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Foot & Ankle Problems Message Board

Foot & Ankle Problems Board Index

Hi everyone! Hi Jane, long time no see, Happy 2010! :jester:

As Jane said, there are both good and bad apples in each profession. The bottom line is: It's not what they can do but what your feet really need. I know some surgeons who know one or two techniques, so it doesn't matter what your feet need, they may still perform what they know on you. Being a nurse, you definitely have the advantage to know the good ones. Get a few consults, and see if they all reach the same consensus in the procedure to improve your feet.

Northwind, I hope you won't need surgery for your bone infection. I will send positive energy your way!

Here is my 2c :D When I was considering bunionectomies, I never thought about which specific profession (orthopedic surgeon vs. podiatrist) to choose from but worried more about the experiences, techniques and results of the doctors. I researched quite a bit about the possible techniques and its complications in bunionectomy and then figured out which one I would/could have based on the degree of my deformity. It just turned out that my final choices for surgeons were all orthopods. Two surgeons wanted to do Scarf and the other one suggested Chevron. I researched those techniques more in depth by reading podiatry textbooks and reading the doctors' forums :D I am thankful that I had a good surgeon. He is an orthopedic surgeon, but using the Scarf technique (which was originally invented by a podiatric surgeon). You will likely not find orthopods in US doing Scarf procedures. I disagree that Pods will do it more for cosmetic reasons or patients be able to bear weight sooner. i think it all has to do with which procedure was performed and the severity of the problem.

As for time off, I think 8 weeks off work is sufficient for most people. It also depends on how good of a patient you are. I think feet elevation and patience are so important in the beginning (I never iced). I had both feet done (scarf osteotomy) but no Akin [in my knowledge, bunionectomy with akin (toe involvement) generally takes longer than simple bunionectomy]. I think I was a perfect patient (more like paranoid :D), and really had my feet elevated except during bathroom runs and follow-ups for the first 3 weeks! NWB was my goal, and I was lucky to have the use of wheelchair during that time. I think I was NWB for 5 weeks total. I am really surprised I didn't gain much weight being such a complete couch potato :eek:!
I was travelling and did a lot of walking/sightseeing on my 6 week post op, feet were definitely swollen, even more so at the end of day. And again at 8 weeks post op, but by then the swelling had gone down considerably compared to at week 6. It all depends on which procedure you will be doing and how the swelling was controlled from the get go. I know people who were up and about after 3 to 4 weeks and wearing their own shoes! I massaged my feet a few times everyday since the sutures were removed and did isometric exercises. I think the toughest part for me was learning to walk again, but I am really glad that I had both feet done, so I had to learn to walk with both feet instead of favoring one foot which could cause other issues. My OS didn't think Physio was necessary as long as I did the above, but I still ended up doing physio at week 7 post op so that I could gain more confidence in walking "naturally" :D

How time flies! Today is exactly my 8th month post op :D I am so happy I had both feet done eventhough I am not at my 100% yet. My feet are pretty much back to their size, not much swelling to speak of, unless I drink OH lol The good news is I don't get the same pain that I did before surgery! *knock on wood*

Good luck in your search of a great surgeon!


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