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I teach tennis so am supposed to wear while teaching. Specially designed footwear will also have to be worn after bunion surgery, just like after correcting hammertoes. Utilizing some type of compressive taping or strapping method postoperatively can reduce swelling. Later that evening,I begin having excruciating pain,redness/warmth on toes/top of foot,and a lot of swelling. I am 33 weeks PO. In some cases, a wound dehiscence may occur. Traditional vs Minimally Invasive Foot Surgery. In rare cases where a person experiences severe pain from a hammer toe and no other treatment works, a podiatrist or orthopedic surgeon might recommend removing the toe. my toes (the 2 in the middle) got twisted going down a step & now it's worse! One of the most effective ways to reduce swelling is to ensure you get enough rest. After surgery, you may have a wire or pin holding your toe joint together. When a hammer toe causes pain, and other treatments fail, surgery may be the only option for correcting the joint. The most common cause of a wound dehiscence is infection. Wearing ill-fitting or pointy-toed shoes is one of the most common causes of a hammer toe. But once all the swelling goes down,it will look just like it did the day before I hit my toes. Somersworth (603) 516-4411. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. about laying down on sofa or bed with my feel elevated. Immediately after your surgery, the operated toe will be red, a bit swollen, and maybe even stiff for a while even though the deformity was corrected successfully. However, I think he ripped some crust that had formed over. X-ray was done.The MD indicated that pins look intact and it was probably bruised. The next day it was a lot worse. Right now my foot doesn't fit into anything, except still the surgical shoe. As tlw described, I do the toe curling and also a stretching exercise with my 2 affected toes on my left foot - the doctor said twice a day - but the infection in my right foot has meant I couldn't exercise that toe; it's quite stiff by comparison. The next day I ended up going to UC. All rights reserved. Simply click here to return to Ask the doctor. Blog My husband and I have readjusted in every way possible! I had hammertoe surgery just over 2. weeks ago. Now, since that yanking episode, it hurts to even flex my foot minimally. All that you need is a piece of tape. Scarring since the surgeon has cut the skin, there will be a scar left at the incision site. Delayed healing or dehiscence wounds that wont heal are common in smokers and patients with metabolic diseases. Thank you ladies! It should also reduce pain. It may be necessary to wear a special shoe or a shoe insert to support the toe following the procedure. Depending on the type of surgery you had, your recovery time can vary if youve undergone a minimally invasive procedure, it will be about 4-6 weeks. I do have a device to put on toe for swelling. So, I am still elevating my foot a lot. This is clear evidence that the ROM exercises have not accomplished the expected results. Again, I want I went out and purchase a pair of soft cloth shoe in a size bigger. Every doctor will tell you to elevate your leg after hammertoe surgery, and the reason for that is simple elevation will help with the lymphatic drainage and ensure the swelling goes down quicker. However, we must note that you shouldnt spend the entire recovery period off your feet. I had surgery Oct. 6, Last week I was given the ok to wear shoes. Surgery was done to stop pain from fractured toe that was still painful after 2 years so I've had this pain for 3 years now. In fact, research shows that post-surgery foot and ankle pain and swelling are typically well managed with over-the-counter pain relievers/anti-inflammatory medication and the RICE method (rest, ice . Now the infected area is drying up but looks unsightly. FAX: (603) 964-6515, SOMERSWORTH After having a hammer toe corrected through surgery, there is the chance that the deformity will return 1. Hammer toes can become painful over time, as the joints lose flexibility. Take your antibiotics religiously and expect swelling for a long time, so put your feet up often. The surgery should not hurt. I am 65 and I do dancing for pleasure and exercise. Before, I had the bulky aircast boot for the first 2 weeks. MNT is the registered trade mark of Healthline Media. If you have pins or screws in your toe, they may be taken out a few weeks after the operation.. Pin came out 2 weeks ago and I can not feel this toe. Your toe should be fused and the wound healed around four to six weeks after surgery. Still swollen and painful. If youre living with the pain and mobility issues caused by ahammertoe, a minimally invasive surgery to correct your toe deformity may be the best treatment to resolve your symptoms. My husband is a pediatrician who works very long hours. An IV can be used to administer anesthesia or to provide a drug that helps a person feel relaxed while awake. Taping the affected toe is also a common treatment method for hammertoe. Pins are usually removed from the toe between four and six weeks post-surgery. ive been so depressed , i just cant wait to be back to normal. Hammertoes develop when a muscle imbalance develops and from wearing shoes that cramp your toes, like high heels or shoes with pointed, narrow toe boxes. Yeesh..so much work to dress up lol. Upgrade to Patient Pro Medical Professional? This can eventually cause the joint to become deformed. how ate you now? You also may have swelling in your foot. Of course, it's reasonable to expect some pain and swelling after the surgery - the procedure requires cutting of your skin, soft tissue, and even bones, so it makes sense that there will be some pain at the surgical site until that heals. It is recommended to walk every day for at least a little bit during your recovery period. im hobbling. It was very painful but after awhile it went away. I can't do any of that, and so now don't get that regular social exposure to my gym and dance friends. My 4th toe is still swollen and hurts 6 months after hammer toe surgery. You should elevate your leg above the level of your heart if youre lying down, put the leg against the wall or on the pillow. if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[250,250],'foot_pain_explained_com-medrectangle-4','ezslot_3',177,'0','0'])};__ez_fad_position('div-gpt-ad-foot_pain_explained_com-medrectangle-4-0');MedlinePlus, Columbia University Department of Rehabilitation. Dr. B. is online now Related Medical Questions the-good-doctor Everything you need to know about hammer toe. My big toe and its neighbor are super stiff. (Regina, Sk, Canada) My daughter had surgery on her foot for turf toe (repair of plantars plate) and for a hammer toe. Less trauma equals less pain, inflammation, and downtime for you. During that time, there are some things you can do to ensure you heal properly and minimize the pain and swelling (these two often go hand in hand). There is also the chance of developing a flail toe, one that does not sit flat on the ground. Last medically reviewed on October 1, 2017. I'm heading to my weights to do some seated dumbbells and floor yoga but I know it'll be hard and exhausting. im so depressed , i need to hear there is a light at the end if the tunnel. They rarely persist after the first six months post-surgery. The progression is predictable-from five days with absolutely no pressure on the foot, to the resumption of modified activities in six to eight weeks. thank you for your words of encouragement. You will be able to walk immediately after your surgery but should take it easy and keep your foot elevated for three or four days. I HAD hammertoe surgery with a pin 9 weeks ago. They will slowly get better with time. In some cases, a keloid scar can form. After surgery, you will need to wear a special type of shoe to protect your toe and to keep it in the right position for 3 to 6 weeks. Your doctor can prescribe you medication to manage the pain. After hammer toe surgery: 2-3 weeks: Stitches may be removed. How? I ended up seeing my surgeon and he removed the wire and gave me antibiotics/Mobic. Pain can be controlled through the use of pain medications dispensed by the surgeon. Infection whenever there is an incision on your skin, an infection is a possibility. Adverse events did not seem to be any better or wors. I can't wear a shoe very long maybe up to two hours and then only tennis shoes. When hammertoes are diagnosed and treated early, you can usually avoid surgery. Those who choose general anesthesia may not be allowed to eat before surgery. The recovery period could be painful and difficult, especially in the initial stages. After traditional foot surgery, you can expect to leave the clinic with a surgical boot, crutches, or even a knee scooter. Join in and write your own page! If left untreated, hammertoes can become painful and cause mobility issues. Swelling accompanied by pain isnt the only thing that can occur after hammertoe surgery. Should I try the colban wrap? In most cases, patients will use NSAIDs (nonsteroidal anti-inflammatory drugs). I also interviewed a lot of doctors. Over time, the toe muscles grow weaker and are no longer able to straighten the toe. Still, if there is too much swelling, that might slow down the recovery, which is why we take steps to reduce it sometimes. Removing a toe can change the way a person balances on their foot. I go to the gym, dance zumba, do pilates (can stand on toes now and do lunges was too painful earlier). The thinner the person the greater the positive impa, One of the best ways to help yourself heal faster after surgery is to eat well. Any other suggestions would be appreciated. Or should I check in with my dr. I think your website is the most informative site I have found when researching foot pain. I was looking forward to my hammertoe pin removal and clearance to begin weight bearing but its just such a battle of swelling and pain. And I cannot stand up and cook either. However, there are a couple of things to be wary of: i. Gallentine, J. W., & DeOrio, J. K. (2005, May). You have an unusually clear, informative and well-written website for laypersons. Elevating the foot can speed up healing and reduce pain. I live in Southern California so I can at least sit outside and don't have to deal with weather. Keep in touch! Seabrook, NH 03874 I planned my surgery and attempted to plan my sedentary time to do my end of year Continuing Education (retired accountant) and I'm taking a very intensive online class, which I'd never commit to if I were mobile. He didn't know why it might still be hurting. How are you now? Can poor sleep impact your weight loss goals? It is possible to treat flexible hammer toe without surgery, often by simply switching to better shoes. Sometimes it feels good to just have my foot exposed to air around the house. Once the incisions heal and the swelling subsides, the patient can gradually apply weight and move. Take care! For this surgery, a doctor cuts ligaments and tendons to help straighten the toe and may also remove a portion of the bone. Always speak to your doctor before acting and in cases of emergency seek The isolation, frustrating swelling, lack of activity, plays havoc with my emotions. I guess patience is KEY! Then, the surgeon will use pins to help keep the joint in place. Following surgery, most people experience swelling, which can last up to a year. Hammer toe is a condition where one of the toes becomes stiff and bent, in a position resembling the shape of a hammer. Hammer toe repair - discharge. 4-6 weeks: Any surgical pins that were used may be removed. Minimally invasive surgery improves patient outcomes by reducing the risk of infection and scarring. Before having hammer toe surgery, the surgeon will test the circulation through blood tests and vascular studies, but delayed healing can still occur in some patients, according to FootDoc.ca 3. These exercises can also prevent hammer toe from coming back. I'm 64 and a very active cyclist and hiker so this is brutal. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Fortunately my husband is willing to cater to my constant grocery requests. Our doctors at Luxe Foot Surgery clinic is experienced and talented they will take excellent care of you. About Us How can I minimize the swelling and pain in my toes 7weeks after surgery? The recovery time following hammer toe surgery can vary depending on the procedure performed. Week 2: This is probably the most difficult time after foot surgery. I know there is light at the end of the tunnel but how long is this tunnel? FAX: (603) 964-6515. She earned a Doctor of Podiatric Medicine from Temple University School of Podiatric Medicine and a Bachelor of Arts in biology from William Paterson University. Thanks for a most interesting website, which has helped a lot. You will be able to carry your weight the same day after the procedure, and its recommended that you walk a little bit each day. Toe-strengthening exercises, such as picking items up off the floor with the toes, may also help. At present I wouldn't be able to walk to the end of our street without having to hobble back like I'm 100 years old. Hi Rebecca. To realize just how lucky you are just living in a warmer climate, think that we had snow over here, and obviously it was quite chilly. // Leaf Group Lifestyle, Complications From Arthroscopic Knee Surgery, How to Increase Flexibility in My Big Toes, Complications of Spinal Fusion With Harrington Rods, FootDoc.ca: Complications of Foot and Ankle Surgery, Podiatry Today: "How To Address the Complications of Hammertoe Surgery" by Molly Judge, DPM. Recovery: As it is true to any given medical procedure, the recovery rate varies from person to person. Last wk. Because of supply chain shortages as well as staffing shortages particularly during the pandemic, many institutions extended the time between dressing changes for chronic wounds. They may also be unable to drive for several weeks. If you have a hammertoe or are concerned that a hammertoe is developing,contact us at Nagy Footcarefor effective diagnosis and treatment. Clearly you put a ton of work into it and I really Before we get into the details of what to expect during and after hammertoe surgery, lets take a step back and review the basics about hammertoes. So, yesterday I was 6 weeks after bunion and hammertoe surgery. Once healing takes place, the pain should continue to decrease until it subsides. Simona I'm at the exact same place in my recovery, 6 weeks from bunion, hammertoe and tailors bunion surgery Oct 30, 2019. Thank you for your very interesting and informative site! Most patients are back on their feet and participating in normal activities within three weeks of minimally invasive hammertoe surgery. A person can reduce the symptoms of a flexible hammer toe by avoiding high heels and wearing loose shoes that are at least a half-inch longer than the longest toe. I don't think that would be helpful for healing, since we've had major work done on our bones and I don't want to ruin that. I still have pain and swelling 7 weeks after hammertoe surgery. An ingrown toenail can usually be treated at home. Is this something good or does it do anything bad to the foot? For many people, the continued use of conventional footwear (i.e., shoes that possess heel elevation, toe spring, toe taper, and rigid, inflexible soles) after surgery encourages a recurrence of the original problem, be it a neuroma, a hammertoe, or a bunion. Bunionectomy and Plantar Plate Repair After image taken six weeks post surgery. Ice placed just above the surgical site can help keep swelling to a minimum. Bunion removed 12 yrs. A Hammertoe, also known as a claw toe, is a deformity that gradually causes your toe to bend downward. Our board . Hammertoe surgery is considered quite a simple procedure, but even the simplest surgeries can have some complications. Keloids are more likely to occur in African Americans. EASILY and QUICKLY! Pain and Swelling. I am in constant pain. You can set up a home recovery area where you can rest comfortably, and dont forget to prepare those pillows that will help you elevate your leg. What are the best ways to cut an ingrown toenail. "The most common complaint is stiffness and swelling of the toe, which can last for a few months," says Dr. Botek. Surgery may also be needed when chronic big toe inflammation and swelling isn't relieved with rest or medicines. Try our Symptom Checker Got any other symptoms? Learn more about some specific conditions that require medical attention, including surgery. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Focus on the benefits of your surgery rather than the frustrations that normally encompass a surgical procedure. Dr. Faramarz Hidaji answered. Yesterday was actually my first trip out to a store to buy a bottle of wine to take to a holiday party. A hammer toe is a potentially painful deformity of the second, third, or fourth toes, where the toe bends upward at the joint, resembling a hammer. Foot Surgery Two to three months after your operation, you should be able to return to all of your usual activities and sports, although some mild swelling may remain for up to twelve months. Exercises to improve strength in the toe and foot muscles may help the toe heal. Patients with hammertoes often have other toe problems, such as bunions or corns. After classifying your hammertoe as either flexible or fixed, . This straightens the toe and can help reduce pain. Read More. I'm not sure if this is normal. Certain food groups have a tendency to raise your blood sugars and should be avoided. My first 10 days after surgery I really didn't take painkillers, other than the paracetamol they gave me during my 2 days in hospital. Its very frustrating to still be so swollen. When your toes are stuck in this abnormal position for too long, your muscles tighten and get stuck in a contracted position. A 2005 study of 12 older adults who had toes amputated found that the procedure could alleviate pain, and people were typically very satisfied with surgical outcomes. I'm 64 and a very active cyclist and hiker so this is brutal. Registered in England and Wales. I cannot walk down the stairs or up, without help. I asked for it since I read a lot about PT being very helpful. The hammertoe correction before and after hammer toe surgery is significant, but the healing process can be uncomfortable. Extreme swelling and pain 7 months after foot surgery. There have been cases in which 2 months after surgery, although the recommended treatment has reduced swelling a bit, the dense fibrous tissue has given a fusiform (tapered at both ends) appearance to the toes. Your doctor may suggest that you elevate for about 30 minutes every two hours or on an as-needed basis if you notice a high amount of swelling or pain after the initial . Some swelling may remain at this point, but a year after your operation healing should be complete and any remaining swelling will have disappeared. My doctor said that I could drive when I can wear normal shoes. In most cases, you should expect recovery to last about six weeks - after this period, pain and swelling should be gone. First, I'd like to thank you for all the information that you provide on your website and the opportunity to write to you. Here is a suggestio. But I am worried that I cannot wear even wide soft athletic shoes. A compressive dressing is used until the sutures are removed 10-14 days after surgery. How is this expected to continue? To keep the toe in place, the surgeon may insert temporary pins. He told me he does not recommend it because he found that PT may increase the chance of bunions coming back. Many patients can walk immediately following surgery in a stiff-soled, surgical shoe or boot. You will likely need to wear a special shoe or boot. However, if your toe is swollen and it hurts, your doctor will prescribe some over-the-counter pain medications that will help with both swelling and pain. Below are the best ways to slow or stop swelling for patients who've recently undergone surgery to their feet or ankles. This pulls the toe into a straighter position, compensating for muscle weaknesses and improving the toes appearance. The initial post-operative periodusually between 24 and 36 hours after surgerymay require constant or prolonged elevation to help wounds heal and bleeding subside. By the way, millions of websites could use yours as a guideline on how to organize information and make the site user-friendly. All rights reserved. And my toes, the big one and the next are not flexible in the least. It depends on the type of surgery. Normally I'm dancing (rock'n'roll and line dancing) and also going to the gym pilates, light weights, aerobics, dance fitness etc most days of the week. Surgery is one of the most effective ways to treat a hammer toe. Home 3 Types of Foot Strikes That May Cause You Foot Pain While Running, The Quickest Way to Recover From Foot Surgery, New Office Location, Same Great Foot Care: Serving Seabrook and Somersworth, Dr. Nagy Receives Atlas-FAI Certification for Foot Alignment Treatment, Things to Consider About Where You Have Foot Surgery, Why You Wont Need Crutches After Foot Surgery. Thank you Dr. Mitnick for your quick response and also for the explanation in the original post that the swelling in my toe could be caused by problems with the lymphatic system. i did 4 toes 2 on each foot. Swelling is a reaction of your tissue to that trauma, which means that having absolutely no swelling after a surgical procedure is not realistic. Swelling and pain are common after hammertoe surgery, up to a point, so if your pain is beyond the expected normal, your surgeon should be made aware of it. how are you now? Every specialist will ensure you understand the risks and benefits of this procedure and that you have realistic expectations. While these untoward results can occur, they are unlikely if both the surgeon and the . Pain and swelling are normal for about a week following surgery. The incision will probably leave a scar. But you will see such a significant change in the feeling, swelling and bruising. Obviously, I cannot do anything like that. The first steps toward healing start right away. What is the recovery time for hammer toe surgery? Its important to note that you should never put ice directly on your skin instead, place a thin cloth when applying ice packs. Some people will receive intravenous (IV) medication before or during surgery. You may even experience tingling or burning as your foot heals. Custom orthoticscan also help to support correct alignment in your foot. Heart failure: Could a low sodium diet sometimes do more harm than good? Walking is actually good for you after minimally invasive hammertoe surgery. Well, I tried with wide, large sneakers and then wide Lem shoes and my foot does not fit into anything. really regreting this surgery now. You expressed it well - "I know there is light at the end of the tunnel but how long is this tunnel?". I know that it does not offer enough support but there is no shoe of any kind that I can put my foot into. Toe-strengthening exercises, such as picking items up off the floor with the toes, may also help. I interviewed 7 surgeons before settling on my surgeon but it was hard to find references from former bunion patients so I'm just praying everything will work out! Once the anesthesia wears off, you'll feel pain and swelling, which can be regulated with painkillers and antibiotics. I started wearing soft sneakers late in September and I am now able to wear flat boots (although I sized up for my boots and wear thick warm socks underneath cause my feet are always cold). Usually, doctors start worrying if the swelling doesnt go down about a month after the procedure. When a hammer toe becomes problematic, surgery can be performed to remove part of the bone and release the contracted tendon. What to Expect After Hammertoe Surgery? Minimally invasive surgeries have improved patient outcomes, reducing many of the risks of traditional surgery. Kudos to you! What are the Beginning Stages of an Ingrown Toenail? If you are experiencing serious medical symptoms, seek emergency treatment immediately. The fixation device loosens or becomes painful in about 1 to 3% of people. My husband came and without even asking me, quickly tore off the strips over the bunion incision. A good review of the causes of warts and protective measures you can take to prevent developing them. Cold therapy lasts 10-20 minutes never leave your ice packs on the leg for longer. 5. Patient is a UK registered trade mark. My doctors visit is in 3.5 weeks away and I need to end the pain and reduce swelling now. Marc Mitnick DPM Mar 10, 2017 Rating different toes by: Stefany I wonder when I'll be able to go for a walk and not end up limping and hobbling because my feet have swollen. It still hurts to walk. Fusion procedures realign and fixate the bone in place which can limit . It may not be advisable, I fear.So now, I feel worse than I felt before my husband got it into his head that it would be better for me without those tiny strips. During a lapiplasty, our surgeons use tiny, highly specialized tools to completely rotate your misaligned metatarsal bone. This comment is to let one know what to expect with hammertoe surgery. I've since seen a new doctor who has suggested some stretching but that hasn't seemed to help. Also, yesterday, when I had my shower, the steri strips did not fall off. My incisions are pretty much healed now.