Mr Nicholas Geary

Mr Nicholas Geary is a Consultant Foot and Ankle Orthopaedic Surgeon at Nuffield Health The Grosvenor Hospital, Chester. He became a consultant in 1990 and covers most lower limb surgery with the exception of knee ligament reconstruction. Mr Geary's expertise is foot and ankle surgery. In addition to general orthopaedic training, he spent two years full time doing foot surgery research in a specialist unit at Northwick Park Hospital.

Mr Nicholas Geary is a convener of the Royal National Orthopaedic Hospital Instructional Course and the Royal College of Surgeons Masterclass in Foot and Ankle Surgery. He lectures frequently at national and international meetings. He also has an additional interest in footwear and orthotics. Mr Geary's approach to patients problems, is to aim to explain what is wrong, and outline the possibilities for treatment, without the use of complex jargon. Analogies from everyday life, drawings and computer demonstration are a great help.

Mr Geary is keen to employ techniques which minimise pain after operation. The broad deformed forefoot, bunions, claw toes, the foot that rolls over, sports injuries, the ankle that gives way, ankle pain with reduced movement, treatment of arthritis and reconstruction of foot & ankle after injury or previous unsuccessful surgery are some of the conditions that fall within the scope of his practice.

He is a national advisor on post polio problems in the foot and ankle and the North of England advisor on Charcot Marie Tooth neuropathy. Where surgery is required on the ankle, an increasing number of procedures can be undertaken by keyhole surgery to both front and back of the ankle.

Papers and presentations covering: Neuropathic diabetic foot problems, open and arthroscopic ankle arthodesis, ankle fractures and ligament injuries, foot and ankle anatomy, circulatory changes related to foot surgery, forefoot midfoot and hindfoot corrective and reconstructive surgery.

Reduction of post-operative pain and swelling, ankle instability, correction of mal-alignment of forefoot and hindfoot. Laser Doppler Investigation of post-operative skin flow supine and erect, following forefoot surgery. I developed a spherical washer for use in arthroscopic ankle fusion. Now in production by AO Group. Currently evaluating endoscopic release in hallux rigidus.

English and French

Consultant Orthospaedic Surgeon The Wirral University Teaching Hospitals NHS Foundation Trust.

Ankle Arthroscopy
Ankle Replacement
Bunions
Claw Toes
Foot and Ankle Injury
Forefoot Procedure
Forefoot Reconstructive Surgery
Hallux Rigidus
Hind Foot Fusion
Hind Foot Osteotomy
Mid Foot Fusion
Mid Foot Osteotomy
Sports Injury