Shasta Ortho Foot & Ankle Institute

10/17/2025

Our newest publication in Foot and Ankle Orthopaedics discussing a Minimally Invasive Approach to Metatarsus Adductus Deformity.

This has proven to be incredibly useful when approaching a tenuous soft tissue envelope and ultimately cost effective for our facilities.

10/10/2025

Follow up from yesterday’s case/poll. Split house on autograft vs. allograft.

Certainly staged Masquelet technique/impaction grafting (Encinas et al FAO 2023) could have been considered as an option.

Given the substantial defect with certainly more devitalized bone than radiographically portrayed, we elected to perform a fibular autograft harvest (5 cm) with single stage arthrodesis in conjunction with a Strayer gastroc recession, Evans, and 2nd MTP capsulotendinous balancing. The fibular harvest site was backfilled with tricortical iliac crest and fixated with a rush rod.

Postoperative protocol: 6 weeks NWB, 4 weeks protected WB in boot, and then into shoe gear.

09/21/2025

Here we present the case of a 48 y/o M who is otherwise healthy now s/p LLE ex fix with staged talar ORIF and subsequent HWR in 2019 (performed outside our area). Injury CT is presented to gain depth in the comminution of fracture pattern. 

Presented to our clinic in 2025 with global hindfoot and ankle pain with inability to axially load for extended periods of time. He underwent an MRI and CT to confirm talar necrosis with fatty infiltration as well as visualize the adjacent joint space of the TN and Subtalar joint.

A single stage TATTR with subtalar, TN arthrodesis and Strayer gastrocnemius recession was performed. Postop protocol includes 6 weeks NWB followed by 4 weeks WBAT in CAM with transition into shoe gear. 
Our typical TAA protocol includes 2 weeks NWB followed by 4 weeks WBAT in a CAM.

This patient is now off of 2 year narcotic usage for pain management and is thrilled with the result. 



08/25/2025

Below we demonstrate our technique for Dynamic Syndesmotic Stabilization with Non-Metallic Bio-Integrative Fixation consisting of mineral fibers in a PLDLA matrix.

This technique can negate the need for implant removal and decrease risk of stress shielding, all while being performed in a minimally invasive fashion while sparing the intraosseous blood flow of the tibia.

1. Preop stress examination
2. A 3.5 to 4.0mm step drill for a 4.75 mm anchor is drilled from lateral to medial with a slight anterior influence with care not to violate the tibial cortex.
3. A 1.8 mm drill bit is advanced under fluoroscopy to the level of tibia in the same transverse path.
4/5. The 2.5 mm suture anchor is passed through the larger fibular tunnel and seated into the tibia with two 1.4mm suture tapes attached. The tapes are then placed on tension to test pull out strength.
6. The 4.75 mm anchor is placed to maintain the tension of the 2.5 mm suture tapes completing the syndesmotic stabilization following manual or Weber clamp assisted reduction.
7. Excess tapes are resected flush with the fibula. Care is taken not to place the anchor deep to the medial cortex of the fibula which may cause excess anchor to be proud. This can be resected with a rongeur.
8. Final Postops from two selected cases

04/30/2025

⭐️ Dr. Strand: A True Foot & Ankle Superhero! ⭐️
When foot problems hold you back, it takes a true expert to set things right.
👨‍⚕️ Dr. Strand helped one patient walk pain-free again — after suffering from foot issues for over a decade!
At Shasta Orthopaedics in Redding, we’re proud to offer the North State’s best in foot and ankle care, with outcomes that change lives.
Ready to step into pain-free living?
👉 Learn more: https://shastaortho.com/best-foot-ankle-care-in-redding-2/

04/29/2025

Imagine Life Without Bunion Pain!
Bunions aren’t just uncomfortable — they can interfere with your everyday life.
At Shasta Orthopaedics, our foot and ankle surgeon team specialize in bunion surgery to restore mobility and ease pain.
✅ Cutting-edge techniques
✅ Compassionate, patient-centered care
✅ Located right here in Redding
Take control of your foot health and walk comfortably again.
Learn more ➡️ ShastaOrtho.com/bunion-surgery-bunion-treatment

04/28/2025

"Get the best care you deserve!" That’s what our patients say after working with Shasta Orthopaedics' foot and ankle specialists.
Whether you're facing a complex foot or ankle issue or just tired of living in pain, Dr. Nowak and the team are here for you.
🌟 The ONLY dual board-certified foot and ankle surgeons in the North State
🌟 Compassionate, patient-first care
Learn more ➡️ https://shastaortho.com/best-foot-ankle-care-in-redding-2/

Get the Best Foot & Ankle Care in Redding from Dr. Jason Nowak and Dr. Garret Strand at Shasta Orthopaedics.

04/28/2025

Your Feet Deserve the Best Care.
Painful bunions shouldn’t dictate your lifestyle. At Shasta Orthopaedics, we provide comprehensive bunion treatment solutions, including bunion surgery, that’s tailored to your needs.
🏃‍♀️ Get back to the activities you love
🏃‍♀️ Feel supported every step of the way
Trust the local experts in foot and ankle care. Schedule your bunion treatment consultation with Dr. Jason Nowak and Dr. Garret Strand today!
👉 ShastaOrtho.com/bunion-surgery-bunion-treatment

At Shasta Orthopaedics, we offer advanced bunion treatment and bunion surgery options to help patients in Redding get back on their feet.

03/25/2025

Is that bump on the outside of your foot making every step painful? You may have a bunionette, a condition that can worsen over time if left untreated.

At Shasta Ortho Foot & Ankle, we offer:
✔️ Conservative bunion treatments
✔️ Minimally invasive procedures for lasting relief
✔️ Expert surgical options when needed

Find the right treatment for your foot pain. Click here to learn more! 👣 https://shastaortho.com/understanding-bunionettes-and-how-to-treat-them/

Dr. Garret Strand and Dr. Jason Nowak specialize in a minimally invasive bunion surgery and detailed a recent bunionette correction.

03/19/2025

👣 Expert Bunionette Care Backed by Research
Struggling with a painful bunionette? You deserve the best care from leading foot & ankle specialists who stay ahead of the latest advancements in treatment.

At Shasta Ortho, our very own Dr. Garret Strand contributed to a published study on bunionette treatment, helping advance the way foot conditions are managed. With cutting-edge knowledge and experience, he and our team offer:

✔️ Personalized, research-backed treatments
✔️ Non-surgical & surgical solutions
✔️ Expert care to get you walking pain-free

Trust the Dr. Garret Strand and Dr. Jason Nowak, Redding specialists who are shaping the future of foot & ankle care. Learn more about bunionette treatment today! https://shastaortho.com/understanding-bunionettes-and-how-to-treat-them/

02/17/2025

Shasta Ortho will be closed 2/17 for President's Day.

https://shastaortho.com/patient-center/holiday-closures-important-dates/

01/31/2025

Several years ago, we saw the introduction of PSI into the world of total ankle arthroplasty. Today, we are cracking open the door for the utilization of navigation into total ankle arthroplasty. Here, we are utilizing the new Exactech Vantage total ankle navigation system, which is quite eye-opening. While still in its infancy for usage in total ankle arthroplasty, navigation is certainly exciting technology for foot and ankle surgeons to take advantage of. Will we see this technology grow, as we’ve seen with PSI? Time will tell, but this is certainly an interesting new step in the evolution of TAA. There is likely valuable new information to be gleaned from navigation into the realm of TAA. This is something that offers unique capabilities intraoperatively, and will help us continue to gain more information regarding TAA.