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Old 07-13-2013, 12:39 AM   #1
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Cool 2 Weeks Post Op - Posterior Tibial Tendon Surgery

Hi everyone! I had Posterior Tibial Tendon surgery on 28 July 2013. I found this great health board prior to my surgery and with your help I was able to get my home and my mind ready for surgery. I am mainly using a knee scooter and a walker to get around. I tried crutches but after my second fall I quickly realized that wasn't going to work. The first time I fell was the day I came home from the hospital and was trying to get up the step from the garage into the house. I had practiced getting up the step prior to surgery but I guess between being a little loopy from the medicines and having the real-deal splint on my leg I just didn't make it. My husband was helping me and was able to keep my foot from hitting anything. (Thank you Hubby!) The second time I was transferring from the crutches to the walker and just lost my balance and fell backwards. I kept my foot up and landed on my backside so I was a little bruised for a few days.
I've been back to the doctor twice. The first time 5 days after surgery and they did x-rays and then rewrapped me back with the splint. The second visit was another x-ray to make sure that all the hardware was where it was supposed to be and then the stitches where removed and a hard cast was put on. Getting the stitches removed did hurt especially the ones on the heel and the back of the foot. My next appointment is July 24th and I guess the doc will just make sure all looks good and then they will put on another hard cast.
Doc said I'd be at least 10 weeks NWB. I have osteoporosis and he said he could definitely see that the bone he cut was thinner than normal. Today I started on a bone stimulator machine which I am to do for 30 minutes a day. Has anyone used one of these before? I don't recall reading anything about it in prior posts.
My husband has been working from home the past two weeks so he could be here with me 24/7. He has been great! Monday I start working from home for the next two weeks. I bought a Laid-Back computer table and they are great. Let's me keep my foot elevated and yet I'm able to work on my computer.
What I need some help with is how to conquer the garage step, both up and down. What I'm doing now is using my knee scooter to get to the door and then sit on a stool, swing my legs around into the garage, lift the scooter into the garage, and then I'm on my way. The problem is I have to lift the scooter over me because there isn't enough room in the doorway for the scooter and the chair. Any ideas?
Thanks again for all the NWB ideas! ~~~CM in Oklahoma City

 
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Old 07-14-2013, 01:16 PM   #2
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Re: 2 Weeks Post Op - Posterior Tibial Tendon Surgery

Hi CM! I wanted to say hello as I am three days out from surgery and thought we might be able to share recovery tips! I had a calcaneal osteotomy 18 months ago and this time I had the screws out, Achilles tendon repair (damaged by screws), lateral ligament reconstruction and a clean up of the ankle joint. I can totally relate to your garage problem as I have two steps between my dining room and living room that are stopping me from moving between the two rooms. I am not sure how your space works, but I was wondering if you could make it work with an office-type chair on wheels instead of the stool? Then could could use your good leg to scoot the chair out of the way as you move the knee scooter? I have used a chair like this (without the back) in the kitchen after previous surgeries and it has been so useful. Btw I am not good on crutches either and I lost my balance before I left the hospital this afternoon. I would have hit the ground if the nurse hadn't been there. A lucky escape but still scary! Sorry you have osteoporosis as well. I do hope the bone simulator helps.

 
Old 07-15-2013, 02:19 PM   #3
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Re: 2 Weeks Post Op - Posterior Tibial Tendon Surgery

Hi, Ladies!
I too had PTTD and had calcaneol osteotomy, transfer of my FDL tendon, and gastrocnemius recession 6 days ago. We can recover together. I fell in the hospital with the PT trying crutches and would have ended up on the floor if not for the wall I fell into and the PT's help. I am mostly using my knee scooter and a walker in the bathroom to maneuver. I LOVe the knee scooter best. I am at a loss about the steps. I have only navigated our front step with my husband and a transport chair we borrowed for longer trips. I imagine I'll eventually manage it on crutches, but I can't imagine getting to that point soon. Good luck to both of you. Let's keep in touch and share our progress. I am still in the splint and don't go back to the doctor for two weeks to get my cast for four weeks.

 
Old 07-15-2013, 09:10 PM   #4
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Re: 2 Weeks Post Op - Posterior Tibial Tendon Surgery

Hi Amethy5t and Hikerdreams!

Thanks for your responses. It's great to correspond with others that know exactly what each other is going through. I don't think I said it in my earlier post but along with the tendon transfer I also had a calcaneal osteotomy.

Amethy5t - I had no idea that sometimes the screws cause damage and have to be removed. So sorry you had to have the second surgery. How long were you NWB with your 1st surgery?

My wonderful husband figured out a solution for the garage step issue. He built two smaller steps that are long enough for my scooter to fit on each step. Then I can use my knee scooter to get down since the steps aren't so deep now. I just tried it and it works great. He is going to install some hand rails on the sides of the garage door in case I need a little extra help. He started back to work today and felt uncomfortable with me being home alone with no way to get out the door in case of an emergency.

Amethy5t - Thanks for the advise about the office-type chair on wheels to use in the kitchen. It works great!

Hikerdreams - I had to look up what gastrocnemius was. Were you in a lot of pain prior to surgery? What were your symptoms?

I love my knee scooter too. Can't imagine not using one. I initially rented one but found the exact same type of scooter for sale on Craigslist the day before my surgery and only paid $60 for it. I think I got a bargain!

I had to go back to the clinic today and get a new cast. The other one just didn't feel right and my heel was always hurting. My toes, foot, and leg were very swollen and she asked if I had been elevating and icing, which I have been. But, I have been putting the ice packs on the cast itself and she said I should only be putting them under my knee. So the rest of the day I have been doing just that and tonight my toes looks like normal. Yeah!

Yes, lets all keep in touch and share our progress and ideas. Any others that want to join us please do so. The more we have on here to share the better we will all be at this adventure we having.

It's nice to 'meet' you both!

 
Old 07-15-2013, 10:12 PM   #5
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Re: 2 Weeks Post Op - Posterior Tibial Tendon Surgery

Gee . Nobody mentioned icing behind my knee. I'm going to try that . Amethyst my pain was a burning searing pain on the inside of my foot from the arch towards the ankle. My doctor likes to do the gastrocnemius recession instead of messing with the Achilles' tendon. I think he believes that people heal more quickly with that. I hadn't really thought about emergency evacuation but my hubby is here all the time until about week five when he has to move our daughter two thousand miles away and I will be on my own for eight or nine days. I think I tried to wean off my pain meds too quick. Lots of pain tonight. I'm also having searing pain beneath my breasts on my chest. Anybody else feeling that? The doctor's office told me not to take ibuprofen only Tylenol because it interferes with bone healing. Something else I didn't know. Take care all!

 
Old 07-16-2013, 10:04 AM   #6
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Re: 2 Weeks Post Op - Posterior Tibial Tendon Surgery

In my first message I got a little ahead of myself. My surgery was 28 Jun 13, not 28 July 13. Must have been the drugs typing

 
Old 07-16-2013, 11:30 AM   #7
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Re: 2 Weeks Post Op - Posterior Tibial Tendon Surgery

Hi cm214,
I figured you meant June, so you are 12 days ahead of me. Lucky you that you already got to see your doctor twice. They don't want to see me until two weeks after surgery. The pain seems like it's getting worse, not better, so I think I'm going back to two Percosets every four hours or so until it lessens. I am really feeling the incision on my calf and cramping in the arch now. Aah! One day at a time, right? Have you turned the corner on pain, cm214? When did it start getting better for you? Thanks for being someone who understands what I'm going through!

 
Old 07-16-2013, 11:55 AM   #8
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Re: 2 Weeks Post Op - Posterior Tibial Tendon Surgery

I see that you guys have had PTTD surgery & make mention of your hospital stay. I am having PTTD surgery on August 13, 2013. I am told that it is am outpatient surgery & I will be sent home after I have been i recovery for 2hors following surgery. Does this sound right ? As part of the surgery, I will also have some bone fusion. Not sure of outpatient surgery is the best answer. Please give some helpful advice!!!!

 
Old 07-16-2013, 01:06 PM   #9
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Re: 2 Weeks Post Op - Posterior Tibial Tendon Surgery

I was told that the doctor liked people to stay overnight to make sure pain was under control. I 'm glad I stayed one night although I didn't get much sleep! It can also be outpatient but I live two hours from hospital. Pt consult with crutches was good the next morning. The doctor himself said either way was okay. Make sure you have someone with you the first few days at least. Good luck and let us know how it goes !

 
Old 07-16-2013, 01:08 PM   #10
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Re: 2 Weeks Post Op - Posterior Tibial Tendon Surgery

Hi Ladies! †Glad you solved the garage step issue, CM! Your hubby does sound wonderful and is obviously good at DIY. And that is funny about the surgery date... Clearly I am under the influence of drugs too as I didn't notice!

I think I am an unusual case as I didn't have a cast after my calcaneal osteotomy and I was only NWB for 48 hours. I had a surgical shoe that had no heel, so I was walking on the front of my foot. My surgeon was quite progressive and convinced that this was the way to go but I was a bit concerned when I came here and found that everyone else was NWB! Now of course I am wondering if weight bearing straight away was partly responsible for the screw working its way out. I understand that problems with screws after calcaneal osteotomy are relatively common. The damage to my Achilles tendon was pretty bad - there were actually shards of metal lodged in the tendon.

I have been icing behind my knee too and that seems to help a bit. I have been icing my toes too! I have terrible itching in the cast - I think it is where the incisions are healing. The ice takes the itch away a bit and also putting my foot under a cold fan. I have heard that using a hair dryer on a cold setting works best but i have tried my own and my neighbors hair dryers and can only make the air come out warm, not cold!

I have a wheelchair and a walker and haven't used my crutches since I got home! I am in Europe and we don't really have knee walkers here so I have a regular walker with seat that I use to put my knee on (on the bad side). It works quite well but is not very fast!

Hiker - sorry you are in so much pain. I remember not being able to take anti inflamatories after the calcaneal osteotomy. I didn't have any bone work this time so I can take them luckily. I seemed to have more pain after the last surgery than this time. Are you elevating your foot enough? It's really important not to have the foot down for more than a few minutes. Also it's good to get it as high above the level of your heart as possible. Have you had the chest pain since surgery? I would check this out with your GP. It is possible to get a chest infection after a general anaesthetic, and the risk increases if you are lying down a lot. Which obviously we have to do because of having to elevate!

Ckurz - I had a different surgery and I am in Europe so I think protocols are different regarding staying in hospital. But I have heard that in the US it is common to do the surgery as outpatient. I think that must be tough. I had a lot of pain after my osteotomy and was really glad to have IV meds.

 
Old 07-16-2013, 01:34 PM   #11
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Re: 2 Weeks Post Op - Posterior Tibial Tendon Surgery

Hello all..... I had the surgery last December and I was in the hospital five days. Now at seven months. I'm just starting to walk with a sneaker. It's a tough recovery. I have 12 screws in my foot. And I have a bone graft from my hip, Plus my Achillles lengthened... Good luck and keep us posted..
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Old 07-17-2013, 04:06 AM   #12
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Re: 2 Weeks Post Op - Posterior Tibial Tendon Surgery

Quote:
Originally Posted by ckurtz View Post
I see that you guys have had PTTD surgery & make mention of your hospital stay. I am having PTTD surgery on August 13, 2013. I am told that it is am outpatient surgery & I will be sent home after I have been i recovery for 2hors following surgery. Does this sound right ? As part of the surgery, I will also have some bone fusion. Not sure of outpatient surgery is the best answer. Please give some helpful advice!!!!
Glad to see all are doing well. I'm 2 years out from pttd surgery, now recovering from hip replacement.
Ckurtz, I can't imagine this procedure done on an outpatient basis. I had it done at the premier orthopaedic hospital in the country, Hospital for Special Surgery in NY, and I was in the hospital for 3 days, then in a rehab facility for a week. Wound up being one more day then planned b/c of pain issues. Mind you, I live alone, but I am in decent shape despite my arthritis issues. I had a reconstructon, consisting of calcaneal osteotomy, FDL transfer, and TMT fusion. Depending upon how you make out, is there the option to be hospitalized or is this a surgicenter offsite from hospital? If you do go outpatient, be sure to stay ahead of the pain with your meds. Take them religiously, on schedule, even if you seem ok. Best of luck, Bunnie

 
Old 07-17-2013, 07:16 AM   #13
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Re: 2 Weeks Post Op - Posterior Tibial Tendon Surgery

Pesher you had so much work done on your foot.! How did you injure it? I'm so glad you're almost healed. I've read many of your old posts for guidance.
Amethyst I am keeping my foot elevated all the time except when going to the bathroom because that blood rush to the foot hurts! I'm wondering how I can go back to work in five more weeks. It is one week today. Yeah! Only five more nwb! Then the real work healing begins! I'm sure starting to put weight on your foot is painful and scary. I am amazed you could walk on your foot . My PA told me to be careful not to put pillows right on my heel because the screw can cause a blister. I don't have the itching yet but I'm not into cast yet. One more week until the cast. I sure appreciate sharing our experiences. Thanks for listening!

 
Old 07-17-2013, 10:17 AM   #14
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Swimbunnie~ I am having the surgery at a local hospital (here in Albuquerque, NM). I was told by my Podiatrist surgery scheduler that the only procedure that calls for an overnight hospital stay is a total ankle replacement. Otherwise, all other surgeries are on an outpatient basis, but that I will have plenty of pain meds when I do leave to come, following a 2-3 hour stay in recovery. I will keep you posted as to what I find out at my Pre-Op appt on the 31st of July.

 
Old 07-17-2013, 01:02 PM   #15
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Re: 2 Weeks Post Op - Posterior Tibial Tendon Surgery

Ckurtz. Just make sure you have a really good doctor doing this surgery. I was advised by a number of people to have this done with XML orthopedic foot and ankle specialist because it is such a major foot surgery . Best of luck to you!

 
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