Not knowing the exact medical term for what you’re feeling can be incredibly frustrating. Let’s start with what you experience every day. Select your symptoms below, and we’ll map out exactly how we can tackle them together.
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Foot Pain
Foot pain may arise from arthritis, tendon problems, fractures, bunions, nerve irritation, plantar fasciitis, deformity, or pressure-related problems...
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Ankle Pain
Ankle pain may follow a sprain, fracture, cartilage injury, tendon disorder, arthritis, or instability. Persistent pain, swelling, catching, locking...
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Bunions &
Toe DeformityBunions, hammer toes, claw toes, & related deformities can cause pain, shoe irritation, pressure points, skin changes, and walking difficulty...
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Achilles &
Tendon ProblemsAchilles tendon pain, tendonitis, tendinopathy, rupture, or other tendon disorders can affect walking, running, stairs, & sport...
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Sports &
Dance InjuriesSports and dance-related foot & ankle injuries require careful diagnosis because early return without adequate healing may increase the risk of recurrence...
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Arthritis & Joint Pain
Foot & ankle arthritis can cause pain, stiffness, swelling, reduced movement, & difficulty with walking or footwear...
Mr. Rohit Madhav MBBS FRCS(Ed) FRCS (Tr & Orth) Consultant Orthopaedic Surgeon
Mr. Rohit Madhav is a Consultant Orthopaedic & Trauma Surgeon with specialist expertise in foot & ankle conditions. His practice includes the diagnosis & treatment of bunions, hammertoes, flat foot deformity, ankle sprains, Achilles tendon disorders, arthritis, joint replacement, fractures, cartilage injuries, ligament injuries, tendon problems, & complex lower-limb conditions.
- GMC Number: 3505917
- Consultant Orthopaedic Foot & Ankle Surgeon
- Specialist interest in minimally invasive foot & ankle surgery
- Experience with athletes, dancers, performers, & complex lower-limb conditions
Treatment Philosophy Personalised Treatment Planning, Not One-Size-Fits-All Care
Every foot & ankle condition is different. Two patients may have the same diagnosis but different symptoms, activity goals, medical backgrounds, footwear needs, work demands, and recovery expectations. Mr. Madhav's approach begins with careful listening, examination, review of imaging where needed, & a clear explanation of the available options. He exhausts all available non-surgical options & only if necessary discusses surgical options to find an ideal solution.
Core Areas of Expertise
Focused assessment & treatment for common, complex, traumatic, degenerative, & activity-related foot &
ankle conditions.
Minimally Invasive
Bunion Surgery
Bunions, also known as hallux valgus, can cause pain, swelling, shoe irritation, pressure over the big toe joint, & progressive deformity. Initial treatment may include footwear changes, padding, orthotics, pain management, & activity modification. When symptoms persist despite conservative care, surgery may be considered to realign the bones, correct the deformity, & reduce painful pressure.
Ankle Arthroscopy
Ankle arthroscopy is a keyhole procedure used to assess & treat selected problems inside the ankle joint. It may be considered for conditions such as ankle impingement, cartilage injury, loose fragments, some arthritis-related symptoms, instability-related problems, or persistent ankle pain that has not improved with appropriate non-surgical treatment.
Foot & Ankle Reconstruction
Foot & ankle reconstruction may be considered when deformity, arthritis, tendon dysfunction, trauma, instability, or structural problems affect alignment, walking, footwear, or function. Reconstructive treatment is highly individual & may involve bone realignment, tendon procedures, joint-preserving surgery, fusion, or correction of deformity.
Big Toe Replacement
Big toe or Great toe joint replacement is a surgical procedure for the treatment of great toe arthritis in which damaged sections of the great toe joint are removed and replaced with an artificial component such as a flexible silastic (silicone) implant. Mr. Madhav offers this procedure to help relieve pain & restore the range of motion & function of the great toe & foot.
Achilles Tendon Problems
Achilles tendon problems may include tendinopathy, insertional pain, rupture, inflammation, or degeneration. Symptoms can include pain at the back of the heel or calf, swelling, stiffness, weakness, reduced push-off strength, or difficulty walking, running, or climbing stairs.
Sports, Dance &
Performance Injuries
Foot and ankle injuries in athletes, dancers, & performers can involve ligaments, tendons, cartilage, bones, joints, & soft tissues. These patients often need a careful balance between healing, performance demands, recurrence prevention, & safe return to activity.
Patient Educational Videos & Resources
Foot & Ankle
Specialist FAQs
When should I see a foot and ankle specialist?
You should consider seeing a foot and ankle specialist if pain, swelling, instability, deformity, stiffness, or difficulty walking persists despite rest or initial treatment. Sudden injury, repeated ankle sprains, suspected fracture, worsening bunion pain, Achilles tendon symptoms, or arthritis-related limitation may also require specialist assessment.
Do all foot and ankle problems need surgery?
No. Many foot and ankle conditions can be managed without surgery using footwear advice, physiotherapy, orthotics, bracing, medication, injections, activity modification, or rehabilitation. Surgery is usually considered when symptoms persist, function is affected, or structural problems are unlikely to improve with non-surgical care alone.
What is minimally invasive bunion surgery?
Minimally invasive bunion surgery is a technique that uses small incisions and specialised instruments to correct selected bunion deformities. It may reduce soft tissue disruption compared with some open techniques, but suitability depends on the patient's deformity, joint condition, symptoms, and overall health.
What is ankle arthroscopy used for?
Ankle arthroscopy is a keyhole procedure used to assess and treat selected problems inside the ankle joint. It may be used for impingement, cartilage injury, loose fragments, instability-related problems, or persistent ankle pain when clinically appropriate.
Is ankle replacement suitable for all ankle arthritis patients?
No. Ankle replacement may be suitable for selected patients with advanced ankle arthritis, but it is not appropriate for everyone. Suitability depends on bone quality, joint alignment, deformity, stability, medical history, activity level, and expectations. Other options may include bracing, injections, physiotherapy, fusion, or other procedures.
What should I bring to my appointment?
Bring previous X-rays, MRI or CT scans, medical reports, referral letters, medication lists, insurance details, and information about previous treatments. For footwear-related symptoms, bringing frequently worn shoes or orthotics may help the assessment.
Locations & Access
Foot & Ankle Consultations in London & Elstree
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St John &
St Elizabeth Hospital60 Grove End Rd
St John's Wood
London, NW8 9NH -
King Edward VII's
Hospital5-10 Beaumont Street
Marylebone
London, W1G 6AA -
The Princess Grace
Hospital30 Devonshire Street
Marylebone
London, W1G 6PU -
Spire Bushey Diagnostic
CentreOnly Friday Mornings for Clinic
290 Centennial Park
Centennial Avenue
Elstree, WD6 3SU