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re: Recovery after surgery

Posted by Scott R on 3/21/00 at 00:00 (017608)

Jorge,
Be see to try the taping as shown in 'The PF Book'. They get nervous around cases that they've performed surgery on and then the patient gets on disability because it increases chances of a lawsuit.

Re: re: Recovery after surgery

Bob G. on 3/21/00 at 00:00 (017605)

At this point, I think you need a competent foot doctor. You may have gone too far with aggresive treatments.

The first doctor addressed the symptoms and not the problem; the podiatrists went for more aggressive treatments.

Total rest and then gentle stretching may have worked better, but that was then and this in now. I would suggest finding the best Podiatrist possible. Good luck, and keep us posted.



Re: re: Recovery after surgery

Rick R on 3/21/00 at 00:00 (017606)

Jorge,

Pardon me for stating the obvious, but something is wrong here. After 4 to 6 weeks post surgery I don't think your heel should be that tender. I'm sorry for not having a more encouraging point of view. After my surgery I was able to walk in 4 weeks. I had a major league spur removed and a surprising amount of scar tissue taking 90 min in total which is about twice the normal time for this procedure. I would say the total recovery was more like an entire year, so I wouldn't expect you to be running the marathon yet but I have a hard time finding anything positive to say about where you are now. We are all different so who knows things might be fine. The wild card for me in your situation is the nerve that was removed. This could be a good reason for my experience to be less than totaly relevant. I think I'd be researching in your imeediate area and beyond for best possible doctor for another opinion. These guys don't like to break ranks so it may be hard now to find one willing to be frank with you. Perhaps you can find someone on the board with a recommendation. Feel free to email me and I'd be glad to offer you what I can in my area. Best of luck.

Rick


Re: re: Recovery after surgery

BJC on 3/21/00 at 00:00 (017613)

Jorge, sorry about your experience. I had less involved surgery 9 weeks ago, and have no pain. There is some tnederness when I walk on hard floors without shoes, but with shoes the foot feels great. My dr. said it would take 6 months for everything to heal. But I have some questions which you may want to clarify before you see another dr. - at least try to get a copy of your records: What exactly did the dr. do to the fascia and nerve? I could be wrong, but he probably did not 'remove' the fascia, or the nerve. A thorough understanding of the procedure will help in future treatment. There are a lot of good drs. out there, so you may need to hunt. Good luck!

Re: re: Recovery after surgery

john h on 3/21/00 at 00:00 (017616)

i had a PF release, tarsal tunnel release, and cheilectomy on great toea all at the same time. i was off crutches after 10 days and walking. i have never heard of removing a nerve! ask how much of the fascia was released. i would seek an orthopedic foot and ankle surgeon with a 'fellowship' in foot an ankle surgery to look at this problem.

Re: re: Recovery after surgery

Jorge F. on 3/21/00 at 00:00 (017634)

Thanks for your understanding. The procedure, as explained by my doctor, was just that. He told me that he would remove the heal spur. He would remove some of the fascia, because he said if he took too much off, my foot would collapse(his words). He removed what he said was a pinched nerve(if forget the exact termonology he used. As a result a have some numbness on the side of my left heel. After the operation, the doctor told me of the pathology report regarding the nerve. The pathologist told him that the nerve was damaged. So, I guess he was correct in removing it.
The last week or so I've been feeling increased discomfort. I feel a burning pain surrounding my ankle. I also feel a shooting electrical pain going up the sides of my calf reaching my knee cap. When I sleep I have to be careful not to bump my heal. I'm cautious not to go for any extended walks(5-10 minutes) without the use of a cane.

Re: re: Recovery after surgery

wendyn on 3/21/00 at 00:00 (017636)

Jorge, I have to second what others have suggested....make an appointment ASAP with an orthepedic surgeon, preferably a foot and ankle surgeon. Try to get all your records from your first doctor sent over to the new doctor.

If the first doctor was a podiatrist (sorry, I can't remember) go see your GP and get a referral to this specialist.

You do not owe the first doctor any explanation or justification for seeking a second opinion (even if you really like your first doctor).

I can't possibly give you a diagnosis but your situation does not sound like a normal healing process...further delay may only make things worse.

Please please please take care of this now and let us know what happens.


Re: re: Recovery after surgery

Mary H on 3/22/00 at 00:00 (017680)

Jorge, I had exactly the same surgery. Neurectomy, heel spur removal, plantar fascial release and some removal of the fascia. Second surgery on my right foot, a single laprascopic procedure done on my left. The second surgery on my right involves a scar that runs all the way down my ankle to bottom of my foot. Here's the bad news. I had this done by a MD at Mayo Clinic. He says I will never walk more than 4 hours a day. EVER. I am not surprised to hear your still in pain, you will be for at least another month or two. It does get better. But if you push it and spend too much time on the foot you will 'hit the wall' and then the wall will fall down on you. I did the surgery because I was desperate. I have had over 3 years of multiple injections, casting, night casts, Therapy, exercises, NSAIDS until my stomach bled. NOTHING helped. I can't begin to talk about how much money I have spent looking for a good pair of shoes!!! JUST ONE.

Sorry to be so pessimistic. One other thing, if you stand on hard floors all day, you have an excellent chance of proving this is work related. If your not on worker's comp already suggest you file for it. If your employer denies you suggest you get an attorney.



Re: re: Recovery after surgery

Bob G. on 3/21/00 at 00:00 (017605)

At this point, I think you need a competent foot doctor. You may have gone too far with aggresive treatments.

The first doctor addressed the symptoms and not the problem; the podiatrists went for more aggressive treatments.

Total rest and then gentle stretching may have worked better, but that was then and this in now. I would suggest finding the best Podiatrist possible. Good luck, and keep us posted.



Re: re: Recovery after surgery

Rick R on 3/21/00 at 00:00 (017606)

Jorge,

Pardon me for stating the obvious, but something is wrong here. After 4 to 6 weeks post surgery I don't think your heel should be that tender. I'm sorry for not having a more encouraging point of view. After my surgery I was able to walk in 4 weeks. I had a major league spur removed and a surprising amount of scar tissue taking 90 min in total which is about twice the normal time for this procedure. I would say the total recovery was more like an entire year, so I wouldn't expect you to be running the marathon yet but I have a hard time finding anything positive to say about where you are now. We are all different so who knows things might be fine. The wild card for me in your situation is the nerve that was removed. This could be a good reason for my experience to be less than totaly relevant. I think I'd be researching in your imeediate area and beyond for best possible doctor for another opinion. These guys don't like to break ranks so it may be hard now to find one willing to be frank with you. Perhaps you can find someone on the board with a recommendation. Feel free to email me and I'd be glad to offer you what I can in my area. Best of luck.

Rick


Re: re: Recovery after surgery

BJC on 3/21/00 at 00:00 (017613)

Jorge, sorry about your experience. I had less involved surgery 9 weeks ago, and have no pain. There is some tnederness when I walk on hard floors without shoes, but with shoes the foot feels great. My dr. said it would take 6 months for everything to heal. But I have some questions which you may want to clarify before you see another dr. - at least try to get a copy of your records: What exactly did the dr. do to the fascia and nerve? I could be wrong, but he probably did not 'remove' the fascia, or the nerve. A thorough understanding of the procedure will help in future treatment. There are a lot of good drs. out there, so you may need to hunt. Good luck!

Re: re: Recovery after surgery

john h on 3/21/00 at 00:00 (017616)

i had a PF release, tarsal tunnel release, and cheilectomy on great toea all at the same time. i was off crutches after 10 days and walking. i have never heard of removing a nerve! ask how much of the fascia was released. i would seek an orthopedic foot and ankle surgeon with a 'fellowship' in foot an ankle surgery to look at this problem.

Re: re: Recovery after surgery

Jorge F. on 3/21/00 at 00:00 (017634)

Thanks for your understanding. The procedure, as explained by my doctor, was just that. He told me that he would remove the heal spur. He would remove some of the fascia, because he said if he took too much off, my foot would collapse(his words). He removed what he said was a pinched nerve(if forget the exact termonology he used. As a result a have some numbness on the side of my left heel. After the operation, the doctor told me of the pathology report regarding the nerve. The pathologist told him that the nerve was damaged. So, I guess he was correct in removing it.
The last week or so I've been feeling increased discomfort. I feel a burning pain surrounding my ankle. I also feel a shooting electrical pain going up the sides of my calf reaching my knee cap. When I sleep I have to be careful not to bump my heal. I'm cautious not to go for any extended walks(5-10 minutes) without the use of a cane.

Re: re: Recovery after surgery

wendyn on 3/21/00 at 00:00 (017636)

Jorge, I have to second what others have suggested....make an appointment ASAP with an orthepedic surgeon, preferably a foot and ankle surgeon. Try to get all your records from your first doctor sent over to the new doctor.

If the first doctor was a podiatrist (sorry, I can't remember) go see your GP and get a referral to this specialist.

You do not owe the first doctor any explanation or justification for seeking a second opinion (even if you really like your first doctor).

I can't possibly give you a diagnosis but your situation does not sound like a normal healing process...further delay may only make things worse.

Please please please take care of this now and let us know what happens.


Re: re: Recovery after surgery

Mary H on 3/22/00 at 00:00 (017680)

Jorge, I had exactly the same surgery. Neurectomy, heel spur removal, plantar fascial release and some removal of the fascia. Second surgery on my right foot, a single laprascopic procedure done on my left. The second surgery on my right involves a scar that runs all the way down my ankle to bottom of my foot. Here's the bad news. I had this done by a MD at Mayo Clinic. He says I will never walk more than 4 hours a day. EVER. I am not surprised to hear your still in pain, you will be for at least another month or two. It does get better. But if you push it and spend too much time on the foot you will 'hit the wall' and then the wall will fall down on you. I did the surgery because I was desperate. I have had over 3 years of multiple injections, casting, night casts, Therapy, exercises, NSAIDS until my stomach bled. NOTHING helped. I can't begin to talk about how much money I have spent looking for a good pair of shoes!!! JUST ONE.

Sorry to be so pessimistic. One other thing, if you stand on hard floors all day, you have an excellent chance of proving this is work related. If your not on worker's comp already suggest you file for it. If your employer denies you suggest you get an attorney.