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any who had surgery

Posted by kay on 6/22/02 at 18:54 (088313)

after you had plantar fasciitis surgery what was the first things you did to get back on your feet. my doc says for me not to do nothing. no stepping on the foot what so ever for at least 3 weeks. it hurts to even move it right now. i had surgery tuesday. i had p.f. and t.t. surgery. when i try to move my foot in a standing position i get sharp pains inside. makes me scared to start using it again.
kay

Re: any who had surgery

KathyB on 6/22/02 at 19:20 (088316)

You need to listen to your docotr. I rememeber my first surgery for a ruptured tendon in my left ankle. The pain was undecribable, the valum and the pain killers they gave me barely touched the pain. I was miseriable the entire time. My ankle ended up freezing in position and when I came out of my cast I could not bend my knee because I could not bend my ankle. If you are still in a lot of pain, you need to get better meds. You only had surgery a few days ago, you need to give yourself a lot of time and paitence. I used a chair on rollers to get around my little house to the get to the bathroom and back because I could not actually stand the whole way up and balance correctly. Good Luck, take it easy and don't strain yourself. The worst thing you can do to and for yourself is to rush. If the doctor days don't move it, don't move it. Take care of yourself and know that we are here for you.

Re: any who had surgery

kay on 6/22/02 at 22:36 (088322)

oh thanks kathy. i plan to listen to him. i was just wondering what other doctors advise. i wonder why some surgeries fail and some work just fine. i was wondering if it had anything to do with follow up advice after surgery. i heard some say they were walking in 3 days and my doc says wait 3 weeks to even start putting pressure on it. i cannot imagine starting now as i am quite a bit of pain.
thanks for you input.
kay

Re: any who had surgery

Karen G. on 6/23/02 at 08:58 (088331)

Hi Kay....I had my surgery on March 4th. I couldn't put any weight on it for a full 2 weeks. After that I still needed crutches for 6 more weeks. As the pain lessened I'd go to 1 crutch, then to none. When the pain returned, I went back on a crutch. I'm almost 16 weeks post op and still get fairly intense pain, based on how much time I've spent on my feet. Listen to your pain and don't overdo. Are you using ice packs? They helped me control my pain. Good luck

Re: any who had surgery

KathyB on 6/23/02 at 17:29 (088342)

I remember being where your were on my first operation. I was stupid and did not really talk to people much and my doctor really underestimated my recovery. I personally think most of them do. Go by this rule, if it hurts don't do it. Right now don't do anything for the three weeks that the docotrs say, after that let the pain guide you. Do not let any doctors, PTs or anyone else tell you what your recovery rate should be. You, and only you and can determine that. Also make sure you take care of your pain, get the meds you need and take them. I should be home free and out of the woods after they fixed the two tendons and and fused the two sub-talar joints, but the damage in the ankles has been very long standing and well now I have the TTS (maybe, I don't have it offically until I go for that nerve condutivity test next month, but it is all there) Take care of your self and if you to talk more I am on Yahoo IM, or AOL IM each day at work under KathleenBernard4. I have been there and am will have to go back someday although thankfully the meds are working right now.

Re: any who had surgery

KathyB on 6/23/02 at 17:32 (088343)

It is all in the pain to guide the recovery. My first surgery, I let everyone else gage my recovery. It took a long time and a lot of pain, I know now that I can contol my recovery and my pain and over ride what everyone else thinks that I should be feeling.

Re: any who had surgery

Kevin I on 6/23/02 at 17:41 (088346)

Kay,
Listen to your doctor, You had a much more invasive surgery which will require 3 weeks of nothing but rest. I had the same PF and TTS surgery at same time (as you probably had). Mine was done May 1st. I had a half cast/splint type device on my leg for 3 weeks. That was taken off an my stitches removed at same time. My Pod gave me a surgical shoe to wear and I started putting minimal weight on my foot using crutches immediately. My heel/ankle felt numb and tight, occasionaly I would get a shooting type pain that would not last long (definitely got my attention though). After about 4 days of the surgical shoe I decided to put on my regular shoes (Nike Cross Trainers w/ orthotics). To me this was like hitting the lottery, I was walking gingerly w/out crutches right away. I couldn't do that in the surgical shoe as it did not give me the support I needed. I've progressed very well since then. The numbness and shooting pain is gone however my foot is still very tight after slleeping or resting. Once I get my shoes on and start moving it is pretty good. I'm not a doctor but the best advice I can give from my experience is to get some good shoes on as soon as can after that 3 week no activity period. Don't wait for the swelling to go away (mine still swells some) unless you have really bad swelling like some people have here. When I first started I just laced them loose to give my foot a little room to swell. You mention people walking after 3 days. I gaurantee you that they did not have the same type of surgery you had. There are different minimal invasisve types of surgery and these are the people you read about walking after 3 days. They usually have only 1 or 2 very small incisions w/ a couple of stitches. I have 1 PF incision about 1 1/2 ' on side of my heel and 1 TTS 4 ' incision on my ankle. This is probably what you have and why you can't put weight on it for 3 weeks. Hang in there, it 'usually' does get better once the splint is off and you can start moving and healing.

Kevin

Re: any who had surgery

Missy B on 6/23/02 at 17:50 (088348)

Hi Kay,
I don't think the pain you are feeling is unusual for just a few days post-op and it sounds as if you have a conservative doctor like I do. For the first 4 days after surgery, I did nothing but lay around with my foot up and iced it every few hours. I used crutches or a wheel-chair to get to the bathroom - my foot never touched the floor. Please refer back to my post to you from 6/17 as to the rest of my progress.
Please don't rush your recovery - I know that 3, or 5, or even 10 weeks or 5 months seems like an eternity away right now, but believe me, you will not be sorry if you take it very slowly. I developed a lot of patience taking my recovery one day at a time. Do you like to read? I read a lot of books and started cross-stitching again just to pass the hours. And of course, I racked up a lot of computer hours too.
If you need pain meds, ask your doctor. Except for a prescription anti-inflammatory the first week, I relied solely on ibuprophen to control my discomfort. My doctor had me on 800mg/3times a day for 4 weeks.
Do not be in a hurry to start bearing weight on your foot. It will be sore at first, maybe even a little painful, because you have been cut. I did not have any severe pain, only soreness, with my foot in the cam walker. But it was so well padded, and its large, round heel kept me from placing any amount of weight on my heel - it rolled me right up on my toes when walking with it on my foot. And I leaned heavily into my regular walker during the first few weeks - only putting my surgical foot down long enough to maintain balance while walking.
I was able to talk with a few people who had successful outcomes from this surgery and they all told me the same thing - in the first few months, REST, REST, and more REST. It is very important to give yourself plenty of the 'off the foot' time in the early stages of your recovery. Even though I am back to work full time, I still make time EVERY evening to put my foot up for 2 uninterrupted hours. Sometimes things don't get down around the house when I would like them too, but my FOOT comes FIRST.
I did not personally talk with anyone who had what I would call a rapid recovery - walking within a few days and back to work in 3 or 4 weeks, but I have seen posts on this board from those who have experienced just that. I think the bottom line is - we are all individuals and will heal at our own rate. Don't set yourself a time-table for your recovery. LISTEN to your foot and to your doctor - and if at any point you feel that he is rushing you, let him know. Thank heavens I had a doctor who treats all his patients as individuals and not textbook cases - he has worked with me through each step of my recovery - even so far as telling my disability representative that I would return to work when he felt I was ready and not before - he didn't care what the books say is an acceptable recovery time. (And they covered my time off in full).
I wish you the best of luck in the coming weeks. Please know that I am here to support you and answer any questions you may have if I can. Please take care of your foot and keep us posted as to your progress.
Missy B.

Re: any who had surgery

Kevin I on 6/23/02 at 18:29 (088350)

Missy,
I think you have a great relationship w/ your doctor. It's a shame when when I read these posts and hear some of the things patients reveal about their doctors. I don't know if I can put my podiatrist in the same class as your doctor, but he has answered all my questions in terms I can understand. At my pre-surgery visit I had 3 pages of questions (triple spaced so I could write his answers). Even though he had a waiting room full of patients he did take the time to answer each of them. He actually thanked me and respected the fact that I had concerns and questions. He asked if he could make a copy of the questions and answers (for his protection and mine) which I gladly obliged. I do believe he's a true and experienced professional but things can and do go wrong. When I left his office I believed he was going to give me the best care in surgery he could, but I also understood there was no gaurantees and that this surgery might be unsucessful. The second week after surgery my calf became very tight and sore. I let it go for 2 days hoping it would ease. It didn't. I actully paged him on Sunday night at around 11 pm because I couldn't rest because it was bothering me to bad. He actually called several different hospitals trying to get me in that night to rule out a blood clot. He couldn't get me in until 7 am next morning but was very thorough in explaining to me any other symptoms that I should look for and telling me to go to emergency if I had any of these. I expect this kind of care but I'm not so sure everyone who posts here is getting it.

Re: any who had surgery

KathyB on 6/23/02 at 20:02 (088351)

I have a doctor just like your doctor, thank God! for doctors like them.

Re: any who had surgery

KathyB on 6/23/02 at 20:28 (088354)

I also did the question thing with my doctor on my first two surgeries. I only had one bad experience in the entire time I have been with them. After my second surgery, I came home with full blown bronchitios. I was very sick and three days after my surgery my fever shot up to about 102. I could not get a hold of the doctor because of a problem with their phone system. I went to the emergency room..... it was not a infection. The next day I was given the beeper numbers of my doctor and told to use it anytime. They were very concerned and brought me in anyway to check the surgery site. Your right I do expect this kind of service from my doctors, that is why I stay with him. I do wish people would put as much time into developing a relationship with their doctor as they do reseraching their illness, of course many people don't do a lot of reserach into what is wrong with them.

Re: Docs worth their weight in gold

Missy B on 6/23/02 at 21:21 (088355)

Kevin: It sounds as if you have a GREAT doctor. Taking time to answer patient's questions and address their fears is a very important part of their job - too bad some doctors forget this. Of course, it is also important that the patient do some research about a health problem, pending surgery, drug therapy, etc. And when you need to select a doctor, it is very important to try and find the best you can in your area who is a specialist for your problem. Not all doctors are easy to talk with, so if someone is not comfortable with this type of physician, they should seek another. And I also feel that it is a doctor's obligation (reading between the lines of the Hippocratic Oath), to be there for his patients. I guess I am just old fashioned, because the days of house calls and listed phone numbers are rarities, but I have worked in the medical field for 32 years and I miss the old-time compassion which was once the norm and is often now the exception. Consider yourself lucky to have found a 'good guy' because, like you, I feel that some of the people who have posted here were not so fortunate.
I wish you all the best in your recovery. Take care of your foot and keep us posted as to your progress.
Missy B.

Re: any who had surgery

Missy B on 6/23/02 at 21:26 (088356)

Kathy - I couldn't agree with you more. Too bad there are not more of them out there.
Missy B.

Re: any who had surgery

john h on 6/24/02 at 09:33 (088366)

Kay: Your recovery protocol is so radically different from mine that I just do not understand. I also had TTS and PF and was on crutches or used a walker in the house for 12 days and then back into shoes and back to work. After three days I was driving as the foot that had surgery was my left foot. You see so many different protocols following surgery. I guess each doctor does what ever has worked for him or how he was trained.

Re: any who had surgery

kay on 6/24/02 at 10:11 (088368)

john when i posted my question that is what i was looking for. someone with the same surgery but different protocol. so when was your surgery? and how are your feet now? didn't it hurt to step on your foot? i couldn't imagine stepping on mine. even when i sit with my leg elevated if i lean forward to reach for something i get a sharp pain inside my foot. ouch!
kay

Re: any who had surgery

Chris on 6/24/02 at 10:37 (088369)

I had pf and tts surgery Nov '00. I remember the pain following surgery being so bad. I was on crutches and a half cast for 2 or 3 weeks and then a removeable cast for another week and a half. When I went back to work it was in sneakers and since it was my right foot, I had my husband drive me to work for another week.

I probably wore sneakers for almost another month and then started PT. PT helped alot since I developing some scar tissue at the tts surgery site.

Re: any who had surgery

kay on 6/24/02 at 12:50 (088372)

chris what kind of work do you do? i work in a factory and stand on cement floors all day. just the thought of going back in a few weeks is unthinkable to me. i never had a cast at all. i have a boot cast that i'll start walking with after three weeks. i have an appointment on thrusday to see the doc....it will be 9 days post op at that time. i wonder if he'll take out the stitches.
kay

Re: any who had surgery

Chris on 6/24/02 at 15:05 (088380)

Mostly desk job....whenever I would get up after sitting for a while, I would not be able to walk. I suffered for about 9 months before they made the decision to do surgery. I was so ready for it. I could not stand to live with the pain any longer.

I think I had the stitches removed after 2 weeks. I actually stayed home longer than really was necessary but it was around christmas and my friend wanted to take me shopping, so boot cast and I went shopping 3 weeks after surgery!

Re: any who had surgery

john h on 6/24/02 at 17:24 (088385)

No, I never had any pain when I started walking.I started using the walker after 2 days. surgery was about 3-4 years ago. I am better than before surgery. Have my ups and downs and have gone a few weeks with very little pain and then have bounced bake to a pain level of 3. I think I took a few pain meds for 2 days and that was it as I really never had any pain to speak of. Still cannot run but work and get around ok with a managable pain level. Besides the TTS & PF I also had a Chelictomy on great toe. If anything was painful that would have been it as I started pulling on it with a towell the 3rd day to regain and keep flexibility in the toe.

Re: any who had surgery

john h on 6/24/02 at 17:28 (088386)

Kay I had a half cast on (the front was open) but this was mainly for the cheilectomy not the TTS or PF surgery. I sometimes think if you 'expect' pain you will get it. My doctor never once said this surgery will be painful and it will hurt when you step on it so I really did not expect it to hurt. I came off my crutches after 10 days when he took out the stitches and took off the cast. I was supposed to use the crutches for 4 more days. I am one of those non compliant patients Dr. Joe speaks of.

Re: Kay don't foget that each surgery is different

KathyB on 6/24/02 at 18:28 (088389)

Kay, please don't forget that each person and each surgery is different. Just because John did not have any pain (Thankfully for him) does not mean that you had the same thing really done. The surgery name may be the same, but the actually stuff is always a little bit different. I ruptured both my left and right postiter(sp) tibial tendon. I did the right one first (it was bad) I was 14 weeks in a cast, the pain was overwhelming and it took 8 1/2 months of PT to lean how to walk without a limp. The left done 2 years later (almost to the month) was only 8 weeks in a cast and 3 months or less of PT. Same surgery different result. Each person is differnt, each pain is different. You doctor seems to know what he is talking about so maybe he went deeper and knew it would hurt more. Don't let anyone talk you out of what you feel. It is right and true and really doesn't compare because we are all different.

Re: any who had surgery

trish e on 6/26/02 at 00:56 (088466)

hi kathy,trish here i had the same surgery on the 26th of feb and my foot has had alot of problems but just to let you know you are right in saying some seem to work and some don't i'am beginning to think mine didn't but just take it slow and easy and listen to your dr and hopefully all will be allright,i don't want to scare you with all that is wrong with mine and the problems iam having.feel free to e-mail me and we can talk.best of luck

Re: any who had surgery

KathyB on 6/26/02 at 04:56 (088468)

Thanks Trish, I have been post off so long I am sick of it. My Pod had given me new meds and except for the side effects and a bit of a interaction that is coming out of my system I am feeling good and am 90% pain free 90% of the time. My first surgery was like yours, everything that could go wrong did go wrong. I ruptured my postorier tibial tendon in my left foot, I was 14 weeks in a cast, I came out of the cast and my ankle had froze (I could not bend my knee). I have had two surgeries since, but am scared to death of this one because of the nerves involved. I have decided to stay on the drugs and try to get my legs built back up and strong before I try it again. I appriciate the kind words.

Re: any who had surgery

Barbara s on 6/26/02 at 14:38 (088508)

Hi Kay, Barbara S here. John has posted before and I never quite understood how quickly he recovered. I had my sugery April 22,2002 and I still have a great deal of problems. I still use a wheelchair in my kitchen as I can not put much weight on my right foot at all and my left knee and hip give me pain after standing on them for a couple of minutes.
I was never in a cast either. I was in a boot,but most of the time I just sat in my recliner with my leg elevated. My foot swells enormously if I don't keep it elevated. My foot was too tight in the boot and gave me a blister on my ankle bone. Surgeon said not to wear it. Each morning my foot is normal size,except for a little swollen around my ankle area. As the day goes on my whole foot and ankle area gets larger and larger aches,burns, tinkles etc. I soak it in cold water for the pain,nothing helps the swelling except to keep it elevated. I have been in pt for 4wks. Tues. I had a compression sock fitted. They said to get in on first thing in morning before swelling starts,which I did this morning,but my foot still swelled up today. Actually it swelled up faster than before. I go for pt tomorrow and will see what they say as it was their idea,my Doc just approved it. I don't feel that pt has yet helped me all that much. I can move my foot a little more, but no weight. I can put a little weight on the ball of my foot,but if I try the whole foot it is very painful on bottom of foot and ankle area,like when something is broken (which I sure it is not) that's just how painful it is.
I can't get my foot into a regular show. I have been wearing sandals that I can loosen the straps on so my right foot can fit.
THis is all getting very frustrating for me. I was very active walking 4-6 miles a day and golfing with my husband. I have not done any of this since Aug 2001. Sometimes I feel like I'll never be able to do them again.
I do keep praying that by the end of this year all will be better.
I have a desk job, working on a computer,but my DOc. has not released me to go back. The disability center has not answered him on the accomadations he wants them to have for me. I have almost 26yrs with Ameritech and my lawyer is drafting a proposal to let me retire with my full benefit pay. Hopefully this will come true and then I can concentrate on getting my foot better and get a part time job later. I have not been receiving pay,as the disability center says I can work. I have used up most of my vacation,so I hope this is settle soon,as I'm sure the stress is not helpping.
So as you see Kay everyone is different. I have about a 7-8 inch incision starts underneath my foot and up around my ankle bone and then about 2inches up my leg. I have not heard anyone state that they have had this type of incision.
So don't let anyone rush your recovery. Only you can tell how your foot is feeling. God Bless and Take care. Barbara S.

Re: any who had surgery

kay on 6/26/02 at 17:10 (088526)

gosh thats terrible. if i were you barb i would fight for temporary disability with the social sercurity office. if this is what you were turned down for hire an attorney. supposedly if you cannot work for a year you can get it. even if its temporary. the attorney wouldn't charge much unless you win and then they get a portion of your back pay.
did your surgeon say why your incision was so extensive? i've not heard of this either. to be honest i haven't seen my incision yet. i go tomorrow for the dressings to be changed/removed or what ever. i'll find out then.
last night i was sleeping and woke up in bad pain because i started stretching in my sleep and i stretched the foot. god it hurt. i hope everything works out for you. good luck.
kay
kay

Re: any who had surgery

john h on 6/27/02 at 10:05 (088587)

Barbara: Have you tried compression stockings for your foot swelling?

Re: any who had surgery

Barbara s on 6/27/02 at 13:14 (088601)

John H. Amazing you asked. I was fitted Tue of this week and my foot has swollen worse so today I was told to not wear it for now. Barbara S.

Re: any who had surgery

nancy s. on 6/27/02 at 15:33 (088613)

just curious, john, but can you wear those compression stockings in 90-degree heat? i mean you personally. it's sweltering here in MAINE. makes my feet swell, and i'm on them more anyway. so am thinking i should give those things a try since you've been trying to get me to for almost three years. (I'M not slow.) i don't think i could even put them on, it's so hot and humid.

also, do you think they're just good for you, or do you actually feel less pain and discomfort when wearing them?

nancy

Re: any who had surgery

KathyB on 6/22/02 at 19:20 (088316)

You need to listen to your docotr. I rememeber my first surgery for a ruptured tendon in my left ankle. The pain was undecribable, the valum and the pain killers they gave me barely touched the pain. I was miseriable the entire time. My ankle ended up freezing in position and when I came out of my cast I could not bend my knee because I could not bend my ankle. If you are still in a lot of pain, you need to get better meds. You only had surgery a few days ago, you need to give yourself a lot of time and paitence. I used a chair on rollers to get around my little house to the get to the bathroom and back because I could not actually stand the whole way up and balance correctly. Good Luck, take it easy and don't strain yourself. The worst thing you can do to and for yourself is to rush. If the doctor days don't move it, don't move it. Take care of yourself and know that we are here for you.

Re: any who had surgery

kay on 6/22/02 at 22:36 (088322)

oh thanks kathy. i plan to listen to him. i was just wondering what other doctors advise. i wonder why some surgeries fail and some work just fine. i was wondering if it had anything to do with follow up advice after surgery. i heard some say they were walking in 3 days and my doc says wait 3 weeks to even start putting pressure on it. i cannot imagine starting now as i am quite a bit of pain.
thanks for you input.
kay

Re: any who had surgery

Karen G. on 6/23/02 at 08:58 (088331)

Hi Kay....I had my surgery on March 4th. I couldn't put any weight on it for a full 2 weeks. After that I still needed crutches for 6 more weeks. As the pain lessened I'd go to 1 crutch, then to none. When the pain returned, I went back on a crutch. I'm almost 16 weeks post op and still get fairly intense pain, based on how much time I've spent on my feet. Listen to your pain and don't overdo. Are you using ice packs? They helped me control my pain. Good luck

Re: any who had surgery

KathyB on 6/23/02 at 17:29 (088342)

I remember being where your were on my first operation. I was stupid and did not really talk to people much and my doctor really underestimated my recovery. I personally think most of them do. Go by this rule, if it hurts don't do it. Right now don't do anything for the three weeks that the docotrs say, after that let the pain guide you. Do not let any doctors, PTs or anyone else tell you what your recovery rate should be. You, and only you and can determine that. Also make sure you take care of your pain, get the meds you need and take them. I should be home free and out of the woods after they fixed the two tendons and and fused the two sub-talar joints, but the damage in the ankles has been very long standing and well now I have the TTS (maybe, I don't have it offically until I go for that nerve condutivity test next month, but it is all there) Take care of your self and if you to talk more I am on Yahoo IM, or AOL IM each day at work under KathleenBernard4. I have been there and am will have to go back someday although thankfully the meds are working right now.

Re: any who had surgery

KathyB on 6/23/02 at 17:32 (088343)

It is all in the pain to guide the recovery. My first surgery, I let everyone else gage my recovery. It took a long time and a lot of pain, I know now that I can contol my recovery and my pain and over ride what everyone else thinks that I should be feeling.

Re: any who had surgery

Kevin I on 6/23/02 at 17:41 (088346)

Kay,
Listen to your doctor, You had a much more invasive surgery which will require 3 weeks of nothing but rest. I had the same PF and TTS surgery at same time (as you probably had). Mine was done May 1st. I had a half cast/splint type device on my leg for 3 weeks. That was taken off an my stitches removed at same time. My Pod gave me a surgical shoe to wear and I started putting minimal weight on my foot using crutches immediately. My heel/ankle felt numb and tight, occasionaly I would get a shooting type pain that would not last long (definitely got my attention though). After about 4 days of the surgical shoe I decided to put on my regular shoes (Nike Cross Trainers w/ orthotics). To me this was like hitting the lottery, I was walking gingerly w/out crutches right away. I couldn't do that in the surgical shoe as it did not give me the support I needed. I've progressed very well since then. The numbness and shooting pain is gone however my foot is still very tight after slleeping or resting. Once I get my shoes on and start moving it is pretty good. I'm not a doctor but the best advice I can give from my experience is to get some good shoes on as soon as can after that 3 week no activity period. Don't wait for the swelling to go away (mine still swells some) unless you have really bad swelling like some people have here. When I first started I just laced them loose to give my foot a little room to swell. You mention people walking after 3 days. I gaurantee you that they did not have the same type of surgery you had. There are different minimal invasisve types of surgery and these are the people you read about walking after 3 days. They usually have only 1 or 2 very small incisions w/ a couple of stitches. I have 1 PF incision about 1 1/2 ' on side of my heel and 1 TTS 4 ' incision on my ankle. This is probably what you have and why you can't put weight on it for 3 weeks. Hang in there, it 'usually' does get better once the splint is off and you can start moving and healing.

Kevin

Re: any who had surgery

Missy B on 6/23/02 at 17:50 (088348)

Hi Kay,
I don't think the pain you are feeling is unusual for just a few days post-op and it sounds as if you have a conservative doctor like I do. For the first 4 days after surgery, I did nothing but lay around with my foot up and iced it every few hours. I used crutches or a wheel-chair to get to the bathroom - my foot never touched the floor. Please refer back to my post to you from 6/17 as to the rest of my progress.
Please don't rush your recovery - I know that 3, or 5, or even 10 weeks or 5 months seems like an eternity away right now, but believe me, you will not be sorry if you take it very slowly. I developed a lot of patience taking my recovery one day at a time. Do you like to read? I read a lot of books and started cross-stitching again just to pass the hours. And of course, I racked up a lot of computer hours too.
If you need pain meds, ask your doctor. Except for a prescription anti-inflammatory the first week, I relied solely on ibuprophen to control my discomfort. My doctor had me on 800mg/3times a day for 4 weeks.
Do not be in a hurry to start bearing weight on your foot. It will be sore at first, maybe even a little painful, because you have been cut. I did not have any severe pain, only soreness, with my foot in the cam walker. But it was so well padded, and its large, round heel kept me from placing any amount of weight on my heel - it rolled me right up on my toes when walking with it on my foot. And I leaned heavily into my regular walker during the first few weeks - only putting my surgical foot down long enough to maintain balance while walking.
I was able to talk with a few people who had successful outcomes from this surgery and they all told me the same thing - in the first few months, REST, REST, and more REST. It is very important to give yourself plenty of the 'off the foot' time in the early stages of your recovery. Even though I am back to work full time, I still make time EVERY evening to put my foot up for 2 uninterrupted hours. Sometimes things don't get down around the house when I would like them too, but my FOOT comes FIRST.
I did not personally talk with anyone who had what I would call a rapid recovery - walking within a few days and back to work in 3 or 4 weeks, but I have seen posts on this board from those who have experienced just that. I think the bottom line is - we are all individuals and will heal at our own rate. Don't set yourself a time-table for your recovery. LISTEN to your foot and to your doctor - and if at any point you feel that he is rushing you, let him know. Thank heavens I had a doctor who treats all his patients as individuals and not textbook cases - he has worked with me through each step of my recovery - even so far as telling my disability representative that I would return to work when he felt I was ready and not before - he didn't care what the books say is an acceptable recovery time. (And they covered my time off in full).
I wish you the best of luck in the coming weeks. Please know that I am here to support you and answer any questions you may have if I can. Please take care of your foot and keep us posted as to your progress.
Missy B.

Re: any who had surgery

Kevin I on 6/23/02 at 18:29 (088350)

Missy,
I think you have a great relationship w/ your doctor. It's a shame when when I read these posts and hear some of the things patients reveal about their doctors. I don't know if I can put my podiatrist in the same class as your doctor, but he has answered all my questions in terms I can understand. At my pre-surgery visit I had 3 pages of questions (triple spaced so I could write his answers). Even though he had a waiting room full of patients he did take the time to answer each of them. He actually thanked me and respected the fact that I had concerns and questions. He asked if he could make a copy of the questions and answers (for his protection and mine) which I gladly obliged. I do believe he's a true and experienced professional but things can and do go wrong. When I left his office I believed he was going to give me the best care in surgery he could, but I also understood there was no gaurantees and that this surgery might be unsucessful. The second week after surgery my calf became very tight and sore. I let it go for 2 days hoping it would ease. It didn't. I actully paged him on Sunday night at around 11 pm because I couldn't rest because it was bothering me to bad. He actually called several different hospitals trying to get me in that night to rule out a blood clot. He couldn't get me in until 7 am next morning but was very thorough in explaining to me any other symptoms that I should look for and telling me to go to emergency if I had any of these. I expect this kind of care but I'm not so sure everyone who posts here is getting it.

Re: any who had surgery

KathyB on 6/23/02 at 20:02 (088351)

I have a doctor just like your doctor, thank God! for doctors like them.

Re: any who had surgery

KathyB on 6/23/02 at 20:28 (088354)

I also did the question thing with my doctor on my first two surgeries. I only had one bad experience in the entire time I have been with them. After my second surgery, I came home with full blown bronchitios. I was very sick and three days after my surgery my fever shot up to about 102. I could not get a hold of the doctor because of a problem with their phone system. I went to the emergency room..... it was not a infection. The next day I was given the beeper numbers of my doctor and told to use it anytime. They were very concerned and brought me in anyway to check the surgery site. Your right I do expect this kind of service from my doctors, that is why I stay with him. I do wish people would put as much time into developing a relationship with their doctor as they do reseraching their illness, of course many people don't do a lot of reserach into what is wrong with them.

Re: Docs worth their weight in gold

Missy B on 6/23/02 at 21:21 (088355)

Kevin: It sounds as if you have a GREAT doctor. Taking time to answer patient's questions and address their fears is a very important part of their job - too bad some doctors forget this. Of course, it is also important that the patient do some research about a health problem, pending surgery, drug therapy, etc. And when you need to select a doctor, it is very important to try and find the best you can in your area who is a specialist for your problem. Not all doctors are easy to talk with, so if someone is not comfortable with this type of physician, they should seek another. And I also feel that it is a doctor's obligation (reading between the lines of the Hippocratic Oath), to be there for his patients. I guess I am just old fashioned, because the days of house calls and listed phone numbers are rarities, but I have worked in the medical field for 32 years and I miss the old-time compassion which was once the norm and is often now the exception. Consider yourself lucky to have found a 'good guy' because, like you, I feel that some of the people who have posted here were not so fortunate.
I wish you all the best in your recovery. Take care of your foot and keep us posted as to your progress.
Missy B.

Re: any who had surgery

Missy B on 6/23/02 at 21:26 (088356)

Kathy - I couldn't agree with you more. Too bad there are not more of them out there.
Missy B.

Re: any who had surgery

john h on 6/24/02 at 09:33 (088366)

Kay: Your recovery protocol is so radically different from mine that I just do not understand. I also had TTS and PF and was on crutches or used a walker in the house for 12 days and then back into shoes and back to work. After three days I was driving as the foot that had surgery was my left foot. You see so many different protocols following surgery. I guess each doctor does what ever has worked for him or how he was trained.

Re: any who had surgery

kay on 6/24/02 at 10:11 (088368)

john when i posted my question that is what i was looking for. someone with the same surgery but different protocol. so when was your surgery? and how are your feet now? didn't it hurt to step on your foot? i couldn't imagine stepping on mine. even when i sit with my leg elevated if i lean forward to reach for something i get a sharp pain inside my foot. ouch!
kay

Re: any who had surgery

Chris on 6/24/02 at 10:37 (088369)

I had pf and tts surgery Nov '00. I remember the pain following surgery being so bad. I was on crutches and a half cast for 2 or 3 weeks and then a removeable cast for another week and a half. When I went back to work it was in sneakers and since it was my right foot, I had my husband drive me to work for another week.

I probably wore sneakers for almost another month and then started PT. PT helped alot since I developing some scar tissue at the tts surgery site.

Re: any who had surgery

kay on 6/24/02 at 12:50 (088372)

chris what kind of work do you do? i work in a factory and stand on cement floors all day. just the thought of going back in a few weeks is unthinkable to me. i never had a cast at all. i have a boot cast that i'll start walking with after three weeks. i have an appointment on thrusday to see the doc....it will be 9 days post op at that time. i wonder if he'll take out the stitches.
kay

Re: any who had surgery

Chris on 6/24/02 at 15:05 (088380)

Mostly desk job....whenever I would get up after sitting for a while, I would not be able to walk. I suffered for about 9 months before they made the decision to do surgery. I was so ready for it. I could not stand to live with the pain any longer.

I think I had the stitches removed after 2 weeks. I actually stayed home longer than really was necessary but it was around christmas and my friend wanted to take me shopping, so boot cast and I went shopping 3 weeks after surgery!

Re: any who had surgery

john h on 6/24/02 at 17:24 (088385)

No, I never had any pain when I started walking.I started using the walker after 2 days. surgery was about 3-4 years ago. I am better than before surgery. Have my ups and downs and have gone a few weeks with very little pain and then have bounced bake to a pain level of 3. I think I took a few pain meds for 2 days and that was it as I really never had any pain to speak of. Still cannot run but work and get around ok with a managable pain level. Besides the TTS & PF I also had a Chelictomy on great toe. If anything was painful that would have been it as I started pulling on it with a towell the 3rd day to regain and keep flexibility in the toe.

Re: any who had surgery

john h on 6/24/02 at 17:28 (088386)

Kay I had a half cast on (the front was open) but this was mainly for the cheilectomy not the TTS or PF surgery. I sometimes think if you 'expect' pain you will get it. My doctor never once said this surgery will be painful and it will hurt when you step on it so I really did not expect it to hurt. I came off my crutches after 10 days when he took out the stitches and took off the cast. I was supposed to use the crutches for 4 more days. I am one of those non compliant patients Dr. Joe speaks of.

Re: Kay don't foget that each surgery is different

KathyB on 6/24/02 at 18:28 (088389)

Kay, please don't forget that each person and each surgery is different. Just because John did not have any pain (Thankfully for him) does not mean that you had the same thing really done. The surgery name may be the same, but the actually stuff is always a little bit different. I ruptured both my left and right postiter(sp) tibial tendon. I did the right one first (it was bad) I was 14 weeks in a cast, the pain was overwhelming and it took 8 1/2 months of PT to lean how to walk without a limp. The left done 2 years later (almost to the month) was only 8 weeks in a cast and 3 months or less of PT. Same surgery different result. Each person is differnt, each pain is different. You doctor seems to know what he is talking about so maybe he went deeper and knew it would hurt more. Don't let anyone talk you out of what you feel. It is right and true and really doesn't compare because we are all different.

Re: any who had surgery

trish e on 6/26/02 at 00:56 (088466)

hi kathy,trish here i had the same surgery on the 26th of feb and my foot has had alot of problems but just to let you know you are right in saying some seem to work and some don't i'am beginning to think mine didn't but just take it slow and easy and listen to your dr and hopefully all will be allright,i don't want to scare you with all that is wrong with mine and the problems iam having.feel free to e-mail me and we can talk.best of luck

Re: any who had surgery

KathyB on 6/26/02 at 04:56 (088468)

Thanks Trish, I have been post off so long I am sick of it. My Pod had given me new meds and except for the side effects and a bit of a interaction that is coming out of my system I am feeling good and am 90% pain free 90% of the time. My first surgery was like yours, everything that could go wrong did go wrong. I ruptured my postorier tibial tendon in my left foot, I was 14 weeks in a cast, I came out of the cast and my ankle had froze (I could not bend my knee). I have had two surgeries since, but am scared to death of this one because of the nerves involved. I have decided to stay on the drugs and try to get my legs built back up and strong before I try it again. I appriciate the kind words.

Re: any who had surgery

Barbara s on 6/26/02 at 14:38 (088508)

Hi Kay, Barbara S here. John has posted before and I never quite understood how quickly he recovered. I had my sugery April 22,2002 and I still have a great deal of problems. I still use a wheelchair in my kitchen as I can not put much weight on my right foot at all and my left knee and hip give me pain after standing on them for a couple of minutes.
I was never in a cast either. I was in a boot,but most of the time I just sat in my recliner with my leg elevated. My foot swells enormously if I don't keep it elevated. My foot was too tight in the boot and gave me a blister on my ankle bone. Surgeon said not to wear it. Each morning my foot is normal size,except for a little swollen around my ankle area. As the day goes on my whole foot and ankle area gets larger and larger aches,burns, tinkles etc. I soak it in cold water for the pain,nothing helps the swelling except to keep it elevated. I have been in pt for 4wks. Tues. I had a compression sock fitted. They said to get in on first thing in morning before swelling starts,which I did this morning,but my foot still swelled up today. Actually it swelled up faster than before. I go for pt tomorrow and will see what they say as it was their idea,my Doc just approved it. I don't feel that pt has yet helped me all that much. I can move my foot a little more, but no weight. I can put a little weight on the ball of my foot,but if I try the whole foot it is very painful on bottom of foot and ankle area,like when something is broken (which I sure it is not) that's just how painful it is.
I can't get my foot into a regular show. I have been wearing sandals that I can loosen the straps on so my right foot can fit.
THis is all getting very frustrating for me. I was very active walking 4-6 miles a day and golfing with my husband. I have not done any of this since Aug 2001. Sometimes I feel like I'll never be able to do them again.
I do keep praying that by the end of this year all will be better.
I have a desk job, working on a computer,but my DOc. has not released me to go back. The disability center has not answered him on the accomadations he wants them to have for me. I have almost 26yrs with Ameritech and my lawyer is drafting a proposal to let me retire with my full benefit pay. Hopefully this will come true and then I can concentrate on getting my foot better and get a part time job later. I have not been receiving pay,as the disability center says I can work. I have used up most of my vacation,so I hope this is settle soon,as I'm sure the stress is not helpping.
So as you see Kay everyone is different. I have about a 7-8 inch incision starts underneath my foot and up around my ankle bone and then about 2inches up my leg. I have not heard anyone state that they have had this type of incision.
So don't let anyone rush your recovery. Only you can tell how your foot is feeling. God Bless and Take care. Barbara S.

Re: any who had surgery

kay on 6/26/02 at 17:10 (088526)

gosh thats terrible. if i were you barb i would fight for temporary disability with the social sercurity office. if this is what you were turned down for hire an attorney. supposedly if you cannot work for a year you can get it. even if its temporary. the attorney wouldn't charge much unless you win and then they get a portion of your back pay.
did your surgeon say why your incision was so extensive? i've not heard of this either. to be honest i haven't seen my incision yet. i go tomorrow for the dressings to be changed/removed or what ever. i'll find out then.
last night i was sleeping and woke up in bad pain because i started stretching in my sleep and i stretched the foot. god it hurt. i hope everything works out for you. good luck.
kay
kay

Re: any who had surgery

john h on 6/27/02 at 10:05 (088587)

Barbara: Have you tried compression stockings for your foot swelling?

Re: any who had surgery

Barbara s on 6/27/02 at 13:14 (088601)

John H. Amazing you asked. I was fitted Tue of this week and my foot has swollen worse so today I was told to not wear it for now. Barbara S.

Re: any who had surgery

nancy s. on 6/27/02 at 15:33 (088613)

just curious, john, but can you wear those compression stockings in 90-degree heat? i mean you personally. it's sweltering here in MAINE. makes my feet swell, and i'm on them more anyway. so am thinking i should give those things a try since you've been trying to get me to for almost three years. (I'M not slow.) i don't think i could even put them on, it's so hot and humid.

also, do you think they're just good for you, or do you actually feel less pain and discomfort when wearing them?

nancy