Should I get my other foot done?

Posted , 4 users are following.

I've posted a while ago regarding my bunions. Long story short, I had a lapidus procedure for my big toe then osteotomy for my pinky toe but the pinky toe hasn't been causing me much issues except occassional shocking sensations as a result of some (hopefully) temporary nerve damage.

I am approximately 12 weeks post op and have had a normal recovery thus far with major complications. The only thing is I can't bend my big toe down at all but my toe does bend up pretty well, I'd say at least 60-70 degrees. 

​I began walking almost a month ago now and I just began to walk without using crutches but only for short distances. I am still in a surgical shoe (it has a solid sole that doesn't bend at the toes) because I cannot find a shoe big enough to fit my slightly swollen foot, mostly at the arches. When I try to walk and push off with my toes, it hurts where the fusion occurred. Do I just have to push through that pain or overtime will it go away if I just don't push off with my toes? It causes me to limp and I move like a turtle. I just feel like this recovery is going to be longer than the six months I was told, which is when my other foot will be operated on pending my rehab of my current foot. I still can't drive either. I can give up running or other high impact activities, I do have flat feet so my podiatrist said I'll need orthotics forever otherwise the bunion will get worse.

​Does having one foot corrected affect the mechanics of walking? My good foot does hurt at the bunion but hardly and I'm pretty sure it's because I use it to full weight bear. Just wondering if anyone has come to this crossroad before, what you decided and would you change your mind now?

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  • Posted

    Hi Allison, I had a lapidus and osteotomies/shortening of 2nd & 3rd metatarsal.  I decided to just go ahead and get the other foot done and over with too (same procedure).  The surgeon said it had to be a minimum of 3 months between the surgeries & I elected to do it at the minimum.  It's now been 4 months since the 2nd foot was done.  I think, for one thing, that it is entirely up to you about whether you want to get the other one done as soon as possible or wait until later.  For me, I knew I wouldn't want to get the 2nd foot done if I waited.  I was just out of the surgical shoe and able to limp around wearing some extra extra wide shoes when I had the 2nd surgery.  I'm still doing physical therapy at this point and basically rehabbing both feet at once.  It's tough but I think I'll be glad I got it over it.  I'm still limping & sore, my toes still aren't that flexible but are less sore than they were.  I think the answer to one of your questions is that it's just going to take time.  Once the fusion had healed, I was told to let pain be my guide but that I would not hurt anything by walking on it.  The issue really is that you have been non-weight-bearing and then partial-weight-bearing for a long time.  That means you have tendons & muscles & ligaments that haven't been used and it is all going to cause you discomfort as you try to get back to walking normally.  Therapy will help but it is just a long process.  I know -- I've been there & I'm still not back to normal.  I didn't really know how long and uncomfortable the recovery period was going to be -- or at least I didn't understand the full impact of it.  The therapist tells me this is a very difficult surgery to rehab from and now I believe him.  It is much harder even than rehabbing from a knee replacement!  That was so much easier than this!  But I think a lot of it is that I'm rehabbing both feet at the same time.  I'm hoping that life will be better soon and that I will be VERY HAPPY that I had this done.  I haven't even let myself entertain the idea that I should have changed my mind lol!  I'm just pushing forward!  Hope you'll be doing better soon!

     

    • Posted

      Yes, I did experience more pain over discomfort when I first began to walk and I figured it was from my weak muscles and such. The most painful part now is the rolling and transitioning of weight as I walk off my operated foot. It hurts a lot during the transition where the fusion is midfoot and when I bear the weight on my toes, my good foot catches that weight before my toes in my bad foot gets the full force of it so I limp.
    • Posted

      Hi again Allison,  I'd say to just hang in there and have patience.  I had discomfort where the midfoot fusion was as well -- the incision on one of my feet stayed swollen & tender for a long time.  My toes (from the osteotomies) are still not real flexible & sore but are a whole lot better than they were.  I still limp but try not to hahaha!  I've discovered that Birkenstock Blue insoles in my extra wide Brooks Walking shoes are very helpful -- either that or shoes with rocker soles (I have one old pair but it's hard to find them in "wide").  I've recently been wearing Birkenstock sandals with soft footbed which are okay but not perfect (but the only sandals I can wear!).  I'm told it can be up to a year until the swelling is gone & life is back to normal.  I'm confident we will be happy we had this done eventually!  

       

    • Posted

      Did you find those shoes at like a specialty store or at a regular sports store? I only buy Brooks because the fact that they make shoes wide enough for me but couldn't find any when I went shopping this weekend.
    • Posted

      Allison, I just sent a reply but suggested an online site for the Brooks shoes but it says it needs to be "moderated" because I mentioned a site.  You might have to buy the extra wide shoes online since you won't be able to find them in a store.  Mine are the leather Brooks walking shoes and they come in 2E and they even loosen up as you wear them.  I only buy Brooks as well.  
  • Posted

    Whenever you have a correction, one side will be effected. Having one foot done, means the other is taking most of the weight and the work. Even when you have both done at the same time, they do not heal the same way. It all takes time and the guideline is approx one year until all should be back to normal. In most cases it is quicker, but a bone does generally take one year to heal completely. So patients is important and keeping up excercising as well. You should also cool your foot on a regular base, that reduces the swelling or even lymphatic massages help in most cases. I also do not agree that it is your choice of having the other foot done. The operation should only be done if necessary this can be decided by looking at the x-ray. Have you ever thought of a different technique? There are modern ways of having this operations and you as well as the Lady who wrote before, both have had a very olf fashioned method done. Good luck with the recovery hope all turns out well. Just keep up with what you are doing.
    • Posted

      Susann, just to clarify - I had multiple surgical opinions and it was agreed that the only effective treatment was a lapidus & metatarsal osteotomies. The surgeon I chose is a top foot & ankle surgeon in the city, not a local podiatrist, and he is well versed in every modern technique, there was no better option. My surgeon left the decision entirely up to me as far as whether I wanted surgery at all. Yes, the X-rays showed very significant problems, but some people choose to just live with that & avoid surgery, which is a legitimate option & I did that for many years until I couldn't stand it anymore. I was told that most people wait a year or more to get the other foot done, but I chose to do it as soon as possible. I'm an active person & want to be able to walk without the constant pain I've lived with for 20 years. So for me, having the other foot done right away was the right decision. For someone else, it might not be.
    • Posted

      I'm not well versed in the hundreds of surgical methods for bunions. My surgeon said he went with the lapidus procedure because my foot was hypermobile and the bunion was moderate so he said it was like hitting two birds with one stone. I am in the military and I also like to hike and rock climb (probably will have to give this one up) so even if I didn't want to do it now, I'd need it later. My right foot did hurt a lot more, usually felt the pain in my bunion and arch because I have flat feet within a minute or two of running then my left foot would follow.

      ​I have another post op at the end of this month so I suppose I could discuss it with my doctor. But even then, he can only provide me info and I'd have to decide for myself.

    • Posted

      Yes, my surgeon did the lapidus because of the hypermobility between the 1st and 2nd metatarsal too.  
  • Posted

    hi alison

    i have read your discussion with interest. I am booked to have big toe fusion in August and am still not sure. I tad a really bad day on Saturday and decided I must do it but I dread the recovery period.  I talked to a friend who has had one foot treated but couldn't face having the other one done. She is now beginning to get concerned that her back and hip pains are related to the way she is walking.

    Susann, what alternative modern method do you recommend? And also, is it inevitable that normal shoe

     

    • Posted

      Is it inevitable after this op that normal shoes won't be possble. I am flat footed but can usually manage a 2 inch heel without too Much discomfort but really flat shoes often give me pain. 
    • Posted

      Hi Jan,

      ifn you are suffering with Arthritis in your MTP joint, then the alternatives as either a Cartiva implant or a full joint replacement. It depends on far the arthritis has developed. Worth having a look into this. The Cartiva implant is not available on the NHS, not sure about the joint replacement. But with those options you are still able to wear heels as well as do sports afterwards.

    • Posted

      Thank you Susann I will have a look at both if those options and talk to my consultant. I can't bear the thought of nit being able to do sport again, heels I suppose I could cope with, although a lot if people say you are eventually able to wear them. I don't know I feel like a real woos but I am not very good at staying off my feet even for a day, but after a hard day like I had on Saturday I know I need this op. My surgeon said that my joint was almost fused anyway.

      regards 

      jan

  • Posted

    That is only a decision you can make. I have two really huge bunions and I have been fortunate that they really don't bother me. I wear corrective shoes and toe pillows and arches. My mom and friend had them done and they had mixed results.

    Take care. Keep me posted on what you decide. 

    • Posted

      Hi, you do realise that Allison has got no bunion but arthritis which is distroying her toe joints. For bunions you can have keyhole surgery and in the right hands, there is not much to it. Allison needs either a fusion, which is stiffining her joint or like I suggested an implant, so that she can at least kep some movement in the toe. Depending on her age, I always opt for the implant! A fusion is final and leaves you with a stiff toe, meaning problems walking, wearing shoes unless they flat etc. But in your case, even though the bunion does not hurt, they will cause you problems later. HAve a look on the net whether there is a surgeon who does keyhole bunion surgery. 
    • Posted

      Just to clarify - you can't always have keyhole surgery for bunions. I had to have fusions in both feet and my toes are not stiff.
    • Posted

      Hi Janice, you would have a fusion because of arthritis in your toe joint. If that is the case, they fuse the top and bottompart of the joint to eliminate the pain. This is done by screws or plates. So none or little movement left. Bunion called Hallux Valgus totally different to Hallux rigidus ( fusion because of arthritis). it can look like a bunion, but is treated totally different. To treat the bunion you do not need to go near the joint.

       

    • Posted

      Very interested in your comment. It seems to be the only one I have read that is positive about stiffness after fusion. Did you have both joints fused or just the lower one, and what was your pain like. I'm still deciding but inclining more towards going ahead end of August. 

      Jan

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