46 New Year, New You Specialist clinics


Why have bunion surgery? H


Bunions affect a joint on the inside of your foot near the big toe. They form a painful bump, which can rub on your shoes


aving bunions (medically termed ‘hallux valgus’) is often blamed on shoes, but is


in fact more often inherited, tending to run through families over gener- ations. Patients commonly experi- ence difficulty in finding comfortable shoes, although for some the problem is purely related to pain. In addi- tion, other toes on the same foot can change shape over time as a result of the bunion, which can themselves rub on footwear. Pain or discomfort while wearing shoes has an effect on your comfort while at work, your ability to exercise, as well your general health and wellbeing. Bunions can often be problem-free,


in which case no treatment is needed. Sometimes pain or rubbing from bunions can be managed through changing your shoes, toe spacers and


bunion splints. Commonly, however, these don’t improve things enough, in which case you may need to consider surgery. Surgery


to correct bunions is


thought of as unreliable, painful and needing a long recovery. Advances in bunion surgery mean this no longer needs to be the case. Mr Dawe performs modern bunion


correction surgery, which gener- ally allows walking from the day of the operation. Tere’s no need for plaster, and most patients will have minimal pain. Te procedure can now be performed without the need for a general anaesthetic and both feet can be treated on the same day, thus mini- mising recovery time. If you’re suffering with pain in your


foot or ankle, you should consider booking an appointment with him to


Surgery to correct bunions is thought of as unreliable, painful and needing a long recovery. Advances mean this no longer needs to be the case


discuss your problem. Tere are several different conditions that are similar to a bunion and various treatments may be available, some of which are non-surgical. You’ll be able to estab- lish the correct diagnosis and explore your options for treatment in order to select those that best fit with your individual circumstances.


ABOUT THE EXPERT edwarddawe.com Bilateral bunions, before surgery Six weeks after surgery


Nuffield Chichester T: 01243 753022 BMI Goring Hall T: 01903 953201 Oving Clinic T: 01243 773167


Keyhole approaches, brain bypass, virtual reality and robotic optical technology


Nobody wants to see a neurosurgeon, but if one has to, Mr Mario Teo is a firm believer in personalised health care and surgery with less tissue injury, leading to minimal scarring and quicker recovery


pathologies, including meningioma, vestibular schwannoma, brain aneu- rysm, arteriovenous malformation, cavernoma,


M haemangioblastoma,


epidermoid tumours. He also performs spine surgery for degenerative disease, spinal


tumour and vascular malfor-


mation. For the very rare moyamoya disease, he offers brain bypass. Along with his team, he routinely


employs advanced technology, for example virtual and augmented reality to reconstruct the tumour or malfor- mation for individual patient using 3D reconstruction, incorporating surrounding brain fiber tracts, critical structures and important vessels for:


1. Patient education: To


improve understanding of


the disease, which also helps to explain their symptoms and potential surgical challenges.


2. Simulation training: To improve surgeons’ familiarity with the case, having rehearsed the surgery virtually before the actual operation.


E: marioteo@doctors.org.uk E: MKTsecretary@nbt.nhs.uk T: 0117 414 6702 iwantgreatcare.org/doctors/ mr-mario-teo


southmeadhospitalcharity.org. uk/a-digital-robotic-microscope- for-brain-surgery


r Mario Teo’s clinical work focused on complex brain tumours and cerebrovascular


3. Surgical planning: To allow surgeons to design the most effective corridor, anticipate potential problems due to individual patient’s anatomical variation, tumour variation and formulate a solution prior to the actual surgery. Surgical scars are well hidden, and


Mr Teo and his team use keyhole or endoscopic techniques as desired. Microscopic visualisation is essential for neurosurgery, as the brain and its components are so delicately connected. To remove the tumours or malforma- tion from surrounding delicate brain, the clearer a surgeon could see, the safer the surgery. With ultra-high definition optical resolution and advanced optic technology, Mr Teo is in the process of introducing the latest robotic tech- nology for neurosurgery in Bristol.


Mr Edward Dawe is a consultant orthopaedic foot and ankle specialist based in Sussex. He offers face-to- face and virtual consultations for patients nationwide.


Promotional Content • Saturday 8th January 2022


MEET THE EXPERT


Mr Mario Teo MBChB (Hons), FRCS(NeuroSurg) is a consultant neurosurgeon at Bristol Institute of Clinical Neuroscience, having completed a cerebrovascular and skull base fellowship at Stanford University, California, USA. He qualified in medicine from the University of Sheffield, then trained in neurosurgery at Glasgow, Cambridge and London. In-person or virtual consultations are welcomed.


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64