It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Foot & Ankle Problems Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 01-30-2013, 11:39 AM   #1
Newbie
(female)
 
Join Date: Jan 2013
Location: Florida
Posts: 6
Rtankle HB User
Ankle Surgery - Post Op Help and Questions PLEASE

Hello everyone,

I am new to these boards and after searching the internet, feel this might be the only place I can get help. I had right ankle surgery (peroneal split tear repair, loose ligament repair, ankle scope and debridement) on 1/18/13. I went to see my ortho (foot/ankle specialist) yesterday to get my splint removed. After taking a look at my ankle which was still swollen and bruised, he decided to have me come back next Wednesday to have the stitches removed. He instead decided to put me in a walking boot and a night boot to sleep with. He said he wanted me in the boot at all times and to start bearing weight on the foot.

The ortho tech came into the room with the walking boot and after trying several times to force the boot on my foot...gave up. I was in excoriating pain every time she pushed my foot to get it in the boot to line up with my calf. I am not able to get my foot into dorsiflexion unless it is forced and I am in severe pain. The tech went and got the nurse who took out the padding in the back of the boot stating that I can't have the padding because I had work done on my ligament. She partially got the boot on and I left the office.

I slept with my night boot and this morning when I tried to put on the walking boot, couldn't. I am in such excruciating pain when I try to dorsiflex my foot to get it in the boot, I feel like I'm going to pass out. I continue to try to dorsiflex my foot in my night boot but I can only push myself so far. It took a med student and the PA to get my foot into dorsiflexion just to put my guaze bandage on. I tried calling the doctors office for some advice or something but haven't heard back.

I am extremely frustrated and disappointed in myself for not being able to get my walking boot on. I am wondering if this has happened to anyone else and what they might have done or would advice. I keep trying to get my foot in the boot but I can't...I'm not sure at what point I stop and let it rest and heal or whether to keep going.

If anyone has any advice or can tell me how they go through this, I'd truly appreciate it. Sorry for the long post.

Last edited by Rtankle; 01-30-2013 at 11:54 AM.

 
Sponsors Lightbulb
   
Old 01-30-2013, 01:53 PM   #2
Veteran
(female)
 
PesCav's Avatar
 
Join Date: Dec 2012
Location: Annapolis, MD
Posts: 442
PesCav HB UserPesCav HB UserPesCav HB UserPesCav HB UserPesCav HB UserPesCav HB UserPesCav HB UserPesCav HB UserPesCav HB UserPesCav HB User
Re: Ankle Surgery - Post Op Help and Questions PLEASE

Hi,

What happened to you is *exactly* what keeps me awake at night -- will my foot have the flexibility to go into a walking boot tomorrow morning?

I definitely think a call to the OS is in order. Please let us know how it goes. I am curious to see if this has happened to other people, too. And welcome to the board. :-)
__________________
1/18/13: PTT transfer, peroneal longus to brevis tendon transfer, calcaneal osteotomy with medial slide, plantar fascia release
9/11/13: 4 toe fusions

Last edited by PesCav; 01-30-2013 at 01:59 PM. Reason: PS -- DO NOT be dissappointed with yourself. Healing is a process and it seems like it is a little different for all of us.

 
Old 01-30-2013, 02:13 PM   #3
Member
(female)
 
Join Date: Dec 2012
Posts: 70
PamS1970 HB UserPamS1970 HB UserPamS1970 HB User
Re: Ankle Surgery - Post Op Help and Questions PLEASE

First, don't beat yourself up for how much it hurts to go to a full flex position. I totally understand how you feel. The first time I had peroneal tendon surgery, I did almost pass out in the dr's office when they made me do it. I literally had to lie down because I started to see spots and got woozy. The nurse had smelling salts on the counter. She said it happens all the time. That time they put me in a cast and then a boot over it so I could start weight bearing.

The next surgery, they went to do it and I said it hurt and the PA said I had a blood clot. I was supposed to go in a cast again, but instead he put me in the boot, and sent me to the hospital for an ultrasound - no clot. It was the day before Thanksgiving, and he told me no cast, just use the boot...just think, you can shower easier. Yeah- the boot is way heavier and causes it to move. A cast is much less painful. I ended up getting home from the hospital, and slamming it into the boot while screaming my head off to get it fully in there. Once I did it, it was easier, but still much more painful than the cast.

This time, I am 2 weeks post op - just got my stitches out today and am back in a cast (I had way more done, if it was strictly a tendon repair, he would have put me in a boot today) but he is having me ease into full flex.

I am surprised he put you in a boot with stitches still in. I would call the dr office and let them know how much pain you are in.

I swear, I think that everyone that works with orthopedics (especially foot/ankle) should have to go through time NWB and in a boot and cast so they can see somewhat how it feels!
__________________
2006 rt ankle tendon repair 2010 left ankle tendon repair
1-15-2013 - Lft ankle peroneal tendon transfer, calcaneal osteotomy, talus bone scope - OCD microdrill

 
Old 01-30-2013, 02:36 PM   #4
Newbie
(female)
 
Join Date: Jan 2013
Location: Florida
Posts: 6
Rtankle HB User
Re: Ankle Surgery - Post Op Help and Questions PLEASE

Hi Guys, thank you for your replies.

PesCav - I think I'm one of those rare cases where something like this happens. Reading around the board, I feel like the majority of the people get their casts/splits off, go into their boots and are on their way. Don't let my weird situation scare you. I think it'll all be fine for you.

PamS1970 - Thank you thank you for your reply and telling me about your story. I thought I might have been the only one in the entire world. I was starting to feel like I was wayyy behind the curve, especially after my OS told me he wanted me to start putting weight on it. You're right, everyone in the Ortho office should have NWB'ing just to sympathize with us!

So an update: the doctor's office called my husband back and he explained everything to them again. The nurse said not to worry about it, try to flex it if I can, if not just keep it in the boot they gave me to wear at night to protect the ankle. She said she'll take a look at it next Wednesday ( a week from now) if it's not better and to call her if the pain gets worse. I don't know what to think. Wednesday of next week is a long time from now and as I was looking at the walking boot, I just don't understand why they chose to take out the padding that protects and stabilizes my ankle just to get the boot on partially. I can't weight bare on a boot that's on partially. I guess they should have put a cast on like they did with you PamS1970.

I'm thinking my only option is to try flexing my ankle slowly everyday on my own between now and next Wednesday and hope it doesn't rip the stitches out and that I can get it in the boot. I"m not sure what else to do if the nurse doesn't seem to concerned.. :-/

 
Old 01-30-2013, 04:59 PM   #5
Senior Member
(female)
 
Join Date: Nov 2011
Location: North Dakota, USA
Posts: 224
tenderfoot HB Usertenderfoot HB Usertenderfoot HB Usertenderfoot HB Usertenderfoot HB Usertenderfoot HB Usertenderfoot HB User
Re: Ankle Surgery - Post Op Help and Questions PLEASE

Hi rtankle,
Sorry you are going through this. I had to have help getting into the boot also. My foot never sat flat in it. Perhaps why I am having such a hard time trying to walk now at 13 weeks post op.....I slept in the same boot so only took it off to bathe. Try icing it outside of the boot to reduce swelling, you maybe able to flex it more when the swelling goes down. I never felt like my heel was making contact with the bottom of the boot.
__________________
FDL to PTT transfer, calcaneal osteotomy with medial slide & lateral column lengthening, gastrocnemius recession, first TMT arthrodesis, bone graft from calcaneus to first TMT joint.....Oofda!

 
Old 01-31-2013, 01:16 AM   #6
Senior Veteran
(female)
 
Join Date: Mar 2009
Posts: 1,126
Hollywood48 HB UserHollywood48 HB UserHollywood48 HB UserHollywood48 HB UserHollywood48 HB UserHollywood48 HB UserHollywood48 HB UserHollywood48 HB UserHollywood48 HB UserHollywood48 HB UserHollywood48 HB User
Re: Ankle Surgery - Post Op Help and Questions PLEASE

I, too, am sorry you are going through this and I think a call to your OS is definitely in order. After my first surgery. I almost passed out when they pushed my ankle into 90 degrees just to put my first cast on!! And my heel never fully went down into the boot after my first surgery either. I had to put a gel pad in there to "connect" my heel to the bottom of the boot. After this 2nd surgery, I went into dorsiflexion much easier but I also remembered to take Percocet an hour before the appt too and that probably had a bit to do with it! At 3 wks my stitches were taken out and my first cast was taken off. I could've gone into the boot but still had to be NWB so I asked for another cast because they are lighter and more comfortable. I definitely think you should go back and either have a cast put on or maybe a cast that is bi-valved for swelling. Hang in there!
__________________
Brostrom-Gould, repair retinaculum, peroneus longus tendon repair, fibular groove deepening for peroneal tendon subluxation- 2/22/12
-Modified Brostrom (failed)- 8/15/01"]

 
Old 01-31-2013, 07:29 AM   #7
Veteran
(female)
 
PesCav's Avatar
 
Join Date: Dec 2012
Location: Annapolis, MD
Posts: 442
PesCav HB UserPesCav HB UserPesCav HB UserPesCav HB UserPesCav HB UserPesCav HB UserPesCav HB UserPesCav HB UserPesCav HB UserPesCav HB User
Re: Ankle Surgery - Post Op Help and Questions PLEASE

Hi Rtankle, has your heel dropped into the boot yet? I went in today, and I asked the staffer that removed my surgical cast what happens if my foot doesnt flex enough for the boot, and she indicated that our heels usually relax into position by the end of the day. In my case, my foot was flexible, surprised me! I think it surprised the doc, too! I went into a fiberglass cast instead of a boot, though.
__________________
1/18/13: PTT transfer, peroneal longus to brevis tendon transfer, calcaneal osteotomy with medial slide, plantar fascia release
9/11/13: 4 toe fusions

 
Old 01-31-2013, 08:13 AM   #8
Newbie
(female)
 
Join Date: Jan 2013
Location: Florida
Posts: 6
Rtankle HB User
Re: Ankle Surgery - Post Op Help and Questions PLEASE

Hi everyone,

THANK YOU, THANNNKK YOU guys for all your stories and advice. I am truly appreciative and I definitely don't feel alone in this anymore. It is a frustrating process and I just started it.

My husband did speak to the doctor's office and the nurse just said to keep trying to get it in the boot, if I can't then she'll take a look at it next wednesday when I go in to get my sutures removed. :-/ My ortho doesn't want me on pain meds, esp when I get into the boot and start weight bearing so I might try some Tylenol and give it a go. I guess he's just being a bit aggressive with me but thanks to you ladies, I don't feel as disappointed in myself anymore because I can see everyone has a different journey.

PesCav, I worked on getting my ankle to flex more and more all day yesterday and this morning. I am able to get my heel all the way down on my night cast, still painful but I am breathing through the pain and leaving it in one position for maybe 20 minutes, once I feel like I am not in pain, I push it a little further. I am going to try to see how much it's progressed on the walking boot in about half an hour. I am happy you're doing well and they put you in a fiberglass cast and that's so awesome your foot is so flexible. In my eyes, that's HUGE so congrats! :-) I'll let you know how it goes with the walking cast today. *fingers crossed*

Last edited by moderator2; 01-31-2013 at 08:56 AM.

 
Closed Thread




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



roxygirl1 (187), Zerk (135), Titchou (132), Missyluke (121), Hollywood48 (119), ginger62 (99), LadyKanner (97), LisaBdot (83), AdkLizard46 (55), janewhite1 (52)

Site Wide Totals

teteri66 (1180), MSJayhawk (1004), Apollo123 (904), Titchou (847), janewhite1 (823), Gabriel (759), ladybud (754), sammy64 (668), midwest1 (668), BlueSkies14 (610)



All times are GMT -7. The time now is 05:20 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!