What Happens?

PAIN

You will have had injections to numb your foot so that you are not in pain after the operation. This injection will wear off after 18-24 hours, so you must take regular painkillers so that you are not in severe pain when the injection wears off. Ibuprofen and Diclofenac should not be used for more than a few days after the operation as they can interfere with bone healing.

The pain will settle over a few weeks. You may see blood stains on the dressings. This is normal and not a cause for alarm. If blood is dripping from the dressings however, return to hospital.

SWELLING

The foot will be swollen as well as sore. You should keep the foot elevated as much as possible for the first two weeks. Keep walking down to a minimum - going to the toilet or for meals. Letting the leg hang down will cause the foot to become more swollen. Most of the swelling will settle within the first few months, but swelling can continue for up to one year.

If you are resting on your sofa, keep your foot elevated on the back rest or arm rest. If you are resting in bed, then place a few pillows under the foot to keep it elevated.

WALKING

If you have had bony surgery, you have been given a special shoe that does not allow you to put weight on the front of the foot. This is because the re-set bones are held together by screws, and putting weight on it can dislodge the screws holding the bone. You should wear this continuously for the first two weeks, including in bed. After that, you should wear it whenever you are walking, even at home. Crutches are for balance only.

If you have had nerve only surgery, then you will be given a flat shoe. This is for your comfort when walking, as the foot will not fit into a normal shoe with heavy dressings applied.

EXERCISES

If you have had bony surgery, you should not perform exercises for the toes, but you can draw the alphabet in the air with your foot to keep the ankle and other joints mobile.

If you have had nerve only surgery, then you can bend the toes up and down ten times, four times a day to prevent any stiffness and to stop scarring tethering the remainder of the nerve.

RETURNING TO WORK

If you have had bony surgery, you will be wearing the special shoe for six weeks, and we will then take an xray. I advise that you do not return to work before this, especially if you are on your feet all day at work. Most people can drive after 8 weeks.

If you had nerve only surgery, then you can return to work and driving at four weeks. Remember that not everyone is the same, and some people take a longer time to recover from their surgery. Please request a sick note before you leave hospital, if you need one.

postoperative shoe

for bony surgery

postoperative shoe for

nerve only surgery

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operation involvesMortons_Neuroma_Surgery.html
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