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Old 10-06-2007, 06:28 AM   #1
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nataliek14 HB User
Unhappy Problems following midfoot fusion, and removal of fluid around tendon(ankle)

Hi,

I had surgery on 4th sep 2007 following a diagnosis of tendonitis in the ankle occured whilst training(runner). I was advised that due to also having a flat foot that I should also undergo calf muscle release, a midfoot fusion along with the removal of the fluid around my tendon to give the best chance of recovery.

However 1 week after surgery, I returned to the hospital in alot of pain and was placed in a aircast-removal boot (non-weight bearing). However due to this cast usually being applied on weight bearing patients, I returned in 3 days after falling over twice and in alot of pain. I was then placed in a plaster cast.

However for the last 2 weeks I have been in alot of pain (taking lots of pain killers) and obvious signs that my foot was very swollen, returned to the hospital yesterday to see the consultant. When the cast was removed my foot is very swollen and after him moving it around (lots of pain) said ok just put another cast on and keep the 6 week post op appoint which is 17th Oct. I tried to explain how much pain I was in and asked whether this normal but did not get a straight answer.

Just wondering whether anyone can advise on whether they have had the same experience and whether this is just 'Normal'? Should I get a 2nd opinion?

 
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Old 10-07-2007, 11:43 AM   #2
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tess50 HB User
Thumbs down Re: Problems following midfoot fusion, and removal of fluid around tendon(ankle)

Quote:
Originally Posted by nataliek14 View Post
Hi,

I had surgery on 4th sep 2007 following a diagnosis of tendonitis in the ankle occured whilst training(runner). I was advised that due to also having a flat foot that I should also undergo calf muscle release, a midfoot fusion along with the removal of the fluid around my tendon to give the best chance of recovery.

However 1 week after surgery, I returned to the hospital in alot of pain and was placed in a aircast-removal boot (non-weight bearing). However due to this cast usually being applied on weight bearing patients, I returned in 3 days after falling over twice and in alot of pain. I was then placed in a plaster cast.

However for the last 2 weeks I have been in alot of pain (taking lots of pain killers) and obvious signs that my foot was very swollen, returned to the hospital yesterday to see the consultant. When the cast was removed my foot is very swollen and after him moving it around (lots of pain) said ok just put another cast on and keep the 6 week post op appoint which is 17th Oct. I tried to explain how much pain I was in and asked whether this normal but did not get a straight answer.

Just wondering whether anyone can advise on whether they have had the same experience and whether this is just 'Normal'? Should I get a 2nd opinion?

 
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Old 10-07-2007, 11:45 AM   #3
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tess50 HB User
Smile Re: Problems following midfoot fusion, and removal of fluid around tendon(ankle)

I a having similar problems fluid around the ankle for a while now due to arthritis but i am due for a total ankle replacement this month,i am getting a second opinion as i havent been offered it drained just taking antiflamatorys and still no better,my walking is very bad and i walk with a\ limp cn you advise if draining helped you thanks teresa.

 
Old 10-08-2007, 07:36 AM   #4
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tazzy0429 HB User
Re: Problems following midfoot fusion, and removal of fluid around tendon(ankle)

I also had a midfoot fusion . Mine was in Oct 06. I too had alot of swelling and pain. I di not tolerate the cast very well and had to be put back into the surgical dressing until I was about a month out from surgery. I was taking pain meds , keeping it elevated, being a good girl but it still hurt. I can say it did get better it just took awhile. I am still in moderate to severe pain but at least pain meds work right now. My pain is supposed to be from a non-fusion of my cuniforms. Only 50% of my fusion took. I am not sure what road I will take from here, whether I have the surgery redone or what but I have to make a decision soon. My advice is to talk to your doctor and keeping talking until he listenes. I think they sometimes don't take us seriously when we talk about pain until they hear it alot. Maybe it is because they just don't want to prescibe stronger pain meds without being certain they are needed. Keep your head up, and get well soon!!!!

 
Old 10-08-2007, 12:23 PM   #5
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nataliek14 HB User
Re: Problems following midfoot fusion, and removal of fluid around tendon(ankle)

Hi,

Thanks for your replies!

Firstly in response to Teresa50. After trying anti-inflamms(didnt work), physio(too painful), steroid injection(made symptoms worse) and various other interventions, I decided that I would to opt for these procedures. The consultant suggested that due to it affecting me even when walking for a short amount I have the procedures done. He said by having all 3 procedures would reduce the chances of the fluid reoccuring. If you have tried all the non-invasive procedures then it is up to you whether you feel you want to go for an invasive procedure. At the moment I am in alot of pain, I am hoping that everything will heal ok and I can go back to doing sport. If you have any questions regarding the op and referral etc, please do not hesitate to email me. By the way I had the procedures carried at Guys, London-What hospital are you under?.

Tazzy0429- Thanks very much for your reply, you know what doctors can be like-Vague. Believe or not I didnt know until I got taken down to xray the following day that I had had screws in my foot- silly as it sounds but I did lots of research on the other procedures, but not on the fusion and didnt catch on how they would actually carry out a fusion!!-The consultant did not at any time mention screws.
Anyway at least I know that the swelling is 'normal' and the pain could be part of the course.
6 week post op was you then put in a aircast removal boot, as I am due to go back next wednesday and am really worried that with the pain I am getting now there is no way I will be able to put any weight on it?

 
Old 10-09-2007, 09:18 AM   #6
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Re: Problems following midfoot fusion, and removal of fluid around tendon(ankle)

Yes vague is definitely what they are... I wish I knew the questions I should have asked with the first surgery but I was only looking at the possibility of being pain free after a year and a half of pain. It is worse now than before surgery and hopefully that is from my non-union but the fact that I have nerve damage makes me wonder if thta is all there is to it. I crushed mine between a 10,00 lb fork lift and a multi-story pallet shelf. It was w/c so they sent me to occupational health and there I stayed until that doctor (who was just a general practictioner) finally got tired of my begging for an ortho and just sent me , 14 1/2 weeks after injury. The first ortho said they waited to long to send me to an ortho and if they had sent me at first he could have done something but now , sorry nothing I can do was the answer. He told me I had a lisfranc injury.
On my second visit to him I came prepared as I had looked up what a lisfranc injury was and so preceeded to ask him where in that range I feel. (mild sprain to fracture dislocation) I told him I had all the symptoms of a fracture dislocation. He very angrily told me he was sending me to someone else since I didn't beleive he could do nothing for me.
The second ortho was much better. I had already had one mri from the first ortho. He had another done as well as a bone scan and nerve conduction studies. I have nerve damage and he could not pinpoint my problem so he requested I be sent to a specialist ...that found me with my current ortho at Babtist Hospital. He has been a godsend. He also did a mri as well as a CT scan that immediately revealed a fracture dislocation as well as a possible injury to my lisfranc ligament. He recomended a midfoot fusion and I jumped on it.
I had it done oct 06 and a day home from the hospital my nerve block in my leg via cathater came loose and had to be removed which found me back at his office having the cast removed. 6 hrs later my new cast was removed for the same reason at the hospital emergency room. They put me back in the surgical dressing and it was removed a few times before it was comfortable. I then developed a blood clot in my leg and was given a presciption for lovenox injections to be self administered and cumadin to be taken orally. My W/c insurance promptly denied the shots and I played telephone tag for a day to get approval. I was leaving town for thanksgiving and only had a day or so to get my meds taken care of. After that I had to go for regular visits with a family doctor to manage the dosage as well as regular visits with my ortho.
I was scheduled for some PT and did OK with it but was still having significant pain and swelling. It is still swelled somewhat and I have moderate to severe [pain . I am one medication for nerve pain after almost a year of narcotics. Which only helps somewhat.
Now I am a year out and he is very understanding of my hesittaion to go through it again but I have a feeling this would be my best option. I am not sure I am prepared for it mentally and do not look forward to the pain. At least I am better prepared this time.I have a list of questions to ask and that is what I am waiting for now....answers.
GET BETTER SOON!!!

 
Old 10-10-2007, 04:50 AM   #7
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tess50 HB User
Wink Re: Problems following midfoot fusion, and removal of fluid around tendon(ankle)

Hi Thanks for the reply.I am having it done at Kingston Hospital end of the month,its just come round and i am terified reading all the outcomes.I am trying to get a second opinion organised,i feel iv just been pushed in the deep end never had steroid injections in the ankle or foot,on embrel which i have recently started loosing my hair in patches,the thing concerns me if i put shoes with a heel on i can walk fine,people think iv had the surgery already if i put flat shoes on and barefoot i walk with a limp and bad.You seem to have been through the mill and lot of pain,i would like to talk with you more.

Last edited by moderator2; 10-10-2007 at 05:52 AM.

 
Old 11-10-2007, 03:36 AM   #8
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nataliek14 HB User
Re: Problems following midfoot fusion, and removal of fluid around tendon(ankle)

MORE PROBLEMS!!

After returning to see th consultant I have now been placed in a 'aircast removable boot' However at the appointment the consultant is now concerned as he feels I should not be getting the amount of pain I am getting at this point in the recovery.

Was sent to have an ultrasound, which I had last tuesday and the doctor mentioned the actual tendon is now inflammed and that from looking at the MRI carried out prior to the op things have definetly changed (very vague). When I asked him what could possibly be done- he obvioulsy could not comment.

Have been trying to contact my consultant ever since with no joy and am slightly concerned about what might be suggested.

Has anyone else encountered this same prob after surgery?

 
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