What To Expect - Swelling After 1st Metatarsal Bone Surgery
May 15, 2016
Hello, I would like to get some information about what to expect, and find out if my experience is in-line with others experience.
I’m close to 40 years old male, was fairly active before my foot injury. I had a displaced 1st metatarsal bone fracture. After the injury I was able to walk for 4-6 hours before the swelling and pain was too big, so I assumed that I broke a bone. At the urgent care it was confirmed that I broke the 1st metatarsal bone. 5 days later I had the surgery to reduce the displacement, the fracture which was at the base of the bone. I had 2 weeks in post-surgery splint, and 4 more weeks on plaster (one more week to go before the plaster removal) – both non weight bearing. I was told that after the removal of the plaster I will have 2 more weeks in air cast boot. Ever since the injury and surgery I experience a lot of swelling. The minute I’m on my feet it starts to swell, I can go maybe an hour, than the swelling cuts circulation of my feet in the plaster, so I have to sit down and elevate my feet.
Now the question: what can I expect how much time it will take to subside the swelling? Will it eventually go away, or I might have to live with swollen fit for the rest of my life?
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I dislocated my fifth toe (pinky) completely - it was shooting at a 90° angle - and I went to the ER. He numbed it, gave me Norco for pain and put it back in place. I had an xray while there and they thought there was no brake and just a dislocated toe. So they sent me home and said buddy tape and rest when I can, no specific instructions given.. Three days later the hosp called and said I did indeed have a fracture in my fifth metatarsal bone. They did not explain further, basically said if I want to come get a post op boot/shoe I could and that was the extent of it. I have continued to go on and work daily, I am a hairdresser and I stand for hours at a time. I still cannot put weight on it and it still has shooting pain from time to time. Recently it had started to itch inside the bone, not from the shoe or buddy tape but a deeper itch, wondering if that meant it was healing? It's been exactly a week ago when I did this. Should I follow up with an orthopedic Dr on my own since the ER didn't think it was necessary to refer me to anyone or quit being a baby and just let it heal on its own?
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I had surgery on June 14, 2011 to remove a bone spur on my left clavicle and to remove arthritis near (but not in) my shoulder joint. It was the worse experience of my life. I was in constant agonizing pain for 2.5 months. Just for the record, I've had two ulnar nerve surgeries on my left AND right elbows and never even needed pain medication. This shoulder surgery apparently did not relieve any of my pain. I still have a dull aching pain through out the day starting in my neck (left side) to my shoulder, and down my bicep to my elbow. I still can not sleep at night, and through out the day while working my shoulder/arm/ neck is killing me. I continue to take an Naproxin and continue to rotate heat and ice. I did physical therapy for the first two months after surgery. My concern is that had arthroscopic surgery, and there was NO rotator damage so why is my shoulder still in pain? My shoulder pops when I do try to rotate it.. and often when I simply reach outward for something..I'm in excruciating pain. I'm a baker, so I am constantly lifting a 34-50lb metal mixing bowl and have to reach many times through out the day. There really is no way to not do my job duties and still retain my job. Any ideas why I'm still having this problem?
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I have broken my 5th metatarsal bone in 2 spots close together, it was not displaced but if it shifts its a whole chunk of bone. In emergency i had xrays and was told its a bad break that does not usually heal properly and that i need surgery. I went 4 days later to fracture clinic and they said th3y want to call it a "jones fracture" but that because its broke completely in 2 places its tricky. The previous x ray showed luckily it was not displaced and i kept the air cast and told to go back for x ray in 4 weeks. One dr said to basically not to move and non weight bearing and another said i can use my heal. The goal is to not let the bone shift and hopefully avoid surgery. They left me very confused. Its been almost 2 weeks and i get pain off and on. When i elevate my foot the pain stops and as soon as i would begin to lower it i get very sharp burning like pressure on top of my foot around the break. It gets swollen after i crutch around for even just going across the street to corner store but it relaxes when i lay down and elevate. Since this pa8n has been happening its now swelling more on top at the break but its hard and very tender..sometimes hot and red but it calms down. I do not do much but i have 2 kids, one which has a lot of medical issues and actually was ambulanced to children's hospital the day after i broke it. I'm completely on my own and my son has a ton of upcoming appointments which is travelling an hour away on a cpl busses and through a busy train station..just a lot of walking and all i have are crutches. I guess my questions are..am I doing too much and making it more likely for the bone to shift..has anyone experienced a non displaced break and then have it shift and need surgery? Is there a way to tell myself if i've shifted the bone? Has anyone experienced the same kind of pain?? I read this is one of the hardest and longest fractures to heal but all the info is sooo different from everyone i'm confused.
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I am a 47 year old female. I had Microfracture Knee surgery on January 12, 2016 and it was not a success. My doctor said that I am still bone on bone and will need a partial knee replacement. He uses the Oxford Partial Knee and says it is the best one to go with. I was able to get a Synvisc injection on May 12, 2016. My doctor and I are both hopeful that this will give me some time to make this big decision. I have had a really hard time recovering from the microfracture surgery. I was on crutches for five weeks and my knee got stuck in a bent position. I was in therapy for three months and I still cannot walk with a straight knee. The thought of undergoing another surgery is so scary. I just want to be normal again and do all the things that I used to do before.
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Does anyone know what type of boot you should be in once you are able to bear weight? tall or short?
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Seen consultant today, an actual genuine foot and ankle one as opposed to the spinal one I was apparently seeing (go figure..but it's the UK and you see who you see..) Anyway, I fractured my metatarsal, midshaft, spiral, minimal displacement on 17 Dec 2014. Done all I should, rested (no boot offered), on crutches etc, off work for 6 weeks. STILL not showing any callus although bone is closer together than it was. Consultant today says he thinks I ought to have pins and plate in. Q scared at this..as not over painful now, although can't walk for miles, painful, and couldn't run (I was a big walker and used to run a bit too) Officially a delayed union...should I have op or will it cause more problems. If I have it it's back to square one..and worse as foot was never very painful when I did it, and I imagine will be painful having pins and plates in.
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I've been suffering from severe foot pain since november. I've been wearing a boot since march. I am contemplating having 2nd metatarsal shortening to help with my pain. My 2nd toes ligaments are all stretched out and causing it to turn towards my great toe. I'm just curious...who has had this surgery and are you pain free now?
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Last Aug, I fell in a small hole, and snapped a rather large piece off the fifth metatarsal. I went to an ankle/foot surgeon who was leaving for a corporate job rather than private practice. He never showed us the x-ray. Put me in a boot, wrapped the elastic wrap, over my sock, and put my foot in a shoe thing. Before I left, I did ask for copies of the x-rays which I got. I was really surprised at the gap. A good 1/8".
Well, that shoe didn't work, so my husband ordered an air cast. That sort of helped. I would say I didn't sleep for 6 weeks. At the 6 week mark, still in pain, I went to a different ankle/foot surgeon, who, we think because we were going to pay cash, that MAYBE he didn't want to touch my foot for fear of non payment? Or he was an idiot. The x-rays looked exactly the same, big old piece still broken off. We asked about it. He said there was nothing to be done and basically suck it up and start wearing a shoe. We, husband and I, were like, "okay he's the doctor." However, I could not get into a shoe without quite a bit of pain and walking wasn't happening.
At the 12 week mark, I was on the phone to my sister, crying.. and I'm pretty tough. She reminded me I had a podiatrist I liked. I went to see him and had reduction surgery and a 2" PIN put in that bone!! My surgery was Dec 8, 2015 (so 11 weeks ago?)
The bone itself is healing fine. I can feel the pin though. I still have pain, not as bad though. But my foot is still very swollen I would say my foot is a constant annoyance though. I cannot fit into a pair of shoes. I've tried wide shoes, they cramp my toes.. and I've gotten 2 ingrown toenails in the last 2 weeks trying. Those are very painful! I put a pair of slippers on and could feel it cramming my toes, and next day.. my toe was red and swollen again from being cramped.
I don't know what to do. My foots feels pretty good when it is wrapped and in the air cast. The broken one is also about 1/2"- 1" wider than the other right now, than my good foot. I still have no ankle.. very swollen.
Any suggestions?? Is this pretty normal? I really don't want any more ingrown toenails from shoes though.
I can wear flip flops but boy does my foot feel irritated after about an hour. I go back to see my doctor, whom I really like, next week.
When he presses on the broken part, it doesn't hurt. I can move it certain ways. But if he pushes up from the bottom.. that's bad. I can't stand on my tippy toes either. I feel like a mess.
Deb
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I've meet with several Dr's that have recommended shortening the second Metatarsal. I have done all the conservative approaches and have ran out of options. Cortisone injections, shoe inserts and anti inflammatory medicine and a lot of icing! This foot pain has been going on for many years but lately I haven't been getting any relief!
Can anyone tell me whether they have had much success with this type of surgery?
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I went to the doctor yesterday and was informed that I have a severe case of Hallux Rigidus in my right foot and a weaker case in my left. I was left with no other option than to have surgery. Not what I wanted to hear!! Both of my feet ache constantly and I have sharp pain when I put weight on my big toes.
Has anyone had this surgery? What can I expect?
I regret looking online because I saw a bunch of stomach turning pictures. I know I can't continue to have this pain but wasn't expecting this diagnosis. Any help, advice, story sharing or encouragement would be greatly appreciated. I hope everyone has a fantastic weekend.
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I was diagnosed with a hyperflexible big toe via a weight bearing scan. Two years ago now, my surgeon fused the first and second metatarsals and removed a mild bunion in the hopes that this would sort out pain and swelling in that area. Swelling around the hardware (specifically the plate) lasted a while but has calmed down now. However, my big toe is completely stiff. My surgeon was surprised as he didn't expect so much scar tissue to form (I was 27 when I had the surgery and very active). This doesn't cause pain so much as discomfort on a regular basis and I've had to completely change what activities I do now (no running or long hikes without causing swelling and a stiff feeling). My second toe is also now significantly longer than the first (it wasn't before). This doesn't cause pain either but again discomfort when it takes the load for the big toe and it sometimes sets me off balance eg in yoga. I'm not sure if this is due to the length or simply that the big toe isn't taking weight anymore because it's so inflexible.
My surgeon recommended surgery to: shorten the second toe, remove the hardware, remove the scar tissue, AND loosen the fusion (if that's the correct term).
Due to the intense recovery period last time and general concerns about surgery risks including that I'll end up either worse off or with the same stiffness, I'm not sure whether this is a good idea. I feel I can "manage" with my foot, but it's certainly not in the best condition to return to the activities I want to do, and I'm only 29.
It's scheduled for the week after next but I'm not sure whether I should go ahead. Neither my GP nor my surgeon seems overly confident, I think there's no real answer but I'd love to know your opinions on whether this second surgery might end up better or worse.
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Just wondering what to expect after op.....and is it normal to be getting bigger..... Now look 6 months pregnant ......when diagnosed in April just looked likes had a muffin top...not in mega pain, but very uncomfortable, can't eat much large meals......feeling sick these last couple of days....am post menapausal so am wondering what will happen as having ovaries removed as well and doc said it will cause menopause so should go on hrt......confused.
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I would like to hear from someone who has had one solid rod from top of spine and pelvis where it is attached to pelvic bone...I would like to know how it affects them and what their quality of life is like...I'm not sure if I should have this second surgery or just stay on my crutches for rest of my life...
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I had bunion surgery on my feet last year, since then i have been in more pain than before i had surgery. To be honest they weren't actually painful before the surgery, just a pain to wear shoes and they were very bent. now my left foot feels weird and my right foot is extremely painful.
what to do? i regret having the surgery i want to go back to being my normal super active self. They hurt so much!
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I am a 21 year old..i had a bike accident almost a year ago.I had a commutative fracture on the lower part of the femur which connects to the knee joint.The doctor had kept a titanium plate on it.Unfortunately my right leg has become 1" shorter after the fusing of the bone.Now the main problem is My physio has advised me not to raise the heel and has told me to walk normally as there is not much visible limping.He doesn't want me make the habit of walking with the raised heel in the future.But my doctor who did the surgery has asked me to raise the heel.when i told him about the advise from the physio,the doctor didn't like it.Eventually i decided not to raise the heel and took the advice of physio.Its been three months since i stopped using the heel raise.I have a slight discomfort while walking.few days back i noticed a small lump developed just above the but crack.I am in a great confusion.
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December 2013 had a tkr on my right knee, and the day I cam home from the hospital, I complained on I couldn't lay on my right side. After 2 year of cortisone shots, physical therapy and x rays, doctor took an MRI and told me that I have a bone spur and a torn hip lining. Had surgery for that, and I am still in pain now from both the groin area and the hip. Now I am being told that I need a new hip. Not sure that I want to go through that.
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Two years ago I broke my ankle and had pins and plates put in. On Monday I am having them taken out because they are irritating my tendon. I am also having a 'bone spur' basically shaved off and they are going to 'explore' the damage done to the tendon.
When I had them put in I had a general anaesthetic, but I wasn't asked what I'd prefer. This time, at a different hospital I have been.
I don't know what to do for the best. Obviously I can talk about this when I arrive on Monday I'd just like people opinions on which they prefer and why. Or even which they think would be suitable for my surgery.
I was fine after my anaesthetic last time, no side effects etc I just think I feel more comfortable not being 'put to sleep'... just in case. I'm a bit of a worrier!
I am leaning towards opting for the spinal anaesthetic combined with a bit of sedation as I do think I may get anxious. The only thing that is putting me off is what I will hear. Obviously they will be using screwdrivers etc and the thought of hearing them and knowing what they are doing makes me feel a little queasy!
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I had bunion surgery about 5 months ago. I'm 16 years old and have severe bunions on both feet. I play sports and am constantly running around and going through a lot of shifting and moving. before the surgery the pain was unbearable and felt like I had two broken toes. I went to the doctor after a few years to when the pain was just too much and he told me I needed surgery. I chose to do one foot at a time because I wouldn't be able to walk on it for about 6 weeks so I chose the one that hurt more. I had nerves being pulled on the side by the bunion and my toe was shifted to the side. Now 5 months after I am in the same about of pain as before and then some. My big toe is not only still numb( which the doctor told me was apart of the normal healing process) but the big toe also does not touch the ground. The pain is so bad when I am playing basketball that I need to stop. It's the bottom of my foot under the big toe and around where the bunion was removed that hurts it feels like pins and needles and like I'm walking on rocks. It's very tender on the area, should I be worried/get this checked out? Or should I just deal with it?
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6 weeks ago I had foot surgery (modified brostrom procedure to tighten up ligaments near ankle, and a procedure to correct a calcaneonavicular coalition). I have on incision along my ankle, and another incision on my foot. My cast came off 3 weeks after surgery. 5 weeks after surgery, when I was changing my dressing, I saw some some black stitches from the ankle incision on my gauze pad. I called the doctor's office, and the medical assistant said that that was normal. After that, I noticed drainage for a few days when I changed the dressing. I called doctor's office back, because my foot was feeling hot and I was having a burning pain. They put me on an antibiotic (keflex). And I was told to stop walking and go back to non weight bearing. They told me not to clean the incision. I have only been on antibiotic for 3 days, and it is a 10 day course. In the evenings, especially when I am in bed, I wake up because there is so much pain in my foot, it feels like a deep stabbing pain that is sharp, and sometimes burning. Is this normal of a skin infection from an incision? Could it be a bone infection? Or nerve damage? How patient should I be with this doctor and doctor's office?
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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.
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.
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