https://www.nickcullen.com/the-yacht daily 0.75 2013-08-28 https://www.nickcullen.com/tours daily 0.75 2014-08-27 https://images.squarespace-cdn.com/content/v1/5016d42984ae3ecc9e018d91/1376927757732-6M84C980PY5202VCCAXT/gBO0wXUBOBY-QkPZm8Lvg-I-ifill_2048.jpg Tours https://www.nickcullen.com/tours/2013/8/24/tour-the-yacht monthly 0.5 2014-08-27 https://images.squarespace-cdn.com/content/v1/5016d42984ae3ecc9e018d91/1376927709097-X7TLULHFZVFMKA6Z1Z6N/designed_by_expanded_gallery5.jpg Tours - Tour the Yacht https://www.nickcullen.com/gallery-collection daily 0.75 2020-11-08 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404228879814-LBPOZC7WYNFCDE8PYBAZ/M.J.SFlickr.jpg Gallery Collection https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404228879814-LBPOZC7WYNFCDE8PYBAZ/M.J.SFlickr.jpg Gallery Collection https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404228942528-Z37ZPA9JWSHPMGUANM6U/Darco_Toe_Alignment_Splint.jpg Gallery Collection https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404229187146-DQZGE4CN5OOW50F3FRC3/IMG_1033.JPG Gallery Collection https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404229163001-ZNOSAMZLT3DS5S4KJ428/IMG_1033.JPG Gallery Collection https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404229252283-13DRU0Q4OHAXNU4AF7NI/IMG_1034.JPG Gallery Collection https://www.nickcullen.com/new-events-1 daily 0.75 2013-08-29 https://www.nickcullen.com/new-blog daily 0.75 2014-04-07 https://www.nickcullen.com/blog daily 0.75 2020-12-07 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1607378822647-3KSLQ520W5IJKA3UNQDD/Annie+Griggs+Photography_Nick+Cullen+Social+Media+Size+-4.jpg Blog https://www.nickcullen.com/blog/2017/5/16/rugby-injuries-prevention-is-better-than-cure-please-catch-up-with-our-latest-blog monthly 0.5 2017-05-16 https://www.nickcullen.com/blog/2015/11/6/dishan-singh-on-how-to-recognise-a-rupture-of-the-achilles-tendon monthly 0.5 2015-11-06 https://www.nickcullen.com/blog/2015/3/26/20th-stanmore-surgery-of-the-adult-foot-and-ankle-course-12-14th-may-2015 monthly 0.5 2015-03-26 https://www.nickcullen.com/blog/2014/9/22/royal-national-orthopaedic-hospital-video monthly 0.5 2014-09-22 https://www.nickcullen.com/blog/2014/8/28/bunion-surgery-diary-weeks-12-24 monthly 0.5 2014-08-29 https://www.nickcullen.com/blog/2014/8/28/bunion-surgery-diary-weeks-6-12 monthly 0.5 2014-08-30 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1409400516612-QMY9L29VK2CUVOQD8OOI/2013-Nike-Free-3-0-V4-women-27s-running-shoes-blue-gray---0-8980-72597.jpg Blog - Bunion Surgery Diary weeks 6-12 https://www.nickcullen.com/blog/2014/8/28/llg894mg9g72wpwmw42l4d78hojnme monthly 0.5 2014-08-30 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1409398978744-1UE9E6XFY4843S5BUY2F/image-asset.jpeg Blog - Bunion Surgery Diary weeks 2-6 Daro toe splint https://www.nickcullen.com/blog/2014/8/28/bunion-surgery-diary-0-2-weeks monthly 0.5 2014-09-02 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1409258544270-AU27PTR2Y8CDHFV38GCX/DSC05699.jpg Blog - Bunion Surgery Diary weeks 0-2 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1409260674177-3LGY80EY8VN88I9Y3PAL/IMG_2351.JPG Blog - Bunion Surgery Diary weeks 0-2 https://www.nickcullen.com/blog/2014/7/9/lwd38vz0z23nhx7j8ubkelolp5qsl4 monthly 0.5 2014-08-28 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1406909019643-FSWB4BACSERFP122XQFP/image-asset.jpeg Blog - Anyone for squash https://www.nickcullen.com/blog/2014/7/9/training-for-the-marathon monthly 0.5 2015-03-30 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1407313155991-GGYQO6G0QDJF88JM1P9L/image-asset.jpeg Blog - Training for the marathon https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1407313241038-4V6Y2BRV92HQXTN9C998/image-asset.jpeg Blog - Training for the marathon https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1407165594749-6222UL8WF7RX6VQ85P2I/image-asset.jpeg Blog - Training for the marathon https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1407314383879-V1U51AXIH3PJZWE89FQN/image-asset.jpeg Blog - Training for the marathon https://www.nickcullen.com/blog/2014/4/13/hallux-valgus-surgery-blog monthly 0.5 2014-08-26 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1407312135670-ZN18FNJDK3Y3E4TO3U90/image-asset.jpeg Blog - hallux valgus surgery blog https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1407311929571-J1MLNEBM9ZPO0O7UXY4T/image-asset.jpeg Blog - hallux valgus surgery blog https://www.nickcullen.com/blog/category/Boat+Maintenance monthly 0.5 https://www.nickcullen.com/blog/category/On+Land monthly 0.5 https://www.nickcullen.com/blog/category/Scuba monthly 0.5 https://www.nickcullen.com/blog/category/Our+Guests monthly 0.5 https://www.nickcullen.com/blog/category/Family monthly 0.5 https://www.nickcullen.com/blog/category/Naval+Gazing monthly 0.5 https://www.nickcullen.com/blog/category/timescales monthly 0.5 https://www.nickcullen.com/blog/category/Captain%27s+Log monthly 0.5 https://www.nickcullen.com/blog/category/Food monthly 0.5 https://www.nickcullen.com/blog/category/surgery monthly 0.5 https://www.nickcullen.com/blog/tag/hallux+valgus+correction monthly 0.5 https://www.nickcullen.com/blog/tag/stanmore monthly 0.5 https://www.nickcullen.com/blog/tag/pain monthly 0.5 https://www.nickcullen.com/blog/tag/london monthly 0.5 https://www.nickcullen.com/blog/tag/sports monthly 0.5 https://www.nickcullen.com/blog/tag/injuries monthly 0.5 https://www.nickcullen.com/blog/tag/recovery monthly 0.5 https://www.nickcullen.com/blog/tag/foot+ankle monthly 0.5 https://www.nickcullen.com/blog/tag/bandage monthly 0.5 https://www.nickcullen.com/blog/tag/diary monthly 0.5 https://www.nickcullen.com/blog/tag/post+operative+bunion monthly 0.5 https://www.nickcullen.com/blog/tag/bunion monthly 0.5 https://www.nickcullen.com/blog/tag/squash monthly 0.5 https://www.nickcullen.com/blog/tag/ankle+block monthly 0.5 https://www.nickcullen.com/blog/tag/comfortable monthly 0.5 https://www.nickcullen.com/blog/tag/bunion+surgery monthly 0.5 https://www.nickcullen.com/blog/tag/commonwealth monthly 0.5 https://www.nickcullen.com/blog/tag/elevate monthly 0.5 https://www.nickcullen.com/blog/tag/pain+relief monthly 0.5 https://www.nickcullen.com/curriculum-vitae daily 0.75 2013-08-28 https://www.nickcullen.com/new-page daily 0.75 2017-03-31 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404746198911-SKPT5Z7GE91YT9BOO8RG/lanyok.jpg Shoes https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404745706157-QI6WEZMH2Y4DN54UT6XV/image-asset.jpeg Shoes https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404745357995-7WM36Y9JDLM56JW1JY40/image-asset.jpeg Shoes https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1490970901113-4OV7SI1NQ0VEHQWKIT30/IMG_0113.jpg Shoes https://www.nickcullen.com/footwear daily 0.75 2013-09-07 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395960527528-HFCJZE805D9RR7CKH0RS/dangling-feet.jpg footwear https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1394798760349-4B3E484VTB4CMCUCNI4G/image-asset.jpeg footwear https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1394798833757-S5YVEWU98TBI93BMXRWD/image-asset.jpeg footwear https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396993623679-1CW48SB729N9KWXDLQX1/image-asset.jpeg footwear https://www.nickcullen.com/read-me daily 0.75 2013-08-21 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395961018200-4RJOPQW8T26Y6RPEWZUV/IMG_1033.JPG Read Me https://images.squarespace-cdn.com/content/v1/5016d42984ae3ecc9e018d91/1376581849029-XMY0369BNE3M724R2LNA/51b7353be4b049e6ffb2caaf.png Read Me https://images.squarespace-cdn.com/content/v1/5016d42984ae3ecc9e018d91/1376581850041-71T9N2T854LTY451D3G4/51b75f4be4b0b1ab92015ea0.png Read Me https://images.squarespace-cdn.com/content/v1/5016d42984ae3ecc9e018d91/1376946451711-1GVYPLI29438CQM0S8DE/51b758d9e4b07b03edbdda92.png Read Me https://www.nickcullen.com/home daily 1.0 2025-06-23 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378335296137-1JBZZABYMJL83ORFBBS5/City-Skyline-15.jpg welcome https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1604839140834-3X0QDMLQ1T69QUQAS3H2/Annie%2BGriggs%2BPhotography_Nick%2BCullen%2BFull%2BResolution%2B-2.jpg welcome - Mr. Nick Cullen FRCS(Tr&ORTH) Welcome to my website, as the clinical lead at the renowned Royal National orthopaedic hospital and one of Londons’ foremost Orthopaedic Foot & Ankle Surgeons, I understand the major impact that foot & ankle pain and dysfunction can have on your daily life. My NHS post is at the Royal National orthopaedic hospital, where I am involved in teaching the next generation of orthopaedic surgeons, I have been involved in ground breaking research in the fields of joint replacement, total ankle replacement, cartilage repair and neurological disorders of the foot and ankle, I have published extensively across peer reviewed journals and written chapters in a number of well known orthopaedic books. My private practice is based at the Princess Grace hospital in London, at Spire hospital Bushey and the private unit at the RNOH. My practice encorporates a multi-disciplinary structure, including my consultant colleagues, radiologists, nurses, physiotherapists and podiatrists, aimed at providing you the most exemplary care available. from a gentle tiptoe to powerful sprints, your feet are an engineering marvel, comprised of twenty-seven intricate joints that allow for complex movements. Normal function relies on a delicate interplay of muscles, tendons, and ligaments. When this balance is disrupted, it can lead to debilitating foot pain, ankle pain, stiffness, swelling, weakness, or deformity. As a Consultant Orthopaedic Surgeon specializing in foot and ankle disorders in London, my aim is to empower you with comprehensive information. Here, you will discover a wealth of knowledge on how the foot and ankle functions, common problems affecting the region, and advanced treatment options available, including well-established procedures and the latest innovative techniques. If you're experiencing any issues with your feet or ankles – whether it's persistent pain, new swelling, unexplained stiffness, a developing deformity, or weakness – we are dedicated to providing the highest standard of specialist orthopaedic care in London. Regain your mobility and quality of life. Contact us today to schedule your consultation with one of Londons’ leading Foot & Ankle Surgeons and take the first step towards recovery. https://www.nickcullen.com/new-page-2 daily 0.75 2013-09-16 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395960923700-DOC8W6E7Q0J0WBL2YTFS/Surgery.jpg New Page https://www.nickcullen.com/os-naviculare daily 0.75 2014-09-06 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1410466465438-PD7ZMKGFTN43N66RZSFF/DSC06262.JPG Os Naviculare https://www.nickcullen.com/complex-deformity daily 0.75 2014-08-23 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404749331475-X5VLJ0FA9DGQQX6DWM0J/Surgery.jpg Complex deformity https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395226958521-VEZGQQ1EL3R1WRL7HJO1/image-asset.jpeg Complex deformity https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395227028434-CJ36IUVJ80VD3KWSMYCM/image-asset.jpeg Complex deformity https://www.nickcullen.com/patient-information-sheets daily 0.75 2024-01-29 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395959235170-Y90WXDEG7HJOJFISQ8SL/z.jpg Information sheets https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1408693698625-C8Z0OBLNB94TY8OOEZWZ/image-asset.jpeg Information sheets https://www.nickcullen.com/lumps-and-bumps daily 0.75 2025-11-30 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396995067570-92QOSZVTEM2R299BT1YR/jumping-feet-copy2.jpg Lumps and Bumps https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395742172865-TVD10QYN64DVD6HHLOPJ/Plantar+fibromas Lumps and Bumps https://www.nickcullen.com/plantar-fasccitisinferior-heel-pain daily 0.75 2014-07-16 https://www.nickcullen.com/rheumatoid-arthritis daily 0.75 2014-09-11 https://www.nickcullen.com/ankle-arthroscopy daily 0.75 2014-09-06 https://www.nickcullen.com/bunions-hallux-valgus daily 0.75 2025-12-02 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404716953823-G3UBMML36UIUVWFFMUG5/bare-feet-sand.jpg Bunions https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1394798333848-EF106MNO6GAPV0QUVJO8/4.11.06+001.jpg Bunions X-Ray of a Hallux Valgus deformity before surgical correction. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1407313445134-03JE7IO3D7R9SQF86LLJ/image-asset.jpeg Bunions https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1394797407045-6X97QVYGMLF1MPWEWUY0/4.11.06+002.jpg Bunions X-Ray of a Hallux Valgus deformity after surgical correction with a scarf osteotomy. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395219617840-3AUMAYEISJAB6SHF7P8U/image-asset.jpeg Bunions https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396997607761-K7OIR3BR0DRFMFR872KD/image-asset.jpeg Bunions https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397318582299-7LTQK9DDA73KPGOSVEJA/image-asset.jpeg Bunions https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397315435202-VZ1H3QFNI3QYSXLAALLX/image-asset.jpeg Bunions https://www.nickcullen.com/chronic-exertional-compartment-syndrome daily 0.75 2014-08-23 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404749221347-PJEWC5GNKZ3L1EAGCI8K/M.J.SFlickr.jpg compartment syndrome: chronic exertional https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396426476995-13QXRGRQY1BKIIXJALS5/muscle+compartments+of+the+lower+leg compartment syndrome: chronic exertional A diagram showing the muscle compartments of the lower leg, each muscle is enveloped with a thick, fibrous sheath. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397253630096-REYRPRLLQYK3VO76UDNM/image-asset.jpeg compartment syndrome: chronic exertional https://www.nickcullen.com/useful-links daily 0.75 2014-10-20 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1408125741909-61HE61C54U3CLAMF8HUR/useful-links.jpg Useful links https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1408048152636-8DQH71SBT9OQJKDWBYB2/Royal-National-Othopaedic-Hospital_logo.png Useful links RNOH Stanmore https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1408047171026-6H1FBMSN5W164QDR70NA/image-asset.png Useful links BOFAS https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1410616385915-36BSJWI7IDMLWPKWWTQG/cotswold.png Useful links Mr. Richard Brown, Cheltenham. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1408046773019-S47PPYABAQBHV9LWM0TW/image-asset.png Useful links Spire Hospital Bushey https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1408046599571-GSXFWZI19LE9F0NKFMH9/image-asset.gif Useful links The Wellington Hospital https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1408047492177-DDR2UNYDV7U09J5WJ58B/image-asset.png Useful links BOA https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1413839868166-6EQXTWIO71JTRVI340AG/image-asset.jpeg Useful links Bodybalance, Hatfield, North London https://www.nickcullen.com/lisfranc-injuries daily 0.75 2025-11-30 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404751643345-2HIRUFB0RWOPEZ1PB8Y6/IMG_1031.JPG Lisfranc injuries https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405416506473-GD5PWHW1XB3X71J5WRV0/anmpx08x0037.jpg Lisfranc injuries https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405415869084-1V9VZ6SITVSM8A8N8WGJ/lisfranc.png Lisfranc injuries Model of the foot, the red mark indicates the 'Lisfranc joint' https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395227254816-EN8QEMNUJWJGCHV6VC0B/image-asset.jpeg Lisfranc injuries https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395227285255-7HYIUQW551J6AS82ZJ5W/image-asset.jpeg Lisfranc injuries https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395227317546-0GSS5K45YJQ49WUEZX8D/image-asset.jpeg Lisfranc injuries https://www.nickcullen.com/flat-foot daily 0.75 2025-06-23 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378572363004-6Q74N6VVSNOHXODXI0BK/miami-beach-sand-21.jpg Flat foot https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378555854523-VMMKGXBEO33I4G8P0XDK/IMG_0457.JPG Flat foot https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378556045730-OBWGR1TD5E6Z04M95MPK/IMG_1057.JPG Flat foot https://www.nickcullen.com/new-page-3 daily 0.75 2014-08-23 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404751302989-JB6C8EQQ0OKDEQE5S4JH/How-Stretch-Your-Feet-You-Wear-High-Heels.jpg sesamoid pain https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396425955694-G63QG21LX8L04IOA50Q0/image-asset.png sesamoid pain Xray showing 2 sesamoids under the ball of the foot. https://www.nickcullen.com/ankle-arthritis daily 0.75 2025-12-15 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395960117591-SLV9NVZB20JYHFH4LZAI/IMG_1032.JPG Ankle Arthritis https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396954732346-TFFNWNEXIV14EG42QOH4/summer1998+185.JPG Ankle Arthritis X-ray showing severe arthritis of the ankle joint (front) https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396954815269-BRQQ6SW2NZGYIZFPULMV/image-asset.jpeg Ankle Arthritis X-ray showing severe arthritis of the ankle joint. Note that there is almost no joint space compared to the normal ankle below (side) https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405068284417-1TZL3UR3WWNDP9PNCKBT/image-asset.jpeg Ankle Arthritis https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405066763083-D22JW85POA4JC7NNHFV7/image-asset.jpeg Ankle Arthritis The incision for an open ankle fusion or Ankle replacement marked off before surgery and x-rays after a fusion. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396998623043-ERS2CSA8OWYV1K095JAP/image-asset.jpeg Ankle Arthritis X-rays of ankle after ankle fusion with 2 screws across the ankle (side) https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405067339437-7QNUUT42NJWC451OK2A8/DSCF1776.JPG Ankle Arthritis Well preserved ankle https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405067714830-DXK5KTU7I7JPVZ1J2TAL/image-asset.jpeg Ankle Arthritis https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405068606526-N4RSZR59ECX9FE6WZHT2/image-asset.jpeg Ankle Arthritis https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396998493594-I86T4DFW4NZLLMLQG269/image-asset.jpeg Ankle Arthritis X-rays of ankle after ankle fusion with 2 screws across the ankle (front) https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396998776486-WK7BPVFOC4517AMELGW7/image-asset.png Ankle Arthritis A fusion of the ankle and subtalar (joint below ankle) following a failed total ankle replacement. https://www.nickcullen.com/new-page-4 daily 0.75 2014-07-14 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397339107952-Y1856TOSAD6TJBQ6YHKH/open-journal-and-pen.jpg Curriculum Vitae https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404911589717-D05245CWF6KBS2G2WKFM/image-asset.jpeg Curriculum Vitae https://www.nickcullen.com/media daily 0.75 2023-12-22 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405458497391-RMUEJMSP3GCUBH2YOFZC/header-media.jpg Media https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1416994957239-0801NWGVJ22LOAYER3SH/logo.png Media https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405459361913-1BL962L131QHKFD1D8DE/The-Mayfair-Magazine-October-2013.jpg Media https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405459238002-66NW1KJ997NDH7NTQGS2/image-asset.jpeg Media https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405459744643-VPEYQ9G4DDANCZ9JWB46/image-asset.jpeg Media https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1414011701919-9KI5X48M2LMA6TOERT67/image-asset.jpeg Media https://www.nickcullen.com/our-crew daily 0.75 2025-11-30 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1604879232813-2NCFC1BHNNTAOOBIMTDB/image.jpg The Team https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1604877443743-XRNZ2XSIGGB595TLA0S6/Annie%2BGriggs%2BPhotography_Nick%2BCullen%2BSocial%2BMedia%2BSize%2B-16.jpg The Team - Nick Cullen Mr.Nick Cullen https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404893458689-GZUG4FMC90LOWWE4RRLB/DSC05998.jpg The Team https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1408351138174-GWSYP59RBA6WU9HEMCVO/image-asset.jpeg The Team https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1408354740718-LSIKL24ETQ61T605J3G3/image-asset.jpeg The Team https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1408364817195-9FR7I5LEUTUMDZ4SBFY8/image-asset.jpeg The Team https://www.nickcullen.com/new-page-1 daily 0.75 2025-11-30 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378571988456-ZE262NII38NV5O4IO9SM/image.jpg New Page 1 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395227450341-1JMR4VDK9EWDLGF11Y7A/image-asset.jpeg New Page 1 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397318838437-90A1GEVWB5XZPIXVXTDX/image-asset.jpeg New Page 1 Fig. 2. Photograph showing the back of the ankle. A. Achilles tendon. B. Achilles insertion. C. Bursa. D. Peroneal tendons. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405244873987-UKH9DDAMGVEUD3K1QMLM/DSC06075.JPG New Page 1 Fig. 3.1 Eccentric stretches: Standing on a stair, holding on to the handrail throughout, use both calves to raise up on tiptoe. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405244932341-9P9IA86N60Y3AD6QALB6/image-asset.jpeg New Page 1 Fig 3.2 Lift good foot up, off the stair. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405245017914-RX5YMROOV8PXB0VTW46U/image-asset.jpeg New Page 1 Fig 3.3 Standing on one leg, lower the heel to the level of the stair. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405245075953-QPQ5ZNGDCJB0UGT28QSR/image-asset.jpeg New Page 1 Fig 3.4 lower below the step, and repeat raising up on two feet again. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395227522567-PK0GI2CBRGEOJP7V0495/image-asset.jpeg New Page 1 https://www.nickcullen.com/calf-tightness daily 0.75 2014-08-23 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397333913580-Q5QOR7OX8VCW3Y91Y9PB/IMG_1039.JPG Calf tightness https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395742365275-5M4M7PY69G0O5ICCOLM1/Gastroc+tightness Calf tightness Clinical photograph, with the knee extended, ankle movement is restricted indicating a tight calf muscle.   https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395742526029-QFJLRG808TLZLYFXK2F7/medial+head+of+gastric+released Calf tightness Clinical photograph, in this picture a small incision has been used to lengthen the Gastoc muscle behind the knee. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395742424086-1C6PR2C5ROZ75XIWK55L/Knee+flexed+relaxes+gastroc Calf tightness Clinical photograph, with the knee bent, the calf muscle is relaxed and ankle bends back further, this means that the Gastroc must be the tight muscle. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395742580904-HO8YDJ63FJOR3HGU3BKH/gastroc+tightness+resolved Calf tightness Now the Gastroc muscle has been lengthened, the calf is no longer tight and the ankle can move without restriction. https://www.nickcullen.com/achilles-tendon-ruptures daily 0.75 2025-12-02 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404749098592-X58DKG3M5BL2RU8O7JWZ/achilles_hugo_morais.jpg Achilles Tendon Ruptures https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397168427020-4T8IYU5XQXA7EHDG4D24/various+041.jpg Achilles Tendon Ruptures https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397314794594-1D0AY1NP302QPKPPN4M9/image-asset.jpeg Achilles Tendon Ruptures https://www.nickcullen.com/gallery daily 0.75 2020-04-17 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1399827788871-ALF1FQXAF3TI7SHHYAS9/Data+10s.jpg Treatment outcomes https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1399827218659-I3RMDOYUNGA98T9WKLKX/data-entry.jpg Treatment outcomes https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1399826790468-3YMRQHPQVBW9HDH83G7P/4-uk-nhs-patient-data.jpg Treatment outcomes https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397213720568-TPPM5FHX5AQN95WP94EL/072423-golf.jpg Treatment outcomes https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1377618066580-I25VKGPKJ918ABXIG4ZL/HeroCover-7e23e65c-1749-4bb3-8c09-ed72b7a86a21.jpg Treatment outcomes https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1399825985189-38M0D3MMPR8OJVTBGP1H/OldWellbeing.jpg Treatment outcomes https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1399826086201-PRNHY4MHYPOWUZJB0FRR/OH-Assist-nhs-public-health-lunch.jpg Treatment outcomes https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1399826343088-3B1WQ1D3K0OU49SNY0AA/M.J.SFlickr.jpg Treatment outcomes https://www.nickcullen.com/metatarsalgia daily 0.75 2014-08-23 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1408123547973-W50A47408SZD7SWY14XK/MIKEMASSARO-1671.jpg Metatarsalgia https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396998194134-X4J5P5MDBI3J7LGS8BZS/image-asset.jpeg Metatarsalgia https://www.nickcullen.com/hallux-rigidus daily 0.75 2015-05-31 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404749526175-UXMYN4HSRJWA7SELHDCC/IMG_1034.JPG Hallux Rigidus https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396997128784-PGTM11EZ1LRFSN8B6VEC/image-asset.jpeg Hallux Rigidus https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396996595386-IV0GKOPC4T9HDZ4HY7RQ/image-asset.jpeg Hallux Rigidus https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396996708993-RB4P9GFOGYMI0LQ33FD7/image-asset.jpeg Hallux Rigidus https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396996470282-SD3SD59OYTWPPNH2DSHX/image-asset.jpeg Hallux Rigidus https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396997253371-5U2M81VPEYNTMXV5WZDT/image-asset.jpeg Hallux Rigidus https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378569757501-RLGRM24IUKYV7ZAGSR11/IMG_0183.JPG Hallux Rigidus https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378569733518-04TJIZA0WK3P0F7HB0Y2/IMG_0183.JPG Hallux Rigidus https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378569943064-YLOWW6MSH0ZVZG5AI9PI/IMG_0189.JPG Hallux Rigidus https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378570052453-VG0N121HJXMV186AY3S7/IMG_0192.JPG Hallux Rigidus https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378570169959-DG43159W9I9R9AZ79HZ5/IMG_0203.JPG Hallux Rigidus https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378570278619-7HLP0EY4DAPRN0K3PCQG/IMG_0204.JPG Hallux Rigidus https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378570312886-AAAGA2XR32R3UJV2U34B/IMG_0205.jpg Hallux Rigidus https://www.nickcullen.com/contact-us daily 0.75 2025-11-30 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1604876707948-AUEDVLV84ICNWUWSJAHH/Annie+Griggs+Photography_Nick+Cullen+Social+Media+Size+-13.jpg Nick Cullen - MY PRACTICE Mr. Nicholas Cullen is the Clinical Lead for the Foot and Ankle Reconstruction Unit at The Royal National Orthopaedic Hospital (RNOH) Stanmore, recognized globally among the top 10 orthopaedic hospitals for excellence in care, he is one of Londons’ leading Orthopaedic Foot & Ankle Surgeons. With extensive experience and a proven track record, Mr. Cullen is a distinguished expert in complex foot and ankle conditions. His specialist areas include sports injuries, total ankle replacements, neurological foot and ankle disorders, complex deformity correction, cartilage defect management, and joint preservation treatments, hallux valgus deformity and arthritis. He is dedicated to providing optimal foot and ankle management in London for even the most challenging cases. Mr. Cullen's expertise extends to working with elite athletes, including his past role as a team doctor for Saracens rugby, offering invaluable insight into sports foot and ankle injuries and the unique needs of professional and Olympic athletes seeking to return to their peak performance. A significant portion of his practice involves tertiary referrals from orthopaedic foot and ankle colleagues, underscoring the high level of trust and quality of care he provides. Patients consistently experience his positive, kind, and compassionate approach, ensuring they feel fully supported throughout their foot and ankle surgery journey. Mr. Cullen offers NHS consultations at RNOH Stanmore and the central London out-patient facility on Bolsover Street. For private foot and ankle consultations in London, he sees patients at The Princess Grace Hospital, 30 Devonshire Street, W1G 6PU, as well as Spire Bushey Diagnostic Centre and HCA Elstree Waterfront in North London. Explore this website to learn more about his specialist expertise, comprehensive services, and the exceptional team dedicated to your foot and ankle health. When you need expert foot and ankle care in London, you are in trusted hands. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404900489177-P66PP0PY5FJ256Q0YYKJ/RNOH+bolsover+street Nick Cullen RNOH Bolsover street Central London. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1377618185520-I06KKGLY1OHHDTUTK0DS/1072659_572680126087744_303966871_o.jpg Nick Cullen The Wellington Hospital Platinum Centre https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404902312938-TK4F2AC6YSN1APLL3E8H/spire+Hospital+Bushey Nick Cullen Spire Hospital Bushey https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1406291897460-ACPGUYN4R1XAVQNN37PN/image-asset.jpeg Nick Cullen We are recognised by all the major Health insurers. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404902787602-1NH4QBQQUAF5RWWLU996/image-asset.jpeg Nick Cullen The Wellington Hospital https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404904412191-RCN9ZHPQER1XH6QEPDXU/image-asset.jpeg Nick Cullen https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1504383209322-PGN0JGSXLUBYWCO2RAB7/elstree+diagnostic+centre.jpg Nick Cullen Elstree Diagnostic cenre https://www.nickcullen.com/ankle-fractures daily 0.75 2014-08-23 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404751053351-9S296EL82EYAX8MRMCMT/DSC05748.JPG Ankle fractures https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397315071761-KD9F6RPBTWF7R1LVXADO/image-asset.jpeg Ankle fractures https://www.nickcullen.com/stress-fractures daily 0.75 2014-08-23 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405496142479-4ZABOVK1Y0CIE1J47KFN/iPhoto+Library.jpg Stress Fractures https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397040928729-46VX6A45SKMHDFVOTNKG/image-asset.jpeg Stress Fractures https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1380092840040-PCAV42OBX62LPYT0NVM4/How-Stretch-Your-Feet-You-Wear-High-Heels.jpg Stress Fractures https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397333644260-KA39XZAZK6AGOOK4VBU9/stress+4th.png Stress Fractures https://www.nickcullen.com/tarsal-coalition daily 0.75 2014-08-23 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1604942118751-G3U0ASVPUMK7O7O29GX5/image-asset.jpeg Tarsal coalition https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396999286087-TWX7X64XOSOMKVEDPSNA/image-asset.jpeg Tarsal coalition https://www.nickcullen.com/talar-ocd daily 0.75 2025-12-02 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1604942229569-78VSGB0OJMQHEYYLXPO6/image-asset.jpeg Talar OCD https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396999519067-M1T4HH7FFSSLXR9S60T6/image-asset.jpeg Talar OCD https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397321983803-DP9XSAQVL0XCC0NV79KL/image-asset.jpeg Talar OCD https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397323170817-1HYKX2JP77T9ACN5GR5S/image-asset.jpeg Talar OCD https://www.nickcullen.com/testimonials daily 0.75 2023-12-22 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1604941692200-BN6Y2WKQYILDGORPBHI7/Annie%252BGriggs%252BPhotography_Nick%252BCullen%252BSocial%252BMedia%252BSize%252B-14.jpg Testimonials https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378572882971-KIA2DX9OOCS8RK02N2WN/072423-golf.jpg Testimonials https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1380096821289-RGTDPEIOEMC0YPASHSKK/tumblr_me7wrrNriv1rqt0m9o1_500.jpg Testimonials https://www.nickcullen.com/adult-flat-foot daily 0.75 2025-12-02 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395959919003-IV4XPRQDYRE8BQK6OOIL/IMG_1031.JPG Flat foot https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1394799997569-I1O7VRDOCHNZ8CI6SLFE/image-asset.jpeg Flat foot https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1380060317141-4IDIAJAA0CUNUE5ILCPW/footflatfoot03.jpg Flat foot https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1380060325452-T3L067OR2ML0Q51AGSSU/footflatfoot05.jpg Flat foot https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1380060336240-5GHFYUKLW1YOVKEU6KUW/footflatfoot06.jpg Flat foot https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395996727615-VCM9YLBUI57KFVZHVJ6T/diseased+tibialis+posterior+tendon Flat foot A surgical photograph of a diseased tibialis posterior tendon. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397214218143-41YFRD6G862GRWJSSL22/image-asset.jpeg Flat foot https://www.nickcullen.com/heel-bump-haglund daily 0.75 2014-08-23 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404751961081-V875G0C70JRJTTOMY93C/summer09+651.JPG Heel Bump: Haglund https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396997827466-4ALXGAXXLTKMFT38OAW9/image-asset.jpeg Heel Bump: Haglund https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396998261514-LY9EOIIU7AEIKBLS4PTM/image-asset.jpeg Heel Bump: Haglund https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396998322046-J5AS7R8Z93VLWCKLGD7L/image-asset.jpeg Heel Bump: Haglund https://www.nickcullen.com/overview daily 0.75 2025-06-23 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396701752807-UAGKPIZK5DYA8M055D4R/DSC05747.JPG Overview https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1377811804325-FOHEXQW1KMN8AOP7PSYT/PANews%2BBT_N0235081373013078166A_I1.jpg Overview https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1606082617016-SK3Y3TZVCFLK3TEQ3IJD/Top10+rnoh.png Overview Newsweek Nov 2020 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1377811854636-C0RM9E24SHEB4R24O2NF/tumblr_lyqi24sQiA1qgrlboo1_500.jpg Overview https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404919888163-5QIR6DUQKBT0GNVG1UWM/image-asset.jpeg Overview https://www.nickcullen.com/peroneal-tendons daily 0.75 2014-08-23 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405444978302-LRGQYI7U5K72IKRYFHUV/DSC06089.JPG Peroneal Tendons https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396998398322-5O7GI27FSCHYKEHRRXIU/1.10.06+003.jpg Peroneal Tendons https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405508626344-FZLDWN7P1GH58HEX28HP/image-asset.png Peroneal Tendons https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405508688703-R4FPOZEJ6A80ZVUEY43H/image-asset.png Peroneal Tendons https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396998952573-KMMXIFIP2LIM2XOTS2VB/image-asset.jpeg Peroneal Tendons https://www.nickcullen.com/lesser-toe-deformities daily 0.75 2014-08-23 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396993109299-817E9Q1ZXXVED6G8OY7O/dangling-feet.jpg Lesser toe deformities https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395219145582-POWO4HS90HYQT59CE4TB/july2009+386.JPG Lesser toe deformities This deformity shows lesser toes drifting towards the big toe. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396960631555-JMTB9UW8KH3KXMQ0TPOP/image-asset.jpeg Lesser toe deformities https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396964403452-6PUMVZF3F9V0B4DP6BBB/image-asset.jpeg Lesser toe deformities https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1395217459793-VGTRZHZ6II4OL8IXVCLL/image-asset.jpeg Lesser toe deformities LESSER TOE DEFORMITIES Various names (claw toe, hammer toe, mallet toe, curly toe) are used to describe the deformed lesser toes (smaller toes); they often develop as a result of a bunion deformity but can also occur without a bunion. The 2nd toe is most commonly affected. Painful callosities cause pain, difficulty finding shoes and difficulty walking. With time, a flexible deformed toe may become a stiff deformed toe. The metatarsophalangeal joints at the base of the toes may become inflamed and may displace - leading to problems with pain under the metatarsal heads in the ball of the foot. The diagram below illustrates the normal toe and abnormal lesser toe. COMMON CAUSES OF BUNIONS & LESSER TOE DEFORMITIES It is not entirely certain what causes a bunion and or lesser toe deformities to develop. However, they may be inherited, or may be acquired due to muscles imbalance. Inappropriate footwear is not usually the cause of the deformity but may contribute in susceptible individuals. Tight shoes do however cause pain and redness over prominent bony areas. Generalised ligamentous laxity, abnormal foot mechanics and tight Achilles tendons may also contribute. TREATMENT OF BUNIONS & LESSER TOE DEFORMITIES Assessment – medical evaluation will determine the type of treatment that will be most appropriate for you. Osteoarthritis and rheumatoid arthritis, along with infection and or gout can all cause pain in the big toe and forefoot. Circulatory conditions or diabetes may also be present. These conditions may have an impact on the method of treatment that your surgeon provides. Non Surgical – small changes in mild bunions and lesser toe deformities are best treated with modified footwear. It is possible to manage conditions affecting the forefoot by adapting your footwear and wearing shoes with a wide front and a deep toe box. Some bunions may be the result of collapsed arches. This may be resolved by providing you with arch supports. Callosities that develop under the big toe and or lesser toe(s) may become large and uncomfortable. These can be shaved down. Pads made of silicone and other materials can be used to cushion prominent or tender areas. Corns on the lesser toes can be protected using foam tubing, or the tips of the toe(s) can be elevated with the use of soft splints. Surgery should only be considered if ALL non surgical measures have been explored AND if symptoms are significant. Bunion and or Lesser Toe surgery is NOT a cosmetic procedure and you must be aware that you may be swapping a deformed PAINLESS foot for a PAINFUL cosmetically pleasing foot. https://www.nickcullen.com/ankle-sprains daily 0.75 2025-11-30 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1404919616499-PC1J1VBY1IXQH0UTQQ2E/MIKEMASSARO-1652.jpg Ankle Sprains https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378553676831-NM6QQ626VB6YETEFQJ37/sports-ankle-1.jpg Ankle Sprains https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378556750986-ISL63QHHTMDTLJTDVRB9/DSC04993.JPG Ankle Sprains https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1378556794639-6FOIOPUE5Z7A3PPYKG9P/DSC04993.JPG Ankle Sprains https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1396997916044-XELL3HWXXZ0MTUBX1UR9/image-asset.jpeg Ankle Sprains https://www.nickcullen.com/ankle-instability daily 0.75 2025-12-02 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1604941951271-8EZYH71OV16I5ZJT5B39/image-asset.jpeg Ankle Instability https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397169168651-DETHL4473PXA7AYEYEE4/image-asset.png Ankle Instability https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397221366028-6PJ5H27HUE4HSD7BWPXR/image-asset.jpeg Ankle Instability https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397221465930-NZENW7Y38PMZE4MJ6Y88/image-asset.jpeg Ankle Instability https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397221616580-LUYJ5TLBZ4MQBJ6KRBAR/image-asset.jpeg Ankle Instability https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1397214363271-BRULW2YYY4M6C5D7WPSA/image-asset.jpeg Ankle Instability https://www.nickcullen.com/outcome-scores daily 0.75 2014-08-27 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1409176325624-HDF0T644TERSPMS6N2A2/OldWellbeing.jpg Outcome Scores https://www.nickcullen.com/nerve-blocks daily 0.75 2014-09-06 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1410022297951-GIE7X4O259Q1EF1P4LHS/iStock_000015619391Small.jpg Nerve blocks https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405686426111-JBMUDP489D4BEBRXKZIE/DSC06129.jpg Nerve blocks The anaesthetist uses an ultrasound scanner to see the nerves so that they can be accurately blocked. https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1405686323609-0FWQ4ZA2BVHTOT5KXX2N/image-asset.jpeg Nerve blocks an injection being performed under ultrasound guidance https://www.nickcullen.com/22nd-stanmore-foot-and-ankle-course daily 0.75 2016-12-21 https://www.nickcullen.com/social daily 0.75 2017-05-29 https://www.nickcullen.com/spire-bushey-gp-talk daily 0.75 2020-11-25 https://www.nickcullen.com/contact-us-2 daily 0.75 2025-11-30 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1703247793378-VSP455YU7C8OU12QT2QH/image-asset.jpeg Contact us https://www.nickcullen.com/preparing-for-your-virtual-consultation daily 0.75 2020-11-23 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1606165195952-IQ5L37C3ZKP3N0DGCLAO/Screenshot+2020-11-23+at+20.54.39.png preparing for your virtual consultation https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1606165119819-XXQJEZF75OV5IQLKJTHQ/Screenshot+2020-11-23+at+20.58.00.png preparing for your virtual consultation https://www.nickcullen.com/plantar-fibroma daily 0.75 2023-11-28 https://www.nickcullen.com/book-an-appointment daily 0.75 2025-11-30 https://images.squarespace-cdn.com/content/v1/521cbd04e4b0cb130b8a6538/1764535774016-J3OV10POGRLOW09B6NU9/unsplash-image-DL4DDQb8yjc.jpg Book an appointment https://www.nickcullen.com/faq daily 0.75 2025-12-10 https://www.nickcullen.com/charter-packages daily 0.75 2013-08-29 https://images.squarespace-cdn.com/content/v1/5016d42984ae3ecc9e018d91/1367257698666-OM2IOS6OLWN98U79DSRI/5886151541_301b3d579c_o.jpg Conditions