane Gold Coast Foot Surgery

We offer surgical and non-surgical treatment of any foot and ankle conditions.

29/03/2026

Subungual Exostosis (Bony Growth Under the Nail)

This patient presented with persistent nail deformity, discomfort, and pressure under the toenail that did not resolve with routine care.

Subungual exostosis is a benign bony outgrowth from the distal phalanx that can distort the nail plate and cause ongoing pain—often mistaken for recurrent nail pathology.

Management
Surgical excision of the bony lesion was performed with careful preservation of the nail bed.

Outcome at 4 weeks
• Improved nail contour
• Resolution of pressure symptoms
• Healthy soft tissue healing
• Radiographic confirmation of complete removal

Early recognition is important, as conservative treatments alone will not address the underlying bony pathology.

🩺 Disclaimer
All surgical or invasive procedures carry risks. You should seek a second opinion from a qualified health practitioner before proceeding.

28/03/2026

📸 Congenital 2nd Toe Deformity Correction

(Pre-op ➡️ 5 weeks post-op)

Congenital toe deformities can involve deviation, rotation, and nail malalignment, often leading to pressure symptoms and difficulty with footwear.

In this case, the patient presented with a congenital multiplanar deformity of the 2nd toe (abductovarus with rotational component), resulting in ongoing irritation.

Surgical correction was performed to:
✔️ Improve alignment
✔️ Reduce pressure and friction
✔️ Restore a more natural nail orientation

At 5 weeks post-op, there is:
• Improved toe alignment
• Resolution of focal irritation
• Early functional and cosmetic recovery

Many toe deformities can be managed conservatively. However, when symptoms persist despite appropriate care, carefully selected surgical intervention can be effective.

💬 If you’re experiencing persistent discomfort from a toe deformity, an assessment can help guide whether non-surgical or surgical management is most appropriate.

🩺 Disclaimer
All surgical or invasive procedures carry risks. You should seek a second opinion from a qualified health practitioner before proceeding.

27/03/2026

Recurrent Ingrown Toenail – Revision Case

This case demonstrates a recurrent ingrown toenail following previous phenolisation, which can occasionally occur even with appropriate initial treatment.

📸 Pre-operative
📸 4 weeks post-procedure

At presentation, there was ongoing nail border irritation and discomfort. A revision procedure was performed with focus on precise matrix management and optimisation of the nail contour.

At 4 weeks:
✔️ Healing progressing well
✔️ Inflammation settled
✔️ No signs of infection
✔️ Patient comfortable in footwear

Clinical note:
Phenolisation remains a well-established and effective procedure, however recurrence can occur in some cases due to factors such as individual anatomy, nail morphology, or mechanical influences. Careful reassessment and tailored management can help achieve a more durable outcome.

📍 Brisbane & Gold Coast Foot Surgery
📞 1300 522 096
🌐 www.footsurgery.com.au

🩺 Disclaimer
All surgical or invasive procedures carry risks. You should seek a second opinion from a qualified health practitioner before proceeding.

15/03/2026

Bunion Surgery | Scarf + Akin Osteotomy

📸 Pre-operative vs 12-month Post-operative clinical photo

This patient underwent a Scarf + Akin osteotomy to correct a symptomatic bunion deformity.

✔️ Alignment restored
✔️ Pain resolved
✔️ Patient returned to full exercise and normal activities

Performed under sterile conditions in our purpose-built surgical procedure suite.

Healthy biomechanics often comes down to restoring proper structure — once the first ray is realigned, the entire forefoot can function as intended.

🩺 Disclaimer
All surgical or invasive procedures carry risks. You should seek a second opinion from a qualified health practitioner before proceeding.

14/03/2026

Periungual Fibrokeratoma Removal

This patient presented with a fibrokeratoma arising from the nail unit, causing nail distortion and discomfort.

The lesion was surgically excised under local anaesthesia in our dedicated procedure suite.
The images show the pre-operative appearance and the clinical result at 6 weeks post-procedure, with healthy healing and improved nail contour.

Small lesions around the nail can cause significant nail deformity if left untreated. Precise removal allows the nail to grow back more normally while preserving the surrounding nail structures.

🩺 Disclaimer
All surgical or invasive procedures carry risks. You should seek a second opinion from a qualified health practitioner before proceeding.

06/03/2026

Some bunions come back… and when they do, revision surgery can be more complex than the first procedure.

This patient previously had bunion surgery but continued to experience deformity and symptoms. A revision correction was performed using a rotational Scarf osteotomy combined with an Akin osteotomy to realign the first ray and improve the position of the big toe.

In the images you can see:

• Pre-operative clinical appearance showing recurrent deformity
• Pre-operative X-rays demonstrating the bunion alignment
• 3-month post-operative clinical photo with improved toe position
• 3-month post-operative X-rays after correction
• 3-month range of motion of the big toe joint (1st MTPJ)

At three months the alignment has improved and the big toe joint is moving well, which is an important part of recovery and long-term function.

Revision bunion surgery can be technically demanding due to previous bone cuts, scar tissue, and altered anatomy, so careful planning and appropriate procedure selection are essential.

Every patient and every bunion is different, so treatment must always be tailored to the individual.

🩺 Disclaimer:
All surgical or invasive procedures carry risks. You should always seek a second opinion from a qualified health practitioner before proceeding.

01/03/2026

Rotational Scarf + Akin Osteotomy
Pre-operative and 3-month post-operative clinical photos.

This patient presented with a symptomatic hallux valgus deformity with rotational component. The procedure involved:

• A rotational Scarf osteotomy to correct the intermetatarsal angle and address frontal plane rotation
• An Akin osteotomy to fine-tune hallux alignment

At 3 months:
– Alignment restored
– Medial prominence resolved
– Good first ray position
– Patient progressing well with return to activities

The goal isn’t just a straighter toe — it’s restoring biomechanics, improving shoe fit, and reducing pathological pressure patterns long term.

Every deformity has its own personality. Correction should be precise, stable, and respect soft tissue balance.

If bunions are progressing or becoming painful, early assessment allows better planning and potentially less invasive correction.

This patient presented with a symptomatic hallux valgus deformity with a rotational component. The procedure involved:dCoastFootSurgery

27/02/2026

There is something very satisfying about restoring function — not just appearance.

Pre-op → 3 months post-op
2nd hammertoe correction
Weil osteotomy + PIPJ arthrodesis

Pre-op:
• Rigid 2nd toe contracture
• MTP joint overload
• Shoe irritation and pressure symptoms

3 months post-op:
• Stable alignment
• Improved toe purchase
• Returned to full activities, including exercise
• No functional limitation

A hammertoe is rarely just a “bent toe.”
Often it’s a biomechanical chain issue — metatarsal overload combined with joint contracture.

The Weil osteotomy rebalances the metatarsal parabola and reduces plantar pressure.
The PIPJ arthrodesis corrects the rigid deformity and provides structural stability.

When both the foundation and the structure are addressed, outcomes are predictable and functional recovery is smoother.

By 12 weeks, bone healing is typically well advanced, swelling continues to settle, and patients can progressively return to normal activity when guided appropriately.

Surgery is not first-line treatment — but when conservative care fails, structured correction can restore long-term function.

Brisbane & Gold Coast Foot Surgery
Focused on evidence-based forefoot correction and functional outcomes.

25/02/2026

Painful toe lesion? Not always just a “corn problem.”

This patient presented with a persistent, painful digital lesion caused by an underlying bony prominence. The pressure point continued to recur despite routine conservative care.

We performed a fluoroscopy-guided Minimally Invasive (MIS) Condylectomy under local anaesthesia in the clinic to address the mechanical cause — removing the offending condyle through a small percutaneous incision.

📸 Top: Pre-operative – inflamed pressure lesion
📸 Bottom: 4 weeks post-op – healed, pain-free, back to normal footwear and activities

No external sutures. Minimal soft tissue disruption. Rapid functional recovery.

When conservative treatment fails, correcting the underlying structural driver changes the trajectory.

Sometimes it’s not the skin — it’s the bone.

23/02/2026

This patient had been struggling with an ingrown toenail for a long time. Multiple procedures in the past. Temporary relief. Then it would flare up again.

Red.
Painful.
Bleeding easily.
Growing that angry over-healing tissue on the side.

If you’ve ever had a recurrent ingrown nail, you know how frustrating it can be. It affects walking, exercise, shoes… even sleep.

We performed a Winograd procedure — removing the problematic nail edge and the small portion of nail root responsible for regrowth.

The second photo is 4 weeks later.

✔️ No overgrown tissue
✔️ Nail edge controlled
✔️ Healing well
✔️ Back to normal activities

The goal isn’t just to “cut the nail back.”
The goal is to fix the source of the problem so it doesn’t keep coming back.

Recurrent ingrown nails are common — but they’re very treatable when addressed properly.

If you’re stuck in the cycle of repeated infections or ongoing pain, there are definitive options available.

14/02/2026

Some lumps don’t just sit there quietly — they slowly start changing mechanics.

Here’s a recent case of a rheumatoid nodule over the hallux.

The large soft tissue mass had gradually altered the position of the big toe, leading to:

• Footwear irritation
• Pressure-related pain
• Difficulty with weight-bearing
• Progressive skin compromise

When conservative care is no longer enough, surgical excision becomes a reasonable option.

This procedure involved:
✔️ Careful removal of the rheumatoid nodule
✔️ Skin plasty to manage tissue closure and tension
✔️ Preservation of surrounding structures

📸 Pre-operative and 4-week post-operative clinical images shown.

At 4 weeks:
• Improved toe alignment
• Reduced pressure prominence
• Healing progressing well
• Marked reduction in irritation

In patients with rheumatoid disease, soft tissue pathology can be just as functionally limiting as joint deformity. Careful planning is essential to minimise wound complications given the underlying systemic condition.

Foot comfort restores mobility.
Mobility restores independence.

Address

1a/70 Prospect Terrace, Kelvin Grove
Brisbane, QLD
4059

Opening Hours

Monday	9am - 5pm
Tuesday	9am - 5pm
Wednesday	9am - 5pm
Thursday	9am - 5pm
Friday	9am - 5pm

Website

http://www.footsurgery.com.au/

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