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Minimally Invasive Surgery

Minimally invasive surgery uses techniques that minimize the amount and size of incisions made during the procedure. They are often considered safer than traditional surgeries due to the decreased risk of complications. Lexington Podiatry offers some minimally invasive procedures in-office, while others may take place in a surgical center with our podiatric surgeon, Dr. Amy Barko.

Patients love these procedures because there are:

  • Minimal stitches
  • Incisions of an inch or less
  • Less anesthesia
  • Very little scarring
  • Little to no restrictions or time off work
  • Great outcomes


One of the most popular procedures are the Hammertoe correction procedures.

There are two types that we perform in the office, the extensor tenotomy or the flexor tenotomy. The type of procedure depends on which type of hammertoe you have.

Both require only a small stab incision and local anesthetic. You actually walk out that day and can go right back to work!

This is a HUGE leap compared to the traditional hammertoe correction surgery that requires lengthy time off of your foot.

Plantar Fasciitis

This MIS procedure is performed in the surgical center because it requires very high tech equipment to correct chronic plantar fasciitis.

This surgery requires 1-3 stitches at the most and again, patients walk out the same day in a boot.


Most of these require no stitches and only local anesthesia. Most patients are able to get up and go back to work same day.

MIS surgeries include small masses, warts, ganglion cysts and nevi (moles).

Flat Feet

HyProCure surgery is an option for severe cases of flat feet that do not respond to more conservative treatments. This procedure involves making a small incision on the outside of the foot and placing a titanium stent in the ankle. This can help correct the alignment of the feet. The stent comes in 6 sizes and can be performed on children and adults. The minimally invasive surgery can be done under twilight sedation and patients are usually walking same day.

This procedure is performed in a surgery center.