Toe Arthroplasty

Toe arthroplasty, or toe joint replacement surgery, can restore function and relieve pain when arthritis or injury severely damages your toe joints. Our fellowship-trained podiatric surgeons use advanced techniques to help you regain mobility and return to the activities you love.

Complete toe joint care—from conservative treatment to advanced surgery.

Find a Foot & Ankle Specialist Schedule Your Consultation

Schedule Your Consultation

Meet with our experienced podiatric surgeons to explore your treatment options and develop a personalized plan for your toe joint concerns.
(947) 243-2604

Your Treatment Options for Toe Arthroplasty

At Synergy Health Partners, we offer comprehensive treatment for toe joint arthritis and deformities. Our team begins with conservative approaches and progresses to surgical options when needed to restore your quality of life.
  • Fellowship-trained podiatric surgeons specializing in foot and ankle reconstruction
  • Latest implant technology for improved joint function and longevity
  • Comprehensive rehabilitation with our in-house physical therapy team
  • Coordinated care from diagnosis through complete recovery

Non-Surgical Treatments

Start With the Least-Invasive Options

Most patients improve without surgery. Our team takes a conservative-first approach with treatments designed to reduce pain, improve strength, and prevent future flare-ups.

Non-Surgical Foot & Ankle Treatments

  • Custom Orthotics and Footwear Modifications Specially designed shoe inserts and footwear modifications can reduce pressure on arthritic toe joints and improve alignment. Our podiatrists work with certified orthotists to create devices tailored to your specific foot structure and activity level.
    • Custom-molded toe spacers and padding
    • Rocker-bottom shoe modifications
  • Joint Injections Corticosteroid or hyaluronic acid injections can provide significant pain relief and reduce inflammation in arthritic toe joints. These minimally invasive treatments can delay the need for surgery and improve your daily function.
    • Ultrasound-guided precision injections
    • Hyaluronic acid for joint lubrication
  • Physical Therapy Targeted exercises and manual therapy techniques help maintain toe joint flexibility and strengthen surrounding muscles. Our physical therapists design programs to reduce stiffness and improve your gait mechanics.
    • Joint mobilization techniques
    • Strengthening exercises for intrinsic foot muscles
  • Anti-Inflammatory Medications Prescription or over-the-counter medications can help manage pain and reduce joint inflammation. Our physicians carefully monitor your response and adjust treatments to minimize side effects while maximizing relief.
    • Topical anti-inflammatory creams
    • Oral NSAIDs with gastric protection when appropriate
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Many patients experience significant pain relief and improved mobility within 4-6 weeks of starting their comprehensive non-surgical treatment plan.

Surgical Options

If Surgery is Right for You

Procedures are determined after evaluation—this list is for education only.
Toe Arthroplasty

Watch how our fellowship-trained surgeons perform advanced toe joint replacement procedures using the latest implant technology.

Surgical Foot & Ankle Procedures

  • Total Toe Joint Replacement (Arthroplasty) Complete replacement of the damaged joint with a prosthetic implant designed to restore natural toe movement. This procedure is ideal for patients with severe arthritis who want to maintain joint flexibility and avoid fusion.
  • Silicone Implant Arthroplasty A flexible silicone spacer is placed between the toe bones to maintain joint space and provide cushioning. This option works well for patients with moderate joint damage who need pain relief while preserving some natural movement.
  • Minimally Invasive Joint Resurfacing Advanced techniques allow our surgeons to reshape damaged joint surfaces through smaller incisions, preserving healthy bone and soft tissue. This approach often results in faster healing and reduced post-operative discomfort.
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Over 88% of our toe arthroplasty patients report significant pain improvement and return to normal walking within 8-12 weeks.

What to Expect with Toe Arthroplasty

1

Comprehensive Evaluation

Your podiatric surgeon will review your medical history, perform a thorough examination, and order imaging studies to determine if you're a candidate for toe arthroplasty.

2

Pre-Surgical Planning

We'll discuss surgical options, review implant choices, and coordinate with our anesthesia team to ensure your procedure is tailored to your specific needs and health status.

3

Outpatient Surgery

The procedure is typically performed in our state-of-the-art ambulatory surgery center under local anesthesia with sedation, allowing you to return home the same day.

4

Recovery and Rehabilitation

You'll work with our physical therapy team to regain strength and mobility, with most patients transitioning to regular shoes within 6-8 weeks post-surgery.

5

Long-term Follow-up

Regular check-ups ensure your implant is functioning properly and help us address any concerns as you return to your desired activity level.

REAL EXPERIENCES—FROM EVALUATION THROUGH RECOVERY.

What Patients Say

WW
Dr Green took the time to diagnose the symptoms and come up with a plan. Everyone in the office was professional and helpful.
WC
New patient to Dr Leff. I was relieved to have an attentive Dr. and truly hope that it continues. Dr Leff sat and explained what I asked for and took time with me. Best Dr. visit in several years
VJ
Encouraged me to private pay for a laser treatment on my toes. Had no literature on it. He told me if I wanted information to Google it! Neither he nor staff knew anything about its success rate. I asked to speak with him again - he couldn’t do it… Said he didn’t have enough time and that he had other patients! Shame on me for paying for the treatment! I think it’s now time to find another podiatrist!
TP
I am very happy with the hospital for the way I am treated by the staff.
TV
Very efficient and friendly
TH
Very thorough!
TH
Very professional and kind.
TB
I’ve been a patient of Drs. Fred & Randy Leff for many, many years. Their level of professionalism is beyond stellar. What I admire most is how they move you beyond being a mere patient/client, but instead, they treat you as a friend they’ve known forever. They not only care about your feet (or what ails you); they genuinely care about you as a person. Their chair side manner is second to none and their office staff, managed by Mrs. Leff, is beyond caring & professional. I would wholeheartedly recommend their practice to anyone at anytime.
TL
Love the location, professionalism of the staff and Dr. Randy Leff. He’s definitely a chip off of Dr. Fred Leff’s block. :)
SH
Feet feel great. Went to Naturpathic Doctòr and he said get those chemicals off you're feet. They are off. Excellent. My Mother and me. Use his healthy Nail products instead.
R
Friendly, on time, cared about my needs and gave different options for care.
RF
Great doctor
RN
Toe nails clipped nicely.
PG
Great Doctor, did a really good job!
PO
I have been seeing Dr. Randy Leff for 15 years. I would not go to anyone else. Highly recommend!
PG
The Office personnel is always very nice and polite. And the Doctor always listen to me when i am explaining to him on how I feel. He's always very nice.
OM
Every time I go to Dr. Leff, everyone is very friendly and nice. I’ve been going to them for some years and everyone is very nice and polite.
MF
Always on time, professional and informative. Staff is the same. Highly recommended
LM
Safe comfortable knowledgeable open to questions and answ . Safe andcomfortable. Service was great as always.
LS
Great service!! Dr. Green is a great DPM. Very professional, and she cares about your feet.
LR
Each experience has been just as exceptional as the last. Their professionalism, patience, and genuine concern for my well‑being keep me coming back. They take the time to explain what’s going on, answer every question with clarity, and make sure I feel comfortable with the treatment plan. I highly recommend Dr Leff to anyone looking for consistent, compassionate, and effective foot care.
LJ
Excellent service and great care
LM
Dr Jeffrey Klein and staff done a good job keep up the good job 👏
KD
My visit with Dr. Leff was awesome. He was very kind and PATIENT as I tried to explain my long history on my right foot. The office was very easy to find and it was absolutely worth the drive from Brighton to come there. Thank you so much for making me feel heard and I am sure I'll get this foot in some order.
JD
Very pleasant ☺️ and great service
JR
They are always prompt, never a long wait.
JT
Dr Randy Leff and staff were very nice attentive and helpful but forgot to give me a new script for my ankle brace.
JZ
All my visits are good!!!
JS
I enjoyed my visit there. It was my first time I was recommended by someone to visit Dr Leff I have to say it was a very good experience and definitely would go back and definitely recommend him to other. People even his staff was very professional You don’t find this often when it comes to customer service no matter what field or service a big applause for Dr. leff and his staff …thank you
IK
My experience with Dr Randy Leff DPM was nothing short of a pleasant visit. I found Dr Leff to be very personable, understanding and answered all of my questions.
GN
Excellent care and timely appointment time.
DH
Timely and professional
CW
A wonderful doctor who cuts toenails and files the toenails. Dr. Randy Left very patient and attentive!
DK
Dr. Green does a great job!
DS
Dr. Randy Leff and his staff are very kind and courteous. Minimal wait time.
DH
Dr. Klein is a very pleasant man. I was nervous so I figured I’d have to have surgery. And I do he made me feel pretty good by the time I walked out of there. We even had a few laughs. I was very reassured by the time I left there on what was going to happen. Ty
DS
She was efficient, friendly, knowledgeable, & courteous. Explained things clearly in an understandable way. On time service, no wait time. Staff was very cordial.
DK
Dr. Green is an excellent podiatrist who knows how to put your feet at ease. The personnel is great and you never have to wait. I have been her patient for awhile now and I’m totally satisfied with her services.
DS
He saved my Feet today!!! Great Great Great Personality. Greatest Foot Doctor I know...
FW
I love my foot Dr. Kristen Green she is the best
FN
To my knowledge, Dr. Leff is a second generation podiatrist; and given his professionalism and “white glove service,” it truly shows!
CT
Very nice office and workers everyone very friendly and more than willing to get anything you might need. Dr. Randy Leff, first time meeting was so very helpful, kind, gentle in his proceedings. I’m going to be making this my foot doctor from now on. He answers any questions and doesn’t make you feel rushed. Great personality and knows what he’s talking about. 👍
CG
Service was great and staff was very friendly and polite. Highly recommend Dr Leff to new patients.
CK
The staff in the doctors are excellent here. Great communication with let you know what’s going on. I’m very compassionate about what you’re doing
CG
As a new patient in need of another opinion on a pending revision surgery from a failed first, Dr. Randy Leff was incredibly empathetic, candid and honest in his professional evaluation and explanation of my situation. It is rare to find specialists who are so open to questions in conversation and are willing to take the time to meet you right where you are. I am so grateful and hopeful to be in the care of someone with his experience and background! Thank you to your whole team and I look forward to the next appointment. I feel as though my feet are in great hands in this practice!
CB
Dr. Randy Leff is the Best Foot Doctor In the World. I love him and his family dearly and I love his staff as well. Please if you truly love your feet let Randy Leff be your Doctor I swear you won't regret it❤️❤️🙏🙏
BW
The entire office of Dr leff is a kind environment. From the moment you walk in you are welcomed by the staff and you are called back quickly !The nurse was funny and kind and Dr leff is always professional and concerned. You leave your visit feeling better and happy !!!!
AT
My experience was professional and pleasant from the moment I met the receptionist and throughout the medical procedure that Dr. Randy provided. I would highly recommend Michfoot to my friends.
AO
Dr Green is professional, courteous, friendly, and is a knowledgeable physician
AB
Dr Leff and staff were very helpful and professional. Dr Leff was personable and explained my injury and options for treatment. My foot feels so much better and exercises are easier with the instruction handout. Thank you for the great service.
AB
Excellent 100%. One of the best in Michigan.

Your Foot & Ankle Experts

Meet the providers who specialize in Foot & Ankle

Foot & Ankle

Kevin Sorensen, DPM

★ ★ ★ ★ ★ 5.0
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Foot & Ankle

Kristina E. Green, DPM

★ ★ ★ ★ ★ 5.0
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Foot & Ankle

Fred Leff, DPM

★ ★ ★ ★ ★ 5.0
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Foot & Ankle

Jeffrey B. Klein, DPM

★ ★ ★ ★ ★ 5.0
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Foot & Ankle

Randy Leff, DPM

★ ★ ★ ★ ★ 4.9
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View Foot & Ankle Team

Foot & Ankle Care Near Me

Auto Accident Care

Troy

Directions
5107 Rochester Rd.,Troy. MI 48085 • (855) 750-5757
Auto Accident Care

Sterling Heights

Directions
35735 Mound Rd, Sterling Heights, MI 48310 • (586) 261-1960
Surgical Centers

Synergy Surgery Center

Directions
5504 E. 12 Mile Road, Warren, MI 48071 • (586) 838-2035
Full-Service Clinics

Southfield

Directions
29275 Northwestern Hwy, #207, Southfield, MI 48034 • (855) 750-5757
Auto Accident Care

Port Huron

Directions
600 Fort St #100, Port Huron, MI 48060 • (810) 987-9871
Surgical Centers

Genesys
Surgery Center

Directions
35735 Mound Rd, Sterling Heights, MI 48310 • (855) 750-5757
Auto Accident Care

Livonia

Directions
36622 Five Mile Rd, Suite 101, Livonia, MI 48154 • (855) 750-5757
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SPECIALIZED CARE

Why Choose Synergy?

Our fellowship-trained podiatric surgeons and comprehensive care team ensure you receive the most advanced toe joint treatments with coordinated rehabilitation support.
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Patient Satisfaction

(1 Year Post-Surgery)

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Return to Normal Activity

(Within 3 Months)

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Pain Reduction

(At 6 Months)

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Implant Success Rate

(5-Year Follow-up)

Data Source: CODE Technology PRO Surveys (2025).