I am concerned about my scarf and Akin bunion operation post operative recovery
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I would appreciate any advice that anyone has to offer. I had the scarf and akin procedure undertaken on my left foot in May 2015. The surgery was performed by an NHS orthopaedic surgeon. I had a preexisting hammer toe of my second toe. Following surgery, the advice was two weeks non weight bearing, foot elevation and pain relief. To be honest the pain wasn't too bad. I was then advised to heel walk in a flat surgical shoe for 6-8 weeks. I wasn't offered physio, crutches or exercises. After 12 days I saw the surgeon and the dressing was removed. There are three screws in the big toe that are permanent. He said the wound was healing nicely and to wear a foot splint for 12 weeks, he would review me again in 12 weeks. My problem is my big toe and 2nd toe do not touch the floor, I have a massive gap between the big and second toe. I am experiencing a stretching pain under the second toe, which is a great discomfort. My big toe is numb, but I did expect this. The ball of my foot is swollen and bruised. There doesnt appear to be signs of infection. I am now six weeks post op and I feel despondent that my foot looks more disfigured than pre surgery, more painful. It isn't possible to put on my usual wide fit shoe, I feel like my foot would break as it is so rigid if I tried to put on the shoe. HELP is this normal or do I need to ask for a review, I dont want to be a wimp
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gillian14549 den_2000
Posted
Everything you describe sounds perfectly normal to me.
I had left foot hallux valgus correction together with 2nd hammertoe fusion November 2013 and then my bunion on my right foot corrected in October 2014.
My bunion toe and the hammertoe were standing proud of the floor and I worried about this. The bunion toe has now adopted a more normal position but because of the nature of the ammertoe surgery this toe will now never ben and does stand a bit proud still. The bones in the hammertoe have been fused as I was told they would. Thjis is absolutely no problem and I have no discomfort from it or the bunion toe.
I seemed to be sailing along very well but then got the most awful pain/discomfort below the big toe joint and I got very down hearted about the whole thing. However, my surgeon told me that what I was experiencing was discomfort from the Sesamoid bones. There are several and as the bunion is developing the alignment of the foot interferes with these tiny little bones and really we don't know about this until after we've had hallux valgus /bunion surgery and the toe is then re-positioned and the Sesamoid bones have to also find their proper place again. Hence the discomfort. Anyhow, if you vigorously massage this area during bathing and regularly each day the condition should get resolved. Mine did. My surgeon ( again , like you on the NHS) told me that there are a few procedures to alleviate this condition if it doean't improve. One involves removal of the sesamoid bone(s). I haven't needed this.
I am sure that you will see improvement but, it is rather disheartening when everything appears to be going along nicely and then things seem to be taking a backwards route.
I am sure this is not the case and that merely as you regain more of your mobility and spend more time on your feet this is when these niggly silly things start to be apparent.
Take it from me, I am now practically back 100% to my pre-bunion condition with this foot. My right foot still has a little way to go. But I am confident that in a few more months I shall see this return to almost pre-op standard.
I found some Waldlaufer Holly training shoes which have proved to be an absolute Godsend. I like to go walking but found my usual walking boots a bit awkward to get onto my feet and wear with comfort for quite a long time and then, passing a shoe shop near where I live, I spotted thge Waldlaufers.
I wear them almost all the time around the house and when just pottering about ( although I wear my other ordinary shoes which are all flats anyway when I'm going out and want to look a bit smarter).
Re the numbness. My left big toe is still very slightly numb on the top but my right big toe is still quite numb but I know this is improving. So, I guess it will all soon recover.
Re the disfigurement. You are certainly not a wimp.
I think the key is to not try and expect to wear your normal shoes before your foot tells you it is ready to have them on. Your foot will be quite stiff or very stiff and this will in time improve. The worse thing you could do would be to force a shoe on when the foot is reluctant to bend.
The bend will return but this may be avery slowly.
You do not say what gender you are but, I found my ballet flat shoes were the easiest to get on as they don't come too far up the foot and therefore you don't have to get the foot to bend too much.
Take care,
Good Luck!
Gillian
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