Understanding and Managing Freiberg's Disease at Acacia Foot and Ankle Surgeons

Freiberg's disease, or avascular necrosis of the metatarsal head, is a serious condition that affects the foot, specifically the bones known as metatarsals.

What is Freiberg's Disease?

Freiberg's disease involves the loss of blood supply to the metatarsal heads, the rounded ends of the bones in the forefoot just before the toes. This loss of vascularization leads to avascular necrosis, where the bone tissue dies due to a lack of blood. The condition can result in significant pain, deformity, and challenges in mobility if not addressed properly.

The Origins of Freiberg's Disease

The exact cause of Freiberg's disease can vary but is primarily linked to trauma or continuous stress on the foot that interrupts blood supply to the metatarsal heads. It may also occur in people with systemic conditions that affect blood flow, such as diabetes or vasculitis. Recognizing the symptoms early and seeking specialized care is crucial for effective management.

Treatment Options at Acacia Foot and Ankle Surgeons

Offloading and Orthotics: One of the primary steps in treating Freiberg's disease involves reducing pressure on the affected area to prevent further damage. At Acacia Foot and Ankle Surgeons, we customize orthotic devices to redistribute weight away from the damaged metatarsal heads, providing relief and promoting healing. Learn more about custom orthotics.

Cortisone Injections: To reduce inflammation and pain associated with Freiberg's disease, cortisone injections may be administered. These injections can offer significant relief and are a common component of the treatment regimen.

Physical Therapy: Physical therapy plays a vital role in restoring mobility and strength while reducing the risk of further deterioration. Our tailored physical therapy programs help patients regain function and manage their symptoms effectively.

Surgical Options: In cases where conservative treatments do not yield the desired outcomes, surgical intervention may be necessary. Options include shortening of the metatarsal, metatarsal head resection, or joint replacement surgery. These procedures aim to remove the necrotic bone tissue and restore the structure and function of the foot.

Choose Expert Care with Dr. Kaveh Panahi

At Acacia Foot and Ankle Surgeons, Dr. Kaveh Panahi and our dedicated team are equipped with the expertise and technology to diagnose and treat Freiberg's disease effectively. If you are experiencing symptoms or seek further information, please contact us at 623-439-2200 or use our online portal to schedule a consultation. Early intervention is key to managing this condition and maintaining your foot health and mobility.