Severe burning in foot 14 days after ankle surgery

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Qin had ankle ligament repair surgery after severe sprain.  Had surgery 14 days ago today.  Yesterday the cast was removed and got put in the attractive black ankle boot and told I could be weight baring.  Seemed things were going well and I walked with the aid of a crutch a little around house.  Well, I went to sleep around 11:30 pm.  I have tried in vain to sleep on my back and just can't so I prompt pillows up and layer on my side and elevated foot as best I could. Got woken up at 4:00 am with excruciat BURNING all over foot.  I tell you I've never felt pain like this before and that includes giving birth. It is now 5:45 am and I found this forum.  Has anyone experienced this severe burning after surgery?  I had a block during surgery Nd foot was numb for 48 hours and then it wore off I had some tingling and burning in my heel but that went away.  Now this burning started. I tell you Imwas in tears and I'm a person that usually can handle pain.  Please respond if anyone can enlighten me.

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  • Posted

    Hi Jane. Its Sept 2016 and I was wondering how your ankle is now? I broke my ankle in 4 places shattering the outside bone. I just got my cast taken off the other day. I have a 5 inch rod on the outside that is not giving me any problems but the couple of pins on the inside my ankle are what's giving me the problems. Its burning and itching like crazy. It feels like a bad sunburn. I have the boot on now and my ankle wrapped in gauze. I do get relief when I take the gauze off and put cream on it and air it out. But question to you is how long till it stops burning and itching? I thought yours happened a couple of months ago. My doctor gave me 30mg oxycontin (I also have a bad back) but it seems like they don't work. I will take anyone's help for what I can do.

    Thanks

  • Posted

    Hello all, im 2 days post op from a fibula break @ the ankle. Dr braced & screwed it back 2gthr as well as put a small implant in for my flat foot. I'm on here for the burning as well. I went back to the Dr yesterday for the bleeding & to inform him the pain meds(oxy-acetaminophen 10-325) aren't working, that my foot felt like it was on fire. He gave me another pain block (which are shots that's supposed to numb the area) that didn't help, and got me a cold machine(2 ice my foot & compress it for clots). Basically I wrote all of that because my foot is still burning, it's almost 6am here & I can't sleep. I've read through the whole post & comments & I will be calling his office @ 8am abt the gabapentin. I see it's only 1 or 2 ppl still posting. I'll update soon

  • Posted

    I too found this forum because I was searching for someone with similar type of pain. I had surgery for my Trimalleolar surgery 2 weeks ago and it's not my ankle that hurts very much, it's the burning pain in my toes and along the outside of my foot. I had to cut the top of my cast of over the toes becausee it was so irritating. My 4th toe and pinky toe are both 90% numb still. My surgeon only gave me enough pain pills to last me 10 days. When I requested more I was denied. So I went and bought some over the counter topical spray called Neurogen and omg... all it did was make it burn worse!! I was up all night literally crying and trying to was off the medicine I out on it. My nerve pain feels like I've been stung by wasps on my toes.. and it's constantly try aggravating me. I'm a student and I cannot study because it's too painful and irritating. My doctor tells me to take Tylenol or Ibuprofen, which I can't take due to stomach surgery. I'm going to ask if she'll prescribe Gabapentin but I doubt she will. I'm wondering if plain Aspercream with Lidocaine would help. All I know is I cannot relaxor focus or sleep well at all with this burning pain.

  • Posted

    I had a rupture of my achillies 5 weeks ago and surgery on 26th Oct. Now day 12 post op and see the surgeon tomorrow for revision. Apart from the first night after surgery when I was in a lot of pain I've felt ok just the typical aches and discomfort I guess after surgery. Ive kept my leg elevated and been non weight baring. The last 4 nights though I have been experiencing a horrid burning pain in heal which wakes me up and happens about 4 times a night. Pain meds don not seem to help relieve the pain at all.

  • Posted

    Hi I'm so glad ive found this site! I had the same surgery jane its been 14 days today since my surgery. I was in a cast for 2 weeks no weight bearing. I went today to get it off (nearly fainted) I'm now in a aircast boot ive to gradually put weight on with crutches. I'm now home resting on the couch with the boot on as I'm up & down every 15 mins for the toilet but its severely burning! i feel very light headed & my ankle is absolutely agony and the nerves up my whole leg are tingling. I don't know if i should take it off to give it some air but its such an effort to take it off & on, Hopfully i feel better tomorrow.

  • Posted

    Hi jane ans others .. I dont know how many of you have long term chronic pain sonce the burning pain started post op , but in case you still do i wanted to bring up an illness called RSD (now officially known as CRPS but many still say RSD). They stand for regional sympathetic dystrophy , and complex regional pain syndrome.

    Rsd/crps is often under diagnosed or gets diagnosed quite late. Turns out thats a big problem, because it is a progressive and debilitating disorder that responds best to early intervention.

    I hope none of you have it - and you could probably rule yourself out if you look up the other symptoms and dont have them. But if you have chronic excruciating pain long after an extremety fracture , its really worth learning a bit about it.

    Here in the us it is usually treated by neurologists, anesthesiologists, abd pain specialists.

    Hope this is helpful to some - hope no one has it but if you do at least you can try to get early treatment.

    I was actually diagnosed with it , but my case is a bit suspect as i dont have the excruciating burning unremitting pain component (but have all the other symptoms) - the current diagnostic criteria require the unremitting pain symptom for a positive diagnosis. Anyway as a reault ive really learned a lot about this disease and am trying to tell people about it - it is not that uncommon and yet people have never heard of it.

    Apologies for typos lost patience with touch screen keyboard!

  • Posted

    Hi all, I had ankle surgery on Nov. 7th for broken fibula, tibia and another bone and got a plate and 14 screws. Was in terrible pain the next day after the nerve block wore off and had to take oxycodone. On the 4th day after surgery the pain was better and I stopped the oxy and took tylenol instead. Around the 9th-10th day after surgery I began to get this terrible pressure in the top part of my foot along with a pins and needles feeling and occasional electric shock feelings that would make my leg jump. The pain got worse as the days went on, especially at night. I suffered all night long and I read all of these posts looking for hope that the pain would end. Was afraid to take oxy since it causes bad constipation, so took advil with my tylenol even though I know ibuprofen hinders bone growth, that's how desperate I was for the pressure and burning to stop. 

    I was afraid my splint was too tight so had my father cut some of it to loosen it and also took off the ace bandage down by my foot but I was still in agony, the pressure was so bad I felt my foot was going to explode. After part of the gauze was cut I could touch my toes and my 4th toe was numb- as was the area under it on the top of my foot.

    I researched and found things about permanent nerve damage and pain, it scared me. I prayed to god to heal me and take this pain away, I begged him. Then last night I started feeling relief and something flashed in my mind that- everything will be ok. I felt it was an answer to my prayers. The advil wore off last night then the pain started again. 

    Today I went to my Dr. appt. to get a cast on and he put me into a boot instead, there was immediate relief so I think the splint was irritating nerves or tissues underneath. I see my pain relief as an answer to prayer and I am so grateful. Just know the pain can also be caused by the splint/cast and once it's removed it may vanish.

    To all those who are still suffering, I was suffering for many days and I just want to give you hope. There is an end to this pain, just hang in there for a little while longer and it does diminish. My Dr. told me that the pressure, burning and pins and needles is normal for a bad fracture and having surgery and it will go away.

    My pain is 90% better today and almost gone, I have not felt the pressure at all since the splint was taken off, I still have some pins and needles but it is going away and your pain will go away too! It's scary when you're alone and in pain but don't read too much about it like I did and scare yourself into thinking this will never end. The pain and burning goes away, I am proof of that! 

  • Posted

    Hello all.  KelKel...your comments were very helpful and gave me hope!  My surgery was not as involved as a lot on this thread, but I am having the same problems.  I had ankle arthroscopy and peroneal tendon debridement on Nov. 19th and today they removed my plaster cast and put me in an aircast for four more weeks.  So far I have been non-weight bearing but I will be starting Physio soon and can also start to put weight on my foot.

    My biggest issue right now is with the BURNING!  It is primarily all around the incision site but also in the back of my heel, where it feels like a really bad blister.  It starts slowly throughout the day but by the evening it is really bad.  I have taken a Percocet the past two nights just to be able to sleep.

    I also have pins and needles at the outside of my foot, extending to the last two toes.  

    I don't get why the pain just becomes so uncomfortable in the evening, if it is just "normal" healing...you would think it would happen during the day, too.

    oh well, I will give it some time, cross my fingers, and hope it eventually fades.

    A big 'thank you' to everyone who has shared their stories and provided encouragement!!!  

    • Posted

      Hi, new here. I was so glad to read your comment about heel pain and like a blister. I had assumed my splint after surgery was rubbing on my heel. And then after I got the cast on it continued. And now I am in the boot and my heel still feels like a bad blister as does the area next to my incision. Also my outside of my foot is still numb after 5 weeks post op. I had fusion of the 2nd and 3rd metatarsals and they did a bone graft taken from side of my heel. Also I think this is strange...I can now stand and take a shower on barefeet but I really can;t bear to because I have pain at bottom of my heel. Not sure what that is about. I hate not knowing if these things are normal or not.
    • Posted

      Welcome! Have you started therapy? Ask them or even call the doctor office and ask. It's ok to call them. It's going to be feeling strange for awhile. Use coconut oil and keep massaging your foot with it and rubbing different textures on it. It takes time. None of the surgeries are fast healers. Keep your head. Take Ned's elevate and ice is your friend.

    • Posted

      no, dr has not mentioned therapy to me. I am 5 weeks post op. Still non weight baring until this Friday. Then I can walk in the boot and I go back to see him in 3 weeks. At that point he said I should be able to get back into a shoe. No mention of any therapy but he said I should move my toes and ankles.
    • Posted

      Ask him you need therapy if you have any of the toe seperators from when you get a pedicure put those in it will help loosen the the muscles in the foot and keep using different textures to desensitize the nerves.
  • Posted

    Ok, it's been awhile but I'm back with an update. The burning finally stopped,thank the Lord. The Dr wouldn't prescribe me anything for burning. Anywho I have the boot off and in therapy. Relearning to walk straight workout the use of one crutch, my PT calls it duck walking cuz I hobble side to side but it's walking. Keep the faith, although it seems like hell it gets better.

    • Posted

      Firefoot...how long did you experience burning before it stopped?
    • Posted

      Hi,

      I've recent hadn't very similar ankle arthroscopy and debridment and 2 weeks in I've got pins & needles and totally numb top of foot and big toe

      How long did yours last please?

    • Posted

      If I recall correctly the burning lasted two weeks. Anytime I moved my foot (up to elevate it or down to stand)made it worse. Absolutely nothing I tried helped but after the second week it just stopped. I was grateful cuz I was losing hope. Hang in there the burning won't last. Have your Dr checked for nerve damage?

    • Posted

      Tom8787...the outside half of my foot is pins and needles, and up to just my little toe.  The rest of the toes are okay.  It's a terrible feeling, almost like hyper-sensitive when you touch it.  

      I went to my first Physio yesterday and the therapist said it's the nerves trying to 'wake up' again and the best thing to do is to rub the area regularly even though it's very irritating.  She said it helps to gradually de-sensitize the foot and get proper feeling back.

      You won't know whether you have permanent nerve problems for a year, because that's how long it may take for all the normal sensation to come back.

      At least the severe burning seems to have eased up although it still does burn at night around the incision.  Down to half a Percocet before I go to sleep!  😊

    • Posted

      Hi, yes mines top of my foot  and big toe, only had surgery 2 weeks ago, it's mostly at night when sleeping but surgeon said last week he's happy and it will get better.

      I'll try the massage it my self, when I touch the point he went in for arthsocpy it sends tingles along top of foot so I'm hitting the right nerve 

    • Posted

      Tomorrow marks my 6 weeks from surgery. The night pain from nerves has finally got better. Since I started therapy I noticed a big difference with the nerve pain decreasing at night . I can't wait to get out of the boot but I feel like I will walk worse than a duck. Good to know it can be fixed too. Good luck in your progress. Hang in there to the others that are still early in their progress.

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