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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 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.

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).

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.

When surgery is indicated, Dr. Barko is qualified to perform your minimally invasive bunion surgery.

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.

Cosmetic Foot Surgery

Cosmetic foot surgery is becoming more and more mainstream, however, not everyone that wants it should be considered as a candidate for the procedures.

Think about it…you are walking on the surgical site, so extra measures and care must be applied.

  • During most foot surgery post-operative periods, you cannot get the surgical site wet. Make sure to use a cast cover!
  • You will need anesthesia clearance. This can be done through your primary care doctor or for hospital surgery, you can do the clearance at the facility.
  • Swelling is a big side effect of surgery. You can get swelling from almost any type of surgery but it happens in ALL foot surgeries. Depending on the procedure, an inflatable boot or compression dressing may be required to control the swelling.
  • After surgery most patients have a visible scar. We do have products to help with scar reduction in the office. SOME surgeries have virtually no scarring, but we’ll chat with you one-on-one about options.

Most of Dr. Amy Barko’s surgeries are scheduled in advance since most are elective. If you are thinking about getting a procedure in before your deductible rolls over, then we need to see you at least 3 months before the year is over.



After almost all surgeries or procedures patients need rest, especially after foot surgery since you walk on the surgical site.


How long you will be off your feet will depend on the kind of surgery it is. Is it minimally invasive? Usually, there’s no downtime at all.


Other downtime estimates depend on your lifestyle, job, current health and the type of surgery.


We can definitely figure it out together. The scariest part is the unknown. Let’s chat about a plan.








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