Bunion surgery - much more painful than I ever imagined

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Had Scarf osteotomy to remove bunion on right foot on Friday 2 March. Foot numb for almost 24 hours so not much pain until Saturday morning - then sheer agony! Ibuprofen & codeine alternated with paracetamol & codeine the most effective painkillers but you can only take so many in a day. Have stayed in bed as walking (on heel) has been almost impossible and stairs too terrifying; bathroom visits have been a source of dread as when I stand there is a surge of blood to the foot and it feels as though it might explode. Then for the next 10 minutes or so after returning to bed the pain and throbbing are intense. However, this is now easing a bit so hoping to be gradually more mobile. Any advice anybody?

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  • Posted

    Hey folks you've all gone quiet on this forum. Is everyone doing ok? I seemed to get into another one but they're later surgery than most of you bunion bloggers on here. I'm 8 weeks 4 days on now.. Managed quite a lot of walking on our mini break tho the trainers do rub my scar sites after a while, I wore the new sandals today and that was better less friction!  I had a swim last night and ouch I forgot and pushed off from the side with one of my feet. It seems the bending/flexing is what still causes pain, apart from friction on the scars.

    I'm seeing my old podiatrist tomorrow since she knows my feet well so I value her opinion.  Physio Wednesday.  Those of you who have had nhs physio, how many sessions did you get given? Was it helpful? 

    I hope you are all busy getting on with life which is why no one has blogged in a while, that's good news if it's so :-) 👣👣VJ

  • Posted

    Hi All

    I'm still here but trying to get back to normal (whatever that is!). I'm back to work and drove myself here today for the first time without too much trouble (about 18 miles including some heavy traffic). At 8 weeks and 6 days I'm still finding that my feet get tired and ache if I do too much and that my left foot (which had most work) is swelling up much more than the right. The pains over the tops of my feet have almost gone now which is progress. I can get into some of my shoes but I'm mostly wearing a pair of Clarks black trainers which support my feet well although they get very hot in them. Or I don't wear shoes at all which gets me funny looks at work! I am eying up lots of nice sandals but I'm still scared of people standing on my toes so the sandals are staying unbought at present!!

    It's nice to hear from others who are a bit ahead of us- what can we expect next??

    • Posted

      Hi Eileen it good to hear from you and VJ as I am a couple of weeks behind you both and am waiting to notice  a significant difference  in my mobility , my right foot is progressing more quickly than my left although I still have a level of numbness along both feet  and aching in the toes and on the top of the foot, I hope to be able to drive by week 9 again but I guess we are all different , I hope work is going well too

      s

    • Posted

      Hi Suzy- The driving happened one day when I felt really up for it- I just got in the car and went to the supermarket. It'll happen to you one day too! Still got all sorts of funny aches BUT we have to remember that it was major surgery so it's bound to be sore..................or that's what I keep telling myself. Work is just normal- no change there! Take care and keep going as the walking does get easier with practice.
    • Posted

      Hi Eileen and Suzy

      i saw my old podiatrist today who supported me in my quest to improve my feet, and she knows them well. She said the surgery appears to have gone well, and it will be a longish time til the swelling completely goes just due to gravity as we spend so much time on our feet! 

      She advised me to still try and keep my feet up when I can, even though I'm much more mobile, as it will help the recovery and inflammation.  She advised that I'm past the frozen peas stage now but it would be a good idea in the shower to give my feet the alternating hot and cold treatment.

      as far as the inclining toes, she says the look will improve some more when the swelling subsides more, but there is a limit to how much bone can be removed without affecting stability and balance, and as I've said on here a few times, my feet have been bad since about age 8/9 so I can't expect 100% straight big toes.  

      Suzy you will know when you think you can drive, I drove up and down the quiet approach road here doing several emergency stops to test my feet before I drove, and then I just did short trips till this weekend. My car is automatic so it only involves one foot, luckily for me :-)

      eileen glad you are managing at work my preference is still shoes less where that is possible and am afraid of others hurting me like you are.  It's hard enough if I accidentally hurt myself! You are rightist WAS major surgery my husband and podiatrist both say I was brave, but for me it's not bravery, more necessity and a desire for proper fitting shoes for the last years of my life.

      i do still have numbness, mainly along the scars, and sometimes when I walk the toes randomly hurt. I know I don't walk properly again yet.  Eileen you're wise not to buy sandals yet as the swelling will likely change your foot size.  The clarks ones I bought have Velcro across the toes so I can loosen for now and hopefully tighten eventually :-). Last thing, if it affects you, I used to wear orthotics, and my podiatrist suggested giving them a break til the year end, then getting new ones made as my feet's makeup is likely to change now.

      best to you both and anyone else reading. I think some people have defected to Facebook too!  👣👣👠

       

    • Posted

      Ooh - the toes do randomly hurt don't they. All very strange but hey that's life and our bodies. I tend to just take each day as it is and if it's a sore day I just tone down what I do - hard for me as I always crammed lots in to a day!! Some days the feet are more swollen than others and I do still resort to ice if only because my feet seem to get so hot at the moment. My final tip is to spend ten minutes at the beginning of the day giving your feet a massage- it seems to make my toes more mobile and I tend to have a happier day as a result!
  • Posted

    Hello i am new to the forum im so pleased to find this thread has i have had little information or anyone to ask anyway i had a scarf +mtp joint osteotomy on my right foot on the the first week in may. I am now day 8 post op i have been really lucky i have hardly had to take any pain relief i had the usual swelling to the foot on the first couple of days can i ask i came straight home and upstairs i have been in bed since then as i was told to elevate my foot first few days it has been easier to stay up here as my husband had to go back to work so been pretty much on my own .Should i be wearing my sandal everytime i get up ?the hospital showed me how to walk on it gave me crutches and off i went i dont feel as if i have had enough info on what to do .Also did anyone have trouble with the bandage coming off ?im in danger of losing mine and im not having my first appointment til another week ive just tried cellotaping it lol not really working i know i have asked a lot questions im just so pleased to find people who have been in the same boat look forward to hearing from you .
    • Posted

      Hi Judy, welcome to the club!

      I'm now 8 weeks post op. I was told to keep the foot elevated (hip height ) for 55 minutes per hour in the first week then 50 minutes per hot the second week. So you're really only getting up for the loo! You should always wear the shoe/sandal everytime you get up to protect it and to keep you walking on your heel. As to your bandage, could you get your husband to take you to your local GP surgery where a nurse could sort it out? There's a lot of padding in the dressing which needs to be on properly. You must keep the dressing dry so you also need a Limbo plastic cover for in the shower.

      I'm going to see my foot surgeon tomorrow where I'll find out what I should be doing at my stage of recovery.

      Take it easy, it's a long road to recovery!

    • Posted

      Hi Judy...welcome!  Ditto what Kim says. (I am 7 weeks post op). So glad you are reasonably comfortable.  You will find tons of information on here. Also to let you know there is a very active thread called "Hello there" where a number of us have posted daily for quite a while.  Also, there is a wonder FB group called "I Survived a Bunionectomy!" which you may be interested in joining...all very active.  Between these two forums you will have tons of company!  Stay the course @ biggrin

       

    • Posted

      p.s.I  mean't  'hour' not 'hot' in my earlier post!
  • Posted

    Are you icing your foot? I find that helps with the swelling, which is all I'm experiencing. I had bunionectomy, hammertoe straightened and bunionette removed. I highly recommend staying flat and elevating foot above heart. Did you call the doctor regarding the blood surge. That just doesn't right. Good luck!!!
  • Posted

    Hi hope im posting in the right place here thankyou all for the lovely welcome i am glad i did the right thing and stayed in bed this long then i got up today put my sandal on  and managed to get downstairs and go outside for a few minutes i didnt over it   went back upstairs to elevate it again really surprised it didnt swell up too much it was all going so well but disaster struck i decided to hop just round the corner to the toilet with my crutches lost my balance and landed not once but twice on my foot trying to stop myself falling right over it hurt a little i got right back in bed and elevated it quite high up the pain soon subsided been fine since ive been icing i just hope i havent done any damage i could kick myself right now for being so silly !.My first appointment with the consultant isnt til next weds so bit of a wait to find out as to the bandage my husband took it off and then redid it being careful to leave all the original gauze and blue roll where it was its now done up with sellotape needs must lol i will look into phoning my gp tomorrow to see if i could maybe get a nurse out to redo it as i cant leave the house yet.Bet youre thinking we have a right one here and you have im such a klutz i know im not the only one whos tripped some have fell right over be in touch soon .
  • Posted

    Wow, this discussion has been a godsend! THANK YOU, everyone, for contributing here. I'm wishing y'all a warm hello from Texas.

    Today was my 7th day, including the day of surgery (last Wednesday, today is Tuesday). As nearly everyone said, the first three days were SO painful. Then I tapered pain meds over the weekend - which kept the level the same, really, as the pain seemed to go down bit by bit. As of yesterday, I took only 3/4 of 1 pain pill - hydrocodone + acetaminophen - yes, vicodin - (as compared to the first couple of days when I was taking the max -- 6 pills a day. Every 4 hours because at hour 3 of every cycle, I felt like I couldn't take it). I felt like maybe I was turning the magical corner I kept hearing the doc talk about.

    This morning I went in for my 1st post op visit. Next to me in the waiting room was a woman who I recognized from the surgery center. She was being wheeled out to the car as I was being taken into surgery. She was in the waiting room, walking freely and at a normal pace in her air cast boot. My jaw dropped. "No crutches??" I asked. "No," she replied, "although I did go back to using them last night since I probably overdid it by being out all day." Though she was friendly, polite, cheerful, and about 20 years my senior, I immediately hated her. :-)

    She then told me this foot was healing more slowly than her other foot, which was done 5 weeks prior to this one. (Hate - okay, jealousy - growing...) She left to see the doctor. I told my husband when he gave me a sad look that perhaps her surgery was less drastic. 

    My turn came up, and I hobbled in on my crutches. He removed the surgical dressing, took out the stitches (OUCH! wasn't expecting that to hurt! I've had stitches removed before and never felt a thing), and then started to rub off pieces of gauze that were stuck to my forefoot and ankle areas. Cue the shooting pains across the front of my big toe and along the underside of my small toes. As I cringed in pain, he remarked that perhaps the dressings were a bit tight for me and aggravated a nerve. Great. 

    He told me I am a bit behind his normal recovery schedule but not to worry. He taped strips over the incision, and I strapped the boot back on. Then he noticed as we walked to the x-ray room that I put no part of my boot on the ground. I told him I couldn't because of the pain. At this point (about 2 minutes with my leg vertical), my foot felt like it would EXPLODE, much worse than I had felt before to this point. The swelling of blood to the foot was so intense. We went to the machine, and as I stood on it, I started to feel very woozy. I have never fainted in my life, but I think I was pretty close. We rushed through the x-rays, buzz, buzz, he said they look exactly right, and he rushed to get me a rolling chair when I told him I was really getting dizzy. Even straightening the foot by pulling up the forefoot was SO painful across the top of my foot, I can still feel the prickles of pain just thinking about it now. (Oh, by the way, the previous patient's before and after x-rays were on the screen when we entered the room, and her bunions looked more severe than mine. Jealousy really gelling...)

    He rolled me gently over to the exam room and said we need to have a talk. He demonstrated the toe up and down stretches and told me I need to be pretty aggressive in this next week with my recovery. He said, "In 2-3 days time, you need to be able to put your full weight down on the boot." My mouth was slack-jawed. "By next week, you need to be able to walk without crutches." Mouth still slack-jawed. He told me that every time I use my crutches, I need to consciously place my heel down on every step to desensitize it. I can see that. He recommended cold water baths, ice, elevation, rubbing the whole foot...and as he demonstrated the rubbing, I almost started crying right there. I no longer think I have a decent pain threshold.

    Hearing all of your stories made me feel like I was not an anomaly, a freakishly slow bunion surgery patient. When I came home, my foot exploding and turning strange shades of purple every time the leg went vertical for more than 10 seconds, I went straight to the couch, elevated it, iced it, rested, then started to cry. And then I found you. This past week, I found myself thinking constantly how I didn't know how I could have survived this past week without my husband, who has patiently and tirelessly attended my every need. And now I don't know how I could have survived today's disappointment without finding your forum.

    I have attempted the toe movement stretches 3 times today. I tried rubbing the foot, doing the ankle rotations and foot and toe flex / stretch movements...and now I feel pretty defeated again thinking about how hard and painful it all was. I am back on pain pills but only taking 1/4 pill every few hours - which is about 1/4 to 1/2 the max dose.

    I guess I am writing for a few reasons:

    1. This forum helped me know I am not alone, and I want anyone else going through what I am going through to know s/he is not alone.

    2. I am hoping to hear - though you have pretty much already affirmed it with the previous posts - that I am not alone.

    3. I also hope to hear someone who had a very similar experience did end up turning a miraculous corner so I don't feel so hopeless.

    Oh, one more thing. The doctor and the receptionist were talking (and I overheard) that the other woman, after her first surgery, called to ask 3 days afterward if she could play tennis. Jealousy? No, hate is possibly what I was feeling after all. wink

     

    • Posted

      Hi there Betty May, welcome and you are definitely not freakishly slow! I'm amazed at how quickly your surgeon is expecting you to recover - what procedure did you have? And do you know what procedure the other woman who wanted to play tennis 3 days op had? I've heard there are some new procedures that get you up and going sooner so am wondering if you were one of the lucky ones. I was weight bearing on my heel in one of those velcro boots immediately post op but still using crutches for 7 weeks, and even now at 9 weeks I still use one crutch when going out or have been on my foot too long and it gets sore. I've also only just started PT and toe stretches and it is very sore and stiff, so probably a good thing to start early as your doctor has suggested - he sounds like a good one as he has given you far more post op recovery advice than some of us had received from our drs. You're definitely not alone - if you're on Facebook join the group "I survived a bunionectomy" as that is great for asking questions and hearing about how others are getting along. Hang in there, it does get better, albeit slowly!
    • Posted

      Hi Betty, I was laughing out loud reading your post,  I could imagine fully how you felt about that 'superwoman'.

      I'm 10 weeks post scarf osteotomy left foot. The stitches came out at 2 weeks (very painful, hot room, nearly fainted) Stopped using crutches at about 3 weeks, and was told the bones take 6-8 weeks to mend. I'm still limping as my foot hurts to bend it and the surgeon may have to inject the joint if I don't force the movement enough by June 12th.

      I do see an improvement daily, but it's a slow gradual process. Try and get plenty of rest with your foot up, it really helps at first- the hard work can be done a little later when it's settled down a bit.

    • Posted

      Hi Betty. I'm 13 weeks today and I do t read the forums so much now but yes they were a godsend to me specially following those whose op was similar date to mine. I did find I turned corners along the way where I would have a sudden improvement but everything you de scribe sounds totally normal. Tennis lady doesn't sound in the least bit normal!! 

      We are all different and so is the recovery rate. I can be in my feet all day but I still get swelling. I can fit my trainers ok now (sneakers to you!) and my walking boots are my most comfy footwear! I still have scar pain and every day I rub in some arnica salve. Some people use bio oil but it seems to aggravate my skin. Just cherish those new feet and get better in your own time. Still rest and elevate and ice as much as you can. They're the keys. 

      I had both feet done at once my choice at surgeons suggestion as I wanted to enjoy at least part if the summer and be mobile-ish for it. I don't anticipate buying new proper shoes yet. I did buy one pair of Clarks sandles which are quite pretty and the top is adjustable with Velcro so perfect for recovering feet. I still have quite a lot of pain. Under the feet generally which sometimes gets me when walking down stairs or if I tread on something by accident. 

      I'm pleased on the whole. I have wide feet anyway but in hoping I will now fit more shoes which will be great. You just take care and get better in your own time. A little bit of physio is fine but just don't overdo it - with anything. Moderation !  Best of luck. VJ 👣👣

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