What surgical training, experience and permanent surgical consultant posts has your surgeon had?

Ron McCulloch is a Consultant Podiatric Surgeon with over 25 years' of practical surgical experience. This means that he is qualified, certified and professionally endorsed to perform a full range of foot and ankle surgeries. Ron led the Podiatric Surgery department of Homerton NHS hospital for 10 years. During his time there, he trained fellow podiatric and orthopaedic surgeons in foot and ankle surgery, as well as lecturing extensively on foot and ankle pathology. When the Olympics came to London in 2012, Ron was called upon to offer his valued expertise to the world's athletes in the Olympic village. Other practitioners at the Centre have extensive experience and have undergone their advanced training with Mr McCulloch.

What assurances can you give regarding complications after surgery?

As demonstrated by our audit, the risks of complication is very low, especially for techniques such as cryosurgery. However, no surgery is entirely risk free. Patients can be reassured that Ron McCulloch has admitting rights to a number of hospitals, should medical admission be required after surgery.

What assurances can you give about the clinic where treatment takes place?

The Morton’s Neuroma Centre is part of The London Podiatry Centre and is a CQC (Care Quality Commission) approved and regulated surgical clinic. The Care Quality Commission is the independent regulator of health and social care in England. Its role is to monitor, inspect and regulate services to make sure they meet fundamental standards of quality and safety. The commission publishes its findings, including performance ratings, to help people choose the best care. The CQC sets out what good and outstanding care looks like and makes sure services meet fundamental standards. You can read the CQC's latest audit report, published following their impromptu checks on provider services.

What are the major causes of recurrence of Morton’s neuroma and how can the risk be reduced?

Certain foot conditions including Morton's neuroma are caused by a biomechanical weakness. These conditions have a moderate to high risk of recurrence when such biomechanical causes are not properly diagnosed and addressed. We have one of Europe's most sophisticated, dedicated podiatric gait analysis facility and have been trusted by Premiership football clubs and elite athletes for over 20 years. That means we can accurately diagnose and address the functional cause alongside treating the neuroma with cryosurgery. Treating the symptom and not the cause is often a false economy. Specialist practitioners extensively recognise that biomechanics must be treated when managing Morton's neuroma.

What evidence is there that your consultant specialises in the surgical treatment that I need?

Ron McCulloch qualified as a Podiatric Surgeon in 2001 following principal roles at Guys and St Thomas', Lewisham and Homerton University Hospitals. He was appointed with the title Consultant Podiatric Surgeon in 2006. This means that Ron is a senior specialist with overall responsibility for patients’ care in our medical facility. Ron added the surgical techniques required for cryosurgery to his skill base in 2011 after studying under Professor Peter Wishnie in the United States. He has refined these surgical techniques ever since.  Ron has a master’s degree in ultrasound and cryosurgery for Morton’s neuroma. He lectures and trains practitioners in the use of diagnostic ultrasound at Bournemouth University, Centre for Ultrasound Studies. Expertise in ultrasound is invaluable to correctly diagnose foot pathology and is crucial to performing cryosurgery for Morton's neuroma.

What evidence do you have for the success of the surgical treatment I need?

The Centre uses the Manchester Oxford Foot Questionnaire (MOXFQ) to audit the results of our surgical procedures, including cryosurgery for Morton's neuroma. The MOXFQ is validated for use in studies that assess outcomes after foot and/or ankle corrective surgery. It allows us to provide clinically backed results for study and publication. We spend copious amounts of time obtaining clinically validated surgical data, so our success rates are fully accurate and supported.

What evidence do you have for the success of the surgical treatment you need?

The London Podiatry Centre uses the Manchester Oxford Foot Questionnaire (MOXFQ) to audit the results of our surgical procedures including cryosurgery for Morton's neuroma. Validated for use in studies assessing outcomes following foot and/or ankle corrective surgery The MOXFQ allows us to provide clinically substantiated results for study and publication. We spend copious amounts of time obtaining clinically validated surgical data so our success rates are fully accurate and corroborated.

What do medical insurance companies have to say regarding who should be in charge of your surgical management?

Ron and the Centre are recognised by all major UK medical insurance providers and many international providers. Whilst requirements may vary among providers, medical insurers usually only accept the following criteria for professional recognition in Podiatric surgery: • be a Fellow in Surgery of the College of Podiatrists (FC Pod (S)) • hold/have held a substantive post as a consultant podiatrist or consultant in podiatric surgery in the NHS • be on the approved list of the Society of Chiropodists and Podiatrists • have a practice that is not subject to any special conditions, restrictions or requirements for supervision or further training • be fully registered with the Health and Care Professions Council (HCPC) • have current professional indemnity insurance for the treatments provided

What if cryosurgery for Morton's neuroma is not the treatment that I need?

We provide definitive diagnosis and a full range of treatments for literally all foot and ankle ailments and injuries. You can therefore be assured that you will receive expert consultation and the relevant treatment regardless of your condition. In many cases, a previous misdiagnosis can lead patients to seek out cryosurgery. This is never a problem at the Centre as we can provide the full range of treatment for all foot-related issues, from conservative care through to full surgical management.