Protection from medical boot rubbing on incision site ideas?

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Had foot surgery to remove an "Accessory Bone" from the arch of my Right foot.  The incision scar (which is still healing) is about 4" long, starting from the center of my arch to mid heal.   Was non-weight barring for 4 weeks, but still needed to wear a boot so the muscles stretched out enough.  Was having problems with the boot edge touching into my incision area (it was right where the plastic edge/foam padding was).  Today was the first official wieght barring day.  My doctor gave me a boot with an air linner to use, hoping it would help.  Could stand on 2 feet, and take 3 steps by the end of today.  Unfortunatly, everytime I took a step, my boot would dig into my incision area making it very painful.  Even wearing the boot while elevating is painful, since it is still putting pressure on the incision area.

Does anyone have anytips for protecting my incision area from pressure pain while walking?  Tried taking one of the extra foam squares and velcroing it to my incision area, no luck.  A larger sized boot will not work, they all have the same width at the bottom of the boot.  I should also note that I usually have to wear wide width shoes, normal width shoes are too tight for my heal and arch.   Would love any suggestions, I want to be able to walk on 2 feet again.

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  • Posted

    Hi

    Sounds very difficult and that you have tried the obvious things. I have had a lot of problems after my broken ankle and plate with my skin becoming hypersensitive, and I just wondered if that might be playing a part for you in the scar being painful. I am not quite sure if you are just 4 weeks from your surgery, which I am, but my scar has settled down so it is not sensitive ( whereas it was exquisitely painful before) by doing these slightly weird desensitisation techniques suggested by my physio. They work on reintroducing lots of stimuli to the skin to encourage it to get used to touch and stop sending pain messages out easily. Every hour do 5 minutes of touching it with things from feathers, soft animals, tea towels, rough material, plus also massaging it with cream, all the while looking at it ( not sure possible with your surgery) and preferably either sucking on a nice sweet, or smelling something nice or listening to favourite music - I know it sound bizarre but the physio says it means you associate pleasant things with the touching. Bruce Springsteen will be forever associated with breaking my ankle from now on! I also found on the internet that fast tapping on the scar for 3 minutes is helpful too.

    All rather odd I know but a well recognised treatment for sensitive scars ( usually more with hand surgery) so might be worth a try. Certainly can't harm!

    Good Luck

    Janey

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    • Posted

      Have had an ace wrap over the incision area 99% of the time since the surgery.  It's wierd, but even though I can't see it I can feel the location of the incision area all day long (boot or no boot).  Not sure if that means it's extra sensitive, but the skin hasn't formed in 50% of the incision area.  The pain level is dealable when the boot is off, sometimes can handel it (when on pain meds) if the boot is on, not  dealable when trying to walk with my whole weight on the boot is on though.  Had a visit from my home service physical therapist today and was able to use crutches to prevent me from putting all of my weight on the foot while walking.  Unfortunaly, can't hold anything and "walk", but it is a start...

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  • Posted

    Hi

    I am 13 weeks post ankle surgery, plate and 6 screws, and walking in my shoes unaided. The boot was unconfortable, but I got use to wear it. Wear cotton socks. Also massage the incissuon area for the soft tissue to heal. I used coconut oul. Good luck with your recovery

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    • Posted

      You lucky dog you! I can't believe you're walking with shoes! You gave great advice with the coconut oil! I use warm olive oil and lavender oil to help with circulation! I'm almost 11 wks out and still can't bear any weight other than resting my foot on the floor. I have 1 plate and 2 screws but surgeon said I will flatten my ankle if I put pressure on before it's ready. A drunk driver hit me head on April 22 and broke my ankle and left hand. It's a long journey that's for sure but I was happy to hear of your progress! Take care and enjoy your accomplishments!!

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    • Posted

      That's great to hear you are walking in shoes, gives hope for the rest of us as we are healing.  Been using an ace wrap on my foot, haven't tried to wear socks because the boot tends to make my foot get warm without a sock.  Will try a sock and on top of the wrap and see if that helps. 

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  • Posted

    As long as your incision is healed you can rub warm olive oil or coconut oil on it. I know it aids in healing. As far as the pressure from the boot, you could try using a non adhesive bandage do it's not rubbing directly on the scar. I feel your pain! I'm 11 wks this Saturday out of surgery. I was hit head on by a drunk driver. I have one plate and 2 screws in my ankle and I'm in a walking boot but can only allow my foot to just rest on the floor. No other weight bearing allowed. I'm sorry for your discomfort in all of this and I hope things get better for you very soon! Allow yourself time to heal and don't push it. Do what you can. 🙏🏼🙏🏼🙏🏼 Good luck with your recovery!!

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    • Posted

      Sounds like you have been through a lot!  4 weeks non-weight bearing was not fun, so 11 weeks must be aweful!  Sending good thoughts of recovery your way!

      Tried to add a photo, but it's too big for the 2 MB size limit (Not tech savey). My incision area has had the stiches out since week 2, they put some sort of medical tape over the incision area to hold it closed for 2 weeks and it came off yesterday.  The area that the tapes was is still not fully healed over with skin.  Will the Oil cause infection at this point?

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    • Posted

      I wouldn't put it on until it's completely scabbed over but you can use neosporin on an open wound and will help prevent infection. I used it and thank you for your well wishes!

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    • Posted

      It is scabbed over, just no skin growth on 50% yet.  Over the last few days have noticed  that the healing of the scar has improved, hoping soon the scabs will be gone. Also seeming to have less scar sensitivity after I have been using a walker to get around on two feet half the time I have to get up, so I don't put my whole weight on it.  Things are starting to improve finally.

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  • Posted

    I have same problem. 2 weeks post surgery with ankle fracture , plate and screws. I am

    Grinning and gritting my teeth . It sucks !

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    • Posted

      I understand your pain, relied on pain meds a lot during the first 3 weeks.  Was able to cut back on them on week 4, trying somthing less strong this week.  Hang in there! 
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    • Posted

      On week 4 are you off the Rx pain meds? It has been two weeks today. I am doing one pain pill every four hours and now going to cut down to one every six hours. (Hydrocodone). I would love to be off of them in two weeks! It causes constipation and I hate dealing with that!
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    • Posted

      I understand the constipation issue, had that for 1 1/2 weeks.  Take a probiatic every day and if needed add a stool softner too.  Once the problem is under control, it is easy to manage with just the probiatic everyday.

      Was on Oxycodone for 2 weeks and then tried out Hydrocodone.  Unfortuantly,  after 1 day of Hydrocodone I had a sever nerve pain attack (burning, throbing and stinging pain at a 10) for at least two hours (passed out from the pain at that point). Found out the pain attack was my nerves starting to feel all of the pain it had been supressing. Was then put back on Oxycodone to manage the pain.  At week 3 I was able to only have to take 0-2 hydrocodone during the day and 1 oxycodone with a muscle relaxer at night (my foot was in really bad pain in the evenings).  I also have a history of my muscles locking up for extended periods of time if in a boot, so I have to take muscle relaxers.  Now at the 4 3/4 week point and I am taking Tramodal during the day as needed (0-2 pills) and a muscle relaxer at night (a hydrocodone also at night if my foot is really bugging me).   Have had many days where the pain has been able to be managed with just the Tramadol.

      Hang in there!  As the days pass, your pain will require lighter pain meds.

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  • Posted

    Hi. I feel your pain. The boot killed me had me in tears every time it went on. Surgeon told me not to wear it if it caused pain. One thing I will say is to need Ro have legs at same height when in boot. Even walking is vital for straight healing and to avoid secondary injury and pain to the hips back and knee. Look up "even up shoe " or where a high shoe on good foot. You will notice foot goes out to the side if legs are uneven. That's how you will heal. 

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  • Posted

    Update: Have been able to accomplish a lot more then I first expected after being allowed to put weight on my foot.  Have been using a walker to help prevent me from putting all of my weight on my foot while working on walking on 2 feet.  My pain at the incision area has decreased dramatically during the 3 days I have been using the walker.  Still not able to put my whole weight on my foot, but I am getting closer to it. Use my knee scooter 1/3 of the day and the walker 3/4 of the day.   Still can only handle 5 minutes on the walker, but working my way up to longer periods of time.

    If anyone has been through or working through the re-learning how to walk stage, I would love any suggestions of things you did that helped you.

    Feeling optomisitic now that there has been a lot of progress of these 4 days.  That is partially due to the support I have recieved from this post.  It is good to know I am not alone in this battle and that so many people have and are going through it. Thanks for the suggestions and words of support!

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    • Posted

      Hi, good to know u r making progress. I had ankle surgery 7 weeks ago and 2 plates and 9 screws put in. I was given a boot on my 6 weeks appointment and told I can Fwb until it doesn't hurt but the same day as I had to go to the hospital and also my Gp I had a long day and my leg was swollen very badly. The sutures on my incision has split up. I am back to using knee scooter and elevation and ice since 5 days now. The stitches have now almost dried up and I'm thinking to start a bit of walking from tomorrow!!! Will update how I get on. Good luck to you too

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    • Posted

      My suture site also kept splitting when dry tho. I Was told to apply betadine several times a day. I always had fear of infection so had sanitizer bottles everywhere . Always feared cross infect from cruches wheelchair cane boot so sanitizer on toilet shelf  When scabs came off my leg I was left with holes that exposed almost to bone. At 14 weeks the top of wound still not quite healed. Sick of scabby leg. 
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    • Posted

      That's awesome about getting to start putting weight! How's it going? As far as your spot splitting open... how did they say to keep

      It from

      Doing that?

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    • Posted

      Hi Christina, thanks. I am practicing walking slowly with boot on and crutches and I think putting about 75 percent weight as it's been only 2 days and a bit scared really. There is not much pain apart from the heel feels funny and pains a bit when putting weight on the leg. Regarding the stitches opening up I dint really go back to the dr as it happened the same night I came from my appointment. As it wasn't that bad I thought il see for couple of days and then go to the dr if needed. It's really hard for me to get anywhere as I don't have much help with transportation. I did not put any weight and dint use the boot. Just kept it clean and in sunshine (managed to get some from the window by my bed last week) to dry which seems to have worked. Have managed to get a physio appointment next week (had to choose a far hospital) .

      Just scared of physio but cannot avoid it. I stopped the pain killers by week 3 and just had one the day I went to 6 weeks appointment. Hate medicines but may have to start again when physio starts.

      How are you doing. Are you off your pain killers now?

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    • Posted

      Hello. How did they treat your holes? I'm at 11 weeks with a hole. They packed it and gave me antibiotics. How did they treat u? How long did it take u to heal? Any suggestions ? Help I'm frightened .  

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    • Posted

      Hi sorry for late reply.  Life gets in the way at times. The hole. Well it was disgusting could see tissue and sinew bone. Was scary because I had verve damage I couldn’t even put a wound cover on it. So I ate antibiotics like candy smeared betadine over in around and waited for scab to form. Slept with leg hanging over side of bed couch wherever I could sleep in short bursts. Antibiotic gave me a condition we lovingly refer to  as “tapass” not pretty. And couldn’t have pain relief cos allergies and omg the hives  in places I didn’t know I had. Once scab formed well I kept it moist with betadine so it didn’t crust and fall out(it did it once ). It took close to 2 weeks before I felt comfortable to salt soak.  Ahhhhhhh I wish you a speedy recovery and hope you don’t have the nerve pain.   Xxxjen 
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    • Posted

      Hey. Thanks. Did u wear your boot any way after ur u found out about the hole? Did you do PT with the hole? 
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    • Posted

      Hi again. No I could not wear boot. It caused too much pain on nerve damage. Even the breeze hurt. I tried to but cried every time it touched. I’m a pretty tough old thing but that bought me down in a screaming heap. Surgeon said only wear boot for support and it shouldn’t hurt. If your going to wear the boot make sure you have an Even Up Shoe on other foot. 
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