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Foot & Ankle Problems Message Board


Foot & Ankle Problems Board Index


Wednesday will be 21 weeks since my right foot surgery. And it will be the day of my left foot surgery. For this one I am having the triple and bunion surgery. Same surgery for the hind foot as the right one, but big toe this time 2 & 3 toe involvement on the first one. I just pray it goes as well as the first one did - which is about as good as is possible to expect!

What a year this has been. My surgeons directions are to go home and have my foot above my heart 22 hours a day for the 6 weeks after surgery. I did it the last time and will do so again. I was back into regular shoes at 10 1/2 weeks on the right one. I was still pretty gimpy and swelling but by 12 weeks I was no longer even using a cane. So I am very hopeful. For the record, I am 61, about 15 pounds over what my weight should be, single, and will recoup for the first 2 weeks at a friend's home. I will be using a knee walker. My doctor prescribes both pain meds and a muscle relaxant. I'll be checking in.
There is good news and bad news. The good news is I am great. The block they gave me in my leg was wonderful. It lasted 30 hours. That was great for me. And solved the biggest problem from last time - the pain on going home. I got so far behind on the pain management the last time that it way out of hand. It was literally 3 days until I had it back under any control. I'm not sure if it is from the different block or what, but it was like I was over caffeined last night. I did not sleep at all. I did start with spasms at my knee area where the block was put in. I figured that was the beginning of it wearing off. Took the muscle relaxants that had been ordered and started punching the delaudid machine every 10 minutes so I would not get behind. When the spasms quieted down I hit the pain machine a couple of more times and then quit. No pain. No spasms. I learned this morning that I took the equivalent of 1/2 of a pain pill and really didn't need that. So anyway I have come to Shirley's in much better shape. I did sleep this afternoon for a couple of hours.

Now the troubling news is that there was a lot more work that had to be done on my big toe than anticipated. It had far more deterioration from arthritis than the doctor thought it had. So lets see if I can explain. If you start at the top of the big toe the first joint down is fine. The second joint down is the bunion that had to be fixed and that is where the problems are. The doctor cut the bone below that joint and plated it to hold. Then he had to align the part above the plate to make it straight at the second joint and pull the toe out so it is all in a straight line. In order to make this all happen, he had to fuse the second toe joint and plate it also. This means I will have walking issues as it will no longer bend. Go take a couple of steps and you will see that your foot bends at that second big toe joint - mine no longer will. Dr. Amendolo's physician's assistant says I will likely be able to walk ok, but stairs in particular will be an issue. While disappointed, I am not devastated. I still a way better off than I would have been without this surgery.

Thank all of you for your good wishes and support.
Peggy
I am in a quandry about this Mid foot arthrodesis surgery. I have it scheduled for Nov. 24th, but am so tempted to cancel. The Drs. nurse said that she would never have it done. What is the general concensus of those that have done it? Have the results been worth the pain and aggravation? Please advise me!!!!!!!!!!!!!!!!!
I am sorry to hear the nurse dropped that comment. She really does not have the knowledge or experience as a patient or doctor to do that. No one can make that decision but you. And you need answers from your doctor in order to make that decision. So here are some questions I needed to have answered before I decided to go forward.
1. Why do you recommend I do this now?
2. If I would wait 1 - 5 - 10 years what would be the consequences?
3. Do you see anything in my medical history that would indicate I am anything but an excellent candidate for this surgery?
4. Where would I be if the surgery fails? What constitutes a failure?
5. What is my part? How long will I be laid up? Physical Therapy? Mobility while healing?
Those are the ones that hit me right off the bat. The other thing you must take into consideration is the surgeon. How often has he/she preformed this surgery? Have the results been positive? And finally, if your surgeon is unwilling to answer these questions I would hesitate. A second opinion is always a good thing.
Good luck,
Peg
I didn't answer the last part. If you have read my lines, you may know I had the right foot done in late May. I am so pleased. I had planned on doing them 1 year apart. Well Foot #1 went so well, I did #2 exactly 21 weeks later. I know #1 is a great success. #2 was only 8 days ago. I have a really good surgeon. I believe in University teaching hospitals. I had my surgery at the University of Iowa. The surgeons at the University are teaching as the do their normal job. So they almost answer my questions before I ask!
Peg
[QUOTE=Pegret;4116267]I am sorry to hear the nurse dropped that comment. She really does not have the knowledge or experience as a patient or doctor to do that. No one can make that decision but you. And you need answers from your doctor in order to make that decision. So here are some questions I needed to have answered before I decided to go forward.
1. Why do you recommend I do this now?
2. If I would wait 1 - 5 - 10 years what would be the consequences?
3. Do you see anything in my medical history that would indicate I am anything but an excellent candidate for this surgery?
4. Where would I be if the surgery fails? What constitutes a failure?
5. What is my part? How long will I be laid up? Physical Therapy? Mobility while healing?
Those are the ones that hit me right off the bat. The other thing you must take into consideration is the surgeon. How often has he/she preformed this surgery? Have the results been positive? And finally, if your surgeon is unwilling to answer these questions I would hesitate. A second opinion is always a good thing.
Good luck,
Peg[/QUOTE]
I am not sure if I wrote to thank you for the words of wisdom. I appreciate all of the good questions for the Dr.. My surgery is only a few days. Will keep in touch. Hope you are doing O.K...
No time like the present. There is always something to get in the wayof surgery, if you let it. The longer you wait, the worse the foot will get. I had a mid foot arthrodesis 5 weeks ago. The graft sight was from my ankle. I also had a bunion on my big toe fixed, and an ugly toe nail removed. I am 57 yr. old. I have done really well with the help of my family. About all I have done is sit with my foot up. If I am up too much, my toes swell and feel really tight.

Suggestions, A knee walker has been a God send. I am terrible with crutches and have poor balance. The knee walker is the way to go. I also have a wheel chair I use from time to time. A shower chair is helpful too.

I am on my second cast and return in 3 more weeks for a re-xray. I am trying to get a bone stimulator to help with bone healing. Insurance company is balking about it.

Good luck with your surgery. Any more question, feel free to ask.





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