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Suite 17 Waterloo, ON N2J 3H8 519-884-4200 kwfoot.com Doctors referral not necessary New In-Office Foot Procedure for Hammer and Curly Toes - Percutanous Tenotomy The pain caused by hammer or curly toes - discomfort on the top, tip, or side of the toe due to the position of the toe - is a common problem that many people deal with. In some cases there is a presence of swelling, a callus, a corn or an open ulcer (wound) formation that just won't heal. If the toe can be manually reduced to some degree, a small in-office procedure can significantly reduce or eliminate this problem. The procedure is called a percutanous tenotomy - a procedure where a needle is advanced through the skin to make a small release in a tendon. The procedure is performed under simple local anesthesia. The tendon that keeps the toe contracted down is released with the pinpoint scalpel-like tip of the needle. The toe is dressed and splinted and the patient receives simple care instruction for home. The toe that once only touched the ground at its tip will now be able to lay flatter, reducing pressure on the tip of the toe. This has also proven effective for those who have more pain on top of the toe because the toe now lays flat and is not fighting with the inside of the shoe, significantly reducing or eliminating pain. Overall, percutaneous tenotomy is an effective therapy for correcting the majority of lesser toe deformities and it can be done in a clinical setting. Patients do not require sutures, they can weight bear immediately after the procedure and they don't have to take any time off from work. However, this procedure is not meant to be a cosmetic fix. Thursday, april 20, 2017 • WATERLOO CHRONICLE • 5 By Samantha Beattie Chronicle Staff Uptown Waterloo's 16 surface parking lots are there only temporar- ily and what the city should do with them has become a stick- ing point. At an April 10 committee meeting, Cameron Rapp, com- missioner of integrated plan- ning and public works, said the city envisions selling the city- owned land and opening it up for redevelopment. "I do view surface parking lots as a temporary land use," Rapp said. "There isn't really a time frame, but we never want to not look at opportunities as they arrive." The city's more than 1,300 parking spots -- not includ- ing on-street parking and the Uptown Parkade -- are unde- rused. A 2016 study found on weekends and weekdays from 8 a.m. to 8 p.m., city-owned lots were on average less than half full. The city could eventually add intensified structured park- ing underground, which will make surface parking lots even less needed. The land would be freed up to presumably sell, but Coun. Bob Mavin argued there are other options. "There seems to be an assumption we are going to sell our parking lots and let devel- opers build on them, instead of the city leasing parking lots and having developers build what we want them to build," Mavin said. Leasing out land could result in land uses that would other- wise be overlooked by develop- ers. For instance, the city could lease one of its lots on Caroline Street for affordable housing for seniors, Mavin said. Mavin took issue with the upcoming uptown public realm strategy, which will look for ways to enhance public spaces, but explicitly excluded parking lots. "You're excluding parking lots and it doesn't seem right," said Mavin. "It seems we're leaving a piece out that I think is rather key." The public realm strategy is going to review city-owned parks and open spaces, connec- tions between public spaces like streets and trails, and privately owned but publicly accessible spaces. The city will develop ini- tiatives to create and improve these spaces and funding strat- egies for public and private investments. The staff report said city- owned parking lots were not to be included because they are recognized as potential redevel- opment sites. The exclusion was to "man- age expectations around future plans," said Janice Mitchell, policy planner. "Selling them was certainly thought of as the future use of those lands." Coun. Mark Whaley said suggesting what will happen to the parking lots is getting "ahead of the game" and that they might end up being kept as-is for the long term. "We are on the cusp of change when it comes to cars. LRT might be a solution, but pretty soon driverless cars could be waiting to be called on demand. Where are they going to park? We don't know. "To suggest all city-owned parking lots will be developed into the shining towers of the future, I don't buy it." Councillors voted to include parking lots in the public realm strategy, as well as a non-pub- lic strategic report about city- owned properties in uptown. Now, staff will look at what parking lots could offer to the public realm if they're no lon- ger needed for parking, and also how they can be improved aesthetically in the interim, said Mitchell. Uptown parking lots not here to stay