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Old 07-16-2013, 04:07 AM   #1
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Calcaneal Osteotomy & FDL tendon transfer

Has anyone else had this operation? I had my op on the 30th May and had the cast removed yesterday. I was disappointed as I thought I'd be getting a special boot so I could walk straight away but all I've been given is a plastic air ankle splint to strap on with a shoe and some stretching exercises to do. I can't even get my foot flat on the floor yet so I guess it will be some time before I can walk again even with crutches. Also the wound hasn't healed yet, so I'm hoping now the air can get to it that will heal soon.

My next appointment is in 5 weeks. I've been given no information on what to expect or how long things will take. I'm housebound as I don't get on with elbow crutches, there are steps outside my house with no handrail and a sloping path to get to a car for a lift anywhere! My 'good' foot isn't good as it has a big toe fusion, torn tendon (it needs the same operation one day) and bad excema. Feeling sorry for myself at the moment!

 
Old 07-16-2013, 05:04 AM   #2
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Re: Calcaneal Osteotomy & FDL tendon transfer

Be patient...it takes time. I had the exact same surgery on January 17, and I feel I'm back to myself in the last few weeks. I was in a cast for 8 weeks, then an Aircast for 4 more, then learning to walk took time. Funny you reminded me me of how weird it was to put my foot down flat on the ground at first! It took time, and each new stage had to be worked through all over again.
Hang in there, I know that now I'm really glad I had this done!
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Old 07-16-2013, 06:24 AM   #3
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Re: Calcaneal Osteotomy & FDL tendon transfer

Did you get a proper boot for walking once the cast was off? All I got is a plastic ankle air brace which is no help for putting weight on the heel where all the pain is. I feel I should have been given something with more support to get me walking again!
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big toe fusion 2009, Calcaneal Osteotomy & FDL tendon transfer 30th May 2013

 
Old 07-16-2013, 02:41 PM   #4
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Re: Calcaneal Osteotomy & FDL tendon transfer

Hi, I had a calcaneal osteotomy (but no tendon work) 18 months ago. It is a long recovery. Did you get given a shoe? One with a wedge heel, or one with no heel on the bottom? I was in a surgical shoe with a cutaway heel instead of a cast from the start, and from about week five my OS encouraged me to get into normal shoes. I had to go up half a size to get my foot into a shoe! She advised me to wear a wedge type heel and to put a heel insole in, one that is also wedge shaped, both of which help to put the weight more towards the front of the foot. There is a technique to walking in the surgical shoe but it is good once you get used to it. I'm sorry you have been given so little information. I am guessing your surgery was on the NHS? (i am from the UK too originally but now living in France). Are you going to be going to physiotherapy? That will help a lot with learning to walk again. Good luck. Keep posting here if there is stuff you need to know. The members are very knowledgeable!

 
Old 07-17-2013, 04:09 AM   #5
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Re: Calcaneal Osteotomy & FDL tendon transfer

Thanks for your reply, I'm on the waiting list for physiotherapy, not sure how long that will take. Good old NHS! I haven't been given any special shoes, I've just been told to wear this inflatable ankle brace with my normal shoes and to start walking with crutches once I can get my foot flat on the floor. I've been doing stretching exercises since Monday but my foot's really painful today from doing them (where the tendon was fixed). My foot goes purple as soon as its anywhere near the floor. The doctor I saw was hard to understand, he reminded me of Manuel from Fawlty Towers, so I don't have much faith in him. I don't own a pair of wedge heels as I have arthritis and a fused big toe in my other foot so can't wear heels normally even. I will try with trainers. Work rang me today to see when I'll be back, I told them I'm still hopping on one leg and have been signed off sick another 6 weeks. This is going to be a long journey!
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big toe fusion 2009, Calcaneal Osteotomy & FDL tendon transfer 30th May 2013

 
Old 07-17-2013, 02:51 PM   #6
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Re: Calcaneal Osteotomy & FDL tendon transfer

Sorry, I misunderstood about the shoe. Poor you, I'm not surprised you are frustrated, you obviously haven't had a good experience so far. I would be really fed up if i couldn't understand my doctor - it doesn't seem much to ask. It sounds like you might have overdone it on the stretches. I had a similar problem, stretching made my heel hurt. I would ease off a bit and see if that helps. It is really hard, I found, to know how much pain you 'should' have when starting rehab. Hope you get a physio appointment soon (I can't believe you have to join a waiting list after surgery... well, it is the NHS so I can, LOL). I have a fantastic physiotherapist - I have had ankle issues since 2005 and I also have back problems, so we have a long-standing relationship! It really makes a difference if you get someone good, you see them so much more often than your doctor. So I am crossing my fingers that you get lucky with this. I really hope things start to improve for you soon.

 
Old 07-18-2013, 04:03 AM   #7
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Re: Calcaneal Osteotomy & FDL tendon transfer

Thank you. I'm wearing a trainer and the ankle brace to get used to the feel of it but I'm not going to push it for fear of messing anything up!
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big toe fusion 2009, Calcaneal Osteotomy & FDL tendon transfer 30th May 2013

 
Old 07-20-2013, 04:45 AM   #8
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Re: Calcaneal Osteotomy & FDL tendon transfer

Quote:
Originally Posted by RuthS View Post
Be patient...it takes time. I had the exact same surgery on January 17, and I feel I'm back to myself in the last few weeks. I was in a cast for 8 weeks, then an Aircast for 4 more, then learning to walk took time. Funny you reminded me me of how weird it was to put my foot down flat on the ground at first! It took time, and each new stage had to be worked through all over again.
Hang in there, I know that now I'm really glad I had this done!
Hi did you have any problems with the bone healing? I am 6 months post op and cannot weight bear on my heel. The Dr says it has a hot spot and it hasn't healed in that area. I am getting very worried no as it has been so long and I am far worse off than I was before op.

 
Old 09-11-2013, 03:04 AM   #9
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Re: Calcaneal Osteotomy & FDL tendon transfer

Quote:
Originally Posted by norrisr View Post
Hi did you have any problems with the bone healing? I am 6 months post op and cannot weight bear on my heel. The Dr says it has a hot spot and it hasn't healed in that area. I am getting very worried no as it has been so long and I am far worse off than I was before op.
I'm nearly 4 months post op. They took x-rays and didn't say anything so I presume the bone is healing okay. My heel is still numb so it feels weird walking on it but I'm walking around without crutches and have been told not to wear the ankle brace any more. I'm having back problems from limping (my other foot needs the surgery too at some stage) but am hoping to be back to work by the end of the month. I get ankle pain at the end of the day if I overdo things, and I occasionally get a kind of shooting electric pain which I presume is nerve damage. What will they do about your bone not healing?

I have to do tiptoe exercises to strengthen my feet and have been told to balance on one leg, which I haven't really managed yet, but I'm 50 and overweight so what do they expect?!
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big toe fusion 2009, Calcaneal Osteotomy & FDL tendon transfer 30th May 2013

 
Old 09-13-2013, 02:23 PM   #10
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Re: Calcaneal Osteotomy & FDL tendon transfer

Hi it is pleasing to hear that you have had a good response. Was it without heel pain and numbness in the area of the tendon repair? I had my operation on the 25th January 2013 and have had a lot of pain and discomfort. I still have pain when I am on my foot for over and hour. At the point where my Planar fascia joins the heel bone is very painful and only recently have I had some relief from pain due to a cortisone injection into the heel. I was told it could heal the problem area but so far it still is very painful at times. I have a referral to get a second opinion which I plan to do at 9 months post op. I was told it would take 6 months to heal and 12 months to be fully back to normal. My specialist is bewildered as to why I am having a lot of pain.

 
Old 09-13-2013, 04:44 PM   #11
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Re: Calcaneal Osteotomy & FDL tendon transfer

NorissR, we are in the same boat with heel pain after pttd surgery. My heel is really painful, no sign of improvement closing in on the 7 month mark. I went to my surgeon on Thursday, because he said it would be 6 months to a year to be back to normal, but if there is not any improvement at all, that is a red flag for me. He said I should not be having any problems! The foot ankle looks good and he is happy with the X-ray taken at 4 months. He said there was nothing he could do, no reason he could understand based on what he could see. He said I could get custom orthotics, but they are not really better than off the shelf ones. I could go for physical therapy again, but I know the exercises and they don't help with my heel at all. Or I could go to anotherndoc for a second opinion. Yikes. My foot should be better. But should is not the reality, and he seemed very puzzled. I will call other docs for another opinion because I can't see how this will fix itself.

 
Old 09-13-2013, 05:06 PM   #12
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Re: Calcaneal Osteotomy & FDL tendon transfer

Punkin, what about having the screw taken out? I know for some people that is necessary and really helps. I really felt the screw in my heel when I started pwb a lot, but it has improved. I'm still walking with crutches though. I don't know how it will be when I'm Fwb, good luck!
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Old 09-16-2013, 02:30 AM   #13
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Re: Calcaneal Osteotomy & FDL tendon transfer

HI Punkin - we are a good pair aren't we. I felt the same as you in getting a second opinion but will pursue it in a month or so if my pain doesn't improve. I have put myself on a rigid stretching regime to try to free up the plantar fascia if that in fact what it is. Won't do me any harm if not. I use a tennis ball to roll heavily and push hard into the bottom of my foot especially in the most tender areas and then I do calf stretches about 4 times a day. I use the tennis ball morning and night. It has helped the pain. I have stopped my anti inflammatory tablets in the last 5 days and only take pain killers when I have a lot of walking to do. It certainly does still pain but not so bad. Can't say if it is just time, the cortisone or the stretches. I am going to keep this up for a few weeks so I can make an informed judgement on any further improvement. I haven't got orthotics yet either. Chin up and stay positive which I know can be hard.

 
Old 09-16-2013, 02:33 AM   #14
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Re: Calcaneal Osteotomy & FDL tendon transfer

Thanks for coming into the thread. All ideas and experiences are welcome. I have thought about having the screw out as my next option. I already asked my surgeon but he dismissed it as not being my problem at the time. I will see him at 91/2 months so will see what he has to say then.

 
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