Featured Speaker Physiotherapy Now

Dr. Alastair Younger

MB, Ch.B, M.Sc, Ch.M, F.R.C.S.(C), Foot and Ankle Orthopaedic Surgeon Vancouver, BC

Dr. Alastair Younger, MB, Ch.B, M.Sc, Ch.M, F.R.C.S.(C), discusses How an Orthopaedic Surgeon Can Help You With Foot Pain and Bunions what causes bunions and how they are treated.

BIO: Physiotherapy Now

Dr. Alastair Younger was born in Scotland and grew up close to St. Andrew’s in Scotland. This, unfortunately, has not resulted in a genetic ability to play golf. Instead, Dr. Younger grew up with an avid interest in skiing because this sport was inaccessible to a large part in the area that he grew up in, in Scotland.

After attending a school with a large interest in outdoor sports, Dr. Younger attended medical school in Aberdeen, graduating in 1985.

After working for three years in the National Health Service, Dr. Younger moved to Vancouver to study Kinesiology at Simon Fraser University. After finishing a Master’s Degree, studying Limb Lengthening in Children, he trained in Orthopaedic Surgery at the University of British Columbia, finishing both the Residency Program and further studies on Limb Lengthening in 1995.

He received a further degree from the University of Aberdeen for his work in Limb Lengthening. After doing a short fellowship and locum at Vancouver General Hospital in Joint Replacement, Dr. Younger moved to Boston in Massachusetts to study at Harvard in the area of Arthritis Surgery. He then trained in Foot and Ankle at the University of Washington in Seattle, finishing his training in 1997 and returning to be on staff at the University of British Columbia and begin his practice at St. Paul’s Hospital.

At that time, Dr. Younger was the sole surgeon practicing Foot and Ankle at the university. He was instrumental in developing British Columbia’s Foot and Ankle Clinic and lobbied hard for this clinic to be created at Providence Health Care. As a result, he is presently the Director of British Columbia’s Foot and Ankle Clinic and has been able to hire other orthopaedic surgeons in the group, as well as operative podiatrists to try and address the need for foot and ankle care in British Columbia.

Dr. Younger is the past president of the Canadian Orthopaedic Foot and Ankle Society and a founding member. He has been active on many committees of the Canadian Orthopaedic Association. He is a member of the American Foot and Ankle Society, the Arthroscopy Association of North America, the American Academy of Orthopaedic Surgeons, as well as the Canadian organizations mentioned above.

Dr. Younger has chaired a local meeting for a foot and ankle symposium for the Canadian Orthopaedic Foot and Ankle Society for the last six years, every other year. He has also given talks nationally and internationally for foot and ankle conditions. He has lectured for the American Academy of Orthopaedic Surgeons, the Arthroscopy Association of North America and has coordinated courses for them. He has been a Master Instructor for the Arthroscopy Association of North America at their Learning Centre in Chicago. He has been a visiting professor in Calgary, Winnipeg, Northwestern University and the University of Montreal.

Dr. Younger has been recognized by the Canadian Orthopaedic Association, by being awarded the North American Traveling Fellowship in 1997 and the American/British/Canadian Traveling Fellowship in 2007.

Dr. Younger presently enjoys camping, cycling, and skiing. He also still tries to match his cultural heritage of being able to play golf, but still to a very poor level.

( Dr. Alastair Younger, Orthopaedic Surgeon, Vancouver, BC ) is in good standing with the College of Physicians and Surgeons. Now Health

How an Orthopaedic Surgeon Can Help You With Foot Pain and Bunions

Forefoot pain can happen after you have an injury or because of problems that you grew up with, essentially, what you inherited through your genes.

One of the ones that are often talked about is a bunion, which is a bump next to your big toe that gradually gets bigger in time. While everyone notices the bump, the deformity you have actually starts in the bone surrounding the foot, and as a result, it’s unlikely to get better if the bones remain out of place.

However, bunions are common and many of them don’t need any surgery. Because there’s a bump there and it irritates some shoes. The way to get around this is to make sure that you get good shoe advice to make sure that shoes that might irritate it – you don’t buy, and you can make sure, hopefully, they can remain fashionable and also remain pain free.

So as you get older, your foot can deteriorate and it can get more deformed. When you get a bunion this bone here goes out of place and twists off to the side. This bone here deforms and the bump that’s seen is this part of the bone pushing up against the skin.

When you get clotters these joints here – they’re quite far down in your foot – dislocate and then you can get other deformities where these joints here get tight and end up bending so that you can’t straighten them again.

These can be accommodated in your shoes, but on occasion, the shoe wear modifications are no longer able to keep up with the deformity so the foot needs to be straightened out.

The key to getting rid of a large bunion or protuberance of this bone is to make sure that it’s shorted its space, either by cutting the bone here, or by taking out this joint here and making sure that it heals with the foot straight.

Because the joints have got deformed in time they end up being tight on this side and loose on this side. And when the joint is corrected in its position the surgeon will need to release this side of the joint and tighten it up on this side so that your foot goes straight and stays straight.

So there’s a number of ways that bunions can hurt and that surgery can help you if you fail to resolve your discomfort with other things such as shoes and inserts. These are best coordinated through your family doctor or another practitioner, but if things deteriorate then you might consider asking for a referral to an orthopedic surgeon so that your foot can be addressed to see if surgery would be beneficial for you.

Presenter: Dr. Alastair Younger, Orthopaedic Surgeon, Vancouver, BC

Local Practitioners: Orthopaedic Surgeon

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