Ankle Surgery And Bone Spur :: Spinal Vs. General Anaesthetic?


Aug 2, 2014

Two years ago I broke my ankle and had pins and plates put in. On Monday I am having them taken out because they are irritating my tendon. I am also having a 'bone spur' basically shaved off and they are going to 'explore' the damage done to the tendon.

When I had them put in I had a general anaesthetic, but I wasn't asked what I'd prefer. This time, at a different hospital I have been.

I don't know what to do for the best. Obviously I can talk about this when I arrive on Monday I'd just like people opinions on which they prefer and why. Or even which they think would be suitable for my surgery.

I was fine after my anaesthetic last time, no side effects etc I just think I feel more comfortable not being 'put to sleep'... just in case. I'm a bit of a worrier!

I am leaning towards opting for the spinal anaesthetic combined with a bit of sedation as I do think I may get anxious. The only thing that is putting me off is what I will hear. Obviously they will be using screwdrivers etc and the thought of hearing them and knowing what they are doing makes me feel a little queasy!

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Caution: Do NOT Have Bunion/Hammertoe/Plantar Fasciitis/Bone Spur Surgery All At One Time

I am 6 days post-op and had no idea this surgery would be this bad. I decided since I had to have the plantar fasciitis and heal bone spur surgery that I would just get my bunion and hammertoe corrected at the same time. BIG MISTAKE! I was unaware of the pain I would have to go through and the worst part is that because the plantar fasciitis surgery requires a cast for two weeks, I have not been able to ice my foot at all. The first day out of surgery wasn't too bad. My foot was numb but there was a little pain. Day 2 post-op was a little more painful. I did have to take hydrocodone but soon realized that they did not work to relieve my pain at all. I ended up calling my doctor for stronger pain meds. They ended up working great but make me very sleepy. Day 3 was far more worse than the first 2 days because all of the numbing medicine had worn off. I stayed on my couch with my foot propped up and only got up to use the restroom. Day 4 was about the same as day 3. I did go back to work but could only stay 1/2 day due to the pain. After surgery, I had a splint made out of cast material that went up to just below my knee. It was heavily bandaged. I had my first post-op appointment yesterday and the regular cast was put on. I have to say, I was very shocked at how horrible my foot looked. I have 5 incisions and a ton of bruising and swelling. The cast again is only because of the plantar fasciitis surgery which I have had ABSOLUTELY NO PAIN with. When they put the cast on, it felt too tight because of the swelling and it hurts 10 times worse now than it did before the cast. This is currently day 6 post-op and I am back at work with a pillow on my desk to prop my foot up on. Heaven forbid I stand up because when I do, the blood and fluid in my leg and foot race down to the bottom of my foot causing excruciating pain. I can only stand up for about 5 minutes before my breath is completely gone from trying to "take" the pain. I can only hope it gets better from here. Once the cast comes off 13 days post-op, I will then be placed in a walking boot for 2 weeks. I can only dream of that day now because I know I will be able to ice my foot any time I need to. I have not been able to ice my foot 1 time due to the splint and now the cast. I know if I could ice it, the swelling would have a much better chance of going down quicker.

If there is anyone out there looking for advice on bunion/hammertoe surgery....please do not think that this will be a walk in the park. This surgery was my 21st surgery. I am 33 years old and have had 14 knee surgeries alone. I have had 3 total ACL reconstructions and the rest scopes to clean out torn cartilage. I have had bunion surgery in middle school on each foot, hammertoe surgeries on each foot, a c-section, and a few other minor surgeries. THIS SURGERY BY FAR IS THE WORST I HAVE EVER HAD. Do not take that lightly. I was on crutches for 9 months with my first ACL reconstruction so it was not easy but I never would have imagined anything ever being worse than that. I now have 4 screws in my foot along with 1 dissolvable pin in my second toe. I can bear very little weight on my foot but hope each day I can put more and more weight on it.

If you are considering having plantar fasciitis surgery and need bunion/hammertoe surgery or it was suggested to just get it all done at once.....DO NOT DO IT! From the experience I have in the past 6 days, I have learned that there is VERY LITTLE pain associated with plantar fasciitis surgery. The only discomfort I have had with that part is the incision rubbing against the splint/cast. Because the plantar fasciitis surgery requires a cast for 2 weeks and a walking boot for 2 weeks and if you are considering bunion/hammertoe surgery at the same time, you will have WORSE pain with the bunion/hammertoe part of it than the fasciitis because of the splint/cast.

I am due to get my other foot done (bunion/hammertoe only) in December and I am seriously considering not doing it. Please consult with your doctor before considering all of these corrections at one time. My doctor made it sound like it would be a very simple and easy surgery to recover from. HE WAS WRONG! If you do decide to have the surgery, make sure you plan to take at least a full week off of work.

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