Put your best
foot forward.
No two cases of foot or ankle pain or injury are exactly alike and no two patients have the same goals, so we provide individualized treatment to help you maximize your potential to return to an active lifestyle.
Foot and Ankle Specialists of CT
We offer nonsurgical options, including medical and injectable treatments, physical therapy, bracing, and orthotics. When nonsurgical treatment is not an option, however, only highly trained foot and ankle surgeons can achieve consistently superior results. And we provide that first-rate fellowship-trained surgical care close to home.
Our team of foot and ankle specialists include:

Tom Guglielmo, D.P.M.
Medical & Surgical Foot Care | Board Certified Foot Surgery
Litchfield, New Milford, Sharon
860‑354‑8616

Paulina Piekarska, D.P.M. A.A.C.F.A.S.
Podiatrist | Medical & Surgical Foot Care
Darien, Norwalk, Westport
203‑845‑2200

Randolph J. Sealey, M.D.
Foot & Ankle Specialist | Foot & Ankle Surgeon
Danbury, Southbury
203‑797‑1500, ext 6628
Best Orthopedic Foot Surgeons in Connecticut
Foot and ankle conditions can range from fairly straightforward tendonitis and sprains to complex arthritic conditions, tendon injuries, and deformities, such as severe flat feet, bunions, and hammer toes. We are a major referral resource for complex foot and ankle trauma, including tib-fib (pilon), calcaneus, talus, Lisfranc, and metatarsal fractures or dislocations.
Frequently Asked Questions About Foot & Ankle Concerns:
What’s the difference between a twisted, sprained, and fractured ankle?
How do I heal an ankle injury?
Some mild ankle injuries will heal over time with self-care. Severe ankle injuries may need immobilization or surgical care and should be examined by a Foot & Ankle Specialist to determine the best steps toward a complete recovery. A good treatment plan for a mild ankle ligament sprain is rest, ice, compression, and elevating the ankle (R.I.C.E.), supplemented, as needed, by over-the-counter anti-inflammatory medicine to reduce swelling. A mild injury should improve in three or four weeks, whereas a severe ankle injury could involve three to six months of healing.
What helps foot and ankle pain?
What are common injuries that occur in the foot and ankle?
The foot and ankle have many bones, joints, tendons, muscles, and ligaments that are easy to stretch, sprain, strain, twist, fracture, and inflame. The most common injuries include neuromas, stress fractures, plantar fasciitis, heel spurs, bunions, sesamoiditis, Achilles tendinitis, and ankle sprains.
The inverted ankle sprain is the most common ankle injury and might occur when walking (or falling) on an uneven surface, or during a sports movement where you twist or roll the foot and outside ankle ligament inward. This might happen, for example, when you pivot in basketball. Swelling, bruising and tenderness are common and healing ranges from days to months depending on severity of the sprain.
Do I need crutches?
Will I need ankle surgery if I fracture my foot?
How painful is foot and ankle surgery?
What can I expect after foot and ankle surgery?
What are the different types of fractures?
The five most common types of fractures include open fracture, closed fracture, displaced fracture, stress fracture, and greenstick fractures.
- Open (compound) fractures occur when a broken bone breaks through the skin and will require surgical cleaning, setting, and treatment immediately.
- Closed fractures do not break the skin and should be assessed and treated quickly. They often do not require surgery.
- Displaced fractures are when the two ends of the fracture no longer line up properly and need surgery to realign and treat.
- Stress fractures are overuse fractures and are common for athletes who repeatedly train and stress the bones.
- Greenstick fractures occur when a break occurs on one side of the bone. These are common in growing children whose bones are still soft, supple, and flexible.
What is ankle arthritis?
Ankle arthritis is a breakdown of cartilage in the ankle joint. Arthritis can be caused by a number of issues, including previous injury, age-related degeneration (osteoarthritis), and by inflammatory conditions such as gout or rheumatoid disease. All forms involve a loss of the natural cartilage coating of the joint and a variable amount of pain, stiffness, instability, and deformity. An orthopedic surgeon can recommend many nonsurgical treatments for ankle arthritis. However if indicated, our Foot and Ankle surgeons are experienced at performing total ankle replacements, or in severe cases, perform tibiotalocalcaneal fusion surgery.
To learn more, read this article on ankle arthritis, or watch Dr. Randolph Sealey’s video addressing What is Ankle Arthritis?
What is ankle arthrodesis?
Ankle arthrodesis is another name for ankle fusion surgery. It is used to help reduce pain from severe ankle arthritis including osteoarthritis, rheumatoid arthritis, arthritis from a joint injury, or to correct genetic deformities. An ankle fusion involves fusing two or more bones of your ankle into one piece. If you are having severe pain, inflammation, or stiffness that impairs walking, you should be seen by an orthopedic physician who will recommend the best treatment options to ease your pain.
What is an ankle replacement?
An ankle replacement surgery helps reduce pain and restore mobility to the ankle. The artificial joint is made of metal and plastic. During the procedure an orthopedic surgeon removes damaged and/or diseased portions of the ankle and implants the artificial ankle joint in its place. Read about our patients’ experience with an ankle replacement, and watch an ankle replacement animation to learn more.
Common Foot, Ankle & Lower Leg Conditions:
- Accessory Navicular
- Achilles Tendon Injuries
- Adult Acquired Flatfoot
- Ankle Sprains
- Chronic Lateral Ankle Pain
- Bunions
- Claw Toe
- Calcaneus Fracture
- Talus Fracture
- Haglund’s Deformity (Retrocalcaneal Bursitis)
- Hallux Rigidus (Stiff Big Toe)
- Hammer Toe
- Ingrown Toenails
- LisFranc (Midfoot) Fracture-Dislocation
- Metatarsalgia
- Osteochondral Injuries of the Talus
- High Ankle Sprain
- Jones Fractures
- Soleus and Gastrocnemius Muscle Strains
- Posterior Tibial Tendon Dysfunction (PTTD)
- Morton’s Neuroma
- Peroneal Tendonitis
- Pilon Fracture
- Plantar Fasciitis
- Peroneal Tendon Tears
- Sesamoiditis
- Stress Fractures of the Foot and Ankle
- Tarsal Tunnel Syndrome
- Tibial Fractures
- Foot, Ankle & Lower Extremity Joint Pain
Common Foot, Ankle & Lower Leg Procedures:
- PRP Therapy for Peroneal Tendonitis
- Ankle Fracture Surgery
- Ankle Replacement
- Arthroscopic Ankle Cartilage Repair
- Bunionectomy (Chevron Bunionectomy)
- Bunionette Deformity Correction
- Calcaneal Fracture Fixation
- Medial Calcaneal Sliding Osteotomy
- Platelet Rich Plasma Injections
- Resection of Haglunds Deformity
- Learn about Cheilectomy for Arthritis of the Big Toe
- Excision of Mortons Neuromas
- Big Toe Fusion (First MTP Arthrodesis)
- Fixation for LisFranc Injury
- Gastrocnemius Recession
- Subtalar Fusion
- Hammer Toe Correction (PIP Joint Arthroplasty)
- Jones Fracture Fixation (Intramedullary Screw)
- The Kidner Procedure
- Lapidus Bunionectomy Procedure Animation
- Ankle Fusion, Transfibular
- Lateral Ankle Ligament Reconstruction
- Evans Osteotomy for Adult Flat Foot Treatment
- Midfoot Fusion
- Surgery for Achilles Tendon Rupture
- Mallet Toe Surgery
- Partial Nail Removal (Matrixectomy)
- Achilles Tendon Repair
- Arthroscopy of the Ankle
- TightRope™ Fixation for Ankle Syndesmosis
- Triple Arthrodesis
- Absorbable Antibiotic Bead Treatment
- Calcaneal Osteotomy
- Cotton Osteotomy | Flat Foot Surgery
- Excision of Soft Tissue Masses
- First MTP Joint Replacement
- Tarsal Tunnel Decompression
- Tendon Transfer (FHL to Achilles)
- Tibiotalocalcaneal Fusion Surgery for Severe Arthritis in the Ankle
- Total Ankle Joint Replacement (Salto® Talaris)
- Metatarsal Fracture Fixation
- Weil Osteotomy for Claw Toe
- First MTP Joint Fusion
- Lapidus Arthrodesis (with Medial Plate Fixation)
- Minimal Incision Toe Bone Spur Removal
- Plantar Fascia Release
- PRP Injection Treatment
- Talar Fracture Fixation
Call OrthoConnecticut today at 1.833.678.4628 to learn more or to schedule an appointment.