Double bunion and hammertoe procedure

Posted , 4 users are following.

I had both bunion osteotomy's and a hammer toe correction last week.  I just thought that I would share my thoughts on what can be quite a difficult post op experience to assure anyone that this double process can be managed fairly stress free.  Follow a few simple rules

and avoid some of the pitfalls to ensure a better managed recovery.

Do's

Allow yourself 2 weeks following doctors orders of elevating feet 90% of the time. THIS IS A MUST.

Keep the feet cool, this will prevent additional swelling and itching.  Ice pack over the bandages without wetting them if you can. 

I felt very sure that this was overkill, but it has proved a strong start for the heaing process. 

Wear the "manolo's",  straps included, to protect you when you are hobbling around.  

Do take the pain killers as per instructions.  The body is healing and needs the relief.  You will heal better if the body is not dealing with additional pain because you dont like taking so many pills.  Allow yourself at least 7 days of pain relief and longer if necessary.  Phone your GP for a repeat prescription which can be done over the phone.  My GP sugggested some senna or other laxative help as the codeine can cause constipation.

Pre surgery, arrange for bathroom aids.  Get yourself a chair for the shower so you can retain some independence, be safe and get a rubber mat to ensure you wont slip and buy waterproof post surgery boots.  They cost new approxt £8 a piece but you can easily resell once healed.

Think about getting a zimmer frame for easier mobility whilst you are coping with the practicalities of getting to the bathroom.  Ask at your hospital - there are distributions all around the country and I've found this a godsend -as opposed to crutches- especially when using the toilet to help you lower and rise and by using the cistern behind as support. Use both zimmer and crutches as you heal.

Buy or borrow a V pillow for support in bed or on the sofa - they really help your back when mobility is limited.

Use extra pillows for your feet in bed and on the sofa.  I sleep on my side and have found this impossible without an extra pillow between my knees to ease the pressure.

Eat lightly,  porridge, soup, toast, for the first week.  A packet of arrowroot biscuits (to take the ibuprofen) has been perfect for me.  Its as much as you need but try to drink as much as you can, being realistic about what goes in must come out but the fluid will remove toxins from the body to help recovery,

Plan your feet up time. Keep baby wipes, tissues,  a book, mints or gum, some baby lotion all close by in a bag with your medication to hand. 

Use one of those bean bag trays for easy balancing so you can eat, rest  your book or IPAD or even to help chop the veg for tea!!

Wiggle your toes and move the feet around gently.  If you do this then when you are up on them they are less painful and you feel more in control of the activity.

Expect small pockets of pain. The feet are incredibly sensitive,  rich in nerve endings and blood supply - realistically compare the pain to pre op discomfort.  I used to cry with pain but post surgery although it hurts I  

cant deny,  I dont feel like crying.

Days are up and down - keep in mind the end result which for me is less/no pain, increased activity and getting back to doing some of the things that have been impossible, better shoe shopping and straighter feet

It is  a long process but promise to be kind to yourself everyday.

 

 

 

3 likes, 10 replies

10 Replies

  • Posted

    Hi nice to hear about someone else who is going through the same process. I had bunion and hammer toe surgery 4 days ago and it is certainly a different way of life sitting down all day with feet propped up on pillows. You are very brave having both feet done at the same time. Fortunately, I only have one problem foot. I am following all of the instructions I have been given. Do you have a heel weight bearing shoe to get around?
    • Posted

      Unfortunately I have 2 shoes which beome quite burdomsome and so I thought I knew best and was putting them on without fastening the velcro strap.  This is  a 'no go' as it doesnt support the foot sufficiently a bit like the flip flop syndrome of gripping with the toes.  This has caused more pressure so I am following the rules and putting both on to move.  Are you in much pain at the moment? 
    • Posted

      I am not in too much pain. The worst pain was on the second day and I was taking the maximum doses of pain killers then. I thought I would be requesting stronger pain killers the next day. The third day the pain level dropped and I have only taken the occasional paracetamol today. Managed to wash my hair this morning with help from my husband. Felt a lot better as I usually have a shower and wash it every day.
    • Posted

      Yes the showering is a milestone - like yourself I left it the 4 days but managing every other day at the moment.  Dry shampoo is a saviour and a strip wash is a substitute as like you I have to get my husband to supervise the whole thing and put stuff in the places I need....so we work with what we have   I have had to take 2 codeine this evening as sharp pain has started so I was a bit disappointed  and felt I'd gone backwards. I've had no pain relief since Saturday so felt I'd conquered that threshold but its only day 8 for me and clearly my feet are doing their thing.  Will see what tomorrow brings. 
  • Posted

    Hi Tracey, thanks for your story, at the moment Im doing lots of research and considering doing both feet and one hammertoe all in one go. May I ask why you did two together?, for me its work and money. Im hoping my surgeon will do a double op, but Im just considering all the options. Im worried at the horror storieS im reading buT theres also lots of good avice too. I have capsulitis of the second toe, and just want to be back to normal. Thanks for listening
    • Posted

      Hi Rae

      I must admit that it was a challenge to convince the surgeon as in truth the one foot could have been left for some more time although at the time of consultation the right foot had started to increase in pain.   The reasons of both work and money are key considerations (I'm self employed... no work money) but there is a well being issue for me also in that I have had a triple pelvic osteotomy some years ago that restricts me somewhat. Add onto this bio mechanical workaround for the hip, 3 foot problems (2 bunions and a hammer toe) there is a compelling argument to do both feet together!!

      Also I have already undergone a real long term rehabilitation experience with the hip so I did know what I was getting into. Its certainly not to be decided lightly however I know that the double option is becoming more usual according to the occupational health worker I had at Droitwich. The caveat around this will be your general fitness and health currently.  I am 50 with a hip challenge already but pretty fit and most importantly I have a can do attitude.  Also if your experience of one foot is not great, the inclination to do it all over again is low. My advice would be to do your research, ask all the questions you need answers to and be really honest with your partner / family as to what it will mean.  No real mobility.... no housework..... meals.... shopping - no can do..... but you can still cuddle and love whilst permanantly on your bum!!

      Take head of medical advice, prepare and plan your feet up time and set your goals accordingly and get it out of the way.  It hasn't been a beeze , these last few days,  post op days 10/11 have been frustrating but the dressings are off on Monday...cant wait ...and that will keep me going.  Then the next 4 weeks will be around building stamina and shopping on the internet for shoes I'd love to wear but probably wouldn't chance it.  The REAL buzz will be knowing its likely to be over for me and I can get on with my life. Hope this helps you Rae - let me know if you need any other questions answered.

    • Posted

      Wow, thanks Tracey, you've said everything I'm thinking, everything I'm doing to try and get my feet back to normal. I'm 44 extremely active, running biking swimming. I know the recovery won't be a breeze, however I have the best husband you could wish for. We've already put a few thoughts together, eg easy access of a box with bits and bobs in, him leaving for work with a prepared lunch and a flask for moi! Lol I have a downstairs loo but would be better off upstairs with everything around me, only problem would be the shower, I don't have a bath, but we've looked at a shower chair and the waterproof bags on my legs and hubby will do the washing lol,  He's so good anyway I know 100% I will be looked. after. Its just me making the decision. I'm in the midlands too. The pain I have in my left foot can't carry on so that's a no brainer, I'm trying to kill two birds with one stone. Hopefully I can convince my doctor, he's knows my fitness so fingers crossed. This hasn't been an easy decision, something I've thought about for years, but now I know one is being done just seems logical x all your tips were greatly useful and I'd love to stay in touch, How bad were your feet prior? Oh happy shoe shopping! No wait till you can get in the shoos hopefully this summer, oh my imagine! Heaven x thanks so much x
    • Posted

      You sound like you have the main ingredients.  Husband being supportive is a must .  I felt sure mine was the best in the world ...we can agree to differ ...haha but all the practicalities are around how do we survive with the least paths of resistance? I bought a chair for the shower £10, a rubber mat £4 and 2 shower boots £20.  The showering works brilliantly with these aids.  I have got plenty of supplies in, enough to last about a month excluding the fresh.  Bed changes prepared and my sitting around cloths all sorted. I got really ready!

      I feel like I was born with bunions ...I never recall my feet without them and my mum, dad and gran all suffered.  I had no chance.  I've had pain in varying degrees for 7 years but last May I was in so much pain I could barely walk one weekend and then decided enough was enough.  I'd already forfeited skiing holidays becasue I couldnt, contemplate the boots, hikes and the outdoors, tennis because I couldn't stand on my tips and just misery around how I would manage if my feet started playing up.  You will recognise some of this...its debilitating because you cant do the things you like so you try something else and over time that too becomes difficult with deformed feet.   3 stone of extra weight (18lb lost sice the pre assessment..yay!!!!) Porridge for breakfast -gods food- and good wholesome food for tea with some fruit in the day to keep the calories down whilst sitting about. 

      I've been in canvas pumps and proper ugly shoes for 9 months so the thought of wearing a dress with some pretty shoes makes me want to burst. I got myself in a place that nothing was going to get in the way.  

      Every ones experience is different but I got to speak personally to a couple of people who had been operated on by my surgeon and so I felt convinced I was in good careful hands .  

      Phew sorry about the essay.  Delighted to help and keep in touch.

    • Posted

      That's it I've decided lol, I'm calling on Monday as my surgeon is already booked for May as of now! So I'll be looking at June maybe? I just need to get the ball rolling and I'll get my head in gear, my big problem will be no sports! But I can always get back to it if everything is smooth 😜 you've been so helpful and talked sense, straight to the point and that's what I like, so much pain today in foot has made my decision easier, I will get through it regardless, no chice now and ready to moving forward with nice feet and NO PAIN! Well done on you weight loss, brilliant, switch some fruit for chunks of celery, peppers and carrots, avocado even raw cauliflower, I love smoothies for brekkie too, half a banana blueberries half Apple naturel yogurt chia seeds blended in the bullet YUM, hope you don't mind me suggesting, I've battled weight issues for years, I'll be on a mission to loose a few pounds incase they creep on whilst recovering lol 🏃🚴🏊
    • Posted

      Brilliant - yes I'm getting bored of the apples and sometimes am tempted to have a biscuit and I forgot about the celery carrots and peppers to snack. I'm on the smoothie case with a shopping list for my husband.  The pain is the thing.  Think about the time of year ....this is a good time now  because we all tend to hibernate.  If its june you can recuperate in the garden , watch all of wimbledon and make the most of the pools pre summer holidays as you can swim in the boots in you want  You will be back on your bike by the 1st August with a great tan

      Theres a plan!!

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.