European Foot & Ankle Clinic

We can help you! For your first evaluation and resolution to your concerns please visit us at any of our 4 Chicago land locations , call today (773)205-0106. We speak English, Spanish, Polish and Russian.

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These are not merely unsightly bumps on the side of the foot. Bunions are the quiet joint killers. Although typically painful with redness and inflammation, this condition can have no symptoms for many years. During this time, the damage is being done as one of the most important joints in the foot becomes deteriorated and worn away. The cartilaginous joint surface that you are born with cannot be effectively replaced and technology to achieve this is still some time away. In the meantime, the cartilage is progressively eroded as the deformity continues to grow and pain usually follows. However, often the most disturbing aspect of this problem is the aesthetic appearance of the foot and inability to wear the desired shoes.

Conservative treatment often includes wearing silicone bunion shields, wide unfashionable shoes and occasionally injections of anti-inflammatory medication. Unfortunately, since this is a fixed structural deformity, conservative care can only go so far and surgery is generally recommended. Most bunions become painful and irritate the foot inside shoes at some point and being proactive at preventing further deterioration is usually the best decision. When taking this into consideration, an aesthetic result is of major importance. Conventional bunion surgery has been performed for decades. Previously, little attention has been focused on the cosmetic result, consideration for the patients ease of recovery and post-operative pain.

Using the state of art in fixation, aesthetic incision placement and modifications of time tested surgical techniques, Dr. Goshko and Dr . Podolskiy have been successfully performing these procedures and changing peoples lives one foot at a time. Patients typically can ambulate the same day. All fixation is hidden and does not usually need to be removed. Gone are the days of railroad track incision scars on the top of the big toe joint, having wires or pins protruding through the skin. Casts are almost never necessary and pain is minimal to none. Contrary to popular belief and what people may tell you, bunion surgery does not have to be painful and debilitating.

Treatment For Bunions:

Because they are bone deformities, bunions do not resolve by themselves. The goal for bunion treatment is twofold: first, to relieve the pressure and pain cause by irritations, and second to stop any progressive growth of the enlargement. Commonly used methods for reducing pressure and pain caused by bunions include:

  • The use of protective padding, often made from felt material, to eliminate the friction against shoes and help alleviate inflammation and skin problems.
  • Removal of corns and calluses on the foot.
  • Changing to carefully fitted footwear designed to accommodate the bunion and not contribute toward its growth.
  • Orthotic devices both over-the-counter and custom made to help stabilize the joint and place the foot in the correct position for walking and standing.
  • Exercises to maintain joint mobility and prevent stiffness or arthritis.
  • Splints for nighttime wear to help the toes and joint align properly. This is often recommended for adolescents with bunions, because their bone development may still be adaptable.

Compare this result to the typical bunion surgery horror story!

Surgical Treatment.

Depending on the size of the enlargement, misalignment of the toe, and pain experienced, conservative treatments may not be adequate to prevent progressive damage from bunions. In these cases, bunion surgery, known as a bunionectomy, may be advised to remove the bunion and realign the toe. Our doctors utilize hidden MINIMAL INCISION APPROACH when performing surgery. They realize that Aesthetics is just as important in addition to comfort and structural realignment of bunion deformities.

TRANSLATION : Dr. Podolskiy: “Pani Miroslawa had minimal incision bunion surgery 10 days ago and her foot is not swollen and it doesn’t hurt . And she can recommend this procedure to anybody, already 10 of her friends would like to do it.”

Pani Miroslawa : “I am very happy , it doesn’t hurt !”

Please see our before and after gallery :

  • before /after 2 weeks

  • before /after 2 weeks

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4 weeks after

before/4 weeks after

For A Bunion Surgery Expert With Years Of Experience Contact our clinic at 773-205-0106

Hammer Toes

A hammertoe is a condition where the middle joint of the big toe bends in an unusual direction, typically inwards on the foot, and the toe is forced into an unnatural position. This condition can be rigid where the toe cannot be moved or flexible where the joint can still be manipulated. The bent toe is often exposed to increased rubbing and friction which causes discomfort and irritation of the skin. Hammertoes most often form on the first two toes, but occasionally develop on the smallest toes. High heels and pointed shoes are often worn by women put a great deal of pressure on the toes and feet. This makes the condition more common in women than men. Those with diabetes or poor circulation are at a higher risk of developing hammertoes.

What causes hammertoes?

Muscles in the toes work in pairs, and when they become imbalanced, they can pull the delicate bones of the feet out of alignment causing a hammertoe form. This puts a great deal of pressure on the joints and tendons which push the toe into the hammerhead shape. The extra pressure is also responsible for the pain associated with the condition.


Injury to the toe, shoes which do not fit properly are a common cause Genes, a person, can inherit a tendency to develop hammer toes.

How are hammertoes treated?

The first thing the doctors will suggest you do is to change to shoes with adequate space available for the toes also our doctors will provide you will wide choice of silicon gel cushioning padding. They may suggest physical therapy exercises to stretch the toes and release the tendons pulling the bones out of alignment. In some cases, when a hammertoe is especially severe, surgery may be required. We would suggest Minimally Invasive Technique [ click to link to see our great results before and after gallary instead of conventional surgery with long scars over the whole toe .This is usually done after other methods such as physical therapy, padding and anti-inflammatories have not worked. There are several different types of surgical techniques used to treat hammer toes depending on the condition of the toe’s muscles, tendons, and joint. If surgery is needed, the doctors use minimal incision/no scar procedures to reduce recovery time and to minimize any risk of scarring.

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