Many foot and ankle conditions respond well to conservative treatments in their early stages. However, when padding, orthotics, physical therapy, and footwear modifications no longer provide adequate relief, surgical correction often becomes the only permanent solution for restoring proper foot function and eliminating chronic pain.

Patients frequently delay foot surgery due to concerns about recovery time, surgical complications, or cost. With this free consultation, you can get all of your questions answered about how the procedure works, what the recovery period is like, and any potential costs involved in order to help you make an informed decision. We will never make you feel obligated to proceed with any surgery. We would just like to help you understand the process so you can make the decision that is right for you.

Minimally invasive foot surgery corrects bone misalignment, joint deformities, and other structural problems through specialized instruments inserted through tiny incisions. Rather than large incisions that expose entire joints and bones, Dr. Foster uses precision techniques guided by fluoroscopy to achieve excellent correction with minimal tissue disruption. Post-operative protocols are designed for optimal healing while maintaining appropriate mobility.

Depending on the specific procedure, patients may wear a protective surgical shoe or walking boot and can often bear weight immediately or shortly after surgery. Follow-up appointments allow Dr. Foster to monitor healing progress and adjust activity levels appropriately. The transition back to regular shoes happens gradually as swelling subsides and healing progresses. Most patients report being back in comfortable athletic or casual shoes within a few weeks, with continued improvement in the months that follow.

Dr. Foster provides clear instructions for each phase of recovery to ensure the best possible outcome. If chronic foot pain or mobility limitations is preventing you from living your ideal lifestyle, click here to schedule your FREE Surgical Consultation with Dr. Joel Foster.

What's the Difference Between an Orthopedist and a Podiatrist?

Orthopedic doctors are trained to diagnose and treat conditions affecting the entire musculoskeletal system, including the bones, joints, muscles, ligaments, and tendons throughout the body. They can certainly treat many foot injuries, including fractures and traumatic injuries.

Podiatrists, on the other hand, specialize exclusively in the foot and ankle. Their education, residency training, and continuing medical education are all centered on diagnosing, treating, and preventing foot and ankle conditions.

Why Choose a Podiatrist for Foot Pain?

Because podiatrists focus solely on the foot and ankle, they develop extensive experience treating a wide range of conditions, including:

• Heel pain and plantar Fasciitis

• Bunions and hammertoes

• Ingrown toenails

• Sports injuries

• Tendon and ligament injuries

• Arthritis of the foot and ankle

• Diabetic foot conditions

• Stress fractures and many other foot injuries

This specialized focus allows podiatrists to stay current on the latest treatment techniques, technologies, and research related specifically to foot and ankle care.

What Training Does a Podiatrist Have?

Podiatrists complete four years of podiatric medical school focused on the foot and ankle, followed by a residency program that typically includes two to four years of advanced, hands-on training dedicated entirely to foot and ankle medicine and surgery.

After residency, podiatrists continue their education through ongoing continuing medical education (CME), with coursework and training specifically related to foot and ankle conditions. This helps them remain up to date on the newest treatment options and best practices.

Should I See an Orthopedist or a Podiatrist for My Foot Pain?

If your pain is isolated to your foot or ankle, seeing a podiatrist should be your first step. Because they specialize exclusively in this area, podiatrists are well equipped to diagnose the cause of your pain and recommend the most appropriate treatment.

Orthopedic doctors also play an important role in treating foot and ankle injuries, particularly when managing complex trauma or conditions involving multiple parts of the musculoskeletal system. In many cases, orthopedic surgeons and podiatrists work collaboratively to provide patients with the best possible care.

Why Choose Dr Joel Foster for Your Foot Concerns?

When it comes to foot and ankle care, experience and specialized training matter. Dr. Joel Foster has dedicated his career to diagnosing and treating foot and ankle conditions, with advanced training in minimally invasive surgery, sports injuries, diabetic foot care, nerve disorders, and more.

As Kansas City's only board-certified minimally invasive foot and ankle surgeon, he has performed thousands of minimally invasive procedures over nearly two decades. Dr. Foster also continues to teach and train alongside leading foot and ankle specialists from around the world, ensuring his patients benefit from the latest techniques and evidence-based treatments. Whether you're dealing with chronic heel pain, a bunion, a sports injury, or another foot concern, Dr. Foster is committed to providing personalized care that helps patients get back on their feet as quickly and comfortably as possible.

To help answer that question, Dr. Joel Foster, podiatrist in Lee's Summit, Missouri, sat down with Dr. Robert Glaser, the inventor of Sole Supports custom orthotics, to discuss what makes these orthotics different, and why proper foot support can improve more than just foot pain.

A Different Approach to Custom Orthotics

According to Dr. Glaser, many traditional orthotics and store-bought inserts are designed to cushion the foot after it has already collapsed into an inefficient position. While they may provide temporary comfort, they often don't correct the way the foot functions.

As Dr. Glaser explains, "When you raise the arch, the foot locks in position for propulsion." In contrast, when the arch collapses, the foot becomes less efficient and more prone to instability.

Sole Supports are designed to support the foot in its optimal position throughout each step, helping improve foot mechanics while still allowing natural movement and shock absorption.

Dr. Glaser's unique background in both engineering and podiatry inspired him to rethink how orthotics should work. Rather than simply changing the shape of an insert, he focused on what he considers the true innovation: calibration.

Instead of using the same materials for every patient, Sole Supports orthotics are customized based on factors like body weight, foot flexibility, arch height, and activity level. As Dr. Glaser puts it, "The only thing I really invented was calibration." The goal is to provide the right amount of support for each individual—not a one-size-fits-all solution.

Why the Casting Process Matters

Unlike traditional methods that may capture the foot in a collapsed position, Sole Supports uses a standardized casting technique that positions the foot in its ideal functional posture before the orthotic is made.

This creates greater consistency and helps the finished orthotic better support the foot during walking and everyday activities.

Your Feet Affect Your Entire Body

Your feet are the foundation of your body. In Dr. Glaser's words, "The foot is your interface with the world—it's the foundation of the building." When that foundation isn't functioning properly, the effects can travel up the kinetic chain, contributing to discomfort in the:

• Feet

• Ankles

• Knees

• Hips

• Lower back

According to Dr. Glaser, supporting the foot correctly can influence the body's alignment all the way up the chain, helping improve overall movement and posture.

At Dr. Joel Foster's office, many patients come in seeking relief from foot pain but are pleasantly surprised to notice improvements in their knees, hips, or lower back after wearing properly fitted custom orthotics.

Custom Orthotics vs. Store-Bought Insoles

Over-the-counter inserts can provide extra cushioning, but they're designed to fit a wide range of feet. Custom orthotics are made specifically for your foot structure and walking mechanics, helping address the underlying cause of pain rather than simply adding padding.

For people with ongoing foot pain, heel pain, plantar fasciitis, or other biomechanical issues, consulting a plantar fasciitis podiatrist can help determine whether custom orthotics are appropriate. Sole Support orthotics are recommended for anyone who spends long hours on their feet, enjoys walking or running, works on hard surfaces, or wants better support for everyday activities. Many high-level athletes have also worn these orthotics for improved stability and performance.

Custom Orthotics for Only $375

If you're struggling with foot pain or recurring discomfort, custom orthotics may be worth exploring. At our Lee’s Summit office, Dr. Joel Foster offers what he describes as the highest quality orthotics at the most affordable cost in Kansas City. For only $375, our orthotics help patients move more comfortably and support the health of their feet—and often their knees, hips, and back as well.

As Dr. Glaser reminds patients, "This will affect every step you take for the rest of your life." Investing in properly fitted custom orthotics isn't just about relieving today's pain—it's about supporting your body's foundation for years to come.

If you'd like to learn more, watch our full interview with Dr. Robert Glaser and Dr. Joel Foster or schedule an appointment to see if custom orthotics are the right solution for you.

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How Does Pregnancy Affect My Feet?

During pregnancy, several factors can impact foot health:

• Weight gain increases pressure on the feet, ankles, and lower limbs.

• Hormonal changes, particularly increased levels of relaxin, can loosen the ligaments that support the arches of the feet.

• Changes in posture and balance shift how weight is distributed when standing and walking.

• Swelling can cause discomfort and make shoes feel tighter.

These changes often lead to symptoms such as:

• Arch pain

• Heel pain

• Plantar fasciosis

• Foot fatigue

• Ankle discomfort

• Knee, hip, and lower back pain

Can Pregnancy Permanently Affect My Feet?

Research has shown that pregnancy can lead to lasting changes in foot structure. Many women experience a decrease in arch height and an increase in foot length during pregnancy. These changes can be permanent, especially after multiple pregnancies.

When the arches collapse or flatten, the feet may not absorb shock as effectively, potentially contributing to pain and alignment issues throughout the body.

How Can Custom Orthotics Help During Pregnancy?

A custom orthotics podiatrist can evaluate your feet and biomechanics to determine whether custom orthotics are right for you during pregnancy. Unlike over-the-counter inserts, custom orthotics provide personalized support to help accommodate the unique changes occurring during pregnancy.

Custom orthotics can help:

• Support and stabilize the arches as your feet change during pregnancy

• Reduce strain on the plantar fascia and other soft tissues

• Improve foot and ankle alignment for better overall biomechanics

• Distribute pressure more evenly across the feet

• Reduce stress on the knees, hips, and lower back while improving walking and standing comfort

If you're pregnant and experiencing foot pain, arch discomfort, heel pain, or increased fatigue when walking or standing, it may be time to schedule a foot evaluation. Even if you're not currently experiencing symptoms, custom orthotics can be a proactive way to support your feet as your body changes throughout pregnancy.

Will I Need New Orthotics After Pregnancy?

While every patient is different, some women can continue using the same orthotics after delivery, while others may require adjustments if their foot structure has changed significantly. A follow-up evaluation after pregnancy can help determine whether your orthotics are still providing optimal support.

Custom Orthotics for Only $375

Double board certified podiatrist, Dr Joel Foster believes every patient should have access to high-quality custom orthotics without the high price tag. That's why we offer custom orthotics for just $375 at our office.

Here's What Makes Our Orthotics Different:

• Fully custom-made from the ground up

• Individually calibrated to your body weight, height, foot flexibility, and unique foot structure for truly personalized support

• Created using a precise, biomechanically corrected cast of your feet

• Designed to correct the root cause—not just symptoms

• Back from the lab and ready in just a few weeks

If you're pregnant and experiencing foot pain, arch discomfort, or changes in your foot shape, getting evaluated is easy. In most cases, patients can be seen and casted for their custom orthotics the same week they call.

Our custom orthotics are designed specifically for your feet and walking pattern, providing the personalized support needed to help you stay comfortable throughout pregnancy and beyond.

Dr. Joel Foster recently traveled to Nottingham, United Kingdom, to attend the European Foot & Ankle Society (EFAS) Minimally Invasive Surgery Conference. The event brought together foot and ankle specialists from around the world, including France, Germany, Egypt, Poland, and many other countries.

As medicine continues to evolve, staying current with the latest surgical techniques, technology, and treatment approaches helps ensure patients receive the highest level of care possible. Conferences like EFAS provide a unique opportunity for physicians to learn directly from leading experts, exchange ideas, and discuss the future of foot and ankle medicine.

For Dr. Foster, the trip was an opportunity to gain a broader perspective on how foot and ankle surgeons around the world approach the same conditions they treat every day. When asked why it was important to travel internationally for the conference, Dr. Foster explained, "I am always looking for opportunities to step out of my comfort zone and look at things from a different perspective. I wanted to see how foot and ankle surgeons around the world approach the conditions that we are all treating every day."

Beyond the educational sessions, Dr. Foster found tremendous value in the relationships built throughout the conference. He noted that one of the most rewarding aspects of the event was the opportunity "not only to discuss and learn surgical treatments, but also to build relationships with colleagues around the world."

The primary focus of the conference was the continued evolution of minimally invasive foot and ankle procedures. These techniques are designed to reduce tissue disruption, minimize postoperative discomfort, and potentially shorten recovery times compared to traditional surgical approaches.

Reflecting on the experience, Dr. Foster said one of his biggest takeaways was seeing how closely aligned many surgeons are in their treatment philosophies. "The biggest takeaway is that much of what we are doing is very similar. This builds a lot of confidence that minimally invasive surgeons in the United States and around the world are all operating with similar approaches." He also appreciated the opportunity to share his own experience and techniques with surgeons who are earlier in their transition from traditional open surgery to minimally invasive procedures.

In addition to attending lectures and surgical discussions, Dr. Foster had the opportunity to learn firsthand how physicians from different countries approach common foot and ankle conditions. Exposure to a variety of perspectives helps identify new ideas, refine existing techniques, and ensure patients benefit from the most current thinking in the field.

One of the highlights of the conference was working directly with Dr. Marc Elkaim, a French foot and ankle surgeon, during a cadaver lab session. "I was privileged to meet and work one-on-one in the cadaver lab with Dr. Marc Elkaim," Dr. Foster said. "I was able to learn a bunion surgery technique that he has perfected and has been performing for the last 16 years."

While conferences like EFAS are valuable learning experiences for physicians, the ultimate goal is always to improve patient care. Dr. Foster explained that many of the lessons he plans to implement involve subtle refinements rather than dramatic changes. "The majority of the things I will apply are mostly some subtle changes to hand position and angle of bone cuts in certain conditions. Sometimes it is these small changes that can make a big difference for patients by minimizing unnecessary trauma to the body and reducing postoperative pain."

Dr. Foster remains committed to lifelong learning and regularly attends educational events throughout the year. By combining experience, modern technology, and ongoing education, our goal is to provide patients with the most effective foot and ankle care possible.

Table of Contents

• Why Blood Flow Matters in Your Legs and Feet
• Why Good Circulation is Critical for Diabetes
• 5 Ways to Improve Blood Flow in Your Legs and Feet
  • 1. Walk More Every Day
  • 2. Elevate Your Legs
  • 3. Wear Proper Footwear
  • 5. Control Blood Sugar and Blood Pressure
  • 6. Get Your Blood Flow Checked Regularly
• Blood Flow Testing for Only $89 
• When to See a Podiatrist for Circulation Problems

Why Blood Flow Matters in Your Legs and Feet

Your legs and feet are the farthest parts of your body from your heart, which means circulation problems often show up there first. When blood flow becomes restricted, you may experience symptoms such as:

• Cold feet or toes

• Tingling or numbness

• Swelling in the ankles or legs

• Leg cramps when walking

• Slow-healing wounds

• Discoloration in the feet

• Burning or aching pain

Poor circulation can also increase your risk of serious complications, especially for people with diabetes, neuropathy, or peripheral artery disease (PAD).

Why Good Circulation is Critical for Diabetes

For patients with diabetes, healthy blood flow is extremely important. Diabetes can damage both the blood vessels and nerves in the feet, making it harder for the body to heal cuts, sores, and infections.

When circulation is poor, even a small blister or wound can become a serious medical issue. Reduced blood flow means less oxygen and fewer nutrients are reaching the tissues that need to heal.

Diabetics with poor circulation may be at higher risk for:

• Foot ulcers

• Infections

• Nerve damage

• Slow wound healing

• Tissue damage

• Amputation in severe cases

That’s why regular foot exams and circulation testing are so important. Catching circulation problems early can help prevent long-term complications and protect your mobility.

5 Ways to Improve Blood Flow in Your Legs and Feet

1. Walk More Every Day

Walking is one of the best exercises for improving circulation naturally. Movement helps your calf muscles pump blood back toward the heart.

Try to:

• Walk or ride a stationary bike for at least 20–30 minutes daily

• Take short movement breaks if you sit for long periods

• Stretch your ankles and calves throughout the day

Even light activity can make a noticeable difference in blood flow.

2. Elevate Your Legs

If you experience swelling or heaviness in your legs, elevating them above heart level can help improve circulation and reduce pressure in your veins.

Tips:

• Elevate your legs for 15–20 minutes while doing range of motion exercises

• Use pillows when resting

• Avoid sitting with crossed legs for long periods

3. Wear Proper Footwear

Tight shoes can restrict circulation and create pressure points in the feet. Properly fitted footwear supports healthy blood flow and reduces strain.

Look for shoes that:

• Have a wide toe box

• A stable heel

• A supportive midfoot

• Even wear patterns

Compression socks may also help some patients improve circulation and reduce swelling.

5. Control Blood Sugar and Blood Pressure

Diabetes and high blood pressure can damage blood vessels over time. Managing these conditions is critical for healthy circulation.

Important habits include:

• Monitoring blood sugar regularly

• Following your doctor’s treatment plan

• Eating a heart-healthy diet

• Maintaining a healthy weight

6. Get Your Blood Flow Checked Regularly

Many people ignore circulation problems until symptoms become severe. Early detection can help prevent serious complications.

At our office, we offer advanced circulation testing to evaluate blood flow in your legs and feet. We will perform an ABI (Ankle-Brachial Index) exam to compare the blood pressure in your ankle arteries to the blood pressure in your arm arteries. If the ratio is lower than normal, it may indicate reduced circulation or peripheral artery disease (PAD), which is especially important to detect early in patients with diabetes. 

Blood Flow Testing for Only $89 

Concerned about poor circulation, numbness, cold feet, or leg pain?

Click here to get your blood checked in our office for only $89!

Our circulation evaluation can help identify:

• Poor blood flow

• Early vascular problems

• Neuropathy-related complications

• Risks associated with diabetes and PAD

Early diagnosis can help protect your mobility, comfort, and long-term foot health.

When to See a Podiatrist for Circulation Problems

You should schedule an evaluation if you notice:

• Persistent cold feet

• Foot wounds that heal slowly

• Numbness or tingling

• Leg pain while walking

• Swelling that does not improve

• Changes in skin color on the feet or toes

Circulation problems can worsen over time if left untreated. A professional evaluation can help determine the cause and recommend the right treatment plan.

“About every three months, I would go to the podiatrist to get the corn shaved off, so it would quit hurting so bad. I couldn't go three months without my little toe hurting from rubbing on my shoe. I was so tired of the pain,” adds Kathy.

Understanding the Limits of Foot Pain

Kathy met her husband, John, at a dance at the Independence American Legion Post, and they continue to dance nearly every Saturday night. However, after three months of dancing, her little toe hurt so badly that she could barely walk, let alone dance.

Kathy is active in the community as a member of several General Federation of Women's Clubs. The organization is the oldest and largest women's international volunteer organization. Through the clubs, she volunteers several times a month. When volunteering for Harvesters Food Bank, Giving the Basics, and Happy Bottoms, her painful corn made it miserable for her to stand and assemble snacks, hygiene products, disposable diapers, and other essential items for these organizations.

“Because my toe hurt so bad, I would often ask for a volunteer job where I could sit down,” adds Kathy.

Navigating Options for Corn Removal

The first podiatrist Kathy met with 40 years ago recommended surgery to remove the last bone in her little toe. She opted for that surgery on both feet because she had a corn on both little toes at the time. It resolved the issue on her right foot, but not her left foot.

Several years later, a podiatrist performed an x-ray of her foot and noticed that the bone had grown back, and the corn returned on her left little toe. The podiatrist suggested surgery to remove the end of the little toe.

“One wanted to perform surgery where he would cut off the end of my little toe. Because I wouldn't have a toenail on that little toe, I didn't want that surgery.”

The next podiatrist suggested she release the tendon in the fourth and fifth toe on her left foot so the toes would lie flat instead of at an angle. Another podiatrist said that option wouldn't work and she recommended drilling into the bone on her little toe and smoothing the bone to keep the toe from rubbing on her shoe and causing the corn. 

At the urging of a friend, Kathy scheduled an appointment with Lee’s Summit foot and ankle specialist Joel Foster, DPM. Dr. Foster is trained in all aspects of foot and ankle care. He provides conservative treatment, and performs innovative minimally invasive surgical procedures.

“When I visited with Dr. Foster, I told him about these various treatment options from other podiatrists. He said he didn’t need to cut off the end of my toe, but rather a combination of what the last two podiatrists recommended,” adds Kathy.

Flexor Tenotomy Procedure

After a comprehensive surgical consultation with Kathy, Dr. Foster performed a minimally invasive tenotomy on her 4^th and 5^th toe. He also performed a procedure to smooth off the part of the bone in her little toe that was rubbing on her shoe.

“Dr. Foster did a great job. He explained everything that would happen during surgery and answered all my questions.”

Post-Operative Recovery, Patient Recommendation

Kathy definitely recommends this minimally invasive procedure to others. She experienced little pain, and only took a few Tylenol the first few days after surgery.

“I no longer have a corn on my left little toe and my shoes fit well. I'm free from pain!”

“The recovery went well. I had to keep my foot dry for two weeks. I purchased the cast protector from Dr. Foster and it did a great job of keeping my foot dry.

At her two-week check-up, Dr. Foster demonstrated for Kathy how to tape her toes to keep them at the correct angle until her next follow-up appointment.

“I was most impressed with the fact that after surgery, he gave me his card with his cell phone number. He told me to call him any time of the day or night during the weekend if I had any problems after surgery. That has never happened with other surgeries I have had. I always had to call an answering service that would call the surgeon on-call. That gave me peace of mind to know that Dr. Foster was just a phone call away,” adds Kathy.

Why Choose Minimally Invasive Surgery

Minimally invasive surgical techniques offer significant advantages over traditional open surgeries, including:

• Lower complication risks. Smaller incisions mean less opportunity for infections and post-surgery wound-healing complications.
  
  

• Less post-operative pain and scarring. Smaller incisions also mean less pain and swelling after the operation and often a better aesthetic result as well.
  
  

• More convenient, lower cost. The majority of minimally invasive surgical procedures can be done in Dr. Foster’s surgical room, rather than making a trip to the hospital. This could save you thousands of dollars of hospital and anesthesia charges.
  
  

• Faster treatment. In some cases, you’re out the door just 45 minutes after your procedure, and most people can return to work and resume normal activities faster than with traditional surgery.

The Comfort You Need, The Expertise You Trust.

If you find yourself avoiding activities you once enjoyed because of foot pain, struggling to find comfortable shoes or dealing with progressive deformities that continue worsening despite conservative treatment, surgical correction may offer the permanent solution you need.

Joel Foster, DPM, is one of the most experienced minimally invasive foot surgeons in the Greater Kansas City area, having successfully performed thousands of minimally invasive procedures.

Patients travel from all over the United States (and outside the country) to access Dr. Foster’s expertise in minimally invasive surgery. The combination of superior results, quicker recovery and personalized care makes the journey worthwhile for those seeking the best possible outcome. 

Dr. Foster is a double board-certified surgeon, earning certification in Foot Surgery by the American Board of Foot and Ankle Surgery (ABFAS), and is among fewer than 40 doctors nationwide to achieve board certification in Minimally Invasive Foot and Ankle Surgery by the American Board of Multiple Specialties in Podiatry (ABMSP).

Dr. Foster is offering free surgical consultations for a limited time! Click here to complete the form and schedule your consultation today!

By Mike Ralston

After years of enduring pain and discomfort from a bunion on her left foot, Overland Park resident Betty Haefele (pictured on right) took the advice of a friend and scheduled an appointment with Lee’s Summit foot and ankle specialist Dr. Joel Foster.

“It was really difficult to buy shoes. I had to make sure my heel was all the way back in my shoe with the shoe tied tight enough so that there was no rubbing on the widest part of my foot. I previously had trouble with the skin being ripped off of that area,” said Haefele.

“Many foot and ankle conditions respond well to conservative treatment in the early stages. When padding or footwear modifications no longer provide relief, surgical correction becomes the only permanent solution for restoring proper foot function and eliminating chronic pain,” adds Dr. Foster. 

Dr. Foster’s expertise encompasses the full spectrum of structural deformities and chronic conditions. Minimally invasive bunion correction surgery is one of the most common procedures Dr. Foster performs in his office and at Saint Luke’s East Hospital.

His minimally invasive approach corrects deformities like bunions, while preserving joint function and avoiding the stiffness associated with traditional procedures that require joint fusion and permanent hardware.

Surgical Consultation Allows Patients to Make an Informed Decision

Patients typically delay foot surgery due to concerns about recovery time, surgical complications or cost. By offering a complimentary comprehensive surgical consultation, Dr. Foster takes the time to focus on each patient’s issues and goals, while addressing any questions they may have about specific procedures, recovery time and payment options.

“Not everyone needs surgery. It’s important to help people understand the non-surgical and surgical options available, so they can make the decision that’s right for them,” adds Dr. Foster.

Dr. Foster’s surgical consultation also includes in-office weight bearing imaging of the foot and ankle. He is one of a select few podiatrists in the country to utilize pedCAT technology in his practice. The unique 3D imaging scanner provides enhanced diagnostic accuracy, improved efficiency and improved surgical outcomes for complex conditions, like fractures, arthritis and deformity.

“I had an initial complimentary surgical consultation with Dr. Foster, which included X-rays of both feet. Dr. Foster explained the results with me and there was no pressure to proceed with surgery,” adds Haefele.

Bunion Correction, Osteotomy Procedures

Haefele opted for outpatient surgery at St. Luke's East Hospital. Dr. Foster performed a bunion correction surgery with a double 1st ray osteotomy. This procedure involves two small incisions, one in the first metatarsal and one in the bone of the toe itself to realign the bones, improve stability and reduce recurrence.

Minimally invasive bunion correction surgery requires only three tiny poke hole incisions. This means no sutures are required and there is no permanent fixation. There are no screws, pins or hardware that will remain in your foot once the healing is completed. Minimally invasive surgery offers many benefits to the patient, including faster recovery, lower risk of infection, less scarring, and oftentimes lower cost.

“Bunion correction surgery is highly successful and most people are able to make a complete recovery, provided they follow their post-surgical instructions carefully. The complication rate with this procedure is so much lower than traditional open surgery,” adds Dr. Foster.

Better Results, Quicker Recovery

Managing pain and swelling after a bunion correction and osteotomy requires a combination of rest, elevation and icing. It’s critical to stay ahead of the pain by taking prescribed medications on schedule and minimizing weight-bearing activity.

“It was painful the evening after surgery, but not quite as acute the next day. I only took two pain pills on surgery day and two the following day. After that I took Tylenol, as the pain was much milder,” adds Haefele.

“I progressed right along as expected. Through the recovery process I kept my foot elevated, as directed by Dr. Foster. I wore the post-op shoe until the six week mark and then transitioned to a regular shoe.”

It’s so rewarding to see the satisfaction of each patient after minimally invasive surgery,” adds Dr. Foster.

Betty’s lifestyle has definitely improved after the surgery, and she would definitely recommend Dr. Foster and this surgery to others. In addition to the bunion correction surgery, she had six laser treatments post-surgery. The new dual wavelength MiS laser generates 14x more power than Dr. Foster’s previous model, which significantly accelerates tissue repair and reduces inflammation between joints.

“I can wear my shoes without worrying about my left shoe being so tight. It won’t be so difficult to find shoes.”

Minimally Invasive Surgery Expertise, Personalized Approach to Care

If you find yourself avoiding activities you once enjoyed because of foot pain, struggling to find comfortable shoes or dealing with progressive deformities that continue worsening despite conservative treatment, surgical correction may offer the permanent solution you need.

Joel Foster, DPM, is one of the most experienced minimally invasive foot surgeons in the Greater Kansas City area, having successfully performed thousands of minimally invasive procedures.

Patients travel from all over the United States (and outside the country) to access Dr. Foster’s expertise in minimally invasive surgery. The combination of superior results, quicker recovery and personalized care makes the journey worthwhile for those seeking the best possible outcome. 

Dr. Foster is a double board-certified surgeon, earning certification in Foot Surgery by the American Board of Foot and Ankle Surgery (ABFAS), and is among fewer than 40 doctors nationwide to achieve board certification in Minimally Invasive Foot and Ankle Surgery by the American Board of Multiple Specialties in Podiatry (ABMSP).

Dr. Foster is offering free surgical consultations for a limited time! Click here to complete the form and schedule your consultation today!

The problem? Foot pain, blisters, swelling, and heel pain can quickly turn an unforgettable trip into a miserable experience.

Whether you’re traveling from another state or another country, these Kansas City World Cup walking tips can help you stay comfortable and enjoy every minute of your trip.

Expect More Walking Than You Think

One of the biggest surprises for sports fans attending major events is just how much walking is involved.

Between:

• Parking lots

• Public transportation

• Stadium ramps and stairs

• Fan festivals

• Downtown events

• Airport travel

• Hotel walking

…it’s not unusual for fans to easily walk 5–10+ miles per day during their World Cup trip.

If you already deal with:

• Plantar fasciitis

• Flat feet

• Bunions

• Achilles pain

• Neuropathy

• Arthritis

• Heel pain

…the added walking can flare symptoms up quickly.

Best Shoes for World Cup Travel

The wrong shoes are one of the fastest ways to ruin a stadium day.

When choosing the best shoes for World Cup travel, look for:

• Stable midfoot support

• Cushioning for long walking days

• A wide toe box

• Heel stability

Avoid:

• Flat fashion sneakers

• Old, worn-out shoes

• Sandals with no support

• Minimalist shoes if you’re not used to them

A common mistake travelers make is bringing brand-new shoes for the trip. Break your shoes in before arriving in Kansas City.

If you’re looking for a great shoe store while visiting Kansas City, check out Running Well Store. Their staff is specially trained to help fit you in the best shoes for your feet, walking style, and activity level.

If you already wear orthotics, definitely bring them on your trip. A lot of people leave them at home and regret it after long days of walking. And if you need extra support while you’re in Kansas City, we offer heat-molded orthotics in-office that can be customized and ready the same day.

Blister Prevention for Soccer Fans

Blisters are incredibly common during large sporting events because fans suddenly increase their walking activity.

Simple blister prevention tips:

• Wear moisture-wicking socks

• Change socks during long days

• Use anti-friction balm or blister pads

• Keep feet dry

• Don’t wear brand-new shoes

• Carefully trim thick calluses before traveling

One of the biggest mistakes people make is ignoring a “hot spot.” If you feel rubbing or irritation, don’t just push through it all day — that’s how you end up with a major blister or wound. Change socks, adjust your shoes, and use blister protection early.

And if you’re visiting Kansas City for the World Cup and something does flare up, we can get people in quickly for blister care, callus treatment, or foot pain so they can enjoy the rest of their trip comfortably.

Swollen Feet From Flights and Travel

Long flights and car rides commonly cause foot and ankle swelling.

Travel swelling happens because:

• You sit for long periods

• Circulation slows down

• Feet are in a dependent position

• Sodium and dehydration can worsen fluid retention

Travel tips to reduce swelling:

• Walk periodically during flights

• Stretch your calves often

• Stay hydrated

• Wear compression socks

• Elevate feet at the hotel when possible

Many travelers notice their shoes fitting tighter after flying. Plan ahead and avoid overly snug footwear.

Plantar Fasciitis Travel Tips

Heel pain and plantar fasciitis can become significantly worse during vacations packed with walking.

A few things that help:

• Stretch your calves before getting out of bed

• Never walk barefoot in the hotel room

• Use supportive shoes immediately in the morning

• Ice your heels after long walking days

• Alternate activity when possible

If you know you’re prone to heel pain, preparing before the trip can make a huge difference.

Local Podiatrist Recommendations in Kansas City

One thing many visitors don’t realize is that foot pain from excessive walking and travel can often be treated quickly — especially when addressed early.

Our direct-care podiatry office in Kansas City offers:

• Same-week and often same-day appointments

• Fast diagnosis and treatment

• Same-day customizable heat-molded orthotics

• Advanced therapies for heel pain, swelling, tendon pain, and overuse injuries

One of the biggest advantages for travelers is that we can fit patients with heat-molded orthotics for only $60, and patients can walk out with them the same day.

Whether it’s:

• Blisters

• Arch pain

• Heel pain

• Swollen feet

• Tendon irritation

• Ball-of-foot pain

• Foot fatigue from excessive walking

…our office can often help people get comfortable again quickly so they can get back to enjoying their trip.

Don’t Spend Your Kansas City World Cup Experience Sitting in Pain

The 2026 FIFA World Cup will bring incredible energy to Kansas City, and the last thing you want is foot pain slowing you down.

If foot pain starts affecting your trip while you’re in town, our direct-care podiatry office offers same-week — and often same-day — appointments designed to help visitors get relief quickly so they can get back to the games, restaurants, events, and everything Kansas City has to offer.

So how do minimally invasive procedures compare to traditional surgery, and why are more patients choosing them?

What Is Traditional Foot and Ankle Surgery?

Traditional (or “open”) surgery involves making larger cuts so the surgeon can clearly see and reach the problem area.

These procedures have been used for many years and can be effective, but they often involve:

• Bigger incisions

• More impact on nearby muscles and tissue

• Longer recovery times

• More pain and swelling after surgery

Although traditional surgery can still be effective, it usually means a longer and more difficult healing process.

Why Minimally Invasive Foot and Ankle Surgery Is the Better Option

Minimally invasive surgery uses very small incisions—sometimes only a few millimeters long. Surgeons use special tools and imaging technology to guide the procedure without fully opening the area.

This approach allows the surgeon to fix the problem while protecting as much healthy tissue as possible.

Benefits of Minimally Invasive Surgery

1. Smaller Cuts, Less Damage

Smaller incisions mean less harm to muscles, tendons, and surrounding tissue. This helps your body heal more easily.

2. Faster Recovery

Many patients are able to get back to normal activities sooner. This can include:

• Walking earlier

• Returning to work faster

• Getting back to exercise more quickly

3. Less Pain

Because there is less tissue damage, patients usually experience less pain after surgery and may need fewer pain medications.

4. Lower Risk of Problems

Minimally invasive surgery can reduce the chances of complications such as:

• Infection

• Poor wound healing

• Large or noticeable scars

5. Smaller Scars

Smaller incisions mean smaller scars, which are often barely visible once healed.

Why More Patients Are Choosing Minimally Invasive Surgery

New technology and improved techniques have made minimally invasive surgery safer and more effective than ever. For many common foot and ankle problems—like bunions, hammertoes, and flat feet—it can provide results that are just as good or better than traditional surgery.

The biggest difference? An easier recovery.

More patients today are choosing options that help them heal faster and get back to their normal lives sooner.

After dealing with chronic left foot pain for over a decade, this patient reached a breaking point when a long-standing bunion rapidly worsened, making it difficult to wear shoes or stay on her feet for extended periods. She had tried numerous over-the-counter solutions—including inserts, cushions, and bunion correctors—but none provided relief, and many actually made the pain worse. Feeling discouraged and out of options, she had nearly accepted the discomfort as permanent.

Everything changed when she learned about Dr. Foster’s minimally invasive approach. Unlike traditional surgery, the procedure involved small incisions, local anesthesia, and no permanent hardware. The experience was smooth and far less intimidating than expected—she remained awake, experienced minimal discomfort, and was guided through each step of the process. With a temporary pin removed after a few weeks and no lasting implants, the procedure offered a more comfortable, patient-friendly path to long-term relief.

Double Board-Certified Expertise You Can Trust

When considering foot and ankle surgery, choosing the right specialist is just as important as choosing the right procedure.

With over 25 years of experience, Dr. Joel Foster is a double board-certified podiatric surgeon serving the Kansas City metro area. His advanced training and certifications reflect a high level of expertise in both foot and ankle surgery, as well as a commitment to maintaining the latest standards in patient care.

With extensive experience in minimally invasive techniques, Dr. Foster focuses on helping patients achieve the best possible outcomes with less pain, smaller incisions, and faster recovery times. He takes a personalized approach to care, ensuring that each patient receives a treatment plan tailored to their specific condition, lifestyle, and goals.

Patients throughout the Kansas City area trust Dr. Foster for his skill, precision, and dedication to helping them get back on their feet as quickly and safely as possible.

Flat feet in young patients are often caused by excessive motion in the talotarsal joint, where the ankle bone (talus) shifts out of proper alignment over the heel bone. This can lead to a collapsed arch, inward rolling of the foot, fatigue, and pain with activity. While orthotics and braces can help manage symptoms, they don’t correct the underlying issue—and symptoms often return when they’re not being worn.

Why EOTTS is the #1 Surgery for Flat Feet

EOTTS is different because it addresses the root cause of flat feet in a minimally invasive way. The procedure involves placing a small titanium stent into a natural space in the foot called the sinus tarsi. This implant acts as a stabilizer, preventing excessive motion while still allowing normal movement. The result is improved alignment, a more natural arch, and better overall foot function.

For children and teens, this approach offers several important safety advantages:

• No cutting of bone or joint fusion, which helps preserve natural growth and development

• Very small incision (typically 1–2 cm) with minimal tissue disruption

• Performed under local anesthesia in many cases, avoiding more complex surgical risks

• Immediate or early weight-bearing, meaning many patients can walk right after the procedure

• Low complication rates due to the simplicity and minimally invasive nature of the technique

Compared to traditional reconstructive surgeries—which may involve bone cuts, tendon transfers, or permanent hardware—EOTTS is much less invasive and significantly easier for younger patients to tolerate and recover from.

Double Board-Certified Expertise You Can Trust

Dr. Joel Foster, a double board-certified podiatric surgeon with over 25 years of experience, carefully evaluates each child or teen to determine if they are a good candidate. EOTTS is typically recommended for patients who:

• Have flexible flat feet (an arch that collapses when standing)

• Experience pain, fatigue, or difficulty with sports or daily activities

• Want a permanent solution rather than a lifetime of custom orthotics or bracing

Alabama Parent Thrilled with Daughter’s EOTTS Results

Lindsay Smothers and her husband spent years researching solutions for their daughter Lola’s painful flat feet. By age 10, Lola struggled with daily pain, limited activity, difficulty wearing certain shoes, and an abnormal gait. Concerned about the long-term impact on her knees, hips, and back, her parents—both in physical therapy—sought a lasting solution. After extensive research, they chose to travel from Alabama to see Dr. Joel Foster, whose expertise and patient-centered approach gave them confidence in pursuing the EOTTS procedure.

Lola’s surgery was quick, and her recovery was smoother than expected, with minimal pain and a rapid return to walking and normal activities. Within weeks, she transitioned back to regular shoes, and by two months, she resumed full activity without limitations. Today, Lola is active, pain-free, and even participating in sports—something that once seemed impossible. Her family reports a life-changing experience and strong satisfaction with both the results and the care they received.

“We are forever grateful to Dr. Foster and his entire staff, and we would return back for future needs without hesitation. We would absolutely recommend Dr. Foster to anyone. Our experience with Dr. Foster was so pleasant and we couldn’t be happier with our results,” -Lindsay Smothers

But here’s the reality: When it comes to foot and ankle concerns, specialized care makes a measurable difference.

At our practice, we offer same-day urgent care appointments specifically for foot and ankle concerns, with advanced diagnostics and specialized treatment you won’t find at an urgent care clinic.

What Counts as a Foot Emergency?

If you’re experiencing any of the following, it’s worth being seen the same day:

• Painful ingrown toenails

• Foot or ankle injuries (sprains, fractures, trauma)

• Sudden heel pain or inability to walk

• Signs of infection (redness, swelling, drainage)

• Diabetic foot concerns

• Foreign objects in the foot

• Rapidly worsening pain or swelling

These issues don’t just need quick attention—they need the right kind of attention.

Why Not Just Go to Urgent Care?

Traditional urgent care centers are designed to handle a wide range of general medical issues. While they can be helpful, they often:

• Lack specialized foot and ankle expertise

• Don’t have advanced imaging specific to foot conditions

• Provide temporary solutions rather than definitive treatment

• Refer you elsewhere—costing you more time and money

When it comes to your feet, seeing a specialist first can make all the difference.

What Makes Our Office Different

We’ve built our practice to function as a true urgent care alternative for foot and ankle problems—with advanced technology and specialized care all in one place.

Advanced Imaging, On-Site

Unlike most urgent care clinics, we offer:

3D Weight-Bearing CT – See your foot and under true weight-bearing pressure for more accurate diagnoses

C-Arm Live Imaging – Real-time X-ray imaging with live motion for precise procedures and injury evaluation 

Diagnostic Ultrasound – Ideal for soft tissue injuries like plantar fasciitis or tendon pathology.

This means fewer guesses—and faster, more accurate answers.

Same-Day Treatment—Not Just Diagnosis

One of the biggest frustrations with urgent care is leaving without a real solution.

Our goal is different: diagnose and treat on the same visit whenever possible.

Depending on your condition, that may include:

• Ingrown toenail procedures

• In-office treatment for injuries

• Foreign body removal

• Targeted therapy for inflammation or pain

• Customized treatment plans to prevent the issue from returning

Specialized Care You Can Trust

A podiatrist is trained specifically in the foot and ankle—not just general medicine.

That focus matters when you’re dealing with:

• Complex biomechanics

• Sports injuries

• Chronic conditions like plantar fasciitis

• Diabetic foot risks

Instead of a quick general assessment, you’re getting expert-level care from the start.

Skip the Wait. Skip the Guesswork.

If you’re dealing with a foot or ankle issue, you don’t need to sit in a crowded urgent care waiting room only to be referred somewhere else.

You can come directly to a specialist who has the tools, training, and experience to help—right away.

Same-Day Appointments Available

We offer same-day urgent care appointments for foot and ankle concerns.

Call to be seen quickly—and get answers and treatment without the runaround.

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If you’re searching for pelvic floor therapy in Kansas City or wondering whether you could benefit from treatment, this conversation offers expert insight and practical guidance from two local healthcare providers.

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Table of Contents

• Advanced Non-Surgical Treatments for Foot and Ankle Pain
• 1. MLS Laser Therapy for Foot and Ankle Injuries
  • Benefits of MLS Laser Therapy
• 2. EPAT Shockwave Therapy for Chronic Heel and Tendon Pain
  • Conditions Treated with EPAT
  • Benefits of EPAT Therapy
• 3. Aqua Roll Therapy for Circulation and Recovery
  • Benefits of Aqua Roll Therapy
• Personalized Treatment Plans for Foot and Ankle Injuries

Advanced Non-Surgical Treatments for Foot and Ankle Pain

Foot and ankle pain can make everyday activities—walking, exercising, or even standing—difficult and uncomfortable. Many patients assume that surgery is the only solution for persistent pain, but the truth is that most foot and ankle injuries can be successfully treated with non-surgical therapies.

Our office offers cutting-edge regenerative medicine and non-surgical therapies that help reduce pain, stimulate healing, and restore mobility. Innovative therapies such as MiS laser therapy, EPAT shockwave therapy, and Aqua Roll therapy are transforming the way many foot and ankle conditions are treated.

1. MLS Laser Therapy for Foot and Ankle Injuries

MLS laser therapy is one of the most advanced non-invasive treatments used in podiatry today. This laser uses a targeted beam of light to penetrate deep into the area and stimulate cellular activity, triggering the body’s natural biological and biochemical responses.

Benefits of MLS Laser Therapy

• Reduces inflammation in injured tissues

• Improves circulation and oxygen delivery

• Stimulates tissue repair and regeneration

• Relieves pain without medication

• Speeds recovery time

Laser therapy is highly effective for patients suffering from:

• Plantar fasciitis

• Achilles tendonitis

• Chronic ankle pain

• Tendon inflammation

• Soft tissue injuries

Most patients experience noticeable pain relief after just a few treatments.

2. EPAT Shockwave Therapy for Chronic Heel and Tendon Pain

EPAT (Extracorporeal Pulse Activation Technology), commonly known as shockwave therapy, is another highly effective non-surgical treatment for chronic foot and ankle conditions. EPAT uses acoustic pressure waves to stimulate healing in damaged tissue and improve blood flow.

Conditions Treated with EPAT

• Chronic plantar fasciitis

• Achilles tendonitis

• Heel spurs

• Tendon injuries

• Calcifications in soft tissue

Benefits of EPAT Therapy

• Promotes natural healing

• Breaks down scar tissue

• Stimulates collagen production

• Improves blood circulation

• Non-invasive with minimal downtime

EPAT is particularly beneficial for patients who have chronic pain that has not responded to traditional treatments.

3. Aqua Roll Therapy for Circulation and Recovery

Aqua Roll therapy is a specialized treatment designed to improve circulation, relieve muscle tension, and support recovery from foot and ankle injuries. Using hydro-based rolling massage technology, Aqua Roll therapy helps stimulate the lymphatic system and reduce inflammation.

Benefits of Aqua Roll Therapy

• Improves blood flow to injured tissues

• Reduces swelling in the feet and ankles

• Relieves muscle tension and tight fascia

• Supports recovery after injury or treatment

• Enhances overall foot health

Aqua Roll therapy is often combined with regenerative treatments to accelerate healing and improve patient outcomes.

Personalized Treatment Plans for Foot and Ankle Injuries

Every patient’s condition is unique, which is why Dr. Joel Foster develops a personalized treatment plan tailored to each patient’s specific needs and goals.

A comprehensive non-surgical treatment plan may include:

• MLS laser therapy

• EPAT (shockwave therapy)

• Aqua Roll therapy

• Stretching and rehabilitation exercises

• Custom orthotics

• Activity modification

For maximum results, Dr Joel Foster often recommends a combination of all three of these therapies. For just $400 per month, our Therapy Room Package provides access to a combination of therapeutic treatments designed to work together to reduce pain, improve circulation, and promote faster recovery. By integrating MLS laser, EPAT, and Aqua Roll into a structured care routine, patients often experience more noticeable and longer-lasting results.

This package is especially beneficial for individuals dealing with chronic conditions, ongoing inflammation, or those looking to enhance their recovery between primary treatments.