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Old 02-03-2013, 11:36 AM   #16
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Re: Best time for surgery?

Hi, I am just beginning nine weeks post op from the same operation. I was in the hospital for five days the operation took six hours. I am in my 60's. My pain level was really minimal when I got home. I attribute that to the care that I got in the hospital and the fact that I was in the hospital for so long. I stayed on the narcotics for about two weeks just at night. I am a very strong proponent of the knee walker. Unfortunately I did not purchase it I am renting it and it is going into the third month. So I guess I would recommend for around the house a walker for your daughter. I found the wheelchair that I rented through the surgical store was not very comfortable. I guess there are different kinds of wheelchairs. For me the crutches did not work it took too much energy under my arms. And the winter ice and snow here was not going to work either. I feel so bad for your daughter having to have both feet done. Of course my recommendation would be to follow the doctor's orders exactly. And I'm sure the fact that your daughter is Young is definitely in her favor. Good luck and let us know. But I suggest you read a couple of these boards to get an idea what is coming down the pike.

 
Old 02-03-2013, 11:45 AM   #17
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Re: Best time for surgery?

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Originally Posted by GoCANES View Post
Ok, no sping break surgery. I am glad she will have a fun trip to look forward to before being out of commission for a long time. She may be able to work ahead towards the end of the semester so that she can have the surgery a few weeks before school let's out for summer vacation. Again, I would say sooner than later to give her as much time to recover before the second surgery.

Wheelchair plus crutches for school definitely. I originally was going to get a knee roller, but after I realized how much stress the crutches put on your support foot and hands, I reconsidered. The knee roller will not provide any relief for either of those. The wheelchair will allow your daughter to put her backpack on the back, carry something on her lap if she wants, and transport her crutches. It will also allow her friends to help her out by pushing her around. She can use the crutches for short trips around the classroom.

Also, make sure she has a rolling desk/computer chair to get around your house. That has helped me the most.

I can't sugar coat the pain. I have an exceptionally high pain tolerance (no wonder why I was able to become a marathon runner), and this surgery nearly broke my spirit. It hurt more than I could have imagined in the first 10 days, but like I said before, I have been relatively pain free since then. It will be tough but I know she can do it if she focuses on what she will gain by having two healthy feet.
Not sure I agree with you on the wheelchair for a 12 yr old. Even at my age I would not use a wheelchair. Not sure what you are calling a knee roller? A knee walker is a scooter with handbrakes where your NWB ankle is supported by your knee while your good leg is moving you along. I would think a 12 yr old would certainly use a knee walker rather than a wheel chair. I had so many people come up to me while I was on my knee walker telling me what a great device it is.
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Old 02-03-2013, 11:56 AM   #18
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Re: Best time for surgery?

I think it depends on the condition of the other foot as to which one she uses. Just be sure to have a good supportive shoe on the non-surgical foot to prevent knee twisting and heel pain in that foot. Cathy

 
Old 02-03-2013, 12:45 PM   #19
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Re: Best time for surgery?

I think you are safest just trusting the surgeon to tell you how long she will need to be home. :-) After 2 weeks, when her surgical cast and stitches are removed, the surgeon will no doubt xray her foot to check for healing on the osteotomies, and at that point will be able to advise you when your daughter can go back to school. The cool factor of the knee scooter will work in her favor, but middle schools can be HUGE and I personally wonder if it will be comfortable enough to go the distance.

ps -- some of you sure are tough love -- back at school in a week following this kind of surgery???
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Old 02-03-2013, 05:42 PM   #20
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Re: Best time for surgery?

P.S. Pes,,,,,I agree. I just don'tbthink going back to school one week post surgery is doable. Just one week post surgery, we were all just getting to the point of weaning for meds, being able to sleep, etc. I haven't heard of anyone here going back to work to work in a week. Even though this child is a lot younger than most of us, and may be able to recover easier, pain is still pain.

Happy, I wish your dtr well with her upcoming surgeries. As a Mom, I'm sure it's so tough to see your dtr suffering and facing these surgeries. I know you'll work with the drs to find the best schedule for her. It's great that you're able to stay home and be with her during these surgeries and recoveries. Keep us posted.

 
Old 02-04-2013, 12:45 PM   #21
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Re: Best time for surgery?

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Originally Posted by Happy2try View Post
I am new here. Just found out my daughter (12) needs: Evans calcaneal osteotomy, cotton osteotomy, and a procedure to lengthen her Achilles' tendon. On both feet. Her left is worse than her right. Dr will do one foot at a time. My daughter wants to have it done ASAP so she can just get on with her life. She also is very anxious about it, so the sooner it is done...the better for her mental health. So the dr said most patients will do the first door when school gets out and then the 2nd during Christmas break (at the beginning so that she would have 2 weeks to recover).

She wants to do it now. If she does, how long would she have to stay home from school? I was thinking 2 weeks? Is that reasonable? Obviously we would discuss this with the surgeon... But thought I would ask those of you who have gone through it. Would she be able to get around on crutches at school or would a knee scooter be better? Or a wheel chair? I know her friends would gladly help her out.

We were really hoping the orthotics and PT would be enough.
Well I'm 19 and I had my first surgery at 17, then another at 19 and I'm having my 3rd right before I turn 20. I can understand her wanting her life back, I just want to be able to go to work and not have pain after standing for 4 hours but, its hasn't happened yet. This 3rd(and my final one) should make it happen. I started having issues with my feet at 12 too but an OS said he wouldn't do surgery on me because there a chance my feet could change with growing. So I waited and I moved and found my OS now who's awesome. Are you guys using an OS or a pod?

As for 2 weeks, I would say she would need more. Some schools do home & hospital type thing where a teacher comes 3 times a week for like 3 hours. I had to do it when I was out for half a year in 9th grade. I would ask and see if her school has it. Its a very good way to keep up with school. It was free atleast though my school.

The pain for me was pretty bad for the first three weeks but I have a very low pain tolerance.
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Old 02-04-2013, 01:16 PM   #22
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Re: Best time for surgery?

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Well I'm 19 and I had my first surgery at 17, then another at 19 and I'm having my 3rd right before I turn 20. I can understand her wanting her life back, I just want to be able to go to work and not have pain after standing for 4 hours but, its hasn't happened yet. This 3rd(and my final one) should make it happen. I started having issues with my feet at 12 too but an OS said he wouldn't do surgery on me because there a chance my feet could change with growing. So I waited and I moved and found my OS now who's awesome. Are you guys using an OS or a pod?

As for 2 weeks, I would say she would need more. Some schools do home & hospital type thing where a teacher comes 3 times a week for like 3 hours. I had to do it when I was out for half a year in 9th grade. I would ask and see if her school has it. Its a very good way to keep up with school. It was free atleast though my school.

The pain for me was pretty bad for the first three weeks but I have a very low pain tolerance.
You poor thing. You have been through a lot. I took her to many OS when she was younger and they all said to do nothing but wait until she was fully grown. But a year ago she complained about pain so I took her to a Pod. This pod made orthotics and had her do PT before recommending surgery. He sent us to another pod for the surgery as he didn't do many surgeries on flat feet. I have an appt for a 2nd opinion with another Pod on Thursday.

I have yet to hear back from the principal on what can be done for missing school.

 
Old 02-04-2013, 01:25 PM   #23
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Re: Best time for surgery?

I would go to an OS for the surgery or atleast there opinion. Cause if she is doing surgery and not done growing I'm not sure how it could affect her foot later on. I know that's why most say to wait until they have stopped growing. I was a size 8.5 when I was 12 and I still am..so I didn't grow much and was the same height. But it all depends on when she started. Its good your asking around though. Its good to be informed.

Like everyone else said I would plan for summer if it can be done then. Cause it would be less stressful and then have the other one done the next summer. Cause you do want to make sure the right or left whichever she's getting done first has healed.

I use a wheelchair to get a lot when I have surgery. My dr. didn't want me using a knee scooter cause I am very accident prone. So he said fully sitting is the safest for me.
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Old 02-04-2013, 01:37 PM   #24
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Re: Best time for surgery?

Hi, just thought I'd say when I had to take my son to a specialist one time about his short statue he said girls normally stop growing once they start their menstrual period and that guys can continue to grow until their early 20s.. Cathy

 
Old 02-04-2013, 01:55 PM   #25
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Re: Best time for surgery?

Yeah my pediatrician at the time when I was 12 was fairly sure I was done growing snice I hadnt gotten taller and my shoe sized hadn't changed much since I was 10 but, sometimes you can grow a bit more after and I think thats why they want to be sure. I'm not sure what would happen if you had surgery and then grew more...I wonder what there reason is for wanting to make sure you done growing
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Old 02-04-2013, 02:13 PM   #26
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Re: Best time for surgery?

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I would go to an OS for the surgery or atleast there opinion. Cause if she is doing surgery and not done growing I'm not sure how it could affect her foot later on. I know that's why most say to wait until they have stopped growing. I was a size 8.5 when I was 12 and I still am..so I didn't grow much and was the same height. But it all depends on when she started. Its good your asking around though. Its good to be informed.

Like everyone else said I would plan for summer if it can be done then. Cause it would be less stressful and then have the other one done the next summer. Cause you do want to make sure the right or left whichever she's getting done first has healed.

I use a wheelchair to get a lot when I have surgery. My dr. didn't want me using a knee scooter cause I am very accident prone. So he said fully sitting is the safest for me.
I think there is a different mindset between OS and pod. The pod told me that had I brought her to him at age 7 or so, that the surgery would have been much easier and less involved. Her growth plate is closed in her foot. He said she might grow another shoe size but that the surgery wouldn't be damaged by that ( her feet haven't grown in over a year though...she is still growing taller).
Aft hearing this from him, I have lost my trust in OS. It probably wouldn't be a bad idea to get a 3rd opinion from one. Think I will wait to see what this other pod says on Thursday.

 
Old 02-04-2013, 02:35 PM   #27
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Re: Best time for surgery?

The only thing is I think OS has more education than a pod and most likey more experience then a pod. So thats why the mindset might different. I mean pods are good, my mom uses one for conservative measures but, I think OS should be the ones you go to for surgery. Its just because most of them have more training and have done more of these surgeries. Though im sure there are so really good pods around.

You could also look for an OS who specializes in foot and ankle disorders. On top of the schooling to be a surgeon they are also required to do five years of study in residency at a hospital specializing in foot and ankle disorders, along with a required one year of specialized foot and ankle studies

Just something to consider when looking for another opinion. My OS is a foot and ankle specialist who works in(or with) sport medicine.
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Last edited by ohitscourtney; 02-04-2013 at 02:41 PM.

 
Old 02-04-2013, 02:44 PM   #28
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Re: Best time for surgery?

I love my podiatrist and I also love my orthopedic surgeon. But they have had different pathways in education. The orthopedic surgeon is a medical doctor who went to medical school. The podiatrist went to podiatry school. There are differences in the amount of education they have had. And if you use an orthopedic surgeon I would definitely opt for someone who specializes in foot and ankle. Just my small opinion.

 
Old 02-19-2013, 07:35 PM   #29
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Re: Best time for surgery?

I have taken my daughter to 3 more surgeons.

#2 (pod): said to have the MBA implant and lengthen her Achilles
#3 (pod): ditto as #2
#4 (ortho): said the pain was all in her head. Didn't even take X-rays. Wants my daughter to see a psychologist so her brain knows how to deal with pain. This was a pediatric ortho at a children's hospital that only does orthopedic.

So again, I have lost faith in ortho's. my daughter was in tears when we left the ortho office. She couldn't believe he thought she was making up the pain.

The MBA implant is removable and doesn't cause permanent change. We feel most comfortable with this approach. We can always have the evans calcaneal and cotton osteomy if the MBA implant doesn't work.

Most likely going with surgeon #3. She is pretty young but has done the most implants recently (in residency). She also looked at my sons feet (9 yrs old) and he is headed in the same direction as my daughter. She is putting him in orthotics to try and prevent any more movement. He complains of his legs hurting, and she said that is a symptom of the over pronation. Hoping to avoid surgery for him.

We have vacation scheduled for spring break and will schedule surgery for the end of march for her first foot. Talked with the principal about it today and they will make accommodations for her.

 
Old 02-19-2013, 07:47 PM   #30
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Re: Best time for surgery?

Quote:
Originally Posted by Happy2try View Post
I have taken my daughter to 3 more surgeons.

#2 (pod): said to have the MBA implant and lengthen her Achilles
#3 (pod): ditto as #2
#4 (ortho): said the pain was all in her head. Didn't even take X-rays. Wants my daughter to see a psychologist so her brain knows how to deal with pain. This was a pediatric ortho at a children's hospital that only does orthopedic.

So again, I have lost faith in ortho's. my daughter was in tears when we left the ortho office. She couldn't believe he thought she was making up the pain.

The MBA implant is removable and doesn't cause permanent change. We feel most comfortable with this approach. We can always have the evans calcaneal and cotton osteomy if the MBA implant doesn't work.

Most likely going with surgeon #3. She is pretty young but has done the most implants recently (in residency). She also looked at my sons feet (9 yrs old) and he is headed in the same direction as my daughter. She is putting him in orthotics to try and prevent any more movement. He complains of his legs hurting, and she said that is a symptom of the over pronation. Hoping to avoid surgery for him.

We have vacation scheduled for spring break and will schedule surgery for the end of march for her first foot. Talked with the principal about it today and they will make accommodations for her.
Oh wow...a OS really said that? I've never heard a doctor talk like that ever...I mean my dad jokes "that the pain is in my head" but that's joking and well he's not my doctor. I would cry too if someone said that to me.

Well good luck with the surgery. The end of march isn't to far away. I'm glad the school is willing to work with you guys
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