Ankles :: Numbness Of Toes After Ankle Fracture Surgery


Apr 27, 2016

I am 51, broke my left ankle on a hiking trip on Friday, had a surgery on Sunday night.

Generally things are getting better : much less pain, can wiggle my toes, but there is a persistent numbness on top side of big toe and  second toe.

Looks like it might be some post-op nerve damage, because it is not getting worse and does not affect the mobility of toes. Decided not to go to emerg, that would mean sitting there for 6 hours before any doc will come to  see me. But if it would become worse, then I would go.

Also : feeling very unsafe with crutches, in particular when home alone. Using a portable wheelchair instead for the trips to the bathroom, getting food from the kitchen, etc.

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I broke my heel 54 days ago, felling down from 2nd floor. I am really nervous & worried about... Doctor told me you need to keep cast for 60 days (or 8 weeks) 2 weeks ago I had 2nd x-ray, it was 40th day of fracture... I smoke, as you know it makes bone recovery period longer....On my X-ray heel didn't look like recovered....bones were darker color, fracture place still lighter, but doctor said its fine & you can put weight on that foot and come back after 2 weeks, we will take off cast and put on some kinda fixing boot. However, neither 2 weeks ago, not now I can put weight on it. It hurts so bad....I don't know what to do, do what doctor says, or listen my pain? I want to know if its normal to feel such bad pain whilst doctor say your bone is okay? and how come it's okay, if on my X-ray even I can see its not okay.

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My big toe was numb before surgery but it is worse now.

The stitches are out and the wound is not healing properly. They told me that is not uncommon with a wound like this because every time you put weight on it it can separate a little bit.

Just sitting here right now I can move my toes and they tingle a LOT.

Can anyone else tell me if this is "common"? I have read that it can take quite a while to heal from tarsal tunnel surgery.

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2 more weeks until consultant visit to assess maybe given a boot.

Very painful for a week after 2nd cast put on but settling down now. Using a wheelchair to propel myself around the house.  Living downstairs but been upstairs 3 times backwards on my bottom pushing up with good leg wearing a trainer for grip. Good exercise!

Was initially given a zimmer by hospital but very unsteady and not confident on crutches. Will hopefully use them when allowed to put some pressure on injured ankle.

Some nights I have to take paracetamol particularly if the ankle has not been elevated enough during the day.  I sleep a lot more but presume it is to do with the healing process.  Drinking a lot of milk and a VitD pill once a day with plenty of protein foods which I hope will encourage bone healing.

Was very active but not able to do much apart from knitting and sewing.  Try to do a bit of housework each morning but have temporarily employed a cleaner. Thankful it is winter and no gardening necessary yet.

Encourageing to see how other broken ankles progress.  No physio for me yet but I do Pilates exercises each morning in bed before putting ankle down for another day.

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Mri says

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I'm doing my ankle and leg exercises (those are mostly non-weightbearing at this point) and they are going great. The ankle is clearly healing well. But I don't see how I can progress to full weight bearing (supposed to try that next week!) when much more than a little pressure on the foot results in this nerve pain!

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Finally, I had a nerve conduction study (from my own insistence) that now confirms the injury/permanent damage to the Sural nerve. My surgeon must have nicked the Sural nerve when he did the percutaneous Achilles' tendon lengthening. It causes numbness that radiates down through my 5th metatarsal or little toe. But, 2/3rds of the bottom of my foot is also numb. Could this be from the Sural nerve or may there be other reasons for this numbness? What types of complications might occur with Sural nerve damage? How often does this occur with this type of surgery? This numbness is making it very difficult to walk. I can only walk very short distances at ten months, which is exceedingly frustrating. I am interested in hearing about others' experiences related to numbness and Sural nerve damage.

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By way of background, I was a long jumper/triple jumper on the track team in college and banged up my right ankle pretty badly a couple times, though nothing that resulted in long term pain. In January of this year I stupidly jumped off a rock on a hike and sprained it more severely, likely magnifying an already existing OLT.

(note this was right after the injury, pre-crutches, when there was still a lot of edema)

I'm now one month removed from a 6 week NWB stint on crutches for a 1.2cm OLT on my right ankle. I've been doing PT, yoga and general strengthening for about a month. I can jog with minimal pain and can walk/bike without any pain, but I cannot play the more intense sports I love like basketball, flag football etc.

I have a follow up appt with my orthopedist in a couple weeks, and am debating microfracture. I want to play basketball again, but I am worried about the long-term uncertainty of the procedure. Is the potential upside of the surgery worth it, given the current state of my injury?

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Can anyone tell me whether they have had much success with this type of surgery?

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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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