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horsebite 04-18-2010 04:16 PM

Question about pain after peroneal repair
 
Last Tuesday the 13th, I had peroneal tendon repair, ankle scope and a brostrom procedure to fix my ligament.

I am still in quite a bit of pain, at some times unbearable. They gave me a script for 60 percocet, and I have been taking 2 almost every 4 hours for pain and am almost out of them. I've tried skipping doses but I really pay for it with severe pain, especially at night. I've skipped my overnight dose and wake up in the morning with severe pain. Is this pain normal? I'm worried about the pain! Do you think the doctor will refill my script if I call and tell them about the pain?

K_Lana 04-19-2010 04:30 AM

Re: Question about pain after peroneal repair
 
YOu have to remember that you had quite a bit of work done on your ankle. You aren't even a week out yet.

I'd call your dr. about 24 hrs before you run out of your meds. I think many make you wait 24 hrs for that type of prescription. You could even call your dr. to tell them about the pain now too, so they have the heads up. I bet you will find though that in the next few days the pain will dramatically start to decrease.

The key is RICEing it. Keep that leg up at all times. It will throb like the dickens if you keep your foot down at all. Ice it even through the cast. Put lots of pillows under it and adjust your position every so often so pressure isn't always on one spot.

It does get better. I'm glad you posted though. I wondered how your surgery went.

horsebite 04-19-2010 04:34 AM

Re: Question about pain after peroneal repair
 
Thanks for the reply, Kris! I will give them a call today and let them know.

I hope this pain does start to go away this week. I've had my foot propped up on four pillows all week, only getting up to crutch-it to the bathroom and back. I have not iced it, as the Doctor said the splint/cast I have is so thick it wouldn't do anything, but I will take your advice and do it anyway...can't hurt anything!

I'll let you know how it goes! :D

ahodus 04-19-2010 01:32 PM

Re: Question about pain after peroneal repair
 
Horsebite,
Glad to hear your surgery went well. Kris is right you had a lot of work done and there will be a lot of pain but it does get better.

I found that the large ice/heat gel type of ice packs get the coldest and get threw the cast. I even have a few that have a large elastic band to wrap around the pack so it stays nice and close to the dressing. My surgical dressing was over 21inches around the ankle and the pack still was able to penetrate an help with the swelling.

Best of luck in recovery!
Angela

horsebite 04-19-2010 06:46 PM

Re: Question about pain after peroneal repair
 
Tried to ice it today with an ice pack, I have a surgical splint made of plastic under a bunch of bandages and wrapping and it wasn't getting through the plastic at all! Left it on for a couple of hours, but oh well! Worth a try! Doctor did refill my prescription today so I am glad I'll be able to deal with the pain until it gets better.

Thanks for the support!

emmie54 04-19-2010 09:18 PM

Re: Question about pain after peroneal repair
 
[QUOTE=horsebite;4228351]Last Tuesday the 13th, I had peroneal tendon repair, ankle scope and a brostrom procedure to fix my ligament.

I am still in quite a bit of pain, at some times unbearable. They gave me a script for 60 percocet, and I have been taking 2 almost every 4 hours for pain and am almost out of them. I've tried skipping doses but I really pay for it with severe pain, especially at night. I've skipped my overnight dose and wake up in the morning with severe pain. Is this pain normal? I'm worried about the pain! Do you think the doctor will refill my script if I call and tell them about the pain?[/QUOTE]

I needed the stronger pain meds for at least three weeks before tapering down to a milder one. Your doctor should have no problem refilling your script. At this point I wouldn't even try to skip doses. Once you get "behind' the pain it's hard to get it back under control. Also, I don't know why, but if you put the ice behind your knee it helps the foot.

Hope you get some relief soon.

emmie

horsebite 04-20-2010 05:52 AM

Re: Question about pain after peroneal repair
 
[QUOTE=emmie54;4229227]I needed the stronger pain meds for at least three weeks before tapering down to a milder one. Your doctor should have no problem refilling your script. At this point I wouldn't even try to skip doses. Once you get "behind' the pain it's hard to get it back under control. Also, I don't know why, but if you put the ice behind your knee it helps the foot.

Hope you get some relief soon.

emmie[/QUOTE]Thanks for the info, emmie. I will try the ice pack under my knee!

K_Lana 04-21-2010 04:25 AM

Re: Question about pain after peroneal repair
 
I hope Emmie's trick works for you. It's good to hear you didn't have any problems getting a refill from your dr. THings should starting to feel better soon.

Keep it elevated!

Nanasdarlins 07-08-2010 07:54 AM

Re: Question about pain after peroneal repair
 
I am having peroneal repair surgery on the July 23 and after reading about the pain and all I am pretty scared. I am a slighty overweight grandma the most exercise I get is chasing my grandkids whom I love more than life. Yes I spoil them rotten. Any way I am worried about getting around and the pain. Will I be able to walk on the cast right after surgery? What does non weight bearing mean?

ahodus 07-08-2010 09:23 AM

Re: Question about pain after peroneal repair
 
Nanasdarlins,
I wish you the best of luck in your upcoming surgery.

After my peroneal repair I was non weightbearing for six weeks. Nonweight bearing means that you will not be able to walk oir put any weight on the foot until your OS says its okay to begin putting weight back on it. I used a knee walker with this surgery and it really helped me get around better than the crutches did at times.

Most doctors are pretty good in getting the correct pain medicine and while I'm not going to say it never hurt the pain was manageable. The first two weeks were the worst I believe. The best thing to do is make sure you keep it elevated, ice it and stay up on your pain meds.

Good Luck

maggietaz 07-08-2010 11:52 AM

Re: Question about pain after peroneal repair
 
I was able to bear weight after the splint came off and was in the walking boot- that was about two weeks after the surgery. It took about another week to full bear weight. The pain was not that bad, keep up with the medicine and the icing and you will do fine.

rugriok 09-30-2010 04:45 PM

Re: Question about pain after peroneal repair
 
Hi,
I cannot believe that I have gone 6 weeks without finding this site!!!

On Aug 19 I had lateral ligament repair and brevis tendon repair....to-day I went to OS and he told me to start wb.....my foot is killing me. I still have my boot and my walker/crutches and I can only put 10% on it....I thought this part would be better but I have a feeling that my recovery has been jammy up until now.
I have a numb leg on the outside upper thigh and I am getting shocks on my shins. My ankle is very swollen and all kinds of purple shades. I am thinking it is nerves freaking out. But I am not sure.
I can start pt asap but my appointment is next Thursday.
Can anyone shed some light on this....is this just part of the wb?:confused:

Horsebite, if I can shed any light on your repair up to 6 weeks let me know......I am not at all a doctor but I can speak from experience!! :p
I had terrible pain at night and still wake up worse than I went to bed....drugs are great aren't they!!!

ahodus 09-30-2010 05:05 PM

Re: Question about pain after peroneal repair
 
Rugriok,
Glad to hear your 6 weeks of NWB are up. A lot of what your experiencing is the joys of learning to walk again. For the last six week you have not used those muscles and tendons so its going to take them sometime to retrain themselves. As you get into pt it will get better. I remember almost being in tears when I started walking after both my surgeries. Take your time an remember to rest, elevate and ice.

Best of luck in the rest of your recovery!

rugriok 10-01-2010 03:29 AM

Re: Question about pain after peroneal repair
 
Thank you for your reply Adohous!

What did you have done? How long ago? How is your recovery?
The OS is kind of matter of factly when it comes to the operation....You will be in a cast for this long....a brace for this long....etc. Yesterday when I saw him he said "Great no infection, seems tight, start pt, come back in 6 weeks.
This morning the swelling is down a bit...it really did not like all that activity yesterday I suppose. He is 2 hours away from me and that is quite a car ride.
Thank you for your input....It is nice to have someone that has been there.....Elevated and Ice.....my two favourite things!!
Have a footabulous day!!! :D

ahodus 10-01-2010 09:55 AM

Re: Question about pain after peroneal repair
 
In April 09 I had a peroneal tear repaired and microfacture on a OCD at that same time. In May 10 I had the Oats procedure on the OCD. They both left me NWB for 6 weeks plus. I think learning to walk after the OATS was much worse than the peroneal recovery.

Pt will show you some stretches and exercises to help loosen it up and to start building its strength back up. I still after being almost 5 months post op I still need to do the stretching to help out the tendons.

Good luck!

rugriok 10-09-2010 04:09 AM

Re: Question about pain after peroneal repair
 
Hi All,
Well, I started my pt on Thursday. Got my acupuncture ( I love Chi), a little work, circles, alphabet, etc. My ankle is haywire. I woke up in the night with extreme pain. Pill time. Since it is Thanksgiving here, I will not see my pt until Tuesday of next week. That is good with me....LOL. My pain is in my heal.....brutal. Laying down elevated last night, electric shocks like I stuck my ankle into an electrical outlet. Taking pain meds pretty regular once again. UGH!!
When I was at the pt, I tripped over their carpet runner, kind of got stuck in the lip. I did not fall, but I jarred it. I am hoping the air cast kept me safe and what I am experiencing is the start of my recovery. :confused:
Yesterday I had my first day ever that tears were my companion. It is so frustrating to think ( I did) that I could go to pt and be on this ankle in no time.
I have a house full of family coming on Monday and I will be more in the way than help!!! That is so upsetting to me!
Adahous, I keep what you wrote to me in the front of my mind.....it is going to take a while!
I still have that numb thigh and blood rushing.......I guess everything takes time!!
I should also mention that my mri showed sinus tarsi syndrome....my os is under the premis that this operation should or could fix it!!!
Can't wait to get this overall feeling of frustration under control!! :wave:

mejanie 12-08-2010 04:13 AM

Re: Question about pain after peroneal repair
 
[QUOTE=rugriok;4342035]Hi All,
Well, I started my pt on Thursday. Got my acupuncture ( I love Chi), a little work, circles, alphabet, etc. My ankle is haywire. I woke up in the night with extreme pain. Pill time. Since it is Thanksgiving here, I will not see my pt until Tuesday of next week. That is good with me....LOL. My pain is in my heal.....brutal. Laying down elevated last night, electric shocks like I stuck my ankle into an electrical outlet. Taking pain meds pretty regular once again. UGH!!
When I was at the pt, I tripped over their carpet runner, kind of got stuck in the lip. I did not fall, but I jarred it. I am hoping the air cast kept me safe and what I am experiencing is the start of my recovery. :confused:
Yesterday I had my first day ever that tears were my companion. It is so frustrating to think ( I did) that I could go to pt and be on this ankle in no time.
I have a house full of family coming on Monday and I will be more in the way than help!!! That is so upsetting to me!
Adahous, I keep what you wrote to me in the front of my mind.....it is going to take a while!
I still have that numb thigh and blood rushing.......I guess everything takes time!!
I should also mention that my mri showed sinus tarsi syndrome....my os is under the premis that this operation should or could fix it!!!
Can't wait to get this overall feeling of frustration under control!! :wave:[/QUOTE]
Hi,
I'm wondering how you are doing? You mention frustration. I am so frustrated I can hardly bear it. 1 1/2 hears ago, I fell from a very high ladder and shattered my calcaneous (heel bone). Absolutely unbearable. 3 months bed rest and so on. a year later I was still in horrible pain. I had another surgery for a degenerated subtaylor joint which had to be fused. It's been 7 months and still horrible. Another mri showed tendon problems. I had surgery 5 days ago and they found both peroneal tendons with long tears and retinaculum tendon was torn and repaired. I'm in so much pain and wondering when is this going to stop. Will I ever get my life back again? How is your recovery? What do they tell you to expect as fart as how long before you will feel better and walk normal? Thanks for any advise.. Im at my whits end....Jane

ASC1018 12-08-2010 11:22 AM

Re: Question about pain after peroneal repair
 
I just had peroneal tendon repair on November 5. I was in a lot of pain for a little over 2 weeks then it subsided. Before it was over I went through 84 Nucynta, 42 dilaudid, and I am still taking Lyrica because I had a lot of nerve pain. Try taking 800mg of ibuprofen along with your pain meds. The doctor had me do that from the beginning.

Keep it elevated (I still have to elevate it to keep the pain away) and ice it for 20 mins every hour. Put the ice under your knee...it really helps. Trying to put it over the bandages/splint won't help as much as behind the knee.

I did not get a lot of relief until I was out of the bandages and in my cast. That was over 10 days post op...then I really felt I turned a corner.

Everyone told me 1 week and that was not realistic. You had a lot of work done and you have to be patient. I planned on only lying around for a week and spent almost 2.5 weeks in bed instead. Don't push it...you will pay for it later.

Good luck!!!!

mejanie 12-08-2010 10:50 PM

Re: Question about pain after peroneal repair
 
I really appreciate your getting back to me. Even my Dr said the recovery is nothing. From what I am reading and the amount and of repair I had done It looks it will be more like 6 months as opposed to the one month the Dr. told me. Having been supposedly "recovering" for a year and a half already, another 6 month is going to be brutal. The toughest part is the mental part of dealing with pain that never subsides. I have dealt with the deepest of depressions as a result of how mentally challenging it has been. Not to mention gaining 25 pounds. I don't even know who I am anymore.

I am shocked at the amount of pain meds you have gone through. How are you doing now? What happened? I really appreciate you getting back to me. I feel so alone and like my family is like "snap out of it!" They don't understand the amount of pain I am in. Only until I have more surgeries do they believe that something really was wrong. It's been 5 days post op and already demands are being put on me.

I'm going to try the ice behind the knee. Great idea. I'm on percocet and it's not helping much. Elevating it as high has possible has helped a lot. I don't move unless I need to go the the bathroom. I really hope you are doing better. When you say you had nerve damage was that during surgery? That is supposed to be a bear.

Thanks again for getting back to me. You can't know how much I appreciate it..
Sincerely, Jane

jtfuel 01-24-2011 09:11 AM

Re: Question about pain after peroneal repair
 
Thanks all for all the hints...I've got the ice pack behind the knee now and seen an improvement already. Just had the Peroneal Repair done Jan 18th. The Dr. had mentioned scraping some arthritis off the bone also. Follow-up is on Feb 3rd will find out all the details. Main reason was searching was pain after the surgery. It is still quite painful even though I've been keeping it raised with a couple of pillows. I've been laying down most of the time and only getting up with crutches to go to the bathroom. As soon as I get back and raise my ankle, it starts throbbing and I can feel it swelling up as the plaster pieces start digging into my ankle/foot which is EXTREMELY painful. I was getting worried that the pain is lasting this long, but reading your stories I realize a week isn't so bad. I was put on Lyrica and Celebrex (Had spinal tap) only 6 days each. I've had to double up some of the Oxy as the 10mg didn't seem to be doing it. Almost time for a refill. Another weird thing is my big toe is pretty painful all the way down my foot. Anyone else experienced that? Thanks again all for sharing your experiences and helping out.

Now you can have a laugh at my expense...
On the 2nd morning after the surgery I was having a dream....in my dream I was driving around...as always I wasn't paying attention and the car in front me stopped and I was forced to slam on the breaks... Of course at this point (in real life) I was already out of the REM stage and actually "slammed on the breaks" with my bandaged leg. After the pain went away, I was able to have a good chuckle!


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