Foot / Ankle :: 3 Weeks Post Op Ocd Debridement And Microfracture
Jun 14, 2015
3 months ago I got injuries at work, and at first didn't think it was bad... Fast forward to now. I'm almost 3 weeks post op for the ocd lesion in the round bone on my right ankle. My OS said it was a 12x7 lesion, and he done the debridement and microfracture. I fell on day 4 after surgery and landed on my right foot. I was put in a plaster cast on day 5. I fell again just a few days ago, and landed on recovering foot, since then i have had the a lot more pain, in the exact spot before the surgery and at the surgery site. Could these 2 falls in such a short time messed up the surgery? And what happens if the surgery doesn't work? All I want to do is get better so I can get to work, but I work at a factory and I stand on my feet 8 to 12 hours a day 6 to 7 days a week.
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I had microfracture/debridement for an ankle OCD of the medial talar dome of my right ankle at the end of April 2010. Other than my doc having issues with the cartilage flaking off when he tried to clean things out - all went well. At least I thought so at the time.
Went through several months of PT and it seemed pretty good.
About 18 months post surgery, I was having issues with the ankle. My doc at the time suggested a shot of cortisone - which I agreed to - but didn't really help. He then suggested I might look into other options - all of which my insurance considered "experimental" and would not pay for. So I limped along.
Finally, last month, while stretching my ankle gave a loud "pop", hurt like the dickens and swelled up. So, I finally felt "pushed" to go to a new doc my primary highly recommended (and who was covered by my new insurance).
Wonderful new doc. Admitted he felt OATS was not a step for me since my OCD went off the side of the talus. He was going to send me to someone who specialized in cadaver plants - but first - a new MRI.
New MRI was good, but with the high powered system, my ankle was in bad shape - felt like it knocked something loose in the joint. I called the new doc to ask if that was a possibility. He called me back himself and said he already had the results of the MRI and he now felt comfortable recommending re-doing the microfracture/debridement again over the cadaver implant. As he said, if the m/d failed we could still do the other at a later date.
So I have an appointment on Monday to actually SEE the MRI results and discuss/set-up surgery. My biggest challenge - choosing a time frame.
While I would love to do it immediately and be done with it - our county fair is in a month and as a Division Chair, I know I wouldn't be able to do my job in any way (climbing and setting displays) - and my kids are all Division Chairs on their own, so I really don't have any help to rely on. Then there is the wedding of my adopted son five hours away the first weekend in September....My oldest son suggested I wait until after the wedding - which is fine - except for the fact that it's football season and I'm running for public office and have a campaign to very literally run! LOL. Maybe being on crutches for the busiest part of my campaign will get me a few sympathy votes - because I think I will talk to the doc about saving the surgery for early September.....which will put me able to walk somewhat normally maybe by Christmas.
So - I am back to this adventure again. Has anyone had to do it a second time with the same ankle?
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I am just writing with the hope of getting some more help/assurance re the Gould brostrom (or as my letter has now pointed out Arthroscopic debridement and lateral ankle reconstruction - unsure if this is the same of different?) procedure which I am due to have in just over 2 weeks on the 22nd June.
I have been very unsure for a while now as to whether or not to go ahead with it but have decided to take the plunge, however I still have my doubts!
I injured my ankle initially around 5 years ago (ruptured ATFL showed up in MRI scan) and almost had the surgery back then, only to decide not to go ahead with it. Since then I have rolled over and sprained it on multiple occasions, and have felt it become increasingly weak to the point where I have very little confidence in its strength. When playing football I now wear lace up supports, which are strong enough to prevent the rolling, but obviously doesnt deal with the root cause and there is a still a feeling of achiness and limited movement. When not wearing my ankle supports I would say its at least a 50/50 chance I'm going to roll over on my ankle every time.
I can still run and go about my everyday life virtually without any issues (feel twinges but nothing major unless recently sprained) and the views of the consultants varied from the cautious 'maybe only have it if you're playing high level sport' ( which I'm not but just play football weekly for my local team), to saying yes I go for it as its clearly getting weaker and weaker and becoming more of a frustration.
I guess alongside asking for advice as to what to expect post op, I am also seeking assurance that by going ahead I am making the right decision (bearing in mind surgery is considered last resort and rehab process is lengthy).
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I had reconstruction of my left foot. I am 7 1/2 weeks Post op. I was in the hospital for 4 days with a nerve block behind my knee and drugs through a pushbutton pump. pain was managed. I was sent home with perks and vicodin.
For the first week I was told to take the pain meds before I felt the pain which was every 4 hours. After the perks I was able to use vicaden, however I didn't like the vicodin so I went to tramadol. That was only for the first two weeks. My dr does not believe in hard drugs after that. I was in a cast for two week which was the worse for me😔I felt very confined and tight.
Went back to the Dr to only find out an additional 4 more weeks in the cast. Total of 8 weeks, I am now in a boot an able to bear 1/3 of my weight along with PT and exercises at home.Weight bearing is gradual. Takes 3 months for full weight bearing. It is a very long process with lots of patience.
My knee roller is a blessing.Before weight bearing I tried hopping on crutches and fell, please don't try that.
Be honest I haven't felt myself since surgery hope it's part of recovery...I would like to know if you feel not yourself yet after 7 weeks. I am the type of person that loves to run out every chance I get and sometimes I am not up to it because it's tons of work with the boot. I sincerely hope after 3 months I can work by myself. Let me know if anyone feels the same.
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I had my surgery 7 weeks ago and am finally in a boot and can walk again with the help of 1 crutch. I am driving and going to physical therapy 3x a week. The first 5 weeks were very hard not being able to put any weight on my foot. A knee scooter was a tremendous help. I was not In very much pain and got to go shopping and out to eat. Getting the cast off at 5 weeks was great. Hopefully the rest of my recouperation will be as easy.
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I feel I have been getting no help from foot doctor. Hopefully someone here can help. I am 13 weeks post op for tarsal tunnel and plantar fasciitis surgery. I have recently thrown my back out because I can not walk right. I am walking on part of my incision. It feels like it is going to rip open, burns and this part looks different from the rest of inclusion. My doctor is giving me ultrasound therapy on incision but it is not working. I asked to go to physical therapy but he does not believe in it. I am at wits end. Hurts foot to walk and walking makes my back feel better. I am not in any form of a cast. I am walking with sneakers that he recommended. No arch support because that is where incision is located. I am getting very depressed with summer here and I can not enjoy it. I do not see the doctor for 2 more weeks. Any advice or suggestions? I keep getting Vicodin for pain but I am afraid of getting addicted. Can not take Advil or anything in that family.
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I was diagnosed with small (<1cm) OCD of the tibial plafond and lax lateral ligaments. I am now facing a microfracture and a Brostrom is about a month. Has anyone had both procedures together and what was your experience?
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Surgery was 13DEC. Today is the 15th day post op for a right ankle arthroscopic debridement, microfracture, and lateral ligament Brostrom procedure.
Last night due my "support" person taking a "personal day" I took it upon my self to take out the trash. I had my first post op this past Monday and the stitches were removed. I'm suppose to be NWB for 6 weeks post op and as of Monday wearing my aircast 24/7 except for showering.
I'm now wondering if I screwed the microfracture up. There is no increase in pain or swelling.
Small background- My husband is my support person but he has decided that he wants a divorce and a social life. Since my surgery he has found it necessary to stay the night at a hotel for at least 4 nights and be gone all day. His response is that he isn't here to babysit me or sit with me 24/7. We have a 6 year old home on winter break as well. We are in Minnesota with no family close and of course it's the middle of winter.
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I am 6 days out from microfracture surgery on my left talus to correct an OCD that is actually 25 years old. Back when I was 13 I was diagnosed and went the route of NWB for about 12 weeks rather than surgery. Although I always had a less than fantastic ankle and some arthritis through the years, it was not until this summer that I went back to an OS due to shooting pain and locking in the ankle. The same lesion showed up on MRI/CT, about 1.1 cm x .6 cm still partially attached but with fluid gathering beneath it. OS assumed it was flapping, thus pain some days, no pain other days. I decided to go ahead with debridement and drilling, and so far seems like it went smoothly. The OS said that the piece was indeed very loose but that actually meant that it was easy to remove and they cleaned out the bone and drilled. So far I'm actually surprised that I haven't been in too much pain, I barely took the Percocet and stopped completely just 2 days later. Now I am trying to flex the ankle as much as I can (in a hard splint/wrap that OS does not want me to remove until follow-up on Monday) and it's not too bad. I do have 2 concerns I was hoping OCD veterans could answer:
1. My OS, who is actually the second surgeon I saw about this and chose to go with him because of his experience, believes in early weight bearing after this type of surgery. I've been reading/lurking a lot of threads on here about OCD surgery recovery and haven't come across anyone who did this. I see him on Monday, which will be 12 days post-op, and he plans to put me in a boot with a small amt of weight bearing at that time. Anyone else do this? He even says that in the meantime, I can put the foot flat on the floor and stand with a small bit of weight on it, as long as I don't walk. As in, if I'm standing brushing my teeth, put the foot flat on the floor, and that this hard half-cast should loosen up as I continue to do this. I'm scared to try it! I suspect THAT is when I'll really feel pain.
2. Until yesterday I didn't feel my incisions at all. Now I'm getting a sort of zing pain in one spot that I think it where he said an incision would be. It's sort of stinging. Is this normal? I can't remove the dressing so I have no idea what it looks like under there. Is it possible I popped a stitch? How long are the incisions? They should only be a stitch or 2 long, correct?
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I had three procedures two weeks ago - microfracture for talus, brostrom
- gault repair and debridement. Am supposed to be NWB for 6 weeks, but my crutches slipped in rain yesterday and I put weight onto my ankle. It is hurting again now, although been ok for the last week and a half. I am so worried that I have undone all the healing and will have to have it all done again. Has anyone else done the same and been ok?
Is there anything I can do before my next appointment with the surgeon in four weeks time?
Also last week had the lighter cast put on and it was so tight and painful that after two days the plaster nurses just cut in straight down the middle, but left it on my leg. This seems to be counterintuitive that this will still work? Has anyone had the same?
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Four months ago I had microfracture surgery to repair cartilage damage in my big toe joint. Recovery has been very slow due to swelling. I began experiencing overheating in that foot just a few days following surgery. While my foot also gets quite warm if I stand or sit for too long, these more dramatic episodes occur only at night.
By overheating, I mean that the surgery foot turns bright red, and gets exceptionally warm... the big toe joint area gets downright hot to the touch (there is no infection present) and feels as though there is a space heater sitting about an inch in front of my foot.
The episodes originally occurred every night and lasted up to 2 hours before normal temp. returned. Gradually, the duration has shortened to 30-45 minutes, occurring only 3-5 times a week. The only way I have found to prevent this from happening (and it only works sometimes), is to leave my bare foot uncovered when I go to bed - no blankets or sheets over it.
Has anyone else experienced something similar? Nobody can seem to explain why this is happening - it delays my sleep well into the night and is definitely not helping the residual swelling I still have to subside.
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My foot still hurts when I walk, in a week I'll be 5 months post-op and I was suppose to see my surgeon on Friday but it got rescheduled to October 3rd. I'm trying to phone my surgeon to see if I can get an earlier appointment because October 3rd is really a long time to wait!
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I am currently 8 weeks post op from a very extensive flat foot reconstructive surgery . I was excited to start partial weight bearing this week starting w 25 percent in a boot.
My problem is I have sharp pains coming from the bottom of my heel which I am thinking may be from the screws from the calcaneal osteotomy. This is making it very difficult to put any pressure on my foot when weight bearing ?
Has anyone experienced this ? Did it go away on its own? Was there anything that helped this . I am afraid I will not be able to proceed the wt bearing with this continued heel pain.
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Is there anyone that would be willing to share their journey post tarsal tunnel release surgery with me. This has been and is so hard. I had the open procedure on the right foot and need it on the left when I heal. I notice no real change in sensation. I know it could take up to a year but I was wondering what different people experienced. The doctor found varicose veins wrapped around all three branches. He said the nerves looked healthy-whatever that is worth. They feel pathetic. He just moved the veins "out of the way" What prevents them from migrating back around the nerve? I don't think deep varicose veins in the feet are something that can be removed. But if I don't feel better soon, I am going to opt for bilateral below the knee amputations. I know the recovery is slow. I have been out of work for over 4 months because I kept injuring my ankles and finally tore the peroneal tendon in the right leg. That was fixed in December. Then I got sciatica and they found 4 herniated discs. Wound up with three epidural injections in the spine. It was only after that resolved that they would even address the tarsal tunnel. I went to 3 different doctors with no diagnosis until I really screwed up my ankle tearing the tendon. What gives with this disorder? I have never come across it. I don't know if I will ever be able to return to work. My whole life is in shambles right now.
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Okay, here again, asking if anyone who has had heel pain after pttd surgery has had any solutions to heel pain problems. Prior to surgery and the osteotomy, I never had the least issue with my feel. Now it feels like there is a rock under my heel in the middle, and I walk on the outside edge of my foot, with my toes scrunched tightly to the ground. Very unnatural. And the surgeon who did my procedure can't think of any reason why I am having this issue, and recommended that I go for a second opinion with someone else. Sooo...... For those of you who might have had this issue, any solutions? Did it go away by itself in time?
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10 weeks ago I sprained my ankle (grade 2) and broke my 4th metatarsal. The metatarsal has healed. I started Physical Therapy 3 weeks ago. My ankle is still very tender to the touch and very painful during my daily activities. My MRI showed 3 bones in my foot are also bruised and a couple ligaments on the top of my foot are torn.
My orthopedic said surgery is an option in my case but he wanted to try TP first. TP isn't going well. I'm usually in so much pain they cut the exercises short.
Last week my ankle gave out twice and I'm pretty sure I re sprained it. I called my doctor and left a message with his assistant saying I want to talk about surgery. She called back and said the doctor said to give TP more time. So he doesn't know I probably reinjured it.
The last 3 days my foot has been very swollen and bruised again. Looks almost as bad as day 1. But only feels like a 6 or 7 on the pain scale.
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Broke fibula and tibia Feb 17, 2016. Had surgery March 1, and had 2 screws put a n fibula and a plate on tibia. After 8 weeks in cast and NWB I am now in a boot. I am doing exercises for therapy but after walking on it for about an hour leg hurts and ankle and foot swell. Also get sharp twinges now and then in ankle area. Has anyone else had these problems and how long before you can put full weight on it and be able to work. I'm a waitress and have to be on my feet for 4 hours or longer without sitting.
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Well the good thing is that now 12 weeks post ankle fractures in 2 places and dislocation I am up and about walking again which is the good news. The not so good news is that I have a slight limp (to be expected) but unfortunately I now have pain in my knee which is causing me to limp more! How on earth can I get rid of this knee pain which is counteracting my rehabilitation. Has anyone out there had a similar experience?
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I am 10 weeks post-op right foot Lapidus, and 3 days post-op left foot Lapidus. My healing and return to normalcy went fantastic with my right foot. I'm hoping for the same with my left foot.
My nerve block just wore off but there's still minimal pain with consistent use of my pain medication. Mostly just throbbing from the swelling. How's everyone else doing today?
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I am on week 4 after my surgery. I am wondering if there is anyone that could give me some hope. Right not walking of going PWB on my foot seems like light years away. I am having severe nerve pain and my foot still brings me to tears on occasion. I am taking Ibuprofen to help with the pain and down to two Percocet a day. When did you notice a huge improvement in your pain and will the pain be mostly gone by the time I go into my boot.
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I am 7 1/2 weeks post of from Flat Foot Surgery and the outside area of foot from where my incision ends from the double calcaneal osteotomy up to my little toe the soft tissue is halfway numb and very painful. Has anyone else experienced this and if so how long did it last.
I am not sure how long it takes the soft tissue to heal to a point where it does not hurt when you are not walking. Or is what I am feeling nerve pain. I started PT this week and am PWB. My doctor thinks I will be in a shoe in 3 weeks and I don't know at this rate how that could be possible. I am icing a majority of the day for sure after I do my PT exercises.
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