The reason total shoulder replacement is such a challenging operation is that it involves removing the head of the humerus (the top of the upper arm bone) and replacing it with a new prosthetic metal ball. Then, a resurfacing of the glenoid (shoulder socket) is done by by attaching a second saucer-shaped plastic component to the shoulder blade. Since the shoulder is a smaller and more complex joint than the knee or hip, it is more difficult to place the prosthesis perfectly. Getting to the shoulder joint is made more difficult because of the many nerves, tendons and blood vessels in the area. Sometimes by merely changing the type of shoes you wear you can prevent the worsening of a bunion. Whether you are a man or a woman, merely changing from a tight, pointed toe shoe to a sandal can help tremendously. So can the wearing of a bunion shoe, available from most orthopedic shoe stores. Both shoe styles remove the source of pressure and have a wider forefront to accommodate a bunion foot. If you do refuse to change shoe styles due to vanity, then your bunion will increasingly become bigger, uglier, and eventually more painful. For instance, while in Surgical Residency, I worked on research that related to a simple yet effective and low-cost technique that was extremely effective in reducing pain after bunion surgery. In that study, 95.92% of bunion surgery patients reported taking less pain medicine and believed that there pain much less than had the " pain pump" not been placed in the surgical site and used in their foot surgery cases. I published the secrets on this technique in a medical journal called Ambulatory Surgery in order to teach other foot surgeons how to make bunion surgery a better experience for their patients. When a fracture occurs there may be need for surgical intervention. Many people recover from ankle sprains with no problems, but about 10% of ankle sprains do not improve with traditional therapy. In these patients, the ankle sprain was only part of the problem. Below the ankle is another joint between the talus and the calcaneus called the subtalar joint. Thus the talus bone is connected to both the ankle and the subtalar joint. You can imagine that if abnormal forces are put on the talus there will sometimes be damage to the ankle joint and the subtalar joint. Dr. Marco A Vargas is a board certified podiatric surgeon specializing in the treatment of bunions, heel pain , sports injuries and nail fungus. He has offices in Sugar Land and Richmond, TX. For more information on his practice, visit www.thefootpros.com or order your free copy of his book on foot health, "Got Foot Pain?" also available on his website Who should do your surgery? Podiatrist versus orthopedic surgeon? A board-certified podiatric foot and ankle surgeon usually has much more experience in bunion surgery than the average orthopedic surgeon. An experienced, board-certified surgeon is really the key, no matter what their credentials (DPM, MD, DO). Folks who suffer from light to moderate symptoms of psoriasis often find relief by utilizing nourishing, all-organic plant oils. These are usually less expensive than prescription skin treatment options. Argan oil is a very popular organic oil for psoriasis. It's harvested from argan trees. Apply this oil to any regions that you notice are afflicted and watch what wonders it does. If your podiatrist has prescribed an anti inflammatory as treatment for your bunions, be sure to take the medicine thirty minutes to an hour before your exercise session. Waiting until after you are finish and the pain has already set in will make the medication far less effective. Foot pain happens every now and then. They can be relieved through massage and other therapeutic ways, but what we do not know is that pain can signal something more serious. We often take for granted our feet. We run miles, walk around for hours in a day, exercise, and lift some heavy stuff. Most of our activities place much pressure on our feet as it supports our whole body weight. Pain in foot including arch pain could mean an inflammation, an injury or something of a medical condition called bunions.