Foot / Ankle :: PTTD Surgery - Transition To Shoe Concerns
May 18, 2016
I am now about 11 weeks post op ... in a CAM boot and using a walker and sometimes a cane at home or where ground is flat and smooth.
I have just started to go to outpatient PT and my dr. suggested I use an ankle brace in a shoe for extra support ... while I build up my muscle and make the transition out of the CAM walker into the shoe .
What type of Ankle brace has anyone out there used? There is a Malleoloc Brace my PT therapist likes; and I have an Air Cast PTTD one with an air bladder under the arch . I have custom arch supports from before surgery that are still ok to use also.What type of shoes are best? My Surgeon seems to prefer a shoe that laces up and is not too flexible. I have a pair of Ziera lace up shoes I wear with my arch supports...
I am weight bearing and with very little pain...more stiff and slightly achy at times.
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I went for all the fun preop tests today in preparation for my second reconstruction happening in two weeks. I'm starting to go a little crazy realizing everything I still need to do before the surgery. ..finish prepping my house, rent the knee walker, finish Christmas shopping! Yikes! In some ways it's easier having an idea what to expect the second time around, but in other ways knowing what the next few months will be like makes it harder.
Those of you who have had the joy of having to have pttd surgery on both feet, how did foot number one hold up to crutches, etc? Any suggestions for a successful second recovery?
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Okay, here again, asking if anyone who has had heel pain after pttd surgery has had any solutions to heel pain problems. Prior to surgery and the osteotomy, I never had the least issue with my feel. Now it feels like there is a rock under my heel in the middle, and I walk on the outside edge of my foot, with my toes scrunched tightly to the ground. Very unnatural. And the surgeon who did my procedure can't think of any reason why I am having this issue, and recommended that I go for a second opinion with someone else. Sooo...... For those of you who might have had this issue, any solutions? Did it go away by itself in time?
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Disclaimer: If I ramble on and make absolutely no sense,
I blame my incoherence on the pain meds
Anyway, my second PTTD reconstruction is done! I had the exact same procedures on my left foot as I did on the right...FDL transfer, medializing calcaneal osteotomy, Evans calcaneal osteotomy, bone marrow aspiration, and Strayer procedure. The surgeon told my family that over two inches of the PTT was severely degenerated/beyond repair. Prognosis is a full recovery over the next 1 1/2 to 2 years.
Unfortunately, my nerve block didn't work as well this time; so, I woke up in pretty severe pain. The nurses were great and had the pain to a manageable point within a half hour. By the time I was discharged, I was able to take my first dose of oral pain meds...I was pretty comfortable on the ride home.
At this point, I am taking one oxycodone every 4 hours (down from 3 the first day) and think I will be able to start putting more space between doses tomorrow. The pain is not too bad as long as I stay "toes above nose."
Knowing what to expect in the days following surgery has definitely made these first few days smoother/less scary. Each day is one day closer to being active again!
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I'm a 38 year old with ankle and foot problems all my life. I was born with flat feet and I was always spraining my ankles. I acquired PTTD/Flat Foot on my left about a year ago and finally was diagnosed by an orthopedic foot and ankle expert. He recommended surgery and after a second opinion I decided I might as well get this taken care of so that I can go back to a normal life of walking through the streets of Europe.
I had my surgery about 2.5 weeks ago and I wanted to lend advice to those about to take on this crazy surgery. Firstly, the morning of surgery when the anesthesiologist was performing the nerve block it hurt like hell and made me even more panicked about the surgery. The relaxing medication they gave me did nothing to settle my nerves. I woke up from surgery a few hours later and I could feel all sorts of shocking pains coming from my foot. I asked if I should be feeling all the pain and they said that the nerve block failed. The anesthesiologist was busy for another hour and so I writhed in pain (crying hysterically) for the hour and vomited multiple times due to the extra anesthetic they gave me due to the failed nerve block.
Once the new anesthesiologist came she figured out that my nerve split into two and the other guy had not seen this split. After she was finished it was completely numb and I was worn out. I was sent home. Over the next day I vomited profusely, found out that I cannot breath when I take Oxycontin, I lost balance and fell on my foot and I was taking anything I could get my hands on for constipation. I finally found the foul tasting milk of magnesia and I can now go to the bathroom every few days.
My pain was managed by a morphine twice a day while in the splint, but now that I am in the cast my heel is killing me especially at night and the dr gave me hydrocodone which didn't touch the pain last night. Is it normal to have more pain at this point?
When will I be fairly pain free and when will I be able to leave the house? I live in Santa Barbara and i have an ocean view so I should not be complaining but i am feeling pretty horrid and ready to get out. When I think about leaving I worry about falling again and having my throbbing leg down.
Am I alone in all of this? Many experiences I have been reading say that after 5 days everything was hunky dory.
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It's been awhile since I've posted. My daughter had flat-foot surgery on her left foot on Dec 17, 2014 (subtalar arthroereisis and gastroc recession). Had this same surgery on the right foot and calf a year to the day in 2013 as well, with excellent results. As an aside, prior to surgery in 2013, her right foot was more troublesome than the left, but the left was an issue as well. Last time, she was at about 80% healed by April. We were very happy about that.
On the one hand, she's coming along nicely with this recent surgery. She goes to PT twice a week, doesn't mention any pain during the day in the walking boot, is in good spirits, and takes the boot off at home and meanders around without it, barefoot. I would think that this would hurt (I kinda cringe when I see her doing it) but she insists she's okay. She has a slight limp, but I figure technically, it's still kind of early yet.
What has me a little concerned is that she isn't tolerating a shoe. When we last saw the surgeon about three weeks ago, he said it was fine for her to start transitioning to a shoe. Yet here we are three weeks later, and she still prefers to wear the walking boot. Says that her heel hurts when it's in a shoe (how it doesn't hurt when she walks barefoot at home: I have no idea.
She is required to wear tennis shoes at school, and she's been wearing New Balance for years now. When I look at last year's calendar and reflect on the surgery for her other foot, I recall that she was further along in the process. She was already wearing shoes at this point. Walking slowly yes, but was wearing shoes.
I wondered...should I maybe go up 1/2 a size? Maybe her old shoe is too snug in the heel now, or there may still be some swelling? Should I got up 1/2 size AND go wider?
She's having an orthotic made for the left foot, and maybe that will help. She has some school events (field trips) coming up at the end of April and also in May and I was hoping she'd be easily walking on her own before then, and able to participate.
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I am 7 1/2 weeks post of from Flat Foot Surgery and the outside area of foot from where my incision ends from the double calcaneal osteotomy up to my little toe the soft tissue is halfway numb and very painful. Has anyone else experienced this and if so how long did it last.
I am not sure how long it takes the soft tissue to heal to a point where it does not hurt when you are not walking. Or is what I am feeling nerve pain. I started PT this week and am PWB. My doctor thinks I will be in a shoe in 3 weeks and I don't know at this rate how that could be possible. I am icing a majority of the day for sure after I do my PT exercises.
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I had ankle surgery to repair my medial malleolus back on May 8. It was fairly routine--just 2 screws. I was in a cast for a week, then was put into a boot but told to treat it like a cast--NO weight bearing for 7 weeks, keep the boot on 24/7 unless in the bathtub. I followed directions religiously.
I did notice that when I pressed on certain areas of the foot, I would feel a sharp pain. This occurred in the heel (from the bottom), toes (again, from the bottom, primarily the foot pad below the pinky, second, and 4th toes). When I asked the doctor about this, he said (around week 5) that it was just because I hadn't been using the foot.
The problem persisted, and this week, week 7, I was cleared to start partial weight-bearing--walking in the boot while taking approximately 1/2 the weight off my foot via the crutches. I don't have ankle pain to speak of (or at least, not often and only if I overdo it), but I have terrible shooting pains in my heel and toes as I step. It's OK if I take most of the weight on the crutches, but as soon as I go to more than just a little weight on the boot, the pain starts.
This week I also started PT and the therapist told me this is nerve pain--not uncommon after surgery (don't know why the doctor couldn't have told me this, but OK). I couldn't get much of an idea from her how long this will persist or if there is anything I can do about it.
I'm doing my ankle and leg exercises (those are mostly non-weightbearing at this point) and they are going great. The ankle is clearly healing well. But I don't see how I can progress to full weight bearing (supposed to try that next week!) when much more than a little pressure on the foot results in this nerve pain!
Help! Does anyone have experience with this? Is there anything I can do to speed things along? I need to return to my second job (barefoot hoof trimming for horses--how I broke the ankle!) ASAP and I'm fearful this will slow my progress to a crawl! The doctor is useless.
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I am 7 and a half weeks post op after a Lapidus & an Akin procedure. I was in cast until last week and have managed a tennis type shoe and a sandal on so far.
The swelling has been bad as expected with full weight bearing, but the real pain is in the ball of my foot and my big toe does not lie flat, but rather sits elevated. I think the ball of the foot under the big toe is swollen so that may be the cause? I can only walk for a few minutes properly before the pain becomes too much and I am limping and walking on the outside of my operated foot. I can usually cope with pain so know this must be fairly severe.
I am doing my toe bending exercises and think that already the range of motion is not too bad.
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After having surgery on both the 4th and 5th metatarsal with plates and screws holding everything I have pain on the ball of my foot. I haven't yet started walking, I've been in no weight bearing. It's been three weeks and a half since surgery and the bottom of my foot really hurts when pressed upon. After almost a month this doesn't seem normal. Should I be worried. I will ask the doctor about this on my next visit when he pulls out the k wire.
The ball of my foot hurts also when I do toe exercise such as curling in and out.
Each visit to the doctor he tells me not to walk and put put weight on my foot. I tell him each time that I can't if I wanted to as it hurts to barely try.
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I was diagnosed with small (<1cm) OCD of the tibial plafond and lax lateral ligaments. I am now facing a microfracture and a Brostrom is about a month. Has anyone had both procedures together and what was your experience?
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I've meet with several Dr's that have recommended shortening the second Metatarsal. I have done all the conservative approaches and have ran out of options. Cortisone injections, shoe inserts and anti inflammatory medicine and a lot of icing! This foot pain has been going on for many years but lately I haven't been getting any relief!
Can anyone tell me whether they have had much success with this type of surgery?
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On November 22, 2013, I had hammertoe surgery in my right foot. Incisions were made in the back of all four toes besides the big toe to release the tendon. The second toe was more rigid than all the others so it needed more work. Part of the knuckle had to be removed to slightly shorten the toe and a bone graph was put in. So, that toe had an incision in the back like the others and stitches on the top.
I was in a surgical shoe for four weeks, then tennis shoes for two weeks, then I could transition into other shoes. Recovery was pretty painful. I kept my foot elevated and iced it for the first week. I only walked when I had to use the restroom, and for the first few days that was almost impossible. It hurt so bad I ended up hopping to the bathroom on my other foot. So I got that surgery done in November and now it is March and my foot is doing great. Sometimes there is still slight pain in the second toe, it's still healing. My toes aren't 100% back to normal yet but I think they are close. I can walk/run on them with no problem.
I just had the same exact surgery on my left foot on February 28, 2014. This time I requested crutches since it was unbearable to walk on my foot the first time. I went home with crutches and used them for the first 4 days. Then on the 5th day I started to try to put pressure on my foot and begin to walk on it without the crutches. I thought the pain was getting better but it is now day 8 and I am in a lot of pain. My foot feels very hot, there is a burning sensation, and there are some stabbing pains. Usually the pain meds (Vicodin) help a lot with the pain. But tonight after taking one and seeing no improvement I took another, and still my foot is hurting very badly and I don't know what to do. Today is Friday and on Monday I have to go back to school so I'm trying to walk more and more everyday to prepare myself for having to walk around campus. I've already gone through this surgery before so I knew what to expect but so far the recovery for this foot has been slightly different from the first.
The pain is keeping me awake so I'm hoping it will ease off soon.
I would love to hear anyone's post-hammertoe surgery stories. Similarities or differences between our surgeries.
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I will be having Flatfoot Reconstruction Surgery in May and am trying to get a handle on the recovery. I live in a small 1 bedroom apartment, ground floor, but with 2 semi-steep steps leading inside.
I'd love to know anyone's experience with steps/stairs after this type of surgery. Also am looking for a recommendation for a good foam wedge for foot elevation...and actually anything else you might want to share. I'm a bit overwhelmed at how arduous the recovery may be.
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I think I saw this mentioned before, but do you have some helpful hints about sleeping after surgery? I'm a side sleeper with pillow between knees. It's about the only way I can sleep. Yea, it's probably not possible at the beginning. Also, did anyone put a "blanket support" at the footboard to hold the blankets and sheets off the foot?
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I'm now about 4 1/2 - 5 months post op. Walking again, doing great. We've had a lot of storms lately. Today I was doing great, then all of a sudden my foot started hurting, having pangs of pain/zingers, I was grocery shopping and noticed a turn in the weather. By the time it started pouring rain I was in uncomfortable pain. I just wanted to finish, get home and put ice on my foot, and I haven't done that in quite a while now.
It was like I felt the break in my heel, just an all over pain in my foot.
If I said that I 'knew' where the screws where, I think this crew are the only ones who would understand that...
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I've been reading older messages regarding this topic because i have been having this problem since my surgery in September 2013! Doctor has no idea why i'm still in pain and my physio therapies don't get nowhere. So i'm a lot desperate! Can anyone help me, pls? Is it sesamoiditis? Is it tendonitis? Who has experienced any of these and can advise me what to do?
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I was diagnosed with a hyperflexible big toe via a weight bearing scan. Two years ago now, my surgeon fused the first and second metatarsals and removed a mild bunion in the hopes that this would sort out pain and swelling in that area. Swelling around the hardware (specifically the plate) lasted a while but has calmed down now. However, my big toe is completely stiff. My surgeon was surprised as he didn't expect so much scar tissue to form (I was 27 when I had the surgery and very active). This doesn't cause pain so much as discomfort on a regular basis and I've had to completely change what activities I do now (no running or long hikes without causing swelling and a stiff feeling). My second toe is also now significantly longer than the first (it wasn't before). This doesn't cause pain either but again discomfort when it takes the load for the big toe and it sometimes sets me off balance eg in yoga. I'm not sure if this is due to the length or simply that the big toe isn't taking weight anymore because it's so inflexible.
My surgeon recommended surgery to: shorten the second toe, remove the hardware, remove the scar tissue, AND loosen the fusion (if that's the correct term).
Due to the intense recovery period last time and general concerns about surgery risks including that I'll end up either worse off or with the same stiffness, I'm not sure whether this is a good idea. I feel I can "manage" with my foot, but it's certainly not in the best condition to return to the activities I want to do, and I'm only 29.
It's scheduled for the week after next but I'm not sure whether I should go ahead. Neither my GP nor my surgeon seems overly confident, I think there's no real answer but I'd love to know your opinions on whether this second surgery might end up better or worse.
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Has anyone dealt with foreign object removal from their heel?
If so, has your heel been able to heal to 100%?
Are you dealing with any problematic scar tissue on your heel?
How long did it take to resolve for you?
I'm eager to get back to deadlifts and squats at the gym and hoping someone can share a positive recovery story.
Here's what happened:
July 5, 2015, I stepped on shard of glass - I was told by a doctor there was no glass in my heel - I was given a tetanus shot, antibiotics and sent on my way. I pushed through the discomfort for several weeks - finally I requested an x-ray, which showed glass in my heel.
August 5, 2015 - the first surgery - unsuccessful - about an hour into surgery in ER (under local anesthetic), the surgeon said he didn't feel comfortable continuing, as he couldn't quite locate the glass and didn't feel comfortable going deeper. He was able to refer me to an orthopedic surgeon.
August 10, 2015 - the second surgery - successful - the orthopedic surgeon said retrieving the glass was very difficult -he was "mucking around for a while" and "it was like finding a needle in a haystack."
I was given painkillers and antibiotics and instructions not to change the bandaging or take off the tensor bandage for the first 3 days. The first night was horrendous in terms of pain - my pain tolerance is pretty high - how I would describe the pain would be, an extreme burning sensation on the top of my foot (like my skin was being peeled off and then lit on fire) - I was going to go back into ER, but as soon as I got up, the rush of blood into my foot relieved the pain. So for that night, and basically the first 2-3 days, I just kept standing up every 1-2 hours to allow blood-flow into my foot. I ended up loosening the tensor bandage after two days.
August 20, 2015 - stitches removed - unfortunately I had an infection, so I was given a 7 day course of antibiotics.
Sept. 11, 2015 - follow-up appt. - incision still not 'together' and some leakage - I was told a minor infection was still present and given a 10 day course of antibiotics.
Currently...
I'm still on crutches - my heel is still tender and the skin is still somewhat open on the surface (was told it will heal from inside out) - I can't stand normally - I have some pins and needles under my foot near my toes - the skin around the heel is very tight and ankle mobility is reduced - ankle feels very weak (probably from not walking).
I'm now seeing the surgeon more consistently to have the healing monitored more closely.
I haven't been given a time-frame of when I'll be 'normal' and be able to resume my life before the injury.
As you can tell, I'm eager to get back to being mobile and living actively.
I'm just looking to hear from someone who has dealt with something similar, so I can keep positive and start thinking of time-frames for myself.
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My uncle had surgery 1 week ago for braking both heels after falling of a roof and he's been in a lot of pain (we all know that) but he's been in bed all day, showering, doing #1/2 all in bed cause he says the doctor said he couldn't even use a wheelchair to go to the bathroom?? I mean is not a back injury/surgery why he's not allowed to even use a wheelchair? I know they advise him to sit/lay on bed with legs up but... can't sit down with legs up for a while? or use a wheelchair (with legs up) to go the bathroom/move around a bit?
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I will be having PTT surgery(calcaneal osteotomy, lateral lengthening, gastroc recession, tendon transfer) next week and am wondering about your experience with the nerve blocks, in my case a popliteal nerve block. The research from my OS's office shows 13% have residual nerve pain following the block. Most of the posts here show that patients are very happy they had a nerve block for their surgery. Has anyone had residual pain from one?
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