Foot / Ankle :: Second PTTD Reconstruction - What To Expect
Nov 24, 2014
Disclaimer: If I ramble on and make absolutely no sense,
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I blame my incoherence on the pain meds
Anyway, my second PTTD reconstruction is done! I had the exact same procedures on my left foot as I did on the right...FDL transfer, medializing calcaneal osteotomy, Evans calcaneal osteotomy, bone marrow aspiration, and Strayer procedure. The surgeon told my family that over two inches of the PTT was severely degenerated/beyond repair. Prognosis is a full recovery over the next 1 1/2 to 2 years.
Unfortunately, my nerve block didn't work as well this time; so, I woke up in pretty severe pain. The nurses were great and had the pain to a manageable point within a half hour. By the time I was discharged, I was able to take my first dose of oral pain meds...I was pretty comfortable on the ride home.
At this point, I am taking one oxycodone every 4 hours (down from 3 the first day) and think I will be able to start putting more space between doses tomorrow. The pain is not too bad as long as I stay "toes above nose."
Knowing what to expect in the days following surgery has definitely made these first few days smoother/less scary. Each day is one day closer to being active again!
I am actually scheduled for Ankle Reconstruction (ATFL CFL and Tendon) for Monday June 24. I know im cutting it close ,but i figured i might as well do this now.
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I am wondering what i am in for. I am 22year old male, just completed my last exam to fulfill my degree requirements and have nothing but my life ahead of me, no Full time job lined up so i will be home for awhile, i have a part time job but i told them about the surgery.
I am not the type of person to sit still and be in bed rest and i need something to do. I usually go to the gym 5 times a week along with yoga 5 times a week. It will take some time adjusting to NWB and everything, and i think this will be the hardest.
I've been told i will need to spend the night in the hospital and i will be released the next day.
I was wondering if anyone has any good exercises for working out, any healthy food recipes, or any help in general.
What am i to expect with this surgery. The Orthopedic Surgeon mentioned to me that he will use a modified brostrom surgery to repair my injury which was caused from an old old soccer and track injury.
Any advice on showering, washrooms and other personal hygiene?
How do you sit in a car when someone drives you, as i won't be able to drive with this being my right ankle.
Any advice in general?
I went for all the fun preop tests today in preparation for my second reconstruction happening in two weeks. I'm starting to go a little crazy realizing everything I still need to do before the surgery. ..finish prepping my house, rent the knee walker, finish Christmas shopping! Yikes! In some ways it's easier having an idea what to expect the second time around, but in other ways knowing what the next few months will be like makes it harder.
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Those of you who have had the joy of having to have pttd surgery on both feet, how did foot number one hold up to crutches, etc? Any suggestions for a successful second recovery?
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.
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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).
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.
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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.
I am now about 11 weeks post op ... in a CAM boot and using a walker and sometimes a cane at home or where ground is flat and smooth.
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I have just started to go to outpatient PT and my dr. suggested I use an ankle brace in a shoe for extra support ... while I build up my muscle and make the transition out of the CAM walker into the shoe .
What type of Ankle brace has anyone out there used? There is a Malleoloc Brace my PT therapist likes; and I have an Air Cast PTTD one with an air bladder under the arch . I have custom arch supports from before surgery that are still ok to use also.What type of shoes are best? My Surgeon seems to prefer a shoe that laces up and is not too flexible. I have a pair of Ziera lace up shoes I wear with my arch supports...
I am weight bearing and with very little pain...more stiff and slightly achy at times.
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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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.
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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.
I'm a 38 year old with ankle and foot problems all my life. I was born with flat feet and I was always spraining my ankles. I acquired PTTD/Flat Foot on my left about a year ago and finally was diagnosed by an orthopedic foot and ankle expert. He recommended surgery and after a second opinion I decided I might as well get this taken care of so that I can go back to a normal life of walking through the streets of Europe.
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I had my surgery about 2.5 weeks ago and I wanted to lend advice to those about to take on this crazy surgery. Firstly, the morning of surgery when the anesthesiologist was performing the nerve block it hurt like hell and made me even more panicked about the surgery. The relaxing medication they gave me did nothing to settle my nerves. I woke up from surgery a few hours later and I could feel all sorts of shocking pains coming from my foot. I asked if I should be feeling all the pain and they said that the nerve block failed. The anesthesiologist was busy for another hour and so I writhed in pain (crying hysterically) for the hour and vomited multiple times due to the extra anesthetic they gave me due to the failed nerve block.
Once the new anesthesiologist came she figured out that my nerve split into two and the other guy had not seen this split. After she was finished it was completely numb and I was worn out. I was sent home. Over the next day I vomited profusely, found out that I cannot breath when I take Oxycontin, I lost balance and fell on my foot and I was taking anything I could get my hands on for constipation. I finally found the foul tasting milk of magnesia and I can now go to the bathroom every few days.
My pain was managed by a morphine twice a day while in the splint, but now that I am in the cast my heel is killing me especially at night and the dr gave me hydrocodone which didn't touch the pain last night. Is it normal to have more pain at this point?
When will I be fairly pain free and when will I be able to leave the house? I live in Santa Barbara and i have an ocean view so I should not be complaining but i am feeling pretty horrid and ready to get out. When I think about leaving I worry about falling again and having my throbbing leg down.
Am I alone in all of this? Many experiences I have been reading say that after 5 days everything was hunky dory.
If you used both crutches and a knee walker after surgery, how much did you depend on your crutches? I tried using crutches today for my upcoming surgery, and I don't think I can go more than 15 feet with them because of elbow problems.
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I will be having Flatfoot Reconstruction Surgery in May and am trying to get a handle on the recovery. I live in a small 1 bedroom apartment, ground floor, but with 2 semi-steep steps leading inside.
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I'd love to know anyone's experience with steps/stairs after this type of surgery. Also am looking for a recommendation for a good foam wedge for foot elevation...and actually anything else you might want to share. I'm a bit overwhelmed at how arduous the recovery may be.
I think I saw this mentioned before, but do you have some helpful hints about sleeping after surgery? I'm a side sleeper with pillow between knees. It's about the only way I can sleep. Yea, it's probably not possible at the beginning. Also, did anyone put a "blanket support" at the footboard to hold the blankets and sheets off the foot?
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I had a modified brostrom ligament reconstruction back in October of 2013. I am still having a LOT of pain in my ankle. It is very much more stable now that it used to be... Before the surgery it was like every step it was close to popping out of place due to the ligament, however I still have severe pain in my ankle and shin... Does anyone else experience the same issue, and any advice on what I need to do? I called the OS and they recommended me going back to the brace and although that works, I would like to at some point be without the brace, because it hurts even with the darn brace on!!!! It just feels more protected while in the brace but it doesn't stop the pain from happening.... It aches like when you have the flu, I feel achy in the ankle all the time, but w/o the brace it HURTS about a 5 out of a 10.. I have a very high pain tolerance and would say the pain is about the same as it was before the surgery.. The pain before the surgery was never so bad I couldn't deal, but it was like all day nagging pain... I am still having that pain. Is that normal 6 months after surgery?
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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'm 34. I had a left ankle reconstruction for instability with a ligament repair and arthroscopy in July 2015.
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My recovery has been slow due to hip operations around the same time. My ankle has healed well however the range of motion is still below neutral for dorsiflexion though it's improving.
I still have loud cracking on the outside (lateral) aspect of my ankle where the ligaments were repaired. It's terribly painful and my ankle swells straight away each time. It usually occurs with shifting my weight. My ankle surgeon says it's scar tissue breaking down but is it usually accompanied by a loud painful crack in the same area each time. I'm worried it's not ok.
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.
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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.
I had ankle surgery to repair my medial malleolus back on May 8. It was fairly routine--just 2 screws. I was in a cast for a week, then was put into a boot but told to treat it like a cast--NO weight bearing for 7 weeks, keep the boot on 24/7 unless in the bathtub. I followed directions religiously.
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I did notice that when I pressed on certain areas of the foot, I would feel a sharp pain. This occurred in the heel (from the bottom), toes (again, from the bottom, primarily the foot pad below the pinky, second, and 4th toes). When I asked the doctor about this, he said (around week 5) that it was just because I hadn't been using the foot.
The problem persisted, and this week, week 7, I was cleared to start partial weight-bearing--walking in the boot while taking approximately 1/2 the weight off my foot via the crutches. I don't have ankle pain to speak of (or at least, not often and only if I overdo it), but I have terrible shooting pains in my heel and toes as I step. It's OK if I take most of the weight on the crutches, but as soon as I go to more than just a little weight on the boot, the pain starts.
This week I also started PT and the therapist told me this is nerve pain--not uncommon after surgery (don't know why the doctor couldn't have told me this, but OK). I couldn't get much of an idea from her how long this will persist or if there is anything I can do about it.
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!
Help! Does anyone have experience with this? Is there anything I can do to speed things along? I need to return to my second job (barefoot hoof trimming for horses--how I broke the ankle!) ASAP and I'm fearful this will slow my progress to a crawl! The doctor is useless.
I am 7 and a half weeks post op after a Lapidus & an Akin procedure. I was in cast until last week and have managed a tennis type shoe and a sandal on so far.
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The swelling has been bad as expected with full weight bearing, but the real pain is in the ball of my foot and my big toe does not lie flat, but rather sits elevated. I think the ball of the foot under the big toe is swollen so that may be the cause? I can only walk for a few minutes properly before the pain becomes too much and I am limping and walking on the outside of my operated foot. I can usually cope with pain so know this must be fairly severe.
I am doing my toe bending exercises and think that already the range of motion is not too bad.
I had broken my right calcaneus the doctor put 2 screws in. I'm at 8 weeks just started putting weight on it and walking with 1 crutch. Started doing stretching exercises. My question is I'm having pain in my foot now that I have started walking with 1 crutch. Very uncomfortable walking with boot so I changed to my tennis shoes with gel inserts.how long does it take before I can walk with little or no pain. Does anybody know.
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After having surgery on both the 4th and 5th metatarsal with plates and screws holding everything I have pain on the ball of my foot. I haven't yet started walking, I've been in no weight bearing. It's been three weeks and a half since surgery and the bottom of my foot really hurts when pressed upon. After almost a month this doesn't seem normal. Should I be worried. I will ask the doctor about this on my next visit when he pulls out the k wire.
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The ball of my foot hurts also when I do toe exercise such as curling in and out.
Each visit to the doctor he tells me not to walk and put put weight on my foot. I tell him each time that I can't if I wanted to as it hurts to barely try.
I've had 4 procedures on my ankle to remove bone spurs from the front of the joint and to microfracture an OCD.
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The first procedure didn't get all of the bone spur removed and I lost 6 months doing PT and then had to have another procedure at the NYC HSS to correct the issues and I also had the stem cells to regenerate the cartilage.
All of the repairs to the ankle went well and the stems regenerated the cartilage based on the 6 month follow up MRI.
I never regained my dorsiflexion. I am stuck at about 2 degrees.
I then had a gastroc release where they told me they got over 10 degrees during the surgery but I was unable to retain it after the PT started.
I then had a debridement to remove scar tissue from the front of the ankle where they we able to get about 16 degrees during the surgery, but the scar tissue once again re-formed and I stuck back at the 2-3 degrees.
I am currently still working hard on PT and have ART and GRASTON done 2x per week.
Has anyone had any luck in finding a surgeon or technique that helps permanently remove the scar tissue to regain ROM?
I'm also a candidate to wear the ankle distraction device where the device is supposed to be able to re-distribute my existing dorsiflexion and plantarflexion to give me enough of each to walk with a normal gait.
I am currently trying to weigh my (limited) options as after 20 months I'm tired of walking with a limp!