cinderella777
09-18-2003, 12:17 AM
has anyone had this surgery? If so what was it like? Is your arches better? What was recovery like?
And has anyone done both at the same time - bunion and flat feet/arch correction?
Also those that have flat feet/bad arches and did not get any type of surgery - did your pain get worse with time?
Thanks!
[This message has been edited by cinderella777 (edited 09-17-2003).]
And has anyone done both at the same time - bunion and flat feet/arch correction?
Also those that have flat feet/bad arches and did not get any type of surgery - did your pain get worse with time?
Thanks!
[This message has been edited by cinderella777 (edited 09-17-2003).]
Sponsor
cjaffee
09-18-2003, 01:31 PM
Hi there. I just had a complex flat foot reconstruction surgery that the Dr. said went real well. I'm only 3 weeks post op so I'm not sure of all the recovery steps but my Dr. says it's a very successful surgery. I went through over 3 years of continued pain and more conservative treatments before having the surgery but now wish I had done it a long time ago. It was a rough first 10 days but after that it's just the hassle of dealing with crutches. I can't imagine having both done at once and I'm not even sure it's an option. Good luck and let us know what you end up doing.
TPB
09-19-2003, 12:12 PM
I had reconstructive surgery for flat feet back in April. Yes, this surgery did give me an arch (esp since my foot was very flat). I've only had one side done right now, and with the exception of some lingering soreness and swelling (which hides the arch somewhat) all is well. Since this surgery is so extensive, I can't even imagine that they would do this in conjunction with a bunionectomy, but it doesn't hurt to ask your doctor. One word of caution though.. Make absolute certain that your doctor has experience with flat foot surgery. It's not that terribly common, and not every podiatrist or orthopedist does them. Also, the recovery time is really long, upwards of six months. I am almost five months post-op, and even though I'm full weight bearing in regular shoes now, I am still not ready to start running again or anything like that. I was in a cast for 9 weeks, and walking boot for another 9, and on crutches for almost 12 weeks. You really have to think about all that before you have the surgery.
CJaffee.. glad to hear you're doing well. The first two weeks were rough for me too!! Keep your foot elevated, it seems to make all the difference in the world. Let me know I can answer any questions you may have. I'll be happy to share my experiences
CJaffee.. glad to hear you're doing well. The first two weeks were rough for me too!! Keep your foot elevated, it seems to make all the difference in the world. Let me know I can answer any questions you may have. I'll be happy to share my experiences
TPB
09-19-2003, 12:14 PM
Oh yeah, my surgeon said that under NO circumstances would he EVER consider doing both feet at the same time. Trust me, you don't want to do that anyway!!
cog
09-20-2003, 07:42 PM
Hi Cinderella! I had the flat foot surgery, too, and I can't imagine doing two feet at once. There's a thread on this board - page 5 I think - called "Has anyone had a calcaneal osteotomy??????" and several people have responded on it, and you can get a lot of information on it. Be sure to get a good surgeon - keep us posted. Good luck!
theeldest
09-28-2003, 07:48 PM
My girl has flat feet and hates her condition, but she was under the impression that there is nothing that can be done for it when you are an adult. I've not been able to come up any information on the subject on the internet until I stumbled on this site. Is there a web site that has information on the surgery you had? If not would you mind giving us your doctors name and address so that we might contact him?
Thanks,
Originally posted by cjaffee:
Hi there. I just had a complex flat foot reconstruction surgery that the Dr. said went real well. I'm only 3 weeks post op so I'm not sure of all the recovery steps but my Dr. says it's a very successful surgery. I went through over 3 years of continued pain and more conservative treatments before having the surgery but now wish I had done it a long time ago. It was a rough first 10 days but after that it's just the hassle of dealing with crutches. I can't imagine having both done at once and I'm not even sure it's an option. Good luck and let us know what you end up doing.
------------------
Mike
Thanks,
Originally posted by cjaffee:
Hi there. I just had a complex flat foot reconstruction surgery that the Dr. said went real well. I'm only 3 weeks post op so I'm not sure of all the recovery steps but my Dr. says it's a very successful surgery. I went through over 3 years of continued pain and more conservative treatments before having the surgery but now wish I had done it a long time ago. It was a rough first 10 days but after that it's just the hassle of dealing with crutches. I can't imagine having both done at once and I'm not even sure it's an option. Good luck and let us know what you end up doing.
------------------
Mike
cjaffee
09-29-2003, 12:03 PM
Mike,
The procedure I had was called a Calcaneal Osteotomy (with tendon transfers, and a few other things). In fact my surgeon said that it was often done on kids. I'd find a reputable orthopedic surgeon (versus a podiatrist) in your area to discuss it with. Good luck.
The procedure I had was called a Calcaneal Osteotomy (with tendon transfers, and a few other things). In fact my surgeon said that it was often done on kids. I'd find a reputable orthopedic surgeon (versus a podiatrist) in your area to discuss it with. Good luck.
deniselpz
09-30-2003, 01:13 PM
Hi all,
My son, (15) is going to have this reconstruction arch surgery and was wondering many things how long was the surgery, did you have to be admitted, if so, how long. Also are you completely asleep or just numbed. Can someone please answer our concerns. I guess we can ask our doctor but our next appt is weeks out. Thanks!
Denise
My son, (15) is going to have this reconstruction arch surgery and was wondering many things how long was the surgery, did you have to be admitted, if so, how long. Also are you completely asleep or just numbed. Can someone please answer our concerns. I guess we can ask our doctor but our next appt is weeks out. Thanks!
Denise
TPB
09-30-2003, 04:07 PM
Hi Denise,
I was admitted for about 3 days after my surgery, but different doctors may do things differently. Also, they used general anesthesia on me, so I was totally out. I just remember waking up in the recovery room. I wish I could have had surgery as a teenager (I was mid-thirties at the time of my surgery). From my understanding, they recover much faster and have better results. The recovery can be long and difficult, but it will be worth it for him. Feel free to ask anything else.
I was admitted for about 3 days after my surgery, but different doctors may do things differently. Also, they used general anesthesia on me, so I was totally out. I just remember waking up in the recovery room. I wish I could have had surgery as a teenager (I was mid-thirties at the time of my surgery). From my understanding, they recover much faster and have better results. The recovery can be long and difficult, but it will be worth it for him. Feel free to ask anything else.
thehomefolks
10-02-2003, 12:11 AM
my son had the surgery done on both feet at the same time. casts from the knees down........off feet for 6 weeks.......then he had to do physical therapy.........very well worth the pain and discomfomfort........
sellerkwok
10-07-2003, 02:10 AM
I'm new to this board. I recently heard alittle about this surgery from a friend. I have flat feet...and would do anything to have them corrected. I am not a child between the age of 6 to 9, so I thought there were no options for me.
My question to the board is what are the results of this surgery. Do you have a high arch now? Are there large scars?
At the risk of sounding vain (but I guess I am, alittle), I am more concerned of the cosmetic outcome. I am very self-conscious of my feet. I feel uncomfortable at yoga class. I don't like walking bare feet at beaches.
I don't know if anyone can relate to me. Of course, I am concerned of the long term effects on my spine, legs and feet.
I appreciate any response.
My question to the board is what are the results of this surgery. Do you have a high arch now? Are there large scars?
At the risk of sounding vain (but I guess I am, alittle), I am more concerned of the cosmetic outcome. I am very self-conscious of my feet. I feel uncomfortable at yoga class. I don't like walking bare feet at beaches.
I don't know if anyone can relate to me. Of course, I am concerned of the long term effects on my spine, legs and feet.
I appreciate any response.
TPB
10-07-2003, 12:33 PM
I had this surgery done back in April of this year. I completely understand the cosmetic issues you are talking about, but you should know that this is no small surgery. I've only had one side done at this time, and yes it does have an arch, but I don't know that I would call it "high". You asked about scars, I have one on both the inside and outside of my foot. They aren't terrible, but you can see them. The recovery time for this surgery is very long (esp for adults) I was in cast for 9 weeks, and on crutches for 12 (From my research, every doctor is a little different in this approach). I am now 5 months out, and still in physical therapy, but all things considered it's going very well. You should also know that there is a high complication rate for this surgery. If you're not having pain associated with your flat feet, likely there isn't a medical reason to have the surgery. My surgeon was very up front that this is NOT "cosmetic surgery", it is for pain relief. I hope this helps.. I'm not trying to talk you out of it, but this isn't something to take lightly.
sellerkwok
10-08-2003, 12:14 AM
Thanks for your response. Were you suffering from pain in your feet and lower legs? Was that your reason for the surgery? Will you be wearing orthotics as part of your recovery? Also, was physiotherapy part of your recovery? I figure that your foot was fairly swollen for awhile.....and elevating it helped alot (great tip). Has your foot gone back down to it's pre-operation size? Does it feel different walking on that foot now? How does it feel?
I hope you don't mind me asking all these questions. I appreciate your frankness.
I have a friend of a friend who is having this surgery next month. Apparently, her doctor is recommending that both feet be operated in the same operation. I have read through the previous posts and this does not seem to be the norm. I will be monitoring this friend's progress and results. I can let you know, if you want. I will definitely be doing more research on this surgery before I go ahead.
The "cosmetic" result is my biggest motivator. I think that we are lucky to have this medical advancement available now.
Thank you so much for participating on this board. It is nice to know that some other people are dealing with this condition.
I hope you don't mind me asking all these questions. I appreciate your frankness.
I have a friend of a friend who is having this surgery next month. Apparently, her doctor is recommending that both feet be operated in the same operation. I have read through the previous posts and this does not seem to be the norm. I will be monitoring this friend's progress and results. I can let you know, if you want. I will definitely be doing more research on this surgery before I go ahead.
The "cosmetic" result is my biggest motivator. I think that we are lucky to have this medical advancement available now.
Thank you so much for participating on this board. It is nice to know that some other people are dealing with this condition.
cjaffee
10-08-2003, 03:50 PM
Hi I had this surgery done 6 weeks ago. I got a quick look at the scars and I have 4 very long ones (took 60 staples to keep them all closed). I get my 2nd cast off tomorrow and will get a chance to look at them again but my foot was referred to as Frankenfoot when the nurse saw the scars. And I totally agree with TPB this is the furthest thing from cosmetic surgery than you can get. I had significant foot, leg, and back pain and that's the only real reason to go through this kind of surgery. But whatever you end up doing good luck and let us know.
miller139
10-08-2003, 04:00 PM
Hello,
I read your postings regarding your surgery and have found them quite helpful. I unfortunately am likely going to have to have the surgery done on my right foot. Aside from the very long recovery time, I was curious about what the complications from this surgery that you have heard about. I am particurlarly concerned about long term complications since I am considered young (34) to have this surgery. Also, how did you select your surgeon? I live near NYC and feel lucky I have access to good doctors but still wonder how to ultimately decide on who to have do the surgery. Alos about how long after being out of the hard cast did you feel somewhat mobile and not in need of much help from others? ( I'm asking because I have a 6 month old at home to take care of!) Originally posted by TPB:
I had this surgery done back in April of this year. I completely understand the cosmetic issues you are talking about, but you should know that this is no small surgery. I've only had one side done at this time, and yes it does have an arch, but I don't know that I would call it "high". You asked about scars, I have one on both the inside and outside of my foot. They aren't terrible, but you can see them. The recovery time for this surgery is very long (esp for adults) I was in cast for 9 weeks, and on crutches for 12 (From my research, every doctor is a little different in this approach). I am now 5 months out, and still in physical therapy, but all things considered it's going very well. You should also know that there is a high complication rate for this surgery. If you're not having pain associated with your flat feet, likely there isn't a medical reason to have the surgery. My surgeon was very up front that this is NOT "cosmetic surgery", it is for pain relief. I hope this helps.. I'm not trying to talk you out of it, but this isn't something to take lightly.
I read your postings regarding your surgery and have found them quite helpful. I unfortunately am likely going to have to have the surgery done on my right foot. Aside from the very long recovery time, I was curious about what the complications from this surgery that you have heard about. I am particurlarly concerned about long term complications since I am considered young (34) to have this surgery. Also, how did you select your surgeon? I live near NYC and feel lucky I have access to good doctors but still wonder how to ultimately decide on who to have do the surgery. Alos about how long after being out of the hard cast did you feel somewhat mobile and not in need of much help from others? ( I'm asking because I have a 6 month old at home to take care of!) Originally posted by TPB:
I had this surgery done back in April of this year. I completely understand the cosmetic issues you are talking about, but you should know that this is no small surgery. I've only had one side done at this time, and yes it does have an arch, but I don't know that I would call it "high". You asked about scars, I have one on both the inside and outside of my foot. They aren't terrible, but you can see them. The recovery time for this surgery is very long (esp for adults) I was in cast for 9 weeks, and on crutches for 12 (From my research, every doctor is a little different in this approach). I am now 5 months out, and still in physical therapy, but all things considered it's going very well. You should also know that there is a high complication rate for this surgery. If you're not having pain associated with your flat feet, likely there isn't a medical reason to have the surgery. My surgeon was very up front that this is NOT "cosmetic surgery", it is for pain relief. I hope this helps.. I'm not trying to talk you out of it, but this isn't something to take lightly.
lindylee
10-08-2003, 05:28 PM
I just had a mid foot osteotomy and fusion along with stretching my achilles tendon (?) Sept 22. I have my first follow up tomorrow but I have a bunch of questions for you guys. Is the recovery time really 6 months as my orthopod says? I had my right foot done, when can I drive with my left foot? How long is the average to take off of work? Did anyone use a bone growth stimulator? What about exercises for not gaining weight? When did you start PT and for how long?
TPB
10-08-2003, 05:56 PM
I selected an Orthopedic surgeon who specialized in foot and ankle surgery. Mostly because I work in the medical field and I just felt more comfortable. That's not to say a podiatrist wouldn't be just as good, this is just my personal opinion. You can locate a foot/ankle specialist at www.aofas.org. (http://www.aofas.org.) I was 37 when I had surgery (had a birthday since then though) last April. As far as being self-sustaining, it was a good 3 months. I was on crutches for that long, which is quite challenging. I pray that you have some help with your child. The first two weeks I didn't feel like doing anything, and after that it was a challenge for a while. It does improve with time though!! Hope this helps, and I am always happy to share my experiences.
TPB
10-08-2003, 06:03 PM
Oh..you also asked *********plications. The biggest one from my understanding is the failure of the bone graft to "incorporate" into your existing bones. This is known as a "non-union" and usually requires more surgeries. There are some posts on this site, that folks have shared their experiences with this. I was very blessed not to have had that happen to me, but my docs were very up front about that being a possibility. In addition, you can get various infections, and other stuff that goes along with surgery. One item of note, I had scar tissue build up along one of the tendons, and can no longer curl my toes all the way on that foot. No big deal to me, but you may be interested.
Ronk0747
11-26-2003, 06:25 PM
Hello Miller,
Since you live near NYC, I strongly suggest that you go to the Hospital for Special Surgery and see an orthopedist that specializes in foot and ankle problems. Since this procedure is relatively rare, you want to make sure you find a doc who does this procedure a lot, not just a couple times a year.
Ron
Hello,
I read your postings regarding your surgery and have found them quite helpful. I unfortunately am likely going to have to have the surgery done on my right foot. Aside from the very long recovery time, I was curious about what the complications from this surgery that you have heard about. I am particurlarly concerned about long term complications since I am considered young (34) to have this surgery. Also, how did you select your surgeon? I live near NYC and feel lucky I have access to good doctors but still wonder how to ultimately decide on who to have do the surgery. Alos about how long after being out of the hard cast did you feel somewhat mobile and not in need of much help from others? ( I'm asking because I have a 6 month old at home to take care of!)
Since you live near NYC, I strongly suggest that you go to the Hospital for Special Surgery and see an orthopedist that specializes in foot and ankle problems. Since this procedure is relatively rare, you want to make sure you find a doc who does this procedure a lot, not just a couple times a year.
Ron
Hello,
I read your postings regarding your surgery and have found them quite helpful. I unfortunately am likely going to have to have the surgery done on my right foot. Aside from the very long recovery time, I was curious about what the complications from this surgery that you have heard about. I am particurlarly concerned about long term complications since I am considered young (34) to have this surgery. Also, how did you select your surgeon? I live near NYC and feel lucky I have access to good doctors but still wonder how to ultimately decide on who to have do the surgery. Alos about how long after being out of the hard cast did you feel somewhat mobile and not in need of much help from others? ( I'm asking because I have a 6 month old at home to take care of!)
TPB
12-06-2003, 05:26 PM
So how is everyone doing that had this surgery?? There were a few that said they had it in the works. I am now seven months and one week out. I had a slight set back last month when they found a small area between the calcaneus and the cuboid that hadn't completely fused, which bought me a month back in my walking boot, and then orthotics. But, now my foot is doing very well. Only very mild soreness, and not too much of that to speak of. I'd be VERY interested to hear how all the rest of you are doing..esp CJaffee and PLE. Thanks!!!!
Ronk0747
12-06-2003, 06:21 PM
Hi TPB,
As of this coming Monday, I will be 11 weeks post-op with this surgery. One week after that, I should get my fiberglass cast removed, be given a removable boot and start full weight bearing in the boot which I am to wear at all times while weight bearing for 2 more months. At 5 months post-op, I lose the boot and start PT if everything goes according to schedule.
Ron
As of this coming Monday, I will be 11 weeks post-op with this surgery. One week after that, I should get my fiberglass cast removed, be given a removable boot and start full weight bearing in the boot which I am to wear at all times while weight bearing for 2 more months. At 5 months post-op, I lose the boot and start PT if everything goes according to schedule.
Ron
cjaffee
12-08-2003, 01:26 PM
Hello TPB,
Glad to hear things are going well for you. I'm now 3 1/2 months post op and things so far are going exactly as planned and the dr. said they would. I'm in a removable walking boot but full weight bearing when I'm in it. I'm still on crutches if the boot is off but go back in 2 weeks to get the go ahead to start weaning out of the boot. Dr. said everything inside looks good and I've had no real pain that wasn't expected. Swelling a bit still but within the normal range. I'm looking forward to getting to the next step. Keep in touch and thanks for asking how things are going.
Glad to hear things are going well for you. I'm now 3 1/2 months post op and things so far are going exactly as planned and the dr. said they would. I'm in a removable walking boot but full weight bearing when I'm in it. I'm still on crutches if the boot is off but go back in 2 weeks to get the go ahead to start weaning out of the boot. Dr. said everything inside looks good and I've had no real pain that wasn't expected. Swelling a bit still but within the normal range. I'm looking forward to getting to the next step. Keep in touch and thanks for asking how things are going.
TPB
12-08-2003, 06:04 PM
so can you guys see a difference in your foot from before?? Is there more arch than before?? My foot was very flat to start, but now has a visable arch. It's a bit more pronounced in the morning when the swelling is less, but it's there. It's kinda hard to know what it's supposed to look like or feel like because I don't personally know anyone else who's had this done, so I'm glad I found this board a while back. I'm glad to hear that things are going well for all you as well!!
Ronk0747
12-08-2003, 06:31 PM
Hi TPB,
Since there is still considerable swelling in my foot, it is difficult to see any definition of an arch. However, at 6 weeks post-op, my doc took X-rays. There is quite a difference between this and my pre-op X-rays. The arch looks close to normal in the post-op X-rays. In the pre-op X-rays, the bones look like an "L". In other words, there was absolutely no arch--a total "pancake foot". The heel and metatarsal bones were at a 90 degree angle to the leg bones.
The doc did say that he "overcorrects" the arch slightly because over time, the foot will naturally compress a bit. However, recurrence of flat foot deformity is extremely rare.
Ron
Since there is still considerable swelling in my foot, it is difficult to see any definition of an arch. However, at 6 weeks post-op, my doc took X-rays. There is quite a difference between this and my pre-op X-rays. The arch looks close to normal in the post-op X-rays. In the pre-op X-rays, the bones look like an "L". In other words, there was absolutely no arch--a total "pancake foot". The heel and metatarsal bones were at a 90 degree angle to the leg bones.
The doc did say that he "overcorrects" the arch slightly because over time, the foot will naturally compress a bit. However, recurrence of flat foot deformity is extremely rare.
Ron
cjaffee
12-09-2003, 10:15 AM
My foot looks totally different. I haven't been weight bearing yet so I don't know what it will do once I start walking on it but for now there's definitely an arch. And my foot looks a lot skinnier since my heal is much more in alignment with the rest of my foot. Right now my two feet look like they belong to two different people. I'm looking forward to walking with shoes and seeing how it goes from there. Then when it's strong enough to bear all of my weight I get to do the right foot.
TPB
12-09-2003, 12:50 PM
That is very interesting that you say your foot looks thinnner. Mine actually looks thicker than it did. It sounds like things are going great for both of you guys.. Thanks for your response!!
miller139
12-19-2003, 03:41 PM
Hi folks,
Your postings have been quite helpful. I am officially 9 days post-op and doing much better than I thought I would be at this point. My foot is a little swollen but I am quite pleased I really haven't needed any painkillers. I'm fairly mobilt about the apt. and have even ventured out to my local bagel shop a few doors down from my apt. I ended up having a calcaneal osteotomy, achilles lengthing and a repair of my PTT as opposed to the transfer. I was just put into a cast which I think I'll be in for the next 5 weeks. According to my doctor he'll put me in a walking boot and progress to partial weightbearing around the 6 week point. Was this true for all of you? I have a 9 month old baby and I am dying to be able to pick her up again without having to be sitting on the floor. Also my dr. didn't seem to be as concerned with elevating feet over heart as some are. He just said dont dangle to foot and keep extended as much as possible. How strict were your drs. about elevating? And, I apologize if you answered this already, but when did most of you feel that you were able to reasonably go back to day to day life? I'm not sure when to tell my boss I can return to work (it's my right foot so I cant drive) but I'm curious as to when I might be able to get to the office by cab/train combo. Thanks for your help and I hope you are all doing well.
Your postings have been quite helpful. I am officially 9 days post-op and doing much better than I thought I would be at this point. My foot is a little swollen but I am quite pleased I really haven't needed any painkillers. I'm fairly mobilt about the apt. and have even ventured out to my local bagel shop a few doors down from my apt. I ended up having a calcaneal osteotomy, achilles lengthing and a repair of my PTT as opposed to the transfer. I was just put into a cast which I think I'll be in for the next 5 weeks. According to my doctor he'll put me in a walking boot and progress to partial weightbearing around the 6 week point. Was this true for all of you? I have a 9 month old baby and I am dying to be able to pick her up again without having to be sitting on the floor. Also my dr. didn't seem to be as concerned with elevating feet over heart as some are. He just said dont dangle to foot and keep extended as much as possible. How strict were your drs. about elevating? And, I apologize if you answered this already, but when did most of you feel that you were able to reasonably go back to day to day life? I'm not sure when to tell my boss I can return to work (it's my right foot so I cant drive) but I'm curious as to when I might be able to get to the office by cab/train combo. Thanks for your help and I hope you are all doing well.
Ronk0747
12-20-2003, 11:20 AM
Hi Miller,
As you may have read from other posts, I am now 12 weeks post-op from my posterior tibial tendon and ligament transfer along with a calcaneal osteotomy and metatarsal fusion to reconstruct the arch of my severely collapsed left foot.
They took X-rays and put me in another cast for another 2 weeks. I am supposed to start partial weight bearing (40-50 lbs.) while crutching around. Then in 2 more weeks, the cast comes off, I get a removable boot and hopefully start real walking. This was actually scheduled to happen this week but it looks like extra care is needed. He wants to make sure the bones are fully healed. I guess I just have to be patient.
I am very surprised that your doc is progressing you so fast since you had the calcaneal osteotomy and PTT repair. You're lucky they were able to salvage your PTT. Mine was totally shot and they had to graft a tendon from another part of the foot.
As far as elevating your foot, just go by your senses. More pain and swelling is telling you that you need to elevate more. If that's not an issue, then you're probably doing just fine in your amount of elevation.
As far is your "returning to day-to-day life, I wouldn't push things any faster than your doc says. My doc is in NYC. It's been pretty expensive going in to appointments from North Jersey by car service. I wonder if that's deductable. I normally take a bus and subway into the city but this is obviously not feasable right now. It will be quite a while before I will be able to manage public transit again. Crowded buses and subways would be a nightmare not to mention the steps up and down to the subway pretty much impossible. Don't be too anxious to get back to work unless your boss is flexible about letting you stay out again if you can't manage the commute and everything else that might be a problem with your returning. Always err on the side of caution because you don't want to screw something up and have to have a "do-over".
Good luck!
Ron
As you may have read from other posts, I am now 12 weeks post-op from my posterior tibial tendon and ligament transfer along with a calcaneal osteotomy and metatarsal fusion to reconstruct the arch of my severely collapsed left foot.
They took X-rays and put me in another cast for another 2 weeks. I am supposed to start partial weight bearing (40-50 lbs.) while crutching around. Then in 2 more weeks, the cast comes off, I get a removable boot and hopefully start real walking. This was actually scheduled to happen this week but it looks like extra care is needed. He wants to make sure the bones are fully healed. I guess I just have to be patient.
I am very surprised that your doc is progressing you so fast since you had the calcaneal osteotomy and PTT repair. You're lucky they were able to salvage your PTT. Mine was totally shot and they had to graft a tendon from another part of the foot.
As far as elevating your foot, just go by your senses. More pain and swelling is telling you that you need to elevate more. If that's not an issue, then you're probably doing just fine in your amount of elevation.
As far is your "returning to day-to-day life, I wouldn't push things any faster than your doc says. My doc is in NYC. It's been pretty expensive going in to appointments from North Jersey by car service. I wonder if that's deductable. I normally take a bus and subway into the city but this is obviously not feasable right now. It will be quite a while before I will be able to manage public transit again. Crowded buses and subways would be a nightmare not to mention the steps up and down to the subway pretty much impossible. Don't be too anxious to get back to work unless your boss is flexible about letting you stay out again if you can't manage the commute and everything else that might be a problem with your returning. Always err on the side of caution because you don't want to screw something up and have to have a "do-over".
Good luck!
Ron
miller139
12-20-2003, 01:44 PM
Hi Ron,
Thanks for your help. I too was suprised to hear my doctor say I can begin partial weightbearing at 6-8 weeks. I just dont want to get my hopes up and find I'll be on crutches much longer Maybe my doctor gave me that time frame because they didn't have to transfer the tendon. Based on your recovery schedule it's sounds like your seeing Dr. Deland at Special Surgery, yes? I saw him and had a hard time deciding how to choose a surgeon but ultimately went with someone I liked at Lenox Hill.
Oh, how did you tear you tendon? I just always had very flat feet that I abused by running alot and probably just slowly weakened it over time. Ultimately the tendon started to tear during my third trimester of pregnancy last winter.
Anyway, hope you are doing well. Please continue to update on this board about your progress.
Thanks for your help. I too was suprised to hear my doctor say I can begin partial weightbearing at 6-8 weeks. I just dont want to get my hopes up and find I'll be on crutches much longer Maybe my doctor gave me that time frame because they didn't have to transfer the tendon. Based on your recovery schedule it's sounds like your seeing Dr. Deland at Special Surgery, yes? I saw him and had a hard time deciding how to choose a surgeon but ultimately went with someone I liked at Lenox Hill.
Oh, how did you tear you tendon? I just always had very flat feet that I abused by running alot and probably just slowly weakened it over time. Ultimately the tendon started to tear during my third trimester of pregnancy last winter.
Anyway, hope you are doing well. Please continue to update on this board about your progress.
Ronk0747
12-21-2003, 12:31 PM
Hi Miller,
Either you are psychic or have a lot of experience with orthopedic foot surgeons, LOL. Yep, I had Dr. Deland at HSS do my surgery. I saw a few docs over in Jersey, then saw Dr. Deland and was convinced that he was the best shot at this. It's a small world, isn't it?
I am not exactly sure how the tendon got torn but it happened quite awhile ago. I believe (and this is only speculation) that I had a medial ankle sprain when I was a teenager. After a couple of days, the pain went away and a didn't think too much of it after that. When I was in my early 20's, I then noticed that the left foot was flatter than the right. But since it wasn't really bothering me, I didn't do anything about it. About 5 years ago, I started having pains as the foot was getting progressively flatter. Got orthotics from a podiatrist which helped for awhile. Now at age 40, it finally caught up to me and I was forced to face the music so to say as even short amounts of walking had become painful.
Being that I live in NJ and work in Manhattan, my normal commute to work is by bus and subway. This is pretty much impossible in the condition I'm in now.
Don't know too much about Lenox Hill but I've heard that it's a good hospital.
I'm glad you're progressing well and am looking forward to your future updates on your progress.
Good luck and hang in there!
Ron
Either you are psychic or have a lot of experience with orthopedic foot surgeons, LOL. Yep, I had Dr. Deland at HSS do my surgery. I saw a few docs over in Jersey, then saw Dr. Deland and was convinced that he was the best shot at this. It's a small world, isn't it?
I am not exactly sure how the tendon got torn but it happened quite awhile ago. I believe (and this is only speculation) that I had a medial ankle sprain when I was a teenager. After a couple of days, the pain went away and a didn't think too much of it after that. When I was in my early 20's, I then noticed that the left foot was flatter than the right. But since it wasn't really bothering me, I didn't do anything about it. About 5 years ago, I started having pains as the foot was getting progressively flatter. Got orthotics from a podiatrist which helped for awhile. Now at age 40, it finally caught up to me and I was forced to face the music so to say as even short amounts of walking had become painful.
Being that I live in NJ and work in Manhattan, my normal commute to work is by bus and subway. This is pretty much impossible in the condition I'm in now.
Don't know too much about Lenox Hill but I've heard that it's a good hospital.
I'm glad you're progressing well and am looking forward to your future updates on your progress.
Good luck and hang in there!
Ron
TPB
12-22-2003, 07:40 PM
I am now 9 months post op from the Lat column lengthening, FDL transfer, & Gastroc recession. I was told to keep my foot elevated as much as possible, which I did to the best of my abilities. I am getting around pretty well, but I haven't attempted to run or anything like that yet. Is anyone out there greater than 6 months post op?? Just wondering how you were at this point. For anyone less than that, I am more than happy to share my experiences. I wasn't allowed to bear any weight for twelve weeks. PT was about six weeks, but went very well. I hope that all who read this post have a blessed Christmas and New Year!!!
Ronk0747
01-02-2004, 06:33 PM
Hello all fellow flat foot sufferers,
I am now 14 weeks post-op from my posterior tibial tendon and ligament transfer along with a calcaneal osteotomy and metatarsal fusion to reconstruct the arch of my severely collapsed left foot.
I am finally out of my fiberglass cast and in a removable boot (aircast). I am supposed to wear the boot at all times while weight bearing but can take it off when my feet are up. The best thing is that I can now sleep barefoot and wash the foot. It's amazing what 3 1/2 month old dead skin looks like! I soaked it in warm soapy water for about an hour and it looked a lot better. There is still considerable swelling and some of the scabs and tape from the incisions is coming off. I am supposed to let them fall off when they want to.
Most distressing is that there is still considerable pain in my heel when I put close to full weight on the foot. I am still unable to walk without the crutches. I need them for both balance and to control the amount of weight on the foot. Totally full weight is too painful. I crutch around slowly putting as much weight as I can stand without too much pain. I figure this can help as my leg muscle has atrophied considerably. My right calf muscle is about twice as big as my left!
Hope all of you had a good new year and are recovering well. I look forward to updates and comments from you.
Take care,
Ron
I am now 14 weeks post-op from my posterior tibial tendon and ligament transfer along with a calcaneal osteotomy and metatarsal fusion to reconstruct the arch of my severely collapsed left foot.
I am finally out of my fiberglass cast and in a removable boot (aircast). I am supposed to wear the boot at all times while weight bearing but can take it off when my feet are up. The best thing is that I can now sleep barefoot and wash the foot. It's amazing what 3 1/2 month old dead skin looks like! I soaked it in warm soapy water for about an hour and it looked a lot better. There is still considerable swelling and some of the scabs and tape from the incisions is coming off. I am supposed to let them fall off when they want to.
Most distressing is that there is still considerable pain in my heel when I put close to full weight on the foot. I am still unable to walk without the crutches. I need them for both balance and to control the amount of weight on the foot. Totally full weight is too painful. I crutch around slowly putting as much weight as I can stand without too much pain. I figure this can help as my leg muscle has atrophied considerably. My right calf muscle is about twice as big as my left!
Hope all of you had a good new year and are recovering well. I look forward to updates and comments from you.
Take care,
Ron
miller139
01-04-2004, 06:49 PM
Glad to hear you are finally out of your cast, Ron. Are you in a full walking boot or in the aircast that velcros around the sides of your leg?
Hope your progress continues nicely.
I'm about 4 weeks post op and feel good. Actually my main concern is not the foot I had surgery on but my "good" one. I definitely feel like my PTT is sore in my non-operative foot from all the abuse it's getting being the only working foot. It was never as flat as my right foot and never gave me a problem until the right one tore. Anyone else have this problem post op? I wear an aircast on it occassionally to give it extra support but dont feel like it helps much. Anyone have any advice? I'm so worried I'll have to have surgery on this foot too.
Also, anyone 6 months or more post-op who can share to what degree they are back to normal life?
Thanks. Hope you all are doing well
Hope your progress continues nicely.
I'm about 4 weeks post op and feel good. Actually my main concern is not the foot I had surgery on but my "good" one. I definitely feel like my PTT is sore in my non-operative foot from all the abuse it's getting being the only working foot. It was never as flat as my right foot and never gave me a problem until the right one tore. Anyone else have this problem post op? I wear an aircast on it occassionally to give it extra support but dont feel like it helps much. Anyone have any advice? I'm so worried I'll have to have surgery on this foot too.
Also, anyone 6 months or more post-op who can share to what degree they are back to normal life?
Thanks. Hope you all are doing well
Ronk0747
01-05-2004, 12:49 PM
Hi Miller,
I'm not sure what the difference is between a walking boot and an air cast. I thought they were the same thing. I have a removable air cast which as a boot that comes with an aspirator to inflate or deflate air pockets to fill in the spaces around the foot so it doesn't slide around.
Yes, I'm concerned about the PTT on my good foot too. It is taking a beating doing doubletime for the operative foot and my goot PTT often has twinges but nothing terribly bad. The good thing is that when I get my special orthotics, the good foot will have support matching the operative foot thereby inclreasing the chances to haveing the good foot stay healthy.
Take care,
Ron
I'm not sure what the difference is between a walking boot and an air cast. I thought they were the same thing. I have a removable air cast which as a boot that comes with an aspirator to inflate or deflate air pockets to fill in the spaces around the foot so it doesn't slide around.
Yes, I'm concerned about the PTT on my good foot too. It is taking a beating doing doubletime for the operative foot and my goot PTT often has twinges but nothing terribly bad. The good thing is that when I get my special orthotics, the good foot will have support matching the operative foot thereby inclreasing the chances to haveing the good foot stay healthy.
Take care,
Ron
miller139
01-05-2004, 01:23 PM
Hi Ron,
The walking boot I was picturing looks sort of like a big, clunky ski boot. I was in it when was initially diagnosed with a tear in my tendon. After being in that for about 6 weeks I went into an aircast that was basically two splints that were held onto either side of my leg with velcro straps and was worn with a sneaker.
You mentioned going into special orthodics. I havent discussed orthodics with my doctor yet but is yours recommending something different than the standard ones they make from a mold of your foot? I have heard of orthodics that come up the side of the foot to better support the tendon. Is that the kind you are talking about?
The walking boot I was picturing looks sort of like a big, clunky ski boot. I was in it when was initially diagnosed with a tear in my tendon. After being in that for about 6 weeks I went into an aircast that was basically two splints that were held onto either side of my leg with velcro straps and was worn with a sneaker.
You mentioned going into special orthodics. I havent discussed orthodics with my doctor yet but is yours recommending something different than the standard ones they make from a mold of your foot? I have heard of orthodics that come up the side of the foot to better support the tendon. Is that the kind you are talking about?
Ronk0747
01-05-2004, 05:13 PM
Hi Miller,
The aircast I have is a boot in itself. Looks like a big clunky ski boot but has air pockets on eachside of the foot area that are inflatable.
Yes, the kind of orthotics that I will probably be getting are made from a mold of my feet and they will come up the inside of the foot to help support the PTT.
Right now, the thing I am most concerned about is that it appears I am falling behind schedule so to say. The cast was to come off at 12 weeks post-op but didn't come off till 14 wekks post-op. At that point, the doc said I would only need the crutches for another day or two. I am now 15 weeks post-op and the pain in my heel where the screws were put in is much too painful to put full weight on. I still need the crutches to keep the pain bearable. I wonder if this is a sign that I'll need to get the screws taken out eventually. Arrrghh!!
Ron
The aircast I have is a boot in itself. Looks like a big clunky ski boot but has air pockets on eachside of the foot area that are inflatable.
Yes, the kind of orthotics that I will probably be getting are made from a mold of my feet and they will come up the inside of the foot to help support the PTT.
Right now, the thing I am most concerned about is that it appears I am falling behind schedule so to say. The cast was to come off at 12 weeks post-op but didn't come off till 14 wekks post-op. At that point, the doc said I would only need the crutches for another day or two. I am now 15 weeks post-op and the pain in my heel where the screws were put in is much too painful to put full weight on. I still need the crutches to keep the pain bearable. I wonder if this is a sign that I'll need to get the screws taken out eventually. Arrrghh!!
Ron
rengrant
08-13-2004, 05:30 PM
Hi All,
I am so glad to have found this share line. I am a 52 year old considering surgery on my foot. I have severe flat feet and have been struggling with PTL dysfunction for about a year. I have run the course of orthodics and after struggling for 10 months in a Richie brace etc etc, I found a new therapist who has added forefoot correction to my othotics. (something the podiatrist never tried) I have gone from 40% mobility to 75%, Still have some pain but that is easing a little as well. I have seen two surgeons who both say I need the FDL transfer, calcaneal osteotomy with screws, a fusion in one place and a gastroc lengthening procedure. I am aware that the post-op recovery period is long and intense, I was wondering how any of you are doing long term out. Was it worth it? Have you received the outcome you expected. Is you lifestyle still limited? or are you back to norma? My biggest fear is that I will end up no better or worse than I am today. Any comments welcome. thanks
I am so glad to have found this share line. I am a 52 year old considering surgery on my foot. I have severe flat feet and have been struggling with PTL dysfunction for about a year. I have run the course of orthodics and after struggling for 10 months in a Richie brace etc etc, I found a new therapist who has added forefoot correction to my othotics. (something the podiatrist never tried) I have gone from 40% mobility to 75%, Still have some pain but that is easing a little as well. I have seen two surgeons who both say I need the FDL transfer, calcaneal osteotomy with screws, a fusion in one place and a gastroc lengthening procedure. I am aware that the post-op recovery period is long and intense, I was wondering how any of you are doing long term out. Was it worth it? Have you received the outcome you expected. Is you lifestyle still limited? or are you back to norma? My biggest fear is that I will end up no better or worse than I am today. Any comments welcome. thanks
jac4342
09-18-2005, 11:41 PM
Hi there. I just had a complex flat foot reconstruction surgery that the Dr. said went real well. I'm only 3 weeks post op so I'm not sure of all the recovery steps but my Dr. says it's a very successful surgery. I went through over 3 years of continued pain and more conservative treatments before having the surgery but now wish I had done it a long time ago. It was a rough first 10 days but after that it's just the hassle of dealing with crutches. I can't imagine having both done at once and I'm not even sure it's an option. Good luck and let us know what you end up doing.
hi i am having same surgery done, reconstruction of my right foot, I am getting it done it 4 weeks, I am getting so nervous and just wish I had some details, bout the pain when I wake up , how long for hospital stay, how long is surgery, etc. Thanks so much
hi i am having same surgery done, reconstruction of my right foot, I am getting it done it 4 weeks, I am getting so nervous and just wish I had some details, bout the pain when I wake up , how long for hospital stay, how long is surgery, etc. Thanks so much
jac4342
09-18-2005, 11:42 PM
Hi everyone, I am having reconstruction surgery on my right foot in 4 weeks. If anyone had this done and they can give me some details, on this I would appreciate it. I am so nervous, and I found the best way to deal with it is, talk with people who had it done. Thanks again
cjaffee
09-19-2005, 10:27 AM
Hi, this board was invaluable for me. I've now completed my left and right foot (coming up on the 1 yr anniversary of my right foot, and 2 yr on my left). While not fully healed things are going well. I do remember a couple of surprises from the surgery though. For 2 weeks try and do as little as possible. Follow orders (leg up to keep swelling down). Swelling hurts! For two weeks the pain is not great - stay ahead of the pain with the prescriptions your doctor gives you. Use ice to keep swelling down - even if you have a huge cast and bandages the ice works - just don't leave it on too long (it starts causing its own pain). After two weeks I got my staples out and was put in a hard cast. Once that happened you can start putting your foot down, moving around, and it starts feeling better fast. I'd be happy to answer more specific questions if you have them. Overall the first surgery (left foot) wasn't so bad as I decided to have my right foot done as well. Good luck and let us know how it all works out.
cjaffee
09-19-2005, 10:30 AM
JAC, I just saw a few of your other questions. Technically my surgery was done as outpaitient but it was a 23 hour stay (one overnight). I think that was for insurance reasons. But after the first 24 hours I was fine getting in a car (someone else has to drive) and getting home to my own bed. Stay on top of the nurses and get your pain medication early. My surgery lasted almost 5 hours. Good luck.