Hammertoe Surgery - my experience and some helpful tips

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Hello

I had Hammertoe surgery 4 weeks ago on both feet, 6 toes in total and I thought I would share my experience as I had so many questions and needed more information and "googled" obsessively to find out more - so here is my experience.

Surgery Day

I arrived at the hospital and was quickly shown to my bed then found out to my complete surprise that the operation was to be undertaken using an Epidural - I had been under the impression it would general anesthetic but no.... 

So the Epidural was uncomfortable but not painful and I was given something which completely chilled me out - I mean in a big way!

I had the surgery was awake the whole time, could hear what was going on but I was that relaxed it didn't matter.

Once the hospital were happy I had normal feeling they said I could go home - another suprise given I had been under the impression that I would be in over night....... it took about 8 hours for the feeling to return.

Now the walking on the feet hurt, seriously not good but the physio was sure that I wouldn't need any walking aids - however I would strongly suggest you get a walking stick or better still crutches for use when you get home.

Days 2-5 - I literally lied in bed all the time only moved to go to the toilet and never came downstairs.

Day 6 - I felt comfortable enough to spend some time in the lounge with the family

Day 7 Onwards - I was pottering around however please be mindful that if you over do it your feet will hurt and elevation is the only cure along with a few paracetmols and Ibruprofen.

Then I improved - we loaned a wheelchair from British Red Cross for a small donation (I gave them £20 for the month)..... I could at least go for a spin around the estate and managed to go out to the pub for lunch occasionally.

I have a seat in my shower so that I can independantly take a shower - I just cover my feet in carrier bags and make sure they are sticking out away from the water.

Cover up your toes if it is winter - something like the ends from a pair of welly socks keeps them warm and also stops people looking at your pins :-) My friend made me some little toe hats which look like babies hats for the ends of my feet and my velcro shoes held them in place.

Week 2 - stiches removed, now this did not hurt but for two days following my toes were sore.... extra laying down required.

After 3 weeks - with the aid of my crutches I managed to take my little girl to school.

Week 4 - Pins removal..... Absolutely does not hurt - it is a wierd kinda sliding feeling all in all less than 10 minutes to undress my feet then remove the pins and clean my toes.... I was nervous but it was really a doddle.... Today is the day after the pins came out and I am a little tender and my feet are freezing so they are now wrapped in some big fluffy socks.

Epsom Salts ordered ready for Thursday so I can have a long soak in the bath (48 hours post pin removal)

Friday I aim to try driving shoes permitting and also going for a little swim!

My feet are too swolen for normal shoes at the moment so I have tried walking bare foot and I can although it feels odd after walking on my heels for 4 weeks.

I have invested in a pair of new balance trainers which are half a size too big ready for some serious walking.

Top tips;

Manage your pain - don't let it get on top of you in the early days

Cover your toes with little "hats" they will get cold if the weather is cold

Have some walking aids at home - they will help in the early days

Consider hiring a wheelchair if you want to go out - 4 weeks in the house is a long time.......

Wear the shoes the hospital gives you - they will aid recovery and ensure you don't damage any healing...

Prepare for a long drawn out wait..... consider working from home if you can (I had one day off for this entire process)

Feet up as much as  you can

Comfy clothing is a must!

In conclusion - it was sooooo worth it my feet look fabulous albiet swollen at the moment and I am looking forward to walking in shoes pain free! :-)

 

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  • Posted

    Hi Maria. Great to read your very interesting blog however it's thrown up a couple of queries which I'm a bit worried about. I had a bunion correction and two hammer toes (pins in) approx 4 weeks ago. Question 1 I thought when they took the dressing off I could have a bath and have been bathing/ showering regularly with nothing over pins for the last two weeks! I read that possibly I should have kept them covered, is this correct! Question 2 I don't get paid when I'm off sick so I had to go back to work three weeks after surgery waiting for you. I had to walk 20 minutes to the bus stop and 20 minutes once off at the other end twice a day (office job so sitting for 4 hours each day). I do prop up my leg when I get home and I don't feel it looks too Kerry and I'm not really suffering much pain but reading through other peoples experiences a lot of people seem to have been off work for six weeks so I'm wondering if I'm going to have any lasting problems by going back to work (although paying my mortgage was a priority!) lastly my pins come out in 2 weeks and like others I'm worried out the pain (even more now that I've soaked foot regularly eeek! Any comments hratefullly received. Thank you ??

    • Posted

      Hi Meg

      My feet were dressed until the pins came out so they didn't get wet and then I think I had to wait a little while before submersing them in water 24 hours comes to mind but not 100%.

      With regards to walking so long as you had your protective shoe and elevated as much as you could you should be fine.

      I went back to work the day after my op.... but I work from home

      Try not to worry too much about the pins it really was a relief for me.

      Top tip.... take your pain meds 30 mins before your pin removal appointment :-)

  • Posted

    Thanks Maria. All makes me feel better and good idea taking pain relief before I go to get pins out Sorry some of the email didn't make sense, predictive texting!

    Meg

    • Posted

      Good Luck Meg :-) let us know how you get on.

      I am truly shocked how many people have seen this thread and I'm so pleased I shared my little story.

      2 years on and my feet are brilliant. I was in pain with every step beforey Op now I am pain free x

    • Posted

      As a regular walker/ swimmer / cyclist I'm frustrated at not being able to get any exercise for weeks... coupled with how needy you become on partner and friends to help out, which as an independent person isn't easy, but will certainly be far more sympathetic when out and about to anyone wearing this damn big shoe!!

    • Posted

      Started own discussion... more exciting details there!!! 😀

    • Posted

      Hi Meg, I felt the same as you. I've got through - so far by telling myself that , hopefully I'm  out of action for a relatively short proportion of the rest of my life. I am recently retired and love walking. Once my toes are 'fixed' and I can wear my walking boots in comfort my aim is to walk as many of the UK's long distance paths as I can. Am spending my enforced rest researching the walks. Keep smiling. Love Sally

    • Posted

      Hi Marie

      I don't know whether you'll pick this message up as the thread is quite old now. I'm due to have my 4th and 5th toe straightened on the right foot (will have to have it on the left too) and I was wondering about heels.

      Bit of a odd question but I've read quite a few threads about people never being able to wear heels again (anything over 1 inch!).

      How have you found footwear 2 years after the op? What sort of shoes can you wear?

      Thanks so much in advance if you reply. 

      Kate 

    • Posted

      Hi kate

      I had my surgery in january this year (4th and 5th toes of left foot)

      I too was very worried i would not be able to wear my high heels again. I have a lot of very beautiful shoes!

      I am now able to wear a high wedge (about 3.5 inches) for a short while - about half an hour)

      The scar tissue is still quite painful against the shoe. I was advised by a physio to stand on my tiptoes to strengthen my foot if i wanted to wear my shoes again.

      Im slowly getting there! Swelling has finally started to go down after 9 months

      Hope this helps

      Suzi x

    • Posted

      Hi Suzi

      Thanks so much for your reply, I really appreciate it.

      This is something for me to consider - I'm really worried.

      Also what about exercise? How long has it taken to get back to your normal routine? 

      I was thinking maybe I could swim once I'm healed if I cannot revert back to my normal activities. My consultant has been pretty poor at explaining things. 

      Also how do your toes look now they are straightened?

      Thanks so much in advance. 

      Kate x

    • Posted

      Hi kate

      I am really pleased i had them done now, but it's been a very long process. If I'm honest, ive only just started to get back to normal

      I went to doctors with pain a couple of months ago, and got referred for physio. The physio said to do as much exercise as possible. I wish i knew this a bit sooner after my operation. But i don't think the pain woukd have allowed me to do much more. So about 9 months if im honest!! 😔

      I have found a magnesium salt bath invaluable for pain and swelling

      I can send before and after pics if you like? X

    • Posted

      Hi I had my 4th & 5th toes broke and straightened on both feet in March. I honestly wish I never had them done. They didn't inform me that they were going to fuse the bones together so I'd never be able to bend, wiggle or stand on my tip toes again. It wasn't until I had the pins removed and asked how long it would be before I could do the above things that they informed me of this. If they would of informed me of this before my operation then I would of not had the operation done. I'm in more pain now than what I was before having the surgery. I still find certain shoes like my boots still rub the top of my toes but I think that's because the 4th toe on my left foot hasn't straightened probably, also within a couple of days of having my pins removed my 5th toe on the left foot has started to bend back under like it was before the surgery, I think this might of been down to how the nurse removed the pin on that toe, she held every toe in position to remove the pins except that one which she was pulling and ragging about, I was in agony and the pin would not come out until she held the toe still. 7 months on and my toes still look swollen, I still have pain constantly in them and they always feel bruised even though you can't see any bruising. The fact that I can't bend, wiggle or stand on my tip toes again doesnt help the pain ether. I also suffer with hip and knee pain which since having the operation has but more strain on these joints. I can no longer sit on the floor as I can't get back up without the help of atleast 2 people as I can't push down on my toes like I could do before.

      I'm not trying to put anyone off having the surgery as I read this post before I had mine and it gave me alot of confidence to have it done. But I was just informed by my surgeon that they would break and straighten them and leave the pins in for 6 weeks then remove them. Xx

    • Posted

      Oh dear emma

      How awful for you

      I think i have been lucky with my surgery. It does make you wonder if it's worth it

      I didn't have any advice from my surgeon so it's hard to know how to look after it xx

    • Posted

      Hi Kate,

      I was back in all heels (3-4 inches) after about 3 months. It certainly feels like you might never get back in at the one month mark-- but you will!! 

    • Posted

      Hi Suzi

      Yes it would be greatly appreciated if you could send me some before and after pictures. 

      I'm really struggling to decide if I should go ahead with the op. 

      Thanks so much in advance! 

      Kate xxx

    • Posted

      Thanks for replying Paige - did you have both feet done at once. 

      Do your toes looks 'better' than before the op? 

    • Posted

      Blimey! That sounds like an awful ordeal. 

      Hope your recovery gets better for you. 

      Thank you for your honest opinion. 

      Kate X

    • Posted

      Hi kate

      I can't find how to send pics on here . Shall i give you my email? Can't find how to send a private message either! X

    • Posted

      It's been horrible. I think they should atleast explain exactly what they're going to do and not just surprise you after it's been done.

    • Posted

      Yes i agree!

      It's major surgery with a very long recovery. I think people think "it's only a couple of toes - no big deal" (including me before i had it done)

      I wish i had been told more x

    • Posted

      No worries Kate, I don't want to put you off having it done. I think it's wise to ask them what they will do like all the details. I don't think it's very fair what they did to me without explaining what they was exactly going to do. It's a big decision especially when it's going to effect your life. Good luck to you. I hope everything goes well. Xx

    • Posted

      I had the second toe of my left foot done in mid June. Just that toe. It is looking amazing -- its flat for the first time ever -- and it is functioning like a true toe versus just kind of hanging there bent barely touching the ground when I walked. It is still slightly swollen, and probably will be for up to a year, but as I said, I was able to get back into heels at about 3 months and it feels very normal...I was also able to get back to moderate exercise (walking) about 4 days after I had the pin out (2 weeks and 5 days after surgery)...back on my stationary bike after 3 weeks. Gingerly, at first, but by 6 weeks I was going full tilt in many exercises. Longest recovery is in being able to bend the toes and stand on tip toe, so doing things like push ups, lunges, etc, is difficult for a while, but this got markedly better for me at about the 3 month mark. I'm at 4 months now. 

      I'm having the second toe done on the right foot in early December with no hesitation...

      If you see my earlier post on this thread, I really think the key to my fast recovery was keeping elevated and iced the first 2 weeks...I literally kept it elevated for 20 hours a day at least the first 2 weeks, and was very diligent about icing. My pin came out at exactly 2 weeks post surgery, when I thought it would be more like 4...

       

    • Posted

      Yes I completely agree. My consultant has been very vague and I feel I can't make an informed decision on the information he has given me. 

      I'm 24 and have just started post graduate study as well as working full time so I'm worried about the logistics of having this operation in the event my recovery doesn't go to plan. 

      I really thought it was a 'it's only two toes' job and I'd be back to normal at 3 months. Xx

    • Posted

      Hi Paige 

      Thank you for your words of encouragement and tips on recovery. It seems your surgery has been a huge success! 

      Kate xx

    • Posted

      Hi Kate and everyone. Good morning from USA. Found this post in January and it was my lifesaver as I went through the surgery. Had all toes on right foot done March 9th. In the boot with all pins exposed sticking out for six weeks. Covered only by thin cloth. Kept leg/foot elevated pretty much 24/7 cept when walked around house. Iced frequently. Obviously couldn't drive and limited going out only to places where I figured no one would bump into me. Lived in my Birkenstock and other sandals with Velcro closings as foot so swollen. 

      However by end of August I walked all over Amsterdam for a week vacation. Early August wore my regular 2" heels to a wedding and even danced. Yesterday pair of Clarks regular tassel loafers arrived in mail and wore them all day. Toes are flat and don't really bend but can walk on tiptoes. This is amazing to me especially since still have to have left foot done next January. 

      I think the key is elevate and ice. I'm lucky as I work for hubby and could do a lot front home. 

      Also just turned 70 so healing probably took me longer. Also just had second cataract surgery yesterday. Guess replacing parts 😊

      Good luck. It's worth it. Two weeks ago celebrated birthday walking all around NYC after three years of not being able to do so 

      Blessings 

      Barb 

    • Posted

      Hi,

      its a little over 8 weeks,USA here also.  My pain just eased up, still a little swollen.  Miss my visit to the big apple, due to surgery.  I just went to Doctor and was told I can wear shoes, cloth because of the swelling. No leather because they do not give.  Trying it out.  Will be going to PT , because of stiff big toe.  Has anyone try PT, did it work?  

      I wanted to say my Doctor only recommends 2 inch heels.  I do not plan on getting other foot done, in my 60s, think it's very painful. 

      Good luck to all,written Dec. 2017.

    • Posted

      Hi Carol, I just had hammertoe surgery 3 weeks ago on my right foot, on my 3 middle toes, with a pin in one.  When I went in for my follow up to get  the stiches out, I was wearing tennis shoe on my left foot. The doc told me to just bring in the other tennis shoe for my right foot   in when I get the pin out.  Well like a dummy, my left foot was the worse of the two, and should of had it done first.  My problem is, that the only reason I was wearing the tennis shoe, was because it was about the same height as the boot, but it really hurts to wear the tennis shoes.  I ordered a pair of sandals with open toes, and Velcro straps, with room for my toes.  Now when I take my right tennis shoe in, and he tries to put it on, I will still be in pain on my left foot. I am going to ask him how soon, I can get the other one done. I lived in flip flops for years, but now I had stiches between my toes, so flip flops are out.  What kind of shoes are you wearing?  And I did have a lot of pain, did not sleep for a week, even with pain meds, but the   nurse, did tell me to ice behind my knee, and the top of my foot, and that really helped.  Anyone, that says this doesn't hurt is crazy, even the doc said it is one of the most painful surgeries.  Sorry for rambling, just trying to find out what kind of shoes, everyone is wearing.  Any help with shoes, would really be appreciated.

       

    • Posted

      HiCindy ,

      iam wearing a slip on cloth shoe.  My first day in them, hurts a little, but easy on easy off.  My nicki sneakers, lace up are soft cloth also, but I find tie up harder to deal with right now.  

      I hope that helps you.  I have to say ice and elevating is great for the foot.

       

    • Posted

      Hi Carol,

      i am 66 and have had Rheumatoid arthritis since my 30's.  I have three middle toes that are fixed hammer toes and the second toe has a callus from wearing shoes.  Now one toe is crossing over to the third toe!  I'm supposed to see an orthopedic surgeon to discuss surgery, how bad were your toes? Did the second joints stick up?  

      Ugh I love pretty sandals and am too embarrassed now to wear them.  However that is not my reason for having the surgery.  I take Enbrel for my arthritis and it compromises my immune system. Having a joint sticking up and rubbing inside the shoe has caused blisters, bleeding and a callous. 

      So I'll have all three done at the same time.  Here's a few questions as I'm pretty scared. Will I be in a cast?  How long?  Lots of pain?

      are your bones healing well?  Has the pain lessened in severity?  

      When do you think you'll be walking and dancing again pain free ??

      Thank you 😊 

      Linda

    • Posted

      wow!!! You are an inspiration!! 

      Thank you for your post.  Im 66 and feeling very uncertain and scared about the possibility of surgery. 

      I love to dance, wear cute sandals... I want to greet the golden years with flare!! 😃

      Are you in NY? I am.  We live upstate.  I would so love to speak with you on the phone.  Would that be possible? 

      Whether we speak with each other or not, you have brightened my life with your encouraging post. 

      I guess by now you've had the second foot done?  How are you doing? 

      My work email is ( I'm a grief therapist) 

      thanks again, Linda 

      Moderator comment: I have removed the email address as we do not publish these in the forums. If users wish to exchange contact details please use the Private Message service.

    • Posted

      Hi Paige

      Well done on your recovery, i have had my pin out 7days ago and whilst it didnt hurt having it removed, i cant remember if they told me to keep the dressing over the hole left from the pin and when i could soak my feet in water or have a bath, ive tried ringing and asking advice but they said i will have to wait for my next appointment to speak to someone, but that isnt till 3 wks away and i need to give my feet a good soak and get rid of all the hard skin and cut my nails, is it best to keep the hole covered or open to heal any advice would be greatly recieved

      Thanks

    • Posted

      Hi -- great news that you got your pin out. I think that is the worst part and once its out, it gets alot easier very quicily. My doctor told me I could take the dressing off that day, and that I could get it wet, but not to soak it for one week. The hole needs a bit of time to close up. So, you can shower, and uncover it, but not soak it quite yet!! Good luck!!

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