Foot and Ankle

In his private practice, Mr Ramos, Consultant Orthopaedic Surgeon provides expert advice and treatment whilst leading a multidisciplinary team at Spire Parkway Hospital in Solihull. Here patients have access to different practitioners so they can receive the most appropriate treatment. We also aim to minimise the time taken for diagnosis and treatment through providing a patient-centred approach to care.

Foot and ankle problems are common in the general population. It is common knowledge that at least two thirds of the population will experience some kind of foot problem during their lifetime.

The foot has an intricate and delicate anatomy consisting of 26 bones and in excess of 200 inter-relating muscles, ligaments, tendons and joints. We take more than two million steps a year, that’s over than 100,000 miles in the average lifetime - more than four times around the world! So it is imperative that they are well maintained and cared for.

Good strong and flexible feet are needed to engage in the demands of modern life. As we are living longer, we want to continue to enjoy living life to the full, partaking in travel, sporting activities such as tennis, golf and hill walking. It is therefore of the utmost importance that we look after our feet and ankles and do not ignore any warning signs; swelling, redness, deformities, aches and pains, and difficulty in wearing shoes, etc.
Pathology surrounding the foot and ankle is complex and due to modern advances in technology and equipment the treatment of these conditions often requires a highly experienced and specialised Practitioner. In my view, this should ideally be a doctor with high surgical qualifications but more importantly, is a recognised specialist (registered in the specialist register at the General Medical Council). It is not uncommon for there to be misunderstanding with the word “Consultant”. It does not always mean that they are doctors registered in the GMC as Specialists.

Mr Ramos is passionate about innovation and developing and acquiring new techniques that best benefit the patient through minimising suffering and improving both the satisfaction and outcome of any procedure undertaken. Some examples of these innovations include:

What are some of the foot and ankle treatments available?

Ankle replacement
Implantation of new designs which offer a much improved outcome.

Osteochondral Autologous graft (OATS) or Autologous Cartilage Tissue Engineered graft
This technique is used to treat injuries and defects of the cartilage particularly at the ankle joint to help reduce the risk of later arthritis.

MIS (minimally invasive surgery)
This is when deformities of the toes, some bunions and other foot complaints are treated with keyhole surgery, assisted by x-rays, without the need of an open procedure.

Activated Conditioned Plasma injections (ACPI)
This is where some of your blood is removed and centrifuged; the resulting product is injected into areas of small tears, inflammation on tendons and/or ligaments with the aim of promoting healing. This can be very useful in the treatment of plantar fasciitis and tennis elbow.

High Volume image guided Injections (HVIGI)
This procedure involves the injection of a large volume of a solution over the areas of chronic damage under guided vision via ultrasound scan.  Early results suggest this treatment can significantly improve the function and reduce pain in areas such as Achilles tendon and others around the foot and knee.


Find a treatment, test or scan available at:


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Advice provided by

Mr James Ramos,

Read more about Mr Ramos, Consultant Orthopaedic Surgeon, Spire Parkway Hospital.

© Spire Healthcare Group plc (2016)