Foot / Toe :: 2nd Metatarsal Shortening Surgery?
May 17, 2016
I've been suffering from severe foot pain since november. I've been wearing a boot since march. I am contemplating having 2nd metatarsal shortening to help with my pain. My 2nd toes ligaments are all stretched out and causing it to turn towards my great toe. I'm just curious...who has had this surgery and are you pain free now?
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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'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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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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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 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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Does anyone know what type of boot you should be in once you are able to bear weight? tall or short?
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Seen consultant today, an actual genuine foot and ankle one as opposed to the spinal one I was apparently seeing (go figure..but it's the UK and you see who you see..) Anyway, I fractured my metatarsal, midshaft, spiral, minimal displacement on 17 Dec 2014. Done all I should, rested (no boot offered), on crutches etc, off work for 6 weeks. STILL not showing any callus although bone is closer together than it was. Consultant today says he thinks I ought to have pins and plate in. Q scared at this..as not over painful now, although can't walk for miles, painful, and couldn't run (I was a big walker and used to run a bit too) Officially a delayed union...should I have op or will it cause more problems. If I have it it's back to square one..and worse as foot was never very painful when I did it, and I imagine will be painful having pins and plates in.
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Last Aug, I fell in a small hole, and snapped a rather large piece off the fifth metatarsal. I went to an ankle/foot surgeon who was leaving for a corporate job rather than private practice. He never showed us the x-ray. Put me in a boot, wrapped the elastic wrap, over my sock, and put my foot in a shoe thing. Before I left, I did ask for copies of the x-rays which I got. I was really surprised at the gap. A good 1/8".
Well, that shoe didn't work, so my husband ordered an air cast. That sort of helped. I would say I didn't sleep for 6 weeks. At the 6 week mark, still in pain, I went to a different ankle/foot surgeon, who, we think because we were going to pay cash, that MAYBE he didn't want to touch my foot for fear of non payment? Or he was an idiot. The x-rays looked exactly the same, big old piece still broken off. We asked about it. He said there was nothing to be done and basically suck it up and start wearing a shoe. We, husband and I, were like, "okay he's the doctor." However, I could not get into a shoe without quite a bit of pain and walking wasn't happening.
At the 12 week mark, I was on the phone to my sister, crying.. and I'm pretty tough. She reminded me I had a podiatrist I liked. I went to see him and had reduction surgery and a 2" PIN put in that bone!! My surgery was Dec 8, 2015 (so 11 weeks ago?)
The bone itself is healing fine. I can feel the pin though. I still have pain, not as bad though. But my foot is still very swollen I would say my foot is a constant annoyance though. I cannot fit into a pair of shoes. I've tried wide shoes, they cramp my toes.. and I've gotten 2 ingrown toenails in the last 2 weeks trying. Those are very painful! I put a pair of slippers on and could feel it cramming my toes, and next day.. my toe was red and swollen again from being cramped.
I don't know what to do. My foots feels pretty good when it is wrapped and in the air cast. The broken one is also about 1/2"- 1" wider than the other right now, than my good foot. I still have no ankle.. very swollen.
Any suggestions?? Is this pretty normal? I really don't want any more ingrown toenails from shoes though.
I can wear flip flops but boy does my foot feel irritated after about an hour. I go back to see my doctor, whom I really like, next week.
When he presses on the broken part, it doesn't hurt. I can move it certain ways. But if he pushes up from the bottom.. that's bad. I can't stand on my tippy toes either. I feel like a mess.
Deb
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Hello, I would like to get some information about what to expect, and find out if my experience is in-line with others experience.
I’m close to 40 years old male, was fairly active before my foot injury. I had a displaced 1st metatarsal bone fracture. After the injury I was able to walk for 4-6 hours before the swelling and pain was too big, so I assumed that I broke a bone. At the urgent care it was confirmed that I broke the 1st metatarsal bone. 5 days later I had the surgery to reduce the displacement, the fracture which was at the base of the bone. I had 2 weeks in post-surgery splint, and 4 more weeks on plaster (one more week to go before the plaster removal) – both non weight bearing. I was told that after the removal of the plaster I will have 2 more weeks in air cast boot. Ever since the injury and surgery I experience a lot of swelling. The minute I’m on my feet it starts to swell, I can go maybe an hour, than the swelling cuts circulation of my feet in the plaster, so I have to sit down and elevate my feet.
Now the question: what can I expect how much time it will take to subside the swelling? Will it eventually go away, or I might have to live with swollen fit for the rest of my life?
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I am a 21 year old..i had a bike accident almost a year ago.I had a commutative fracture on the lower part of the femur which connects to the knee joint.The doctor had kept a titanium plate on it.Unfortunately my right leg has become 1" shorter after the fusing of the bone.Now the main problem is My physio has advised me not to raise the heel and has told me to walk normally as there is not much visible limping.He doesn't want me make the habit of walking with the raised heel in the future.But my doctor who did the surgery has asked me to raise the heel.when i told him about the advise from the physio,the doctor didn't like it.Eventually i decided not to raise the heel and took the advice of physio.Its been three months since i stopped using the heel raise.I have a slight discomfort while walking.few days back i noticed a small lump developed just above the but crack.I am in a great confusion.
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Day 3 nothing more than discomfort... Is it okay to use the hand and allow rotation of the arm? Going nuts with the itching under the dressing, any suggestions to relieve it?
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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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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 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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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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After a L5-S1 in October, I am left with residual left foot and partial leg nerve pain. In addition to numbness, my leg aches. My MRI looks clean, but neurosurgeon referred me to neurologist for possible nerve root injections. He also suspects the it may be radial sympathetic nerve issue. If nothing else, he's willing to take hardware out to see if that helps. I keep falling with my left foot so "numb," so I am frustrated. Is the device that scrambles pain. (can't think of it now) good for nerve pain? (Pain extends to my left lower back.) Has anyone had nerve blocks for nerve pain? I wouldn't have had surgery if I had known my mobility would have been compromised so much.
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Lisa here...Before my S1-L5 fusion, I had some foot pain caused by waiting two weeks to have a laminectomy/discectomy in my L 4 and 5 discs after a herniation (5 years ago). After my fusion - about 7 weeks ago - I have had terrible burning pain, sensations that feel like I am being bitten on a toe or have tape in between my toes. At night the pain is worse. Walking intensifies the pain and weakens my ankle and leg. I can't wear any of my shoes. Does anyone have any experience with this? I've called my neurosurgeon and he wants an x-ray. Suggestions? Comments?
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