orthopaedicspecialists.in

Our foot and ankle specialists provide expert diagnosis and personalized treatment plans for a wide range of conditions

Orthopaedic Specialists foot and ankle team is led by specialist Dr. Prasad Bhagunde. He is a highly skilled and accomplished orthopaedic surgeon with an impressive educational background and extensive training both in India and abroad. His proficiency in advanced arthroscopy techniques for knee and shoulder injuries, including multi-ligament knee reconstruction, Revision ACL surgeries, and Patello-Femoral Joint Instability, is a testament to his exceptional knowledge and expertise.

Dr. Prasad did his overseas training at East Lancashire Hospital – UK and Clinique d’el union – France. He is one of the few surgeons who have mastered the techniques of multi-ligament knee reconstruction, Revision ACL surgeries, and Patello-Femoral Joint Instability. This specialization allows him to provide comprehensive and customized treatment plans to his patients.

Dr. Prasad’s proficiency in Complex Reconstructive work like Reverse Shoulder Arthroplasty and Superior Capsular Reconstruction for Advanced Shoulder Conditions, makes him a sought-after surgeon in the field of orthopaedics. His Directorship at ACE Arthroscopy at Sona Medical Centre further demonstrates his commitment to providing the highest level of patient care.

Apart from his clinical expertise, Dr. Prasad is extensively involved in research in the field of sports injury and surgery. His contributions to various national and international meetings through his research presentations reflect his commitment to advancing the field of orthopaedics. His publications in international journals demonstrate his dedication to sharing his knowledge and expertise with his peers in the field.

Dr. Prasad’s areas of expertise, including arthroscopy surgery of knee, shoulder, and ankle, as well as shoulder replacement (reverse and total), have benefited countless patients. His memberships in several prestigious orthopaedic and arthroscopy societies, including the Indian Arthroscopy Society, Indian Orthopaedic Association, and Founder Member of Indian Cartilage Society, reflect his passion for staying at the forefront of the latest developments in the field.

Foot and ankle anatomy

The feet and ankles are highly flexible, complex structures containing multiple bones, tendons and ligaments. Our foot and ankle team treat all conditions ranging from bunions, bone deformity and arthritis to painful ligament and Achilles tendon injuries.

 

The foot is divided into three parts:

  • The forefoot consists of five toes (phalanges) and five longer bones (metatarsals).
  • The midfoot forms the arch and consists of the three cuneiform, cuboid and navicular bones.
  • The hindfoot forms the heel and ankle. The calcaneus is the heel bone. The ankle is described below.

The ankle is formed of the talus bone, which supports the tibia (shin bone) and fibula in the leg. The tibiotalar joint (ankle joint) allows the foot to move up and down. The lateral malleolus is the bony protrusion on the outer ankle, formed by the distal end of the fibula. The medial malleolus is the inner ankle bone, formed by the distal end of the tibia.

Cartilage cushions the bones and allows them to glide smoothly over one another. Tendons connect muscles to bone to provide support. The Achilles tendon, which wraps around the heel bone, is the largest and strongest tendon in the body. Bursae, small sacs that contain synovial fluid, help to decrease friction between tendons and bones or skin.

Ligaments connect bones to other bones. The plantar fascia is the longest foot ligament, acting as a shock absorber and supporting the foot arch. Other ligaments include the talo-fibular and calcaneo-fibular ligaments.

There are 20 muscles in the foot, categorised as intrinsic (responsible for toe movement) and extrinsic (located in the lower leg and responsible for foot movement).

Dr. Prasad Bhagunde

MS Ortho D Ortho DNB

Senior Orthopaedic Consultant and Sports Medicine Surgeon

Foot & ankle treatments

Achilles tendon repair

Acromioclavicular joint (ACJ) reconstruction surgery may be offered to you if you have damaged your ACJ (where your collarbone joins your shoulder blade) as the result of a fall or collision. Surgery is normally only…

Ankle fusion surgery

Ankle fusion surgery is frequently performed on patients with arthritis or an ankle fracture, where the cartilage in the joint is damaged. As the cartilage gets worn away, the space between the bones constricts causing…

Ankle joint preservation surgery

Joint distraction uses the body’s natural healing processes to repair damaged cartilage in the ankle. During minimally invasive joint preservation surgery, the bones are gently pulled apart to create space and are fixed using pins…

Ankle ligament reconstruction surgery

Ankle ligament reconstruction surgery is used to treat lateral ankle instability and sprains. The objective is to prevent the ankle from giving way and stabilising it. Frequently, this procedure is performed once other non-surgical treatments,…

Arthroscopy (keyhole surgery)

Ankle keyhole surgery or arthroscopy is the process of inserting a small telescope and instruments through miniscule incisions in the ankle joint, so your consultant can examine and treat it. Images of the inside of…

Big toe joint fusion surgery

Usually a day case procedure, this type of surgery treats big toe arthritis, and is performed under a general anaesthetic, with a pain-relieving local anaesthetic administered post-operatively around the wound.

Bunion surgery (including Tailor’s bunion)

Scarf osteotomy and chevron osteotomy are two of the most well-known types of bunion surgery. They are usually day case procedures carried out under a general anaesthetic. An additional pain-relieving local anaesthetic is administered to…

Cheilectomy

Cheilectomy is a surgical procedure involving the removal of a bony lump which occurs above the main joint of the big toe. Big toe arthritis or hallux rigidus is normally the cause of this lump.

Flat foot surgery

This surgery is designed to correct the foot’s alignment, ease any pain and ensure even weight distribution when walking or standing.

Foot fusion surgery

The aim of foot fusion surgery is the permanent fusion of separate bones in the foot. This procedure is used to treat flat feet, arthritis, including rheumatoid arthritis, and fractures that haven’t healed of their…

Morton’s neuroma surgery

Morton’s neuroma surgery is a procedure to remove the part of the damaged nerve or to take the pressure off the nerve by creating the space surrounding it.

Toe fusion surgery

This procedure is performed to straighten the joint or joints of the toe. Surgery is normally a day case procedure, performed under a general anaesthetic, in which the toe is straightened and fixed in position…

Achilles tendon repair

An Achilles tendon rupture can be treated non-surgically or surgically repaired. Your consultant will discuss the options and help you decide the most appropriate treatment for you, taking into account your symptoms and factors like…

Ankle fusion surgery

Ankle fusion surgery is frequently performed on patients with arthritis or an ankle fracture, where the cartilage in the joint is damaged. As the cartilage gets worn away, the space between the bones constricts causing…

Ankle joint preservation surgery

Joint distraction uses the body’s natural healing processes to repair damaged cartilage in the ankle. During minimally invasive joint preservation surgery, the bones are gently pulled apart to create space and are fixed using pins…

Ankle ligament reconstruction surgery

Ankle ligament reconstruction surgery is used to treat lateral ankle instability and sprains. The objective is to prevent the ankle from giving way and stabilising it. Frequently, this procedure is performed once other non-surgical treatments,…

Arthroscopy (keyhole surgery)

Ankle keyhole surgery or arthroscopy is the process of inserting a small telescope and instruments through miniscule incisions in the ankle joint, so your consultant can examine and treat it. Images of the inside of…

Big toe joint fusion surgery

Usually a day case procedure, this type of surgery treats big toe arthritis, and is performed under a general anaesthetic, with a pain-relieving local anaesthetic administered post-operatively around the wound.

Bunion surgery (including Tailor’s bunion)

Scarf osteotomy and chevron osteotomy are two of the most well-known types of bunion surgery. They are usually day case procedures carried out under a general anaesthetic. An additional pain-relieving local anaesthetic is administered to…

Cheilectomy

Cheilectomy is a surgical procedure involving the removal of a bony lump which occurs above the main joint of the big toe. Big toe arthritis or hallux rigidus is normally the cause of this lump.

Flat foot surgery

This surgery is designed to correct the foot’s alignment, ease any pain and ensure even weight distribution when walking or standing.

Foot fusion surgery

The aim of foot fusion surgery is the permanent fusion of separate bones in the foot. This procedure is used to treat flat feet, arthritis, including rheumatoid arthritis, and fractures that haven’t healed of their…

Morton’s neuroma surgery

Morton’s neuroma surgery is a procedure to remove the part of the damaged nerve or to take the pressure off the nerve by creating the space surrounding it.

Toe fusion surgery

This procedure is performed to straighten the joint or joints of the toe. Surgery is normally a day case procedure, performed under a general anaesthetic, in which the toe is straightened and fixed in position…

Foot & ankle conditions

Achilles tendon problems

The Achilles tendon, located at the back of the ankle and linking the calf muscle to the heel bone, is the body’s largest tendon and facilitates activities like walking, running and jumping.

Ankle sprains and instability

Strong ligaments keep the bones of the ankle joint together, and these, combined with the muscles attached to the foot’s bones, are key in maintaining joint stability. An ankle sprain, a common soft-tissue injury, occurs…

Bunions

A bunion or hallux valgus is a bony lump that appears at the bottom of the big toe, causing the toe to bend inwards. This lump is created by the effect of the metatarsal bone

Common foot conditions

There are several common foot conditions including: flat feet, ganglions, and ingrown toenail. Whilst they can often be painful, if diagnosed early, many of these conditions can be treated non-surgically, returning patients to their normal…

Foot / toe pain

There are several foot and toe pain problems including: Freiberg’s disease, Morton’s neuroma, plantar plate problems, sesamoiditis and tarsal tunnel syndrome. If they are diagnosed early, many of these painful conditions can be treated non-surgically,…

Foot and ankle Arthritis / osteoarthritis

Arthritis occurs when the cartilage encasing the bones, which aids fluent movement in the joint, is damaged, resulting in friction. Any joint in the body can be affected by arthritis. Osteoarthritis, rheumatoid arthritis, big toe…

Fractures

Foot and ankle fractures, or breaks in the bone, come in many different varieties: ankle fracture, heel bone fracture, metatarsal fracture, 5th metatarsal fracture, pilon fracture, Lisfranc fracture and snowboarder’s fracture, to name just a…

Heel pain (plantar fasciitis)

The normal cause of heel pain is damage to the plantar fascia, the band of tissue in the foot. Typically, the pain intensifies over time, and with only one heel being affected. Many sufferers report…

Osteochondral injuries

OCLs (osteochondral lesions of the talus) consist of damage or minor fractures to cartilage’s surface on the lower bone of the talus (ankle joint). This cartilage covers most of the talus, with the tibia (shin)

Posterior ankle impingement

Footballers, ballet dancers, gymnasts and fast bowlers (due to the impact on their leading leg), are among those frequently affected by posterior ankle impingement. As the ‘plantar flexion’ movement occurs, the foot and ankle are…

Sports injuries and trauma

Sporting injuries are common and generally occur as the result of accidents or collisions, failing to warm up or stretch sufficiently. Not using protective equipment, using it incorrectly or a lack of proper training can…

Tendon problems

The most common foot tendon to tear include the posterior tibial tendon, the peroneal tendons and the achilles tendon.

Toe deformities

Mallet toe, claw toe and hammer toe are all deformities relating to the smaller toes.

 

Achilles tendon problems

The Achilles tendon, located at the back of the ankle and linking the calf muscle to the heel bone, is the body’s largest tendon and facilitates activities like walking, running and jumping.

Ankle sprains and instability

Strong ligaments keep the bones of the ankle joint together, and these, combined with the muscles attached to the foot’s bones, are key in maintaining joint stability. An ankle sprain, a common soft-tissue injury, occurs…

Bunions

A bunion or hallux valgus is a bony lump that appears at the bottom of the big toe, causing the toe to bend inwards. This lump is created by the effect of the metatarsal bone

Common foot conditions

There are several common foot conditions including: flat feet, ganglions, and ingrown toenail. Whilst they can often be painful, if diagnosed early, many of these conditions can be treated non-surgically, returning patients to their normal…

Foot / toe pain

There are several foot and toe pain problems including: Freiberg’s disease, Morton’s neuroma, plantar plate problems, sesamoiditis and tarsal tunnel syndrome. If they are diagnosed early, many of these painful conditions can be treated non-surgically,…

Foot and ankle Arthritis / osteoarthritis

Arthritis occurs when the cartilage encasing the bones, which aids fluent movement in the joint, is damaged, resulting in friction. Any joint in the body can be affected by arthritis. Osteoarthritis, rheumatoid arthritis, big toe…

Fractures

Foot and ankle fractures, or breaks in the bone, come in many different varieties: ankle fracture, heel bone fracture, metatarsal fracture, 5th metatarsal fracture, pilon fracture, Lisfranc fracture and snowboarder’s fracture, to name just a…

Heel pain (plantar fasciitis)

The normal cause of heel pain is damage to the plantar fascia, the band of tissue in the foot. Typically, the pain intensifies over time, and with only one heel being affected. Many sufferers report…

Osteochondral injuries

OCLs (osteochondral lesions of the talus) consist of damage or minor fractures to cartilage’s surface on the lower bone of the talus (ankle joint). This cartilage covers most of the talus, with the tibia (shin)

Posterior ankle impingement

Footballers, ballet dancers, gymnasts and fast bowlers (due to the impact on their leading leg), are among those frequently affected by posterior ankle impingement. As the ‘plantar flexion’ movement occurs, the foot and ankle are…

Sports injuries and trauma

Sporting injuries are common and generally occur as the result of accidents or collisions, failing to warm up or stretch sufficiently. Not using protective equipment, using it incorrectly or a lack of proper training can…

Tendon problems

The most common foot tendon to tear include the posterior tibial tendon, the peroneal tendons and the achilles tendon.

Toe deformities

Mallet toe, claw toe and hammer toe are all deformities relating to the smaller toes.