I am concerned about my scarf and Akin bunion operation post operative recovery

Posted , 13 users are following.

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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  • Posted

    Hello Den.

    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

    • Posted

      Hi Gillian, thanks for your reply. Ill take tour advice and do the massage. I suppose we all have set backs and now its great that you are back on the road to full recovery. You are right the niggles do start the more you do and the more time on your feet. During the first two weeks bed rest, I thought it was going to be easy, because I didnt experience much pain at all, I was a little optimistic! I willlook up the waldlaufers, I've not heard of them. I'm female, so when I'm ready for shoes Ill take your advice on the ballets too.  Thanks Gillian and good luck
  • Posted

    I am 30 weeks from scarf op and I can tell you that the joint is still large, larger  and deeper than  before. And I can say that the toe is still numb, the upward facing  side...... Although numb  it's still painful if you see what I mean, it's a very slow recovery for some. I still cannot get into a lot of my shoes.... So you have to accept a long time  for improvements.  I try massaging it every day and exercises, I think it helps,  but I think that it's as good as it's ever going to be. .... But I also had arthritis in the foot so  can't expect  a miracle....
    • Posted

      Hi Anita, thanks for replying, I know what you mean about numb and painful. A few people have mentioned massaging, I'm going to try it too. We all recover different dont we, none of us are a text book case.  At least you are realistic in your expectation due to having arthritis. Al the best
    • Posted

      I can only tell you that some days are better than others. The consultant told me that he had done the best he could  with that joint  as it had got arthritis in it. So I can  only hope for the best.
  • Posted

    hi den..... you are not alone believe me.   I had a double bunion removal and hammer toe pin put in... i had stitches out after two weeks and was told to come back in a months time for pin to be removed... like you i can not put my foot to the ground as it feels like there is a swollen ball underneath, the soreness and bruising is so painful, i could not even think of getting any sort of shoe on due to the swelling, if i rest the swelling seems abit better as soon as i get up to go to the loo the foot with the pin in tightens almost goes purple and gives me pain, the toe i have the pin in is not level with my big toe its like raised up and my big toe seems to be pushing inwards towards hammer toe... i am sure this may be due to the pin still being present.... like you i have had no advice on exercise or even if its ok to have a shower or bath, i have been having showers with plastic bags taped round my legs... so my wounds have been dry all the time... but i dont know if i am doing the right thing or not... all very confusing... i am due to go back to have pin out on the 29th i have lots of questions to ask hospital too about all this, i am sure you are ok den but like me if any doubt get on the phone and ask hospital because no one seems to want to help only if we ask, wishing you a speedy recovery x
    • Posted

      Hi Gilly, good to hear from you and your experience. Regarding the shower and bath, I did have advice on that and was told it was ok at 2 weeks. Soaking it does relax it. My big toe goes outwards so I feel it has created a wider foot. I praise you for having double surgery, gosh I wouldn't have coped with that. Im having the one done in over a week. I was thinking of  contacting the  hospital tomorrow, my saving grace is that the consultant can have a look at this one on the morning of the second op. At least youre going back too and have a list of questions prepared. Good luck
  • Posted

    Hi I Had my operation on the 20th of Feb this Year and my foot is still swollen, worse at night. It gets more swollen and very tight. As to the shape of my foot I can't answer because I fell week two and broke my big toe. So my operation needs to be done again... Good luck with your recovery, I hope you are back in your shoes soon.. X
    • Posted

      Oh that was really bad luck, hope they get it done for you asap. Good luck to you too
  • Posted

    Hello just wanted to update you on my doctors appointment today. I am now 3 months post surgery for bunion removal on both feet(had them done at same time) I am not happy with my right foot as the big toe is squiashing the other toes I told them my concerns he says that I should give it another 3 months and they will look at me again to see how it is going. He said that sometimes its hard to get the toe comloetey straight and that my feeling that I have should settle down. I hope he is right as I did not have this issue before my operation. Its feels like I have a tight fitting shoe on all the time and is very very uncomfortable. lets see what happens. Still not happy but not much else I can do,

     

    • Posted

      Hi Pauline, thanks for the update. We are in the hands of the specialists, I suppose it is early days and he doesnt want to do anything now, as it may settle down. If he has asked to see you in another 3 months and you still have the problem then  if there was something he could do he will do it.  I get that tight feeling when I have socks on, its like a pressure bandage feeling, with loose socks, so I have stopped wearing them at the minute. The foot is so complex and the bones are so small, I think we might expect too much too soon. I have to say I have more problems now in my foot 6 weeks post surgery than I had pre surgery. I live in hope. Good luck Pauline
    • Posted

      Yes they are supposed to know about it. My feeling is there with socks on or off even having a shower and socking my feet. My right foot definitely feels worse than before operation. I just hope he is right and it gets better. It is very frustrating.
    • Posted

      It is frustrating, I hadn't  anticipated this testing my levels of patience so much. Take care and keep me updated
    • Posted

      I will do. Can I ask what part of the world are you I am in Tasmania Australia. 47 year old married mother of 4 grown up children I must say child birth was easier. Thanks for listening to me and please keep me updated on your progress
    • Posted

      Hi Pauline, Im from the UK, England and Im 50, ha ha I did find child birth worse, but that was over with. This is ongoing affecting your quality of life. you take care
    • Posted

      Please keep in touch and I will let you know how I am going. Take care.

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