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.

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.

“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.

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.

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.

If you’re dealing with a foot or toe wound that just won’t heal, you don’t need endless visits. You need a solution.

Many patients are told to return week after week, month after month, with no clear end in sight. That cycle can be frustrating, time-consuming, discouraging, and expensive.

Our goal isn’t to keep you coming back for ongoing wound care. Our goal is to help you heal — and keep the wound from coming back.

Wound care should not be about maintenance. It should be about resolution.

Why Some Wounds Don’t Heal

In many cases, a wound fails to resolve because the underlying cause hasn’t been addressed.

Most chronic foot wounds are caused by excess pressure in a specific area. If that pressure isn’t reduced, the wound simply cannot heal — no matter how carefully it’s cleaned or dressed.

You can treat the surface repeatedly, but if the mechanical problem remains, the wound remains.

A Different Approach: Correct the Cause

This is where minimally invasive procedures can make a powerful difference.

Using tiny 2–3 mm incisions, we can reduce the pressure contributing to the wound. These procedures:

• Are performed under local anesthetic

• Require no sutures

• Do not require stopping blood thinners

• Carry very low risk

• Are appropriate for many diabetic and high-risk patients
  
  

In fact, many patients are told they “shouldn’t have surgery” because they are diabetic. But an open, exposed wound often carries far greater risk than a carefully controlled, minimally invasive procedure designed to eliminate the source of the problem.

When we correct the underlying cause, healing often accelerates dramatically.

We frequently see improvement in days — and resolution in weeks rather than months.

Stop Managing the Wound. Start Solving It.

If you have:

• A wound that won’t heal

• A wound that keeps returning

• Ongoing need for repeated debridement

• No clear long-term plan for resolution

There may be a better option.

Instead of focusing on months of repeated care, we focus on identifying the cause, correcting it, and helping you move forward.

“I met Mark at the hospital and continued his care at my office. He was dealing with a significant infection, so we were able to treat it with antibiotics and good wound care. However, he was continuing to endure quite a bit of pressure under his great toe, and there was an area on the ball of his foot that concerned me with ulcers returning,” adds Dr. Joel Foster.

After a thorough consultation with Mark to assess his overall foot structure, as well as discussing his limitations and treatment options, Dr. Foster scheduled minimally invasive surgery (MIS) procedures to prevent the affected areas from becoming calluses and wounds, and to relieve the pain that he was having.

Akin Osteotomy, Tendon Release Procedures

One of the first issues Dr. Foster addressed was the pressure Mark had under his big toe. The joint didn't bend up very well, and there was a lot of resistance from the flexor tendon.

“I performed a slight release to lengthen the flexor tendon and to allow the big toe to set-up. I also made a tiny incision (diameter of a ballpoint pen) and made a little cut in the bone to elevate it, which eliminated the pressure completely,” adds Dr. Foster.

The other issue was the pressure below the fourth metatarsal bone. Mark experienced pain and Dr. Foster was concerned about an ulcer or wound developing there, as there were clear signs of significant pressure and developing pressure wounds in this area of his foot.

“Similarly, I made a tiny incision and cut in that bone to allow it to elevate. Our risk is that all the pressure would be transferred to the other metatarsal bones. So I made a little cut in each one of the other bones allowing all of those bones to elevate the same amount.”

In the end, Dr. Foster was able to eliminate all the pressure through MIS techniques. No sutures, no pins, no screws. He simply splinted the toes in the correct position and allowed them to heal naturally.

“Remarkably, there was no real pain during the entire procedure. Dr. Foster did an amazing job,” adds Denby.

Quick Recovery Process, Professional Staff   

The recovery process has been good for Mark, even faster than he thought it would.

“It is very rewarding to be able not only to heal a wound, but to actually solve the underlying pressure problem in an effort to prevent my patients from having the wound return in the future,” adds Dr. Foster.

“Dr. Foster and his staff are so caring and friendly. They really helped me get to where I needed to be and to walk normal again.”

“My lifestyle has definitely improved. I do a lot of volunteer work with the Scouts, and I’m back to hiking, camping and living a normal life,” adds Denby.

Mark would definitely recommend these MIS procedures to others, if they are experiencing the same issues.

“Absolutely, speak with Dr. Foster and he will get you going in the right direction. I enjoyed working with Dr. Foster and his staff. It might be odd to say, but I miss my appointment times. They are all wonderful people,” adds Denby.

Note: Learn more about these minimally invasive procedures in the video above, as Dr. Foster provides an informative step-by-step demonstration of his technique in resolving Mark’s issues. 

Why Choose Minimally Invasive Surgery

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

• Lower risk of infection and complications. Smaller incisions mean less opportunity for undesirable microorganisms to enter your body.

• 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. Most minimally invasive procedures can be performed outpatient in our office. You won’t have to worry about a hospital stay, eating after midnight the night before, or many of the inconveniences related to most other surgeries.

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

• Lower cost. The majority of minimally invasive surgical procedures can be done in our in office surgical room rather than making a trip to the hospital. This could save you thousands of dollars of hospital and anesthesia charges.

Choose Dr. Joel Foster for Your Foot Surgery

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.

He 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!

“I’m an avid gardener. I love being outside and taking walks with my husband, so the bunion was becoming a real problem. We also live on 10 acres and maintain a flock of chickens, which requires me to be mobile,” adds Laura. 

The Surgical Expertise and Reputation of Dr. Joel Foster

Laura tried several non-surgical treatment options, including the purchase of an overnight brace and cushions to relieve the pressure on her toes. Unfortunately, these items didn’t correct the problem.   

Realizing that surgery was the only option, Laura searched from the preferred providers list on her insurance carrier’s website. She diligently reviewed their background, experience and reviews, and scoured the websites of those providers.

“The video on Dr. Foster’s website about minimally invasive surgery (MIS) for bunions caught my attention. It made so much more sense to actually go in and realign the bones than to just shave off the part of the bone that was sticking out. The fact that Dr. Foster had been doing this procedure for many years and was one of the most experienced minimally-invasive foot surgeons in the Kansas City area really sealed the deal for me,” adds Laura.

“Unfortunately, most severe bunions that are getting in the way of full, healthy living and cannot be managed conservatively will most likely need surgical correction in order to restore foot function,” adds Dr. Joel Foster.

“It’s become so uncommon to find a doctor who can take the time to listen to you, and to educate you on your condition. Because Dr. Foster did, I had no reservations and felt I could trust him completely. It’s rare, but so reassuring and encouraging when it happens,” adds Laura.

The Benefits of Bunion Correction Surgery 

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. You can walk right away in a shoe or a boot because the incision is so small.

In Laura’s case, Dr. Foster performed a bunion correction surgery with a double first ray osteotomy. This procedure involves two small incisions in the first metatarsal to realign the bone, improve stability and reduce recurrence. 

“Bunion correction surgery is highly successful on average 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.

“I opted to have the procedure done at the hospital with general anesthesia rather than with local anesthesia in Dr. Foster’s office. It was painful, but it was manageable with the medications. If I had it to do over again, I would choose the surgery option at Dr. Foster’s office,” adds Laura.

Laura’s MIS Procedure Results, Recovery Process

At nearly 12 weeks since the bunion correction surgery, Laura is now walking in her regular shoes without pain and without a limp.

Initially, she had to wear an orthotic boot, even for short distances. She gradually progressed to regular household activity wearing the boot, and ultimately to her shoe and her regular routine.

“My foot and leg were weakened from the inactivity, so I was careful to walk only on fairly even ground. I bought a walking pad from my sister, and have worked on that nearly daily to get my strength back so that I’m ready when spring finally arrives!”

Laura’s lifestyle has definitely improved since the surgery. After hosting Christmas for her immediate family, she has been busy canning and baking, and was able to clear her pollinator garden in preparation for seeding this spring.

“On a couple of the nicer days my husband and I have been able to walk the trail around our property with no pain!”

Without hesitation, Laura added that she would recommend Dr. Foster to others.

“Dr. Foster and his staff are the BEST! Professional, but friendly, and very caring. Dr. Foster answered all my questions and took the time to explain everything clearly – I learned a lot!”

“Carrie orchestrated and coordinated with my insurance and the hospital, and kept me updated on all of it. From the front desk, to the X-ray room, to checking out, nothing but kindness and professionalism,” adds Laura.

Why Choose Dr. Joel Foster for Your Foot Surgery

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.

He 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!

An untreated bunion can lead to further problems, including hammertoes. In Todd’s case, the overlapping second toe was one of his biggest concerns.

“It was just getting worse as time went on. I could no longer play tennis or run. I tried switching to bigger shoes, but it was only a temporary fix,” adds Todd.

After learning about Dr. Joel Foster in an advertisement in the local Lee’s Summit Lifestyle magazine, Todd decided to schedule an appointment with his office.

“Todd definitely presented a unique case. In addition to performing a minimally invasive bunion correction surgery, we realigned his lesser toes through a small osteotomy in each toe and performed an additional osteotomy 5th metatarsal,” adds Dr. Joel Foster. 

Under fluoroscopic guidance, which provides real-time x-ray imaging of the foot and the joints, Dr. Foster performed osteotomies to reposition each toe, as well as the 1st and 5th metatarsals. Once completed, the toes were able to be moved plantarly and laterally into the corrected position. 

Realigning and Restoring Balance with EOTTS Procedure 

In an effort to further stabilize the alignment of the foot and reduce destabilizing pressure on the forefoot, Dr. Foster performed an Extra-Osseous Talotarsal Joint Stabilization (EOTTS) procedure on Todd. This minimally invasive surgical procedure involves placing a small titanium stent in the naturally occurring space between the ankle and heel bones to stabilize foot alignment.

“It’s amazing how such a small procedure can realign the rearfoot and drastically improve the arch position,” adds Dr. Foster.

Todd’s Recovery Process, Advice for Others

Todd is currently 10 weeks post-op and his recovery process is going well.

“My lifestyle has definitely improved, and it’s only getting better. I’m starting to jog a little too.”

“If you have foot issues, I would recommend that you visit with a specialist in ‘feet.’ Before meeting with Dr. Foster, I visited an orthopedic surgeon for an evaluation and his recommendations. He suggested bunion surgery, which would require a long recovery time. His other alternative was removal of my second toe and the recovery time would be a couple of weeks,” adds Todd.

“Amputation is irreversible, and a second opinion may provide reassurance while identifying less invasive alternatives that preserve the toe,” adds Dr. Foster.

The combination of advanced technology, specialized training and extensive experience makes Dr. Foster uniquely qualified to perform complex foot surgeries through minimally invasive approaches that many surgeons simply cannot offer.

Dr. Foster’s approach offers distinct advantages over traditional open surgery. Smaller incisions measuring just three to four millimeters mean less tissue trauma and reduced risk of infection. Patients experience significantly less post-operative pain and swelling compared to conventional surgical methods.

“I would recommend Dr. Foster. He spends the time making sure everything is understood and listens well. His staff was great…very warm, friendly and on top of things,” adds Todd. 

Why Choose Dr. Joel Foster for Your Foot Surgery

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. He 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! Complete the form at the top of this page to schedule your consultation today!

What is private equity ownership in healthcare?

Private equity firms invest in businesses with a focus on short-term financial returns. When they acquire a medical practice, it becomes part of a larger corporate structure, which often includes:

• Added layers of management

• Centralized scheduling and billing

• Standardized treatment protocols

• Pressure to increase productivity and revenue

While this model may work in retail or tech, it often creates problems in healthcare, where individualized care is crucial.

How Private Equity Affects Patient Care

1. Shorter Visits and Less Face-to-Face Time

Corporate-owned practices may encourage doctors to see more patients per day, which leads to rushed appointments and less personalized care.

2. Limited Treatment Options

Because private equity groups often emphasize insurance reimbursement, doctors may be restricted from offering innovative, non-surgical, or cash-pay treatments that could benefit patients the most.

3. Higher Costs and Surprise Fees

Corporate ownership sometimes brings facility fees or inflated pricing structures that increase out-of-pocket costs for patients.

4. Reduced Continuity of Care

High turnover, rotating doctors, and staff changes can disrupt long-term patient relationships — something vital in podiatric care.

5. Treatment Decisions Influenced by Profitability

Protocols may prioritize what is billable or profitable rather than what is most effective for the patient.

Why Independent Practices Matter More Than Ever

Independent clinics are free from corporate pressures. At Dr. Foster’s office, that means:

A Personalized, One-on-One Approach

We set our own schedule, allowing for longer appointments, thorough evaluations, and thoughtful treatment plans.

More Flexible Treatment Options

Independent practices can offer advanced therapies, regenerative treatments, low cost and high quality custom orthotics, and non-surgical solutions without being limited by corporate policies.

Transparent Pricing

Our direct-pay model eliminates surprise fees and allows patients to know exactly what they’re paying for.

Consistent Care From the Same Doctor

Patients see Dr. Joel Foster, not a rotating team of providers. This ensures accurate diagnosis, better follow-through, and long-term trust.

Decisions Based on Expertise, Not Quotas

Every treatment is recommended because it’s the right choice medically — not because it increases revenue.

Same-Day and Urgent Appointments Available

Our independent structure allows us to offer quick access to care when patients need help fast.

Why This Trend Matters for Patients

As private equity ownership grows, more patients are noticing:

• Longer wait times

• Difficulty getting appointments

• Higher costs

• Limited treatment choices

• A system that feels more transactional than personal

Choosing an independent podiatrist means choosing a practice where your health is the priority, not shareholder profit.

Our Commitment to Patient-Centered Care

At Dr. Joel Foster’s office, we remain proudly independent because we believe patients deserve:

• Honest medical advice

• A full range of treatment options

• Transparency in pricing

• A doctor who listens and cares

• Personalized care that isn’t rushed

• Fast access, including same-day and urgent visits

We built our practice around what patients truly need, and we intend to keep it that way.

Surgery is rarely our first recommendation. We always begin with non-surgical options such as custom orthotics, therapeutic laser treatments, and other conservative care. When those options are no longer effective, minimally invasive foot and ankle surgery has become the preferred choice for many patients in the Kansas City region.

“I knew about 15 minutes into my visit with Dr. Foster that this was the right choice for me—and two months later, I knew I had made a wise decision.”

For Miriam Buchanan, bunion pain had slowly taken over the activities she loved most—gardening, walking, and keeping up with her grandchildren. After years of discomfort and multiple consultations without confidence in her options, she knew within minutes of meeting Dr. Foster that this approach was different.

What stood out to her was the minimally invasive technique, especially the absence of permanent hardware and the focus on long-term foot health. Within two months of surgery, Miriam was back in the garden and walking comfortably again, confident she had made a wise investment in her mobility and quality of life.

The Dr. Joel Foster Difference

Dr. Joel Foster is one of the most experienced minimally invasive foot surgeons in the Kansas City area, having successfully performed thousands of minimally invasive procedures. He is double board certified, holding certification in Foot Surgery by the American Board of Foot and Ankle Surgery, and is among fewer than 40 doctors nationwide to achieve board certification in Minimally Invasive Foot and Ankle Surgery.

His expertise allows patients to benefit from advanced surgical techniques without the drawbacks of traditional open surgery, including excessive pain, long recovery times, or permanent internal hardware.

Who is a Good Candidate for Minimally Invasive Foot Surgery?

Foot surgery may be recommended when pain interferes with walking, standing, or daily activities and continues to worsen despite conservative treatment. Ideal candidates include patients who:

• Avoid activities they once enjoyed due to foot pain

• Struggle to find comfortable shoes

• Have progressive deformities like bunions or hammertoes

• Experience chronic pain from flat feet or overpronation

Many patients later express that they wish they had chosen surgery earlier after experiencing significant improvements in comfort and function.

Take the First Step Toward Pain-Free Living

Minimally invasive foot surgery has transformed the way chronic foot conditions are treated—offering effective, long-lasting relief with less pain, faster recovery, and excellent outcomes. If foot pain is limiting your life, a consultation may be the first step toward getting back to the activities you love.

Hammertoes often start with mild discomfort—like cramping in your shoes or soreness after long walks—but over time, they can become much more serious. If left untreated, hammertoes can lead to chronic pain, reduced mobility, and even open wounds or sores on the toes. These wounds are often caused by constant friction or pressure where the deformed toe rubs against your shoe, especially in advanced stages of the condition.

If you’re in the Kansas City area and suffering from hammertoe-related pain or wounds, the good news is that lasting relief is possible.

Dr. Joel Foster, a double board-certified podiatric surgeon with over 25 years of experience, specializes in treating hammertoes and related foot conditions with minimally invasive surgical techniques. These procedures are designed to correct the underlying deformity permanently, without the long recovery times and discomfort typically associated with traditional surgery.

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What Causes Hammertoes? Why They Worsen and When to Act

Hammertoes form when an imbalance in the muscles, tendons, or ligaments causes the toe to bend abnormally at one or more joints. This “hammered” shape can lead to pressure points, corns, calluses, and even open wounds—especially when the toe rubs against shoes.

While conservative treatments like roomy shoes or orthotics can reduce pain and slow progression, they cannot reverse the deformity. The only way to permanently fix a hammertoe is to correct the structural problem, which is where a minimally invasive foot surgery podiatrist can help. This modern approach offers faster healing, less discomfort, and a long-term solution to both the deformity and the complications it causes.

If you're noticing changes in toe shape, ongoing pain, or signs of skin damage, it's time to consider treatment. Early care can prevent further issues and help restore comfort and mobility.

Comparing Traditional Hammertoe Surgery and Minimally Invasive Options 

Traditional hammertoe surgery typically involves joint fusion or joint resection—procedures that require large incisions, hardware (like pins or screws), and longer recovery times. While often effective, they can also be more painful and carry a higher risk of complications.

Dr. Foster takes a different approach. With minimally invasive surgery (MIS) available right in our office, many patients can avoid the challenges of traditional surgery. Depending on your needs and preferences, the procedure can be performed either in our in-office surgical suite or at the hospital.

Why Minimally Invasive Surgery May Be Right for You

Benefits of Minimally Invasive Hammertoe Surgery
Compared to traditional procedures, minimally invasive hammertoe surgery offers several key advantages:

• Lower risk of complications. Smaller incisions reduce the chance of infection and healing problems.

• Less pain and swelling. Patients experience reduced post-operative discomfort and scarring.

• No hospital stay required. procedures can be done either in our in-office surgical suite or at the hospital—depending on what works best for you.

• Faster recovery. Most patients return to daily activities much sooner than with traditional surgery.
  

• More affordable. Compared to traditional hammertoe correction surgeries, which typically cost between $5,000 and $10,000, Dr. Foster’s in-office, minimally invasive procedure is just $795.

Many patients are surprised to learn they can walk out the door just 45 minutes after the procedure, and get back to their lives far more quickly than expected. 

Direct Care That Puts Your Needs First

At our practice, we believe your healthcare decisions should be made by you—not your insurance company. That’s why we operate on a direct care model that puts the control back in your hands. With transparent products & services pricing, personalized treatment options, and the freedom to choose the care that best fits your goals and budget, you can make informed decisions with confidence.

But that’s no longer the case. Thanks to a breakthrough, minimally invasive procedure called EOTTS, there’s now a permanent solution that corrects the root cause of flat feet — without the need for major surgery.

Dr. Joel Foster, a double board-certified podiatric surgeon based in the Kansas City area, is an experienced flat feet podiatrist who specializes in advanced treatments for flat feet and other foot and ankle conditions. He offers EOTTS as an effective, minimally invasive alternative to long-term bracing or traditional reconstructive surgery.

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What Is EOTTS? A Minimally Invasive Solution for Flat Feet

EOTTS, or Extra-Osseous TaloTarsal Stabilization, is a minimally invasive procedure designed to restore natural foot alignment and arch support by stabilizing the rearfoot.

How It Works:

The procedure involves placing a small titanium stent into a naturally occurring space in the foot known as the sinus tarsi, located between the talus (ankle bone) and calcaneus (heel bone).

This stent acts as a spacer that prevents the talus from shifting forward and downward — the root cause of a collapsed arch — while still allowing normal foot movement. As a result, patients experience improved foot alignment, better arch support, and reduced strain on muscles, tendons, and ligaments.

Importantly, the procedure does not involve cutting bone, transferring tendons, or using screws. It's a straightforward correction performed through a very small incision.

EOTTS vs. Other Flat Foot Treatments

Many flat foot treatments either provide temporary relief or require invasive surgery. Here’s how EOTTS compares:

1. Orthotics & Bracing

These non-surgical options are widely used but have limitations:

• Not wearable all the time (e.g., barefoot at home, at the beach, or in the shower)

• Do not address the underlying structural problem

• Once removed, the arch typically collapses again

2. Traditional Reconstructive Surgery

Involves cutting or fusing bones, transferring tendons, and inserting screws or hardware.

• Longer recovery periods

• Greater risk of complications

• More invasive and expensive

3. EOTTS Procedure

• Minimally invasive, performed through a 1–2 cm incision

• Done under local anesthetic — no general anesthesia needed

• Patients can walk immediately after the procedure

• Minimal downtime and discomfort

• No bone cutting or tendon disruption

• Cost-effective at only $2,950 per foot
  

Performed Right in the Office

Dr. Foster performs the EOTTS procedure in-office under local anesthetic. Using a single injection, the area is numbed and the stent is inserted with precision and care. The incision is small, and most patients are able to walk out of the office shortly after the procedure is completed.

Is EOTTS Right for You?

If you or someone you love is dealing with flat feet and looking for a long-term solution that avoids braces and major surgery, EOTTS may be the ideal answer. This simple yet highly effective treatment has helped many patients walk pain-free, regain their arch, and avoid years of chronic stress on their feet and joints. Contact us online or call our Lee's Summit office directly at 816.246.4222 to schedule an appointment. We are proud to help people from throughout the Kansas City area and look forward to helping you. 

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4 Things to Look for When Purchasing Shoes from a Podiatrist

1. A Wide Toe Box

Your toes need room to spread naturally with every step. Shoes with a narrow or pointed toe box can crowd your toes, leading to bunions, corns, and other painful issues. Look for a shoe with enough space so that you can fit at least a finger’s width between your longest toe and the tip of the shoe.

2. A Stable Heel (Neutral Support)

The back of your shoe should feel firm and supportive. A stable heel counter holds your foot in place and prevents unwanted side-to-side motion, which reduces the risk of ankle sprains and overuse injuries. Avoid shoes with soft, collapsible heels that can lead to instability.

3. A Supportive Midfoot

Check the shoe’s midfoot by trying to bend it. Shoes should flex slightly at the forefoot (where your toes naturally bend) but should not fold in half at the arch. A supportive midfoot helps maintain proper alignment, decreases strain on your arch, and reduces the likelihood of plantar fasciitis or heel pain.

4. Even Wear Patterns

Flip your shoes over and look at the soles. Excessive wear on the inside (medial) or outside (lateral) edge of the shoe can indicate that your feet are rolling inward or outward too much. This imbalance may signal the need for orthotics or further evaluation by a foot specialist.

Needing Additional Support?

Even with the right shoes, some foot pain stems from underlying structural or biomechanical problems. That’s where custom orthotics can make a big difference.

Orthotics are specially designed inserts that support your arches, improve foot alignment, and reduce pressure on painful areas. They’re effective for many conditions, including:

• Plantar fasciitis

• Heel pain

• Flat or high arches

• Arthritis

• Bunions

At our Lee’s Summit office, we offer two options to fit your needs and budget:

• Heat-Molded Orthotics ($60): These are customized in-office and molded to your feet the same day—better than generic store-bought inserts.

• Fully Custom Orthotics ($375): These orthotics are specially crafted from the ground up just for you, using a biofoam mold of your feet. This precise casting process is essential, and we carefully ensure your feet are captured in the correct biomechanical position for optimal support.

Why Shoe Choice Matters

Shoes do much more than cover your feet. The right pair helps prevent common foot issues like bunions, plantar fasciitis, heel pain, and ankle strain. They also play a major role in your posture and mobility, affecting your knees, hips, and even your back.

Choosing supportive footwear is one of the simplest, most effective steps you can take for long-term foot health.

If you’ve been struggling with persistent heel pain that just won’t respond to rest, stretching, or even physical therapy, you’re not alone—and you’re not out of options. Kansas City podiatrist, Dr. Joel Foster, is proud to offer advanced options when our patients need extra support. One such option is EPAT (Extracorporeal Pulse Activation Technology), a cutting-edge therapy that can significantly relieve pain and promote faster healing for certain acute or chronic conditions.

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Why Are Pro Athletes Using EPAT?

Athletes in the NFL, NBA, and MLB rely on their feet every single day. They can’t afford lengthy downtime or partial recoveries. That’s why many turn to EPAT—a technology proven to help accelerate recovery, reduce pain, and restore full function, all without surgery or medication.

EPAT works by delivering high-energy pressure waves to the injured area. These waves create a controlled micro-disruption in the tissue, triggering the body’s natural healing response. The result? Faster tissue regeneration, improved blood flow, and pain relief that can last.

What Exactly Does EPAT Do?

Although sometimes referred to as "shockwave therapy," EPAT doesn’t use electrical shocks. Instead, it uses mechanical pressure waves to:

• Boost cellular metabolism so your body repairs itself faster

• Increase circulation to deliver healing nutrients and growth factors

• Break up scar tissue or calcium build-up that might be blocking your recovery

• Relieve pain both instantly and over the long term by addressing the root cause

And best of all—it’s non-invasive, requires no anesthesia, and involves zero downtime.

We believe advanced treatment should be accessible. That’s why we offer EPAT therapy at an affordable price of $150 per treatment (per location) or $400 for a month of treatments—a great value for long-lasting heel pain relief. No hidden fees, no insurance hassles—just effective care that fits your budget.

Our Special Heel Pain Relief Package

Although sometimes referred to as "shockwave therapy," EPAT doesn’t use electrical shocks. Instead, it uses mechanical pressure waves to:

• Boost cellular metabolism so your body repairs itself faster

• Increase circulation to deliver healing nutrients and growth factors

• Break up scar tissue or calcium build-up that might be blocking your recovery

• Relieve pain both instantly and over the long term by addressing the root cause

If you’re dealing with chronic heel pain from conditions such as plantar fasciitis or achilles tendinitis, we’ve created a special solution designed for both rapid relief and long-term results. Our Heel Pain Relief Package combines EPAT therapy with custom orthotics for only $850, helping you not only recover but prevent recurring injuries.

This package is ideal for those who want to get back to their workouts, sports, or simply walking comfortably again—without repeated interruptions.

Learn more about our therapy packages on our products & services pricing page under Direct Care.

Is EPAT Right for You?

EPAT may be the right option if you’ve:

• Tried rest, ice, stretching, and traditional treatment with limited success

• Experienced heel pain for more than a few weeks

• Had recurring flare-ups that affect your lifestyle or performance

What is an Ultrasound, and How Does It Work in Podiatry? 

Ultrasound imaging (also called diagnostic ultrasound or musculoskeletal ultrasound) uses sound waves to create real-time images of the soft tissues in your feet and ankles. It’s non-invasive, radiation-free, and takes just minutes to perform in our office.

We use ultrasound to visualize:

• Tendons and ligaments

• Nerves

• Plantar fascia

• Soft tissue masses or fluid collections

• Foreign bodies (like splinters or glass)

Ultrasound vs. X-Ray: A Different Way of Seeing the Problem 

X-rays are great for showing bones and can help us identify fractures, joint alignment, and structural changes. But when we need to look at soft tissues like tendons, ligaments, and fascia, ultrasound offers a different and complementary perspective.

With ultrasound, we can:

• Evaluate plantar fasciitis and heel pain

• Identify Achilles tendon injuries

• Detect neuromas or nerve entrapments

• Visualize bursitis, cysts, or inflammation

• Locate foreign objects in soft tissue

Ultrasound doesn’t replace X-rays; it adds another layer of detail. Together, they give us a more complete understanding of your condition.

Immediate Results = Immediate Relief 

The best part? You don’t have to wait for results from a radiologist. Dr. Foster performs the ultrasound right here in the clinic during your visit, and explains what he sees with you in real-time. That means:

• No extra appointments

• No waiting weeks for answers

• Faster treatment and healing

Affordable and Accessible 

Our direct pay model means you get full transparency. We offer ultrasound exams for just $79 per region. No hidden fees. No dealing with insurance red tape. Just simple, high-quality care.

Used for Both Diagnosis and Treatment 

We also use ultrasound to guide procedures like:

• Injections

• Aspiration of fluid

• Nerve blocks

This improves precision, reduces discomfort, and ensures treatments are going exactly where they’re needed.

If you've been told to "just rest it" or "wait and see," we understand how frustrating that can be. While rest is sometimes part of the solution, getting a clear diagnosis helps you know exactly what you’re dealing with—and whether rest is really the right next step. Let us help you get answers, faster and with more confidence.

Call us today or schedule online to get to the root of your foot pain with diagnostic ultrasound.

At Dr. Joel Foster’s office, our experienced laser therapy podiatrist understands how important it is to find relief that’s safe, effective, and doesn’t rely on drugs or invasive procedures. That’s why we’re proud to be one of the few offices in the country to offer Neurogenx—a breakthrough, FDA-cleared, non-surgical, and drug-free treatment—combined with our dual-wavelength MLS laser therapy for a unique and effective approach to reducing neuropathy symptoms. 

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What Is Neurogenx?

Neurogenx is a modern, non-invasive treatment designed to reduce or eliminate nerve pain and symptoms of neuropathy. It uses gentle electrical signals to help “wake up” damaged nerves and improve how they function.

Unlike medications that only cover up symptoms, Neurogenx helps treat the root of the problem—the damaged or irritated nerves themselves.

Neurogenx has shown success in treating a wide range of neuropathy symptoms, including:

• Chronic nerve pain

• Numbness

• Tingling

• Burning sensations

• Cramping

• Hypersensitivity

• Balance issues

In fact, clinical results show that over 87% of patients treated with Neurogenx report major improvement or complete relief from their symptoms.

How Does It Work?

During each session, small adhesive patches (like stickers) are placed on your skin near the areas where you feel symptoms. These patches send a safe, painless electronic signal deep into the affected nerves that closely matches the body’s natural signals. Nerve cells carry electricity about 60% better than other types of tissue. Since energy naturally follows the easiest path, the signal is drawn directly to the nerves, where it can have the most impact. The signal then helps to reduce inflammation, improve circulation, and encourage healing in the nerves.

Each session takes about 45 to 50 minutes, and most patients come in once or twice a week. Many patients begin experiencing noticeable relief in as little as 3 to 4 visits!

Maximized Healing: Neurogenx and MLS Laser Combination

MLS Laser Therapy uses a unique, dual-wavelength, light energy system to jumpstart your body’s natural healing process. This FDA-approved therapy uses a robotic head to precisely target the treatment area and deliver the exact energy dosage each patient needs.

Dr. Foster finds that combining Neurogenx with MLS laser treatment leads to faster relief and more effective results, as the two therapies work together to enhance nerve healing, reduce inflammation, and improve overall treatment outcomes.

Supplements Available at our Office:

Nitric Oxide is designed to improve your cardiovascular health by boosting your body's nitric oxide levels to help improve blood flow. These lozenges or capsules use an advanced delivery system that may support the following:

• Improved blood flow

• Better cardiovascular health

• Improved cognitive function

• Antioxidant support

We also offer a Neuropathy Support Vitamin that is designed to promote nerve repair, improve blood flow, and reduce inflammation surrounding your nerves. This allows your damaged nerves to return to a healthier state, reducing or eliminating those nagging symptoms such as numbness, burning, and tingling. These vitamins offer several benefits, such as:

• Promote peripheral nerve repair

• Improve blood flow to the peripheral nerves.

• Reduce harmful substances that damage nerves

• Lower homocysteine levels

Is Neurogenx and MLS Laser Combination Therapy Right for You?

Joel Foster, DPM is one of the few doctors nationwide currently offering this unique combination therapy for peripheral neuropathy. There's no need for surgery, needles, or invasive procedures—just a comfortable experience designed to promote nerve healing without adding to your pain.

Why choose combination therapy?

• Non-invasive and pain-free

• No medications or narcotics

• Clinically proven results

• FDA-cleared and patented technology

• Convenient in-office sessions

For only $500 a month, you can have access to:

• 16 Neurogenx treatments

• 4 complete right leg and foot laser therapy treatments

• 4 complete left leg and foot laser therapy treatments (That’s only about $20 per treatment!)

If you’re experiencing symptoms of neuropathy and looking for a non-invasive, drug-free solution, combination therapy may be the answer. Every patient’s condition is unique, so Dr. Foster makes personalized treatment plans to ensure the best possible outcome.