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Old 06-23-2012, 10:51 AM   #1
Bree22 Bree22 is offline
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Join Date: Jun 2012
Location: TX, USA
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Exclamation Help!! Nerve pain in big toe following scarf osteotomy for bunion on right foot.

Hi Everyone,
I am new to these boards and after doing a lot of reading I've decided to post. On Wednesday June 13th I had surgery for a bunion on my right foot, I had a scarf osteotomy with a bone graft. I had IV sedation with a nerve block. The first few days were painful but more of a pressure pain from the swelling. It wasn't until Tuesday the 19th when I started experiencing a nagging, irritating burning, pinching, pulling pain on my big toe at the base of the toe nail and it actually extends down 4-5" onto my foot (near my inciscion). I do still have numbness of my big toe, the outside of my big toe from the tip to the base. At first it was just really irritating and I thought it was my sutures pulling on my dressings, but that was not the case. I am 1 week and 4 days post op and the burning, pinching pain is so severe and constant that I sit in tears unable to concentrate on anything. I have talked to my podiatrist on Wednesday at my 1 week post op appt and she said it sounds like nerve pain. She also mentioned that I seem to be very swollen still, more than she expected. She checked for a hematoma and said everything looked good. I do notice that I get some relief from my hydrocodone 5/500 but it usually takes an hour or more to give my toe relief and even then it only lasts for a short amount of time. My doctor prescribed neurontin 300mg 1/day for 10 days, I'm going into day 3 of the meds and I've noticed that when I wake in the morning for about 5 min the pain in my toe is gone but before I get too excited, it's back and as strong as ever. My pod has mentioned if I don't see any relief from the neurontin she wants to send me to a pain mgmt specialist for cryo laser therapy. Does anyone have experience with this?

Can anyone give me advice or support. My bunion surgery has turned into a nightmare of constant pain.
Thank you,
Sabrina