Paul is a native of Hammond, Indiana. He received his bachelor’s degree in education and athletic training with honors from Butler University and has been serving as a certified orthopaedic physician assistant since 2014. He has assisted in over 10,000 knee and shoulder surgeries and has over 20 years of experience in sports medicine, including having been an athletic trainer for multiple professional athletic teams and events.
Dr. Nathaniel Milburn is a fellowship-trained primary care sports medicine physician who specializes in the treatment of orthopaedic and sport-related injuries as well as the complex medical management of athletic physical performance. As a specialist in nonoperative sports medicine, his scope of practice includes minimally invasive tenotomies, ultrasound-guided injections, barbotage, and prolotherapy. In addition, Dr. Milburn is an expert in biologic therapy.
Fusion is locking the bones together. A triple arthrodesis is a fusion in the hindfoot (back of the foot) used to treat many types of painful foot deformities. This procedure fuses the joints under the ankle that allow the foot to move from side to side. These joints are the talonavicular, subtalar, and calcaneocuboid.
Total ankle replacement, also known as total ankle arthroplasty, is a surgical procedure that foot and ankle orthopaedic surgeons use to treat ankle arthritis. Arthritic changes may be a result of normal wear and tear due to aging or from an injury such as a broken ankle or dislocation. Arthritis eventually leads to loss of cartilage, pain, and/or deformity.
The goal of ankle replacement is to provide pain relief while preserving ankle motion so the patient has less pain and better function during activity.
Toenail fungus (onychomycosis) is an infection of the nail and sometimes surrounding tissue. It is extremely common with 20 percent of the general population and 75 percent of people over 60-years-old affected. Often, the problem is cosmetic, but many patients also experience pain. Sometimes toenail fungus can lead to more serious infections.
Nearly one-fourth of all the bones in your body are in your feet, which provide you with both support and movement. A broken (fractured) bone in your forefoot (metatarsals) or in one of your toes (phalanges) often is painful but rarely disabling. Most of the time, these injuries heal without surgery. A dislocation can be mistaken for a toe fracture, therefore obtaining X-rays to ensure a correct diagnosis is important.
People with diabetes are at risk for foot issues, including the possibility of losing a leg. The risk increases when a person has diabetic neuropathy, a type of nerve damage that causes foot numbness, since problems can go unnoticed. Click the button below to learn how to reduce the risk by properly caring for diabetic feet and seeing a doctor as soon as possible if there is an issue.
Tendoscopy is a procedure that allows an orthopaedic surgeon to see the inside of a tendon sheath to treat tendon disorders of the foot and ankle. Tendoscopy is very similar to arthroscopy. A small camera and special instruments are placed through small incisions along the course of a tendon. Sterile fluid is used to expand the sheath and provide direct exposure to the tendon.
A tendon transfer is moving a tendon from its normal, anatomic location to another area of the foot or ankle. Tendons typically are transferred in order to restore more normal movement to a foot and ankle that has lost function. A common problem is loss of the ability to raise the foot up, which is called foot drop. This can result from nerve or muscle damage due to stroke, injury, or other diseases. This muscular weakness or paralysis decreases movement and can lead to the foot becoming bent or twisted, making it difficult or painful to stand, walk or wear shoes.
