Minimally Invasive Surgery

What Does Minimally Invasive Surgery Mean? 

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 less 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 they all:

  • Require minimal stitches
  • Incision of an inch or less
  • Less anesthesia
  • Very little scarring
  • Little to no time off work
  • Have great outcomes

Types of MIS Procedures 

Hammertoe Correction

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. (It just depends on which type of hammertoe you have).

Both require a small stab incision and local numbing only. 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 with lengthy time off of your foot.

Chronic Plantar Fasciitis - Endoscopic Plantar Fasciotomy

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.

Skin Excisions and Biopsies

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).

Bunions & Bunionettes

Painful bunions and bunionettes that don’t respond to conservative treatments may be eligible for minimally invasive surgery. Patients are able to walk out of the surgical center same day and get back to most activities in as little as two weeks - a much shorter recovery period when compared to traditional surgery.

Flat Feet - HyProCure

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.

If you are experiencing foot pain, call our office or make an online appointment



Absolutely amazing staff! Smiling faces, compassion and understanding! Couldn’t have asked for a better experience!

Amanda Rugg


I was frankly shocked at how good they were at EVERYthing. They saw me less than 2 hours after I called. Dr. Barko was ebullient and professional. You can ask them questions via TXT, which is huge. Their offices are spic-n-span and modern. Basically, they're knocking it out of the park. I don't wish for more in-grown toenails, but if it happens, I'm going straight back to Lexington Podiatry.

Mick Jeffries


I love Lexington Podiatry! The staff is always so helpful, and attentive. I love Dr. Freels. She is top notch, and is always so happy to see me, and listens to me about what is going on.

Amie Castle


Dr. Carter diagnosed and created a treatment plan in minutes- other podiatrists have treated me incorrectly for years. So pleased to have answers and solutions.

Katy Perkins


My left foot had been hurting for a while. The staff and doctors here are all quite knowledgeable and professional, as well as friendly and personable. My diagnosis was promptly made, x-ray completed right there in the office, and I left with the two braces that I needed. No waiting for the mail, trip to brace shop, nada. Most excellent clinic!

Susan Bell

Accepted Insurance Providers

There may be providers, plans and coverage not included on this list. We will help you with navigating the options for coverage and costs. We also accept HSA, Flex accounts, Care Credit and prompt pay pricing for treatment at the clinic and surgical procedures. We do not accept Medicaid or CareSource plans at this time. Visit our New Patient page for more details.