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View Full Version : PTTD Post Op - A few questions


 

 

 
MasonQ
09-14-2008, 01:25 PM
Just a few questions now that I'm home:

1. I have some bruising on my upper thigh. Is this from the tourniquette?

2. Most of my pain is overall "achey" - about a 4-5 which is tolerable. Throw in a few fire-y incision pains and I'm still okay. What's really hurting tho is a pain? spasm? in my lower arch/beginning of heel. I'm assuming this is from the screw? It starts about hour 2 or 3 of Norco. Comes in waves. I can take a Valium for it and it helps sometimes. Icing doesn't seem to matter here and it sometimes helps when I put my foot DOWN (un elevate). I would say this pain is a good 7-8 on the scale.

My question is, of course, is this normal? Anyone else have this? What did you do for it?

I can deal with it if I have to (I'm not writhing or anything) but if it is the first sign of INFECTION, I want to know. Or if my SPLINT IS TOO TIGHT....

This is really the only thing that's killing me. If it's not better, I'll be calling the doc on Monday, fo sho!

Thanks!

Sponsor
 



sunny77
09-14-2008, 02:21 PM
The bruising on your thigh is likely from the tournaquet...they inflate that thing to a point that there is little blood flow below it. I had bruising on my first surgery too. I'm not sure what your pain is related to...there are so many things that can lead to it, especially so early on. If you are really concerned, I would call the doctors office tomorrow AM and check it out with them. Sometimes there can be issues with the splint being too tight or with other things causing the pain.

MasonQ
09-14-2008, 02:33 PM
But you didn't have pain similar, Sunny?

sunny77
09-14-2008, 09:31 PM
My first one, if not elevated, throbbed and hurt a lot and my toes turned purplish and it felt like my foot would burst inside the splint or cast. Otherwise, I think it hurt in general if the pain meds were wearing off or it got bumped. Over time, yes, some achiness was there too. For the second one, I had the popliteal block and was numb until midnight the day of surgery. I had a lot less pain and swelling overall and it didn't bother me too much to have it down (no throbbing, puple toes, etc). I was on pain meds for a shorter period of time than the first time. Everyone's pain is different, as is tolerance. There has been some major trauma done to the foot...so you're certainly going to feel something. Whether it's par for the course or something not quite right...that's something you need to work with your doctor on.

I should mention that my procedures were a little different than yours. I had the posterior tib tendon repaired (no transfer) and an Evans osteotomy. My surgeon does not use any hardware to keep the bone block in place. The tension between the two bones holds it in place and avoids the need for a screw or plate. So, I can't help with your question about pain from the screw.

MasonQ
09-14-2008, 10:03 PM
The spasms (I swear it felt like contractions! (I was just coming up off that bed!!) have mostly stopped. That just had to be trauma. Nasty nasty. And not something to try to fight through - can't be done! (Note to pre-ops!)

No screws? You lucky devil! When I begged my doc to not lengthen my Achill because I had heard how painful it was, he just laughed and said it wouldn't matter after he broke my heel! THAT was the whipper! That's a deep deep pain.

Anyhoo - I traditionally have a very high tolerance for pain. (Altho I would say that most of us on this board probably do as well - we've been living with it quite a while, right?) But I also have a very high tolerance to pain MEDS! So getting the right one was imperative. I spent two nites in the hosp due to pain mgmnt. The silver lining is that now I can say what DOESN'T work, right!

There's one called To-something... that was great! I thought it was prob just a hospital drug but I think I saw a post that someone had a Rx. It was great great great! Anybody know the name of it? That's worth a separate thread title because I don't think it's common.

As good as I'm feeling about this first week post-op, I can't imagine doing the other foot. I know your story is on the board but can you tell me how and why? Maybe you can direct me to that post. I remember reading alot of yours & Emma's stuff in July.

I asked the doc about the "good foot" as the underlying problems are the same. He said once I started moving around and really stressing the good one, I could wear a brace to stabilize.

Has anyone else done this?

Ooooh, my friend just brought me Banana Split Pie! Don't know what it is but that certainly goes in the "Silver Lining" column!

Gotta munch!! MQ

sunny77
09-15-2008, 12:17 AM
Toradol maybe?

I didn't have any problems with my "good" foot until I had surgery on my other foot. I started to have pain in it within a month of surgery. Obviously it took the brunt during the 6 wks of NWB and 4 wks walking in the boot, so maybe there was so predisposition, even though I wasn't having pain or evidence of a flat foot. Not sure. I tried to do a lot of the exercises I was doing to rehab the left on the right, to see if that would help, but it didn't. I asked about my other foot early on, wondering what I could do to support it during rehab on the surgery foot and he told me that if things were going to happen, they would and there wasn't much I could do to prevent it. I was not happy to hear that! Given that I had tried all the conservative therapies on my other foot and failed, my doctor and I decided to go forward with fixing the other one so I could get on with life and not stress the surgical foot more. I had almost 10 months in-between surgeries.

My left foot, after being fixed, never had any problem holding up during the surgery of the other foot. I healed really well on the left; my right one is having some issues, but it will get there. I'm able to run, do the elliptical, work out, whatever. Both feet had almost the same procedures done. There's another blogger here who is young and undergoing the same issues...good foot went bad during rehab of the first foot. Usually PTTD only occurs on one foot, at least that's what I found when I was reading up on it online. It was a long year plus...and I definitely missed working out and being active. It's great to finally be moving again! I knew what to expect the second time around and actually had less pain, swelling and all. But I wouldn't wish that on anyone...it's bad enough one time around! I guess it's worth it in the end though!

Hope you enjoyed some of that banana split pie! :) Enjoy!

kristim06
09-15-2008, 11:45 AM
I think I may be the other young blogger on here that Sunny was talking about. I am 24 years old and had the following sugeries on my right foot in January: achilles lengthing, FDL tendon transfer, & a sliding osteotomy with one large screw in the back of my heal. I too had the popiteal block which was absolutely great! I stayed overnight for one night after surgery so I had a morphine drip while there. I took vicodin and perocet for the pain (not at the same time obviously lol) I did have some swlling issues but the ice behind the knee and elevating it more always helped out. I really overall had a great recovery from the surgery other than a few bumps in the road here and there. I did not experience any pain with the screw until I started walking and running again. My screw was taken out at the end of july and now my foot is doing wonderfully.
Unfortunately my left foot which is my "good" foot was fine until probably about a month after surgery and then I started to have issues with that foot as well and I am currently going through the non surgical methods which I think are being done for two reason one: to give my other foot a little more healing time before it has to be the sole supporter and two: for show for the insurance company.
I am sorry to hear you are struggling a little but i promise it gets better. Feel free to ask us anything.

Kristin

emmie54
09-15-2008, 05:39 PM
I should mention that my procedures were a little different than yours. I had the posterior tib tendon repaired (no transfer) and an Evans osteotomy. My surgeon does not use any hardware to keep the bone block in place. The tension between the two bones holds it in place and avoids the need for a screw or plate. So, I can't help with your question about pain from the screw.



Sunny, I guess I didn't realize your procedure was so different from mine. I had the transfer, the sliding osteotomy with a large screw in the back of my heel. I must admit that reading your posts made me feel like a weenie at times because you returned to work so quickly and had very little pain and I really struggled. I have to say the majority of my pain was definitely from the screw in the heel and the heel being sawed off with a chain saw and moved over. (well, not exactly, but that's how it felt:D )

I do feel better knowing your procedure was a tad less traumatic than mine. And of course you are younger, which helps as well.

emmie

sunny77
09-16-2008, 02:30 AM
Emmie,
I definitely had pain with both surgeries...I was on pain meds for 3 months the first time around! Going back to work at 3 wks wasn't easy, but I think being younger and always being a person who gets bored easily and is often on the go made it happen sooner for me. My foot was also sawed open, just on the side instead of the bottom...they stretch the foot open to put that bone block in, so there's a broken bone to heal as well. My surgeon doesn't use hardware, but many others doing the same procedure do. I had to be really careful not to fall or anything early on, as bumping it the wrong way could have loosened/moved the bone block before it was healed enough to stay put. I guess I just got lucky in terms of not having hardware...and after hearing how hard it has been for many here, I am really glad that my surgeon does things the way he does! Still...despite the differences in procedures, all of these osteotomies are traumatic and painful. We all just heal differently, have different pain threshholds and different goals at different times. It sounds like you've had additional problems that haven't helped you move forward, and that's hard to swallow after undergoing everything you have. So, it's okay to be where you are!
Sunny

MasonQ
09-16-2008, 02:16 PM
Hi Emmie - good to see you posting!
When I was diagnosed in June, I was on vaca and knew I couldn't have surgery until Sept. That gave me alot of time for research! At that time, you, Sunny and CopChick were the hot bloggers and answered so many of my questions! By the time I got home to Dallas, I cracked my ortho up with all my questions and preferences! So far, I've had no surprises that weren't conquerable!

Re: "good" foot. My doc said "sure" brace it! But I felt like he was just placating me. Gonna do it anyway - how can it hurt? Not like I'm losing points on the Sexy Scale since the other one is casted/booted anyway....

I'm on Day 6 and am just now knocking it back to just one Norco every 4 hrs. Had to take a Valium (which is my "bump" between Norco) after spending more than my allotted 10 minutes dangling my foot from the High Potty Seat praying for the Ever Elusive Poop. You'd think I'd given birth from all the celebrating my huzzie and I did! Small victories....

My doc said if my soft splint ace got "bunched up" or whatever, just come in and they would re-wrap it. I'm going to do it the end of this week for the sole purpose of making sure my incisions aren't infected. There were a couple of horror stories about that on here. I'm certainly having pain but is it normal pain? Who can tell? Back of my heel hurts all the time. That's the Achill, I guess.

I'm sure not up much.... I'm basically going to the bathroom and moving from the bed to the chair in the den. Big Whoop. Rolled outside yesterday for a stretch! Sound about right? Going back to work? Sheesh....no way! Heck, I'm too dizzy to even read!

Well, thanks again for your support! Glad to hear you are all well on the road to normalcy!

MQ

uff da
09-16-2008, 04:58 PM
Hi
I would like to second MasonQ's thanks. I am two weeks out before surgery. I am so not looking forward to it. I keep telling myself it will be all worth it when I can hike next summer. My next thought is that maybe I should put up with it for another year. I keep thinking that I must be a baby when it comes to pain-so many of you sound as thought you've had several years of pain before resorting to surgery. AHHHH!!
Thanks for helping to keep me sane!

MasonQ
09-17-2008, 11:04 PM
Uff Da (what a great name!!!) -

I can't tell you how many times I talked myself in and out and in and out of this surgery. My tendon was ruptured and I KNEW I had no choice but it really didn't hurt THAT much, did it? Surely I could wait....

Read thru this board. So many people, by their own choice, by advice or by insurance requirements have done the non-surg route. Not always, but mostly - it was an inconvenience, painful waste of a year.

It isn't an easy surgery or recovery but I truly believe that it is the best choice. Just do it - get it over with - laugh when you can and pop pills the rest! There's lots of great ideas of projects to do while you are horizontal, plenty of information on the surgery process, gobs of suggestions about the best "toys" for your recoup mobility and, most importantly, a bunch of strong, well-spoken, intelligent people who know that knowledge is power! Even when the going got tough, these people sought advice, got answers and got on with it!

You can do this!!
UFF DA!!!!

kristim06
09-18-2008, 12:13 PM
The non-surgical route is never easy. If you don't tear your tendon you have to go through that to prove to the insurance companies that it is not getting any better. I went through 10 months of non-surgical methods on my right foot and currently it has been about 6 months of non surgical methods for my left foot (partly to give the right one a little more time, I am only 9 months out of PTTD surgery, sliding osteotomy w/one large screw, FDL tendon transfer, & Achilles lengthing) and partly again to prove the insurance companies that it is not getting any better.
If I had it my way I would be doing the surgery! My first one we were hesitant on doing surgery due to the fact that I am only 24 (a little young for this) Now that I have one foot that over pronates/no arch and one that has a beautiful arch I am afraid (besides for the pain I am having in my bad foot) that without surgery I will have problems with my hips and knees when I get older. I am ready to just get this all over with and have everything fixed and finally be back to normal instead of being the girl that always has something on her feet.
I do have to say I had a great experience with the surgery though. I was out of work for a week, did half days the second week, and then the third week I was back full time. I was jogging again at about 6 months post op and had the screw removed at 7 months post op. Now that the screw was removed I have zero pain.
I am currently in a walking boot with my other foot (should be a non weight bearing cast but I have to be in a wedding this weekend) then because of appointments he will be unable to see me again till the 29th of Oct, so that is when the cast will go on. Any questions please feel free to ask!!

emmie54
09-19-2008, 12:53 AM
I've been so busy cleaning up after Gustav. We were hit very very hard in Baton Rouge. Power out for over a week and tons of trees down. I had trees skim my house but none on it so I am grateful. I am starting a new thread about my diagnosis today.

PatG25
11-13-2008, 10:14 PM
I am 7 days out of PTTD surgery, (not sure which one) osteotomy with one screw, FDL tendon transfer, & Achilles lengthening. Surgery went well, and after 3 days was mostly off pain meds. I know take 1 or 2 Vicodens a day. Getting around on crutches is not much of a problem.

I basically have two questions / issues:
- I have no problems laying on the couch with my foot up. Most of the time there is no pain until (for some reason) the evening. However, putting my foot down is incredibly painful. I think I read somewhere its all the blood rushing to your foot, but boy, it feels like it is going to explode. I have to keep putting it down, then back up, down, up, quite a few times. Is that normal? It is my biggest issue right now. I can also stay on crutches only about 10 minutes because of that.

- There is a lot of pressure at the ball of my foot. Is that where the other tendon came from? I am not really sure why it hurts there, but have any of you also experienced this?

Thanks!!

sandcastles
11-13-2008, 10:49 PM
Hi Pat:

Yes, it's perfectly normal to have that intense pressure when putting your foot down after being elevated.

Try to set it down slowly, just a few inches at a time and allow the blood to flow back down to the toes. This made a world of difference for me

Wishing you a great recovery,

Sandy

DHS
11-16-2008, 09:34 PM
Hi , my name is Liz, I'm 47 a runner and a swimmer(a mom to a nine year old boy) and I'm having PTTD surgery on Dec. 8th. My Dr. said that I'm having an Achilles Lengthening, Calcaneal Cuboid fusion with graft, Navicular Cuniform fusion, and PT tendon augmentation with FDL. My Dr. said that in order for me to be able to run again(unfortunately no Marathons), I need to have all these procedures done.One of the questions I have is how long after the surgery were you able to be off the pain meds?

PatG25
11-17-2008, 09:07 AM
Hi , my name is Liz, I'm 47 a runner and a swimmer(a mom to a nine year old boy) and I'm having PTTD surgery on Dec. 8th. My Dr. said that I'm having an Achilles Lengthening, Calcaneal Cuboid fusion with graft, Navicular Cuniform fusion, and PT tendon augmentation with FDL. My Dr. said that in order for me to be able to run again(unfortunately no Marathons), I need to have all these procedures done.One of the questions I have is how long after the surgery were you able to be off the pain meds?

Hi Liz

I think that really depends on yourself. However, you have a lot of procedures done on your foot, so you may stay on meds a little longer than the rest of us that had similar procedures. I had PTTD surgery on a Thursday with Tendon Transfer, Achilles Lengthening and Calcaneal Osteotomy. By Tuesday I was pretty much just taking a couple of Aspirins for Blood thinning. They had me on Vicotin which took the pain away but did not do anything else. So I don't know how people get addicted to this stuff; in case you are worried about that. The caveat here is that I was pain free as long a my foot was elevated. Once I tried to put it down the blood rushed to it, and then it was petty painful, at least for the first week. I am now 11 days post-op and I still need to have my foot elevated most of the day.

Pat

Pat

kristim06
11-17-2008, 11:08 AM
Hi Liz, I name is Kristin and I'm 25 and a runner. I had PTTD surgery on my right foot on Jan. 24, 2008 and will be having PTTD sugery on my left foot the day after you have yours on December 9th, 2008. I am having the same exact procedure I had last time which was achilles lengthening, FDL tendon transfer and a sliding calcaneal osteotomy I had one large screw inserted in the back of my heal for about 7 months till it healed. I was running at about 12 weeks post op, like you I was told I would be able to run again but no more marathons which is fine I have finished 3 Boston marathons so I am happy with that. I would talk to your doctor about not only going under the general anstesia but also getting a popiteal block as well, that was such a HUGE help for the next 24-30 hours after surgery. I personally stayed over night last time and will be doing so again this time. I was on a morphine drip controlled by a clicker (it would only give me so much in a set period of time) I was off that the next early afternoonish and then I was on pain meds full time for about 8 days or so then I was taking them only at night. But it went back up to a couple times a day when I started PT I would take half of one before going to PT and then take one at night. The one thing to remember the more you ice it, elevate it and all that the better it will feel and the less time on the pain meds.
Where are you getting your surgery done? Are you getting nervous, I know I am a little even though this is the second go around for me. This board is such a great help!! You will have to keep us all posted on your recovery...I will be right there with you well a day behind.

Kristin

MasonQ
11-17-2008, 11:23 AM
kristin-

Did u hv ur screw taken out?

M

kristim06
11-17-2008, 12:17 PM
Yes I had my screw removed in July of 2008 so about 7 months post op. It was bothering my and my foot was healed so the doc saw no harm in taking it. Ever since I have not had one problem with my foot. The doc told me a lot of people have a problem with the screw I had because of where it is positioned in the foot.

PatG25
11-17-2008, 12:35 PM
Hi Kristin

How big a deal was it to take the screw out? Just a few more days on crutches?

kristim06
11-17-2008, 05:00 PM
It was about a week on crutches but my PT just said the doc was being a little over careful. It was a breeze compared to everything else and the fact I am facing going through it for the 2nd time in a few weeks. Are you getting your screw removed?

kristim06
11-17-2008, 05:02 PM
kristin-

Did u hv ur screw taken out?

M


Mason,

Are you having your screw removed? Did you have only the one or multiple? I know some people on here had more than one

PatG25
11-17-2008, 05:09 PM
Kristin

I don't yet know if I am going to get the screw removed. I guess that all depends if it is going to bother me, which most likely I won't find out for a couple of months until I can walk and run without problems.

Did you have problems with both feet before you had your first surgery, or did it start after. My doc indicated it is pretty rare to have the problem with both feet, but there are a few people here who had to get both feet corrected. I used to run as well, but gave it up when the pain started. I wasn't planning to run again because of fear that my other foot is going to go at some point. I do have two flat feet, not just one, as probably most people have. Right now I have no problems with my good foot.

My goal - at the most - is running on a treadmil (boooooring) since it is a much softer surface than the road.

MasonQ
11-17-2008, 05:45 PM
I hv 2 screws. I don't know if the pain I'm hvg is normal or screw related. (can't believe I'm passing on that joke....). I just started 0-1 crutch a week ago. Started PT, weather changed.... All I know is it hurts at about Week 3 level. A setback I am too busy for, thank you.... I am sick to freakin death of this!!!
Dr appt in a week so I'll ask him.

kristim06
11-17-2008, 05:53 PM
Both of my feet over pronated badly and had since I was child. I think running they way I did just made them worse. My right one which is the one I had done first I had sprained way to many times to even remember. The left one not as bad as my right until it had to bear the brunt of the post op nwb. Then when i went back to running like I was told I could everything went downhill with the left one. I am hoping once this surgery is done everything will go back to some what normal I am too young for this. I am only 25. The other reason besides my "good foot" getting bad I was worried about what kind of affect severely over pronating with one foot and having a neutral foot in the other was doing to my hips and knees and/or what it would do to them in the future. So I spoke with my doctor for a long time before we decided that a second surgery to correct the other foot was in my best interest.
It took me quite a while 7 months before the screw could come out but I knew that it had to come out at about 4 or 5 months post op. You know when it is screw pain especially if you only have one, I am not sure how it is with 2 I just knew because of where the pain was localized.

DHS
11-19-2008, 03:46 PM
Kristim 06, you asked about where my surgery will be done, it will take place at the Kaiser Permanente in Santa Clara, CA. This is a brand new hospital. As for how nervous I am regarding the procedures- very!!! My absolute fear is that I will suddenly awake during the procedure and feel/hear everything! I'm supposed to get an epidural for the pain.

Susy2163
01-05-2009, 01:20 PM
Hi Kristin I am sure I contacted you for advice before shortly after I was diagnosed as requiring a Ptt transfer.You kindly emailed me but my contacts were all lost.I hope it was you as Im needing moral support.I am having my operation on the right foot this Thursday 8 Jan. I am really worried about the lengthy recovery.Please could I keep in contact asI dont know anybody in England that has experienced this condition/operation. Susy

kristim06
01-05-2009, 04:06 PM
Susy,

I am not sure what information you would like but I am more than happy to give you whatever you like.

DHS,

Don't worry about waking up during it I have gone through it twice now been knocked out good for both and same with having one of the screws removed. I am 3 weeks away from getting the walking boot and I can't wait especially with all the snow we have been getting here.

Feel free to ask me any questions.

Kristin
Hi Kristin I am sure I contacted you for advice before shortly after I was diagnosed as requiring a Ptt transfer.You kindly emailed me but my contacts were all lost.I hope it was you as Im needing moral support.I am having my operation on the right foot this Thursday 8 Jan. I am really worried about the lengthy recovery.Please could I keep in contact asI dont know anybody in England that has experienced this condition/operation. Susy

Susy2163
01-06-2009, 06:24 AM
Kristin, I am concerned regarding after pain and mostly what to expect with regards to the varying stages of recovery..ie when can I first put any weight on my foot etc. I previously received info in an email from you but it got lost.Sorry.

kristim06
01-06-2009, 03:30 PM
Kristin, I am concerned regarding after pain and mostly what to expect with regards to the varying stages of recovery..ie when can I first put any weight on my foot etc. I previously received info in an email from you but it got lost.Sorry.

The pain for my on the first day was not too bad, I not only was under anastesia but had a block and on a PCA of morphine. I stayed in the hospital for one night. The next day they took me off the PCA, I ate, used the bathroom, and had pain meds by mouth. Then they allowed me to go home.

Once home the first day for both feel was not too bad at all. The second day however, It was very very difficult for me a lot of pain. Had to keep it elevated, stay on top of taking your pain meds and ice!!! You will be fine. I was back to work within a week. I was in the surgical splint for 2 weeks then the stitches came out. That day was a little tough they move your foot into the right position for the cast and the stitches coming out is a little weird. By the end of the day it was fine. I have now been in a fiberglass cast for about 3 weeks and on Jan 20th is my next appointment to get xrays and hopefully a boot and start PT. They will just make sure my bones have healed together enough to allow me to walk on it. That will be a little painful when I start to use it again. Right now I have pain at night usually more so in the middle of the night. It is a long recovery period but it is well worth it. I will make sure I keep checking this to answer any of your questions.

This is my second time around so I know what it is like to go through this. Just wondering how old are you and how did this end up happening to you?

Kristin

Susy2163
01-07-2009, 07:47 PM
Hi Kirstin, i do appreciate your help. I recall when we previously emailed we asked the question of age. I believe you are mid 20's ? I am 51. I think the cause may be due to having arthritis in the toe joint from a young age and having had operations where the main joint was fused, thus not allowing for flexibility, I suppose I acquired a bad way of walking. I am on my feet a lot and this hasnt helped. My condition wasnt diagnosed till almost 2 years of my seeking help. Well , within 12 hours I will maybe be having my operation. What happens with the screws, do they remain in the feet? Also how far up the leg is the cast? Thank you.

kristim06
01-08-2009, 01:30 PM
Hi Kirstin, i do appreciate your help. I recall when we previously emailed we asked the question of age. I believe you are mid 20's ? I am 51. I think the cause may be due to having arthritis in the toe joint from a young age and having had operations where the main joint was fused, thus not allowing for flexibility, I suppose I acquired a bad way of walking. I am on my feet a lot and this hasnt helped. My condition wasnt diagnosed till almost 2 years of my seeking help. Well , within 12 hours I will maybe be having my operation. What happens with the screws, do they remain in the feet? Also how far up the leg is the cast? Thank you.

I am 25 years old. My injuries were because of running long distances and genetics. I had one screw in each foot the one in my first foot came out 7 months after surgery and I am hoping for the same situation with the second foot. How many screws are you having? I know some people keep theirs in because some people the screws do not both them ever. Mine bothered me so I had them taken out. My casts went up to a little below the knee

Susy2163
01-09-2009, 05:28 PM
I am 25 years old. My injuries were because of running long distances and genetics. I had one screw in each foot the one in my first foot came out 7 months after surgery and I am hoping for the same situation with the second foot. How many screws are you having? I know some people keep theirs in because some people the screws do not both them ever. Mine bothered me so I had them taken out. My casts went up to a little below the knee

I had my op yesterday and reacted badly to the anaesthetic.I am home now.I had a calcaneal osteotomy, tibialis posterior tendon reconstruction and some kind of lengthening.A cast was put on during surgery.This is non weight bearing for two weeks and gets replaced in two weeks when stitches are removed. This will be a further 6 weeks none weight bearing.I have one srew about 3cms.I am finding mobility almost imposible.How do you cope?

jamb627
01-11-2009, 10:10 PM
Hi, I am new here and am searching for any info as to what to expect after surgery. I am starting to panic here. Any replies would be great. My surgery is scheduled for Feb 12th. I have PTTD stage 2. Doctor has told me 6 weeks non weight bearing, 6 weeks walker and 6 weeks walking boot. I had a full knee replacement on my right leg 11 months ago. I am still bothered by that somewhat. this PTTD occurred or came to light because of the bad knee I was putting all my weight (230) on the left side. Now I am in so much pain that over the counter stuff don't work at all. Last time I saw my orthopedic he said call when you are ready for sugery. Well, I am so over all this pain and I have been through 4 different types of braces. I am done. I asked my Doc what the chances are of it working and he said 80-90%. How do those percentages sound? He said that 5% come away worst than what they started at, only cause I aske him that question....Anyway, I fear most of all that i will end up worst than I started off. BUT the pain is everywhere in the left foot. Any information and encouragement is greatly needed. Thanks for listening.........

Susy2163
01-12-2009, 08:49 AM
Hi, I am new here and am searching for any info as to what to expect after surgery. I am starting to panic here. Any replies would be great. My surgery is scheduled for Feb 12th. I have PTTD stage 2. Doctor has told me 6 weeks non weight bearing, 6 weeks walker and 6 weeks walking boot. I had a full knee replacement on my right leg 11 months ago. I am still bothered by that somewhat. this PTTD occurred or came to light because of the bad knee I was putting all my weight (230) on the left side. Now I am in so much pain that over the counter stuff don't work at all. Last time I saw my orthopedic he said call when you are ready for sugery. Well, I am so over all this pain and I have been through 4 different types of braces. I am done. I asked my Doc what the chances are of it working and he said 80-90%. How do those percentages sound? He said that 5% come away worst than what they started at, only cause I aske him that question....Anyway, I fear most of all that i will end up worst than I started off. BUT the pain is everywhere in the left foot. Any information and encouragement is greatly needed. Thanks for listening.........


Hi,, I am only 4 days post op so I cant help with results but i know this op is a relatively new procedure. I came out of surgery in a cast which is none weight bearing and then removed in two weeks for stitches to be removed and a new cast put on. Many people have this op are athletes who have over used the foot. Im more like you. I have had joint ops on my feet and arthritic pain in knees so the weight is shifted about to help relieve the pain...hence the new prob with the pttd. My pain is so far ok but recovery is lengthy and I will find it hard. Im in the UK and I think it works a bit differently.I dont know what to expect after my 8 wk none weight bearing. I am only able to hop about with the use of a frame at the moment. My knee wasnt really strong enough to support the use of crutches only. A girl called Kristin on this thread has had her second pttd and would be helpful to you. I will keep you posted and good luck.You should be fine.

kristim06
01-12-2009, 03:05 PM
I had my op yesterday and reacted badly to the anaesthetic.I am home now.I had a calcaneal osteotomy, tibialis posterior tendon reconstruction and some kind of lengthening.A cast was put on during surgery.This is non weight bearing for two weeks and gets replaced in two weeks when stitches are removed. This will be a further 6 weeks none weight bearing.I have one srew about 3cms.I am finding mobility almost imposible.How do you cope?


Mobility is very very difficult especially within the first 2weeks it gets a little easier when you get the second cast on because it is not as big and bulky. I am about 1 week away from getting the walking boot on. It sounds like you had done what I did on both feet. One large screw in the back of the heel. I was 2 weeks nwb with the surgical splint and then another 4 weeks nwb with a smaller fiberglass cast. Now its almost time for my 4-6 weeks in a walking boot.

jamb627
01-14-2009, 10:53 PM
Hi,, I am only 4 days post op so I cant help with results but i know this op is a relatively new procedure. I came out of surgery in a cast which is none weight bearing and then removed in two weeks for stitches to be removed and a new cast put on. Many people have this op are athletes who have over used the foot. Im more like you. I have had joint ops on my feet and arthritic pain in knees so the weight is shifted about to help relieve the pain...hence the new prob with the pttd. My pain is so far ok but recovery is lengthy and I will find it hard. Im in the UK and I think it works a bit differently.I dont know what to expect after my 8 wk none weight bearing. I am only able to hop about with the use of a frame at the moment. My knee wasnt really strong enough to support the use of crutches only. A girl called Kristin on this thread has had her second pttd and would be helpful to you. I will keep you posted and good luck.You should be fine.

Wow, I want to thank you for your reply and look forward to hearing from you again. At this point all I know is they will remove the tendons on both side of the foot as they are either stretched to the limit or useless. He will then take tendons from my toes and put them on either side of the foot. then the doc said he will go to the bone bank and fuse a bone on the inside bottom of the heal to help raise the arch. Nothing has been said about screws or casts. All I know is everything will be in 6 week incraments. So i am brginning to panic a little. Surgery isn't until Feb 12th but right now I am trying to see how I get from the bed to the bathroom. I am not sure if my other knee will hold my weight. I know that I can not get up on it by itself. I want to back off the surgery but the pain is unbearable as is. I wish the decision was taken out of my hands..................

Susy2163
01-15-2009, 08:50 AM
Wow, I want to thank you for your reply and look forward to hearing from you again. At this point all I know is they will remove the tendons on both side of the foot as they are either stretched to the limit or useless. He will then take tendons from my toes and put them on either side of the foot. then the doc said he will go to the bone bank and fuse a bone on the inside bottom of the heal to help raise the arch. Nothing has been said about screws or casts. All I know is everything will be in 6 week incraments. So i am brginning to panic a little. Surgery isn't until Feb 12th but right now I am trying to see how I get from the bed to the bathroom. I am not sure if my other knee will hold my weight. I know that I can not get up on it by itself. I want to back off the surgery but the pain is unbearable as is. I wish the decision was taken out of my hands..................

Your situation seems virtually the same as mine. I am certainly having problems trying to take the weight on my supporting leg for the same reason as yourself. I raised this with the surgeon during my consultation but his concern was only with the pttd. I didnt have a bone fuse and would check whether this is really necessary as its just something extra to take on board. My tendon wqas replaced on the inner side of my foot with tendons at the back of my leg.In Usa I believe it is done as you describe. I only got my surgery date 10 days before it happened and didnt have time to prepare myself. I couldnt use crutches cos of the knee and I was loaned two zimmer frames=one upstairs and one down. We have toilets on both floors so that is ok. Otherwise I would have got a commode. It is quite exhausting so, I have now managed to loan a wheelchair to be pushed around a bit. I get my surgical cast removed on Monday and the proper cast put on. How old are you by the way? I am 51 and from Yorkshire in England. My surgeon is good and called Mr Shenolikar {at Halifax/Huddersfield Hospital) if you can find anything out about him and his skill in this op. Good Luck.x

Susy2163
01-24-2009, 07:52 AM
I am now 2 weeks post op. I had the first cast-surgical splint which was put on during surgery- removed after 11 days and now have a very heavy none weight bearing cast on for a further 6 weeks. This cast is causing me no end of pain and discomfort.It feels as if there is no padding inside and it is roughly rubbing and tightening against every part of my skin.Cant place it down anywhere.The wound feels ok but the cast is preventing me from any form of comfort or relax , day or night. Is this usual for foot casts?

Susy2163
02-10-2009, 02:44 PM
Hi I have been thinking about you as I know your surgery is this Thursday. I will be 5 week post op by then. I have to do 8 week ina non weight bearing cast.This cast is quite tight and if I sit at a table my foot swells and the cast hurts. Apart from that I am coping with the pain.....recovery is just sooooo long! Let me know how you go on with the op and we can keep each other company through your recovery.OK? Best Wishes.Sue x

Susy2163
04-01-2009, 06:15 PM
Wow, I want to thank you for your reply and look forward to hearing from you again. At this point all I know is they will remove the tendons on both side of the foot as they are either stretched to the limit or useless. He will then take tendons from my toes and put them on either side of the foot. then the doc said he will go to the bone bank and fuse a bone on the inside bottom of the heal to help raise the arch. Nothing has been said about screws or casts. All I know is everything will be in 6 week incraments. So i am brginning to panic a little. Surgery isn't until Feb 12th but right now I am trying to see how I get from the bed to the bathroom. I am not sure if my other knee will hold my weight. I know that I can not get up on it by itself. I want to back off the surgery but the pain is unbearable as is. I wish the decision was taken out of my hands..................

Hiya i was just wondewring how you were coping.I did send you a good wishes message the night before your surgery, plus a follow on message but not sure if you ever found them.Would like to hear how you are coping.I am 12 wks post op now.Susy





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