New Regenerative Biologics and Minimally invasive Surgical Techniques for Ankle Injuries, Arthritis, and Chronic Swelling.


Interestingly, there is not that much pain associated with ankle problems.  They usually present with aching and swelling at night, then stiffness in the morning that requires time to ‘warm up’.   Unfortunately,  there is usually a problem before these symptoms intensify and testing (x-ray and/or MRI) should be performed to rule out or in more severe problems.

In short, pain and/or stiffness in the morning are more connected to injury, old or new.  Chronic swelling and aching at night is more connected “overuse syndrome”, arthritis, and/or other associated medical conditions.

If I had to say what the percentage of ankle patients who come in with these general complaints, it would be 80 to 90%.   Ankle’s that ‘give out’ are also in this category, but the swelling, aching and stiffness symptoms top the charts.

The problem with these tolerable symptoms, is that even with mild pain or swelling, there could be more extensive damage inside of the joint.  These patient histories range from major trauma like car accidents, ankle sprains  and ankle fractures to harsh worksite environments. And their timelines can span from weeks, to several months to decades.

So why are we able to get by with ibuprofen from time to time and get through our day?

We are designed to cover up pain with direct pressure or repetitive stimulus (walking and standing) all day.  But all my ankle problem patients will tell you, they ache at night and “I feel like a 90 year old, hobbling to the bathroom in the morning… before it warms up a bit”.

The good news is that major surgery like Ankle Replacements or Ankle Fusions are no longer first in line.  Proper testing (Radiograph, MRI, CT, Bone Scan) is imperative, but even a small cortisone injection can help patients with pain while ruling in or ruling out certain ‘internal’ ankle diagnoses.   Custom orthotics are another conservative option for those who have foot and ankle alignment issues or foot pronation that cause or add to their ankle problem.

The Ankle Arthroscopic procedures are the absolute best first line of minimally invasive surgical treatment if conservative treatment fails.  Studies show simply cleaning out debris or trimming partially detached cartilage will give patients pain relief, more ankle movement and better stability.

Warning:  Minimally invasive procedure in the operating room setting

Another common problem encountered during these procedures is Subchondral Fracturing – a crushing or collapse of the bone just underneath the cartilage.  This is vital to repair since this bone is what feeds the cartilage and keeps it alive.

Below is a short demonstration in the operating room showing the technique and application of  this Calcium Phosphate product inside of the ankle joint.

And in addition to the bone repair are the next generation of biologics from Amniotic tissue (  This matrix works well mixed with saline, but better when mixed with PRP or bone marrow aspirate.  Below is the an application for both enhancing ligament repairs and cartilage repair after an ankle arthroscope.


For more information or to find out more about your ankle problem, please feel free to log on to our website or call 281-444-6800.

“Stem Cell” Treatment for Cosmetic Foot Surgery?

I am asked quite often by interested cosmetic foot surgery candidates  if they can see before and after photos.   We do have plenty, but getting someone to come into the clinic a year after surgery (scar tissue on the skin can take 1 to 2 years to lose its size and color) for a true “after” photo is very difficult.

Toe Lengthening Surgery - Third toes 4 weeks after surgeryLast week, one of our toe lengthening patients came in for her 4 week post operative visit and I couldn’t get to my camera fast enough.  Take a look at the incisions on the top of both of her 3rd toes.                What’s amazing is how fast the incision has healed, but the lack of swelling and size of the incisions look like someone who had surgery 3 months ago.

We used this product on our patient’s 3rd toe lengthening procedure (similar to this procedure primarily to aid with healing and the risk tissue necrosis.   But she was also concerned about having a thick or keliod type scar.

For the past 5 years we have been using Human Placenta ‘ECM’ and Grafting products.   These are not true ‘Stem Cells’, but they are about as close as we can get at the present moment.  What they do is provide the micro and macro molecular components to repair and regenerate tissue.  They are most effective for repairing damaged tissue, but help with the overall healing process as well as a few other attributes.

Part of the list of perks for these Placental cellular products includes:

  • Less Pain
  • Less Swelling
  • Less Scarring

For more information, log on to our website,  ask our staff questions about your unique problem(s) at (281) 444-6300 or send us a detailed email on the form below:

Moore Foot and Ankle Specialists Clinic Video and Virtual Tour

Thanks to a little push from marketing genius, David Shantz, and reconnecting with a video producer and friend, Art Giraldo, we put together a video to showcase our clinic and patient experience.


Patients need to know where they are going, what kind of equipment we have available, building / clinic room cleanliness, available staff as well as who will help with insurance and finances.

Teaching videos, patient testimonials and surgery videos are great to demonstrate what we do and our level of training.   But we are more pleased to show where we will be taking care of our patients and hopefully give them something / someplace to look forward to when investing time and effort into their foot and ankle problems.

If you have any questions or other details that need to be addressed, feel free to email, call or log on to our website to learn more about your problem

Stay Healthy and One Step Ahead,

Cosmetic Foot Surgery – Facts and Fiction

Over the last 10 -15 years we have continued to modify our surgeries to have better results, better recoveries, and now ‘look’ even better…

Like any industry (automotive, real estate, etc.) surgery is constantly evolving.  As functionality and quality improve, aesthetics are now in demand for both female and male patients.

Now let’s take the elephant out of the room and get to the bottom of all the noise created on the web about cosmetic foot surgery.


  1. Insurance Coverage
  • First and foremost, all surgeries performed are corrective or reconstructive 
  • All have surgical codes and valid diagnoses that reflect the underlying problem(s)
  1. Advanced Surgical Technique
  • Smaller incisions, stitches under the skin, and less scarring
  • Proven methods, smooth operative period, and consistent results
  1. Better Pre and Post Operative Experience
  • Top anesthesia techniques, optimal safety, minimal pain, and faster recovery
  • Cutting edge equipment, fixation devices, medications, and physical therapy
  1. New Age of ‘Biologics’
  • Natural “Bone Pins” and dissolvable fixation vs. metal pins, screws or staples
  • Amniotic / ECM “Stem Cells” for faster healing, less swelling, and less scaring


For more information, log on to our website,  ask our staff questions about your unique problem(s) at (281) 444-6300 or send us a detailed email on the form below:


“Stem Cell” Products – Foot and Ankle Surgery Applications

The introduction years ago and now mainstream “Stem Cell” products are helping many surgeons provide their patients with advanced care and accelerated healing. These progenitor cells are harvested from the amniotic membrane and umbilical cord and can then be utilized both in the clinic as well as the operating room.
This product from Skye Biologics is called ActiveMatrix® It is a placental connective tissue matrix in liquid form with a unique ambient room temperature preservation.
This surgery video performed by Dr Robert J Moore III in Houston, Texas demonstrates 3 different ankle and foot problems corrected as well as the application of this product for 3 different tissues.
The patient had a complicated injury resulting with ankle cartilage detachment, ankle ligament tear, and fifth metatarsal fracture.
Application is simple, using only a syringe and needle to apply.
For more information or questions on usage for your foot or ankle problem, feel free to visit our website – Moore Foot and Ankle Specialists –

Skye has also performed studies that discuss the advanced outcomes as well as their attention to quality.

Below is a list of their differentiators:

ActiveMatrix® is provided in a vial as a ready to use flowable graft, with no thawing or prep required.

ActiveMatrix® is stored at ambient temperature (50-86°F/10-30°C) until ready for use. Product has a 5 year shelf life.

ActiveMatrix® is provided in an easy to apply flowable form, for precisely delivery throughout the intended site.

Placental tissues are considered ‘immune privileged’, meaning they induce little or no immune response in the patient, which can lead to graft failure or fibrosis. No blood typing or donor matching is required.

ActiveMatrix® is provided in a sterile vial in a clear peel-pouch, and may be introduced to the sterile field.

Neuroma Sclerosing Injection Treatment Permanent results without Surgery

Over the past 20 years the standard treatment for neuromas was the standard cortisone injection.  Neuroma Surgery was a close second, followed by Custom Orthotics and other modalities like ultrasound.   Now curing this problem without surgery or even treatment for failed neuroma surgeries are easier and more effective with the sclerosing injections.

As this patient explains, the sclerosing injections are performed in the clinic every 2 weeks until the pain is gone.  ‘Sclero’ means to harden or scar down.   In essence the medical grade alcohol and anesthetic solution shrinks down the painful nerve mass permanently.

Give us a call (281) 444-6300 or ask us about the treatment, costs, scheduling  or any other questions. Or log on to our website –

Toe Shortening and Toe Lengthening Surgery – New Cosmetic Foot Surgery Procedures

Who would have known that this is such a common problem for both women and men?  The most common name used in public is the classic “hammertoe”, but in reality, a long toe that is pushed back into the foot with a shoe that is too short will bend upward at the toe joint to form the quintessential hammer toe position.

This patient had a unique presentation – not only a short 3rd toe, but the 4th was also a little longer (the end was rubbing on her dress shoes) than usual in comparison to the 5th toe.

short-long toe before-1.jpg

As you can see on the x-rays, it’s really a short bone (proximal phalanx) at the base of the third toe on both feet.


New surgical equipment and ‘toe spacers’ are available to lengthen the 3rd toes and then a simple bone resection and absorbable pin placement on the 4th left toe was utilized to get the proper length and aesthetic line of all four toes after the surgery.


The final x-ray shows the work and outcome described above.


The sutures are removed at 2 weeks and incisions will be healed and ready to return to shoes shortly after.


For more information, feel free to call (281) 444-6300 or email: or fill out the form below:

Below is the surgical technique – WARNING graphic material.

The procedure is performed with a tourniquet to prevent blood loss as well as to maximize the best visualization of structures during this technique.