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that do not function correctly will usually rub on a shoe and develop a painful corn or callus. A hammer toe for example will often both rub on a shoe and create excessive pressure on the ball of the foot.
Mr Lattouf is originally from Lebanon but completed his medical studies and orthopaedic training in Lithuania. During his training Mr Lattouf had clinical attachments in France and Lebanon. From August 2003 Mr Lattouf worked in Lithuania as a Consultant Orthopaedic Surgeon before moving to the UK in June 2007 to work as a Locum Orthopaedic Specialist Registrar. In January 2009 he started a one-year foot and ankle fellowship at Stepping Hill Hospital, Stockport. During his fellowship he attended foot and ankle courses and training in Switzerland. Mr Lattouf has also been a member of BOFAS (British Orthopaedic Foot and Ankle Society) since September 2010. Mr Lattouf recently joined the Nuffield Health Bristol Hospital, The Chesterfield as a Consultant Foot and Ankle Surgeon, and he also works in the NHS at the Shepton Mallet NHS Treatment Centre and at the Cirencester Hospital Outreach Clinic.
Treatment options for problematic toes involve either regular trips to a podiatrist to keep your toes comfortable or surgery to correct the alignment, which in turn allows normal footwear to be worn.
In his spare time Mr Lattouf likes to be outdoors as much as possible, enjoying sports such as fishing, clay pigeon shooting and hiking.
Neuroma Mr Gerard Lattouf A neuroma is a painful thickening of the nerve between the second and third, or more commonly third and fourth toes. It can cause a hot burning and tingling sensation, which sometimes leads to cramp in the toes. It can be particularly painful and can occur at regular intervals, especially with tighter fitting shoes. It can be a particular problem in active sports people or those who wear a tight shoe for a considerable period of time. The treatment options for a neuroma involve changing shoes, injections in the area or if necessary surgery to excise the painful and thickened nerve. Arthritis Arthritis can affect any joint in the body and with 33 joints the foot is commonly involved, both in the generalised forms of arthritis and with individual joint arthritis, secondary to wear and tear. The big toe is most often affected; however, any foot joint can be involved. Treatment options usually involve the use of orthoses (insoles), shoe changes, injections and if necessary surgery. Surgery can, in many instances, help restore function and keep the joint moving or if necessary remove a painful joint to allow pain free walking. Heel Pain Another regular foot condition that affects many people is heel pain. There are multiple reasons why a heel may become painful. The vast majority of heel pain conditions are due to a mechanical dysfunction, often due to tightness in the Achilles tendon. These conditions can be treated with stretching and insoles and rarely need surgery. Due to the multiple possible causes of heel pain a specialist opinion should be sought as early as possible.
If you are worried about a foot or ankle problem and would like to seek some expert advice, Mr Lattouf is holding a FREE event at Nuffield Health Bristol Hospital, The Chesterfield on Tuesday 14th June at 6:30pm. Light refreshments will be provided, and there will also be the opportunity for you to ask any questions you might have. Spaces are limited, so please call 0117 405 8978 to book your place. You can also visit www.nuffieldhealth.com/bristol/events for more information. Mr Lattouf is also currently offering complimentary 15 minute mini advice sessions at Nuffield Health Bristol Hospital, The Chesterfield. These are available during part of his regular clinics. Whilst this does not replace a full consultation, it is a great way of getting some expert advice and answering any questions you might have. Please call 0117 405 8978 to book your place.
Nuffield Health Bristol Hospital The Chesterfield, 3 Clifton Hill, Clifton, Bristol BS8 1BN
THEBRISTOLMAG.CO.UK | JUNE 2016
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THE BRISTOL MAGAZINE 81