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Old 06-23-2012, 09:51 AM   #1
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Exclamation Help!! Nerve pain in big toe following scarf osteotomy for bunion on right foot.

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

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

 
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Old 06-23-2012, 11:13 AM   #2
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Re: Help!! Nerve pain in big toe following scarf osteotomy for bunion on right foot.

Gosh, I'm so sorry. I had a bunionectomy, a bone spur shaved off and all 4 hammertoes corrected and pinned... a bit over a month ago now. I only had that kind of pain the first few days, so that definitely doesn't sound normal.

I would notice that if I didn't keep my foot elevated pretty much 24/7 for the first 3-4 weeks the swelling would really be uncomfortable. Are you elevating as much as you can? I know it's a pain, but it truly does help. Also, when my pain was truly horrible, my ortho surgeon ok'd the use of motrin when the pain pills weren't enough. I took 800mg when the swelling was at its worst, and it really helped a lot (along with the pain pills).

I've had friends who have done the cold laser therapy and they swear by it for pain relief.

Last edited by CrochetAddict; 06-23-2012 at 11:13 AM.

 
Old 06-23-2012, 11:21 AM   #3
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Re: Help!! Nerve pain in big toe following scarf osteotomy for bunion on right foot.

Hi, thanks for your response. I do elevate 24/7, except for the 3 minutes when I take a bathroom break. I've done this since day one, I'm also still icing, 20 minutes every hour. I had backed off to 20 min everytime I took a pain pill but decided to increase the icing, it really hasn't helped. Due to the swelling I can't even use my crutches because the pain and pressure of my foot dangling behind me is so intense, I'm using a wheelchair for trips to the bathroom. I had no idea my surgery would go in this direction. thank you again for your response.

 
Old 06-23-2012, 05:29 PM   #4
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Re: Help!! Nerve pain in big toe following scarf osteotomy for bunion on right foot.

Wow, you're doing everything right. I'm so sorry it's not working. Let us know what ends up helping because it may help someone else.

 
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Old 06-23-2012, 06:07 PM   #5
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Re: Help!! Nerve pain in big toe following scarf osteotomy for bunion on right foot.

Will do!! Thank you.

 
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big toe, bunionectomy post-op, cryotherapy, nerve pain, neurontin



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