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Old 10-28-2007, 09:34 AM   #1
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Mary51493 HB User
My Foot Surgery Journey

Just had surgery for bunion, hammertoe and back of leg (can't remembe what you call what he did) on right foot. Have had bunion for 30 some years, which eventually led to the hammertoe and my decision to go through this process.

Surgery was on October 24, 2007 by a orthopaedic surgeon. In hospital overnight, just to be sure I elevated properly, etc. It is now 4 days after surgery. I have been on the couch with foot elevated all that time. I use my crutches and walker to get to the bathroom and to bed. My husband gets me meals, etc. I take pain meds when needed. They held me sleep at night because my body and head get sore from just laying around.

I am an active 61 year old female and I had started a workout program at the gym in April. The most difficult part of this is being inactive and the fear of getting out of shape during the healing/recovery process. I am currently in a splint and on Nov 8 will move to a cast for 6 weeks. At 12 weeks I will get a boot. These time frames could be shorter depending upon how I progress. He also said that there is healing and recovery. You can heal in 6 months but recovery could take longer. Those who have the most problems are those who "do too little" and those who "do too much."

I am hoping to do what the doc says to ensure that my healing/recovery progress as they should. It won't be easy I know, but I definitely do not want a "do over!

I thought it might be useful to others to chronicle my journey, but I also have questions as I move along tha I hope others taking this journey can answer as well.

1) When is it practical to return to work? My husband and I own our mfg business and it is important that I be there. I am at my desk a lot. I need to be able to work and keep the foot elevated.

2) How do you shower and put on makeup, etc.?

3) How can you maintain your body's integrity while being immobile for possibly 12 weeks?

I decided against the knee scooter because it didn't appear to be as stable as the crutches and walker. Any input on these modes of mobility? Which works best at work?

I do plan on doing pool therapy when I get my cast off. The doc recommended it as a way to keep the body moving. I am also hoping that at some point I can start some type of exercise - upper body, etc. to keep as active as possible. Any input on how you have been able to keep active throughout this process?

Looking forward to hearing how everyday life and work is managed during this long healing/recovery process. I hope my experience will help others going through this process as well.

Upward and onward!

Mary51493

 
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Old 10-28-2007, 10:50 AM   #2
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Re: My Foot Surgery Journey

Hi Mary,

Though I have no idea what your recovery will look like (I did not have any surgical procedures), I can speak of my experience with a cast, long term, and a boot. I broke my 5th metatarsal last March and was in a cast for 15 weeks, so I understand your questions about showering, working, and the effects of extended immobility.

The day I broke it, my husband went and bought a shower stool. He found one at our local dept. store in the pharmacy section. I was able to get in and out of the shower/tub with some help and my crutches. At first, I used a garbage bag over my cast and kept my cast out of the water as best I could. We looked online for anything that could help make the process easier and found something called a Drycast cast protector for bathing. It worked great!!! We ordered it online and it arrived in 2 days!!!

As for makeup and hair, I had my husband put a chair in front of my mirror every day before I needed it. You learn to get real creative about these things!

I, too, opted for the crutches instead of the scooter. They worked out well, because I got some good exercise using them. Since I spent most of those weeks sitting with my foot elevated, any exercise was important. I'll tell you my arms, shoulders and left leg (it was my right foot) became really strong. I did, however, gain weight due to inactivity. I knew right off that watching what I ate was essential, but it really did not matter. I gained anyway due to the total lack of movement. I am now working to get rid of that weight. My 48 yr old body does not respond solely to fewer calories to maintain weight, but activity too. I also discovered that I needed to add lots of fiber to my diet--sitting slows the digestive system and made me not feel well at all. I did upper body stretches and isometric moves for my arms, though I have a YMCA membership, my doc would not allow me to work out there until he cleared me. Your gym may have some machines that work the upper body--ask, but get your doc's approval first and then the gym's.

I am a teacher and I went back to work with a wheelchair (I kept it at school) with a foot rest that elevated my foot and kept it elevated. It worked well for me. If I had had to stay home I would have gone CRAZY all those weeks!!

I was then in a boot for another 9 weeks with gradual wieght bearing permitted very slowly. Once you get in the boot, it may still be awhile before you can be totally weight bearing. I understand the healing and recovery--two different processes. My doc's view is that with feet, because of notoriously poor circulation in many parts of the feet, healing can be prolonged. Once the injury or correction has healed, it will still take quite awhile before the person can be back to where they were phyically BEFORE the surgery or injury. I am healed at this point, but he anticipates me not being recovered until March--one year from injury. He says that is normal and, from his perspective, totally expected. I was warned early on this was going to be a LONG recovery.

Each person heals and recovers their own way. Listen to your body, to your doc and don't be afraid to ask any and all questions you have to him/her.

Best of luck in your healing and recovery. Keep us updated on your progress. I wish I had found this forum last March when I was beginning the journey.

Lisa

 
Old 10-28-2007, 12:01 PM   #3
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Re: My Foot Surgery Journey

hi mary, you sound like such a wonderful person. i was in a cast for toe fusion for 11 weeks. i did not gain weight for some strange reason. the cruthes are a great workout! it has not been a long time for you so healing and recovery are the most important. i also used a chair on wheels to get around. i was able to use my other foot to push off. i did not eat as much because i wasnt able to snack like i used to. i am 51 and a totally active person so i was so depresses, but i wanted to heal so badly. i lost muscle which made my weight drop. upper body exercise will help and isometric. listen to your dr and listen to your body.

 
Old 10-28-2007, 12:11 PM   #4
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Mary51493 HB User
Re: My Foot Surgery Journey

Thanks Debbie for replying. Keeping active within the limits of recovery are what I want to do. After these first few days will check with my doc to see when and what I can start incorporating. This was as good a time as any to get this done, but I hate to see the work I've done at the gym since April be reversed.

 
Old 10-28-2007, 12:29 PM   #5
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Mary51493 HB User
Re: My Foot Surgery Journey

Hi Lisa,

Thanks so much for your reply. You confirmed what I have mulling around. Your healing/recovery sounds much like mine. Up to a year for total recovery but in my case 6 weeks in cast and 6 weeks in boot. I thought about a shower stool because I didn't see how I could keep weight off without something like that. A chair in front of mirror was the only solution I could think of as well. We planned on using a plastic garbage bag with masking tape, but I will look into that Drycast. What about the Drycast made it better? My doc also said that I should increase fiber. How did you do that?

I don't think I can lay around here much longer, but I was concerned how effective I would be at work. I thought about a wheelchair because I could keep the foot elevated. Not sure it will fit under my desk. Other option was putting some boxes with pillows under my desk. My trainer at the gym said there were lots of upper body exercises we could do and other things that wouldn't involve the foot. Will have to find out when I can start that. But I should be able to do upper body stretches and isometric stuff now. Probably find some on the web.

Congrats on your recovery and thanks again for the reply. It helped!

Mary

 
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