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Medical Forum / Diseases and Disorders / Arthritis / February 2006

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Foot Surgery Looming

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Cooly - 15 Sep 2005 05:16 GMT
   
I promise I won't post any pictures.  The feet have progressed to where
I think surgery is the only option.  I consulted with an orthopedic
surgeon last year, she was recommended by my rheumy, and she said to
wait as long as possible because the RA destroys the tissue and the
surgery won't last as long as it does for non-gimps.  Well I'm going
back next week, I think this is as long as I can last.  My job, I'm a
railroad conductor, requires walking and I'd like to work another 5
years at least.  Of course I would like to hike, walk, and run again
too, but I'll take what I can get.
I'm sure the surgeon will answer most of my questions but what are your
experiences.  I would like to do both feet at once, so how long will I
be completely immobile (yuck, bedpans) if at all? How long will I be off
work? How much assistance will I need, my wife is coming back from
carpal tunnel surgery. Are there particular questions I should be asking
the doctor?
Thanks for any insights.
Cooly
   
RoseB - 15 Sep 2005 06:13 GMT
Cooly:
What are you having done?
I have not had any foot surgery, but at some point I may need to. I
hope someone can give you the info you need.
    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
Cooly - 15 Sep 2005 06:28 GMT
I have bunions from hell. The joints between by toes and metatarsals are
 dislocated. I can't walk without pain. I guess I'll get the medical
terms next week. I'm sorry Krissie, but I may have to put up pics. I'll
let you know Rose when I know more.
Cooly

> Cooly:
> What are you having done?
[quoted text clipped - 4 lines]
>
>      Please remove "Ima" to reply.
vickie b. - 15 Sep 2005 07:48 GMT
(((((cooly))))) I have not had bunion surgery!  But I'm looking at the
third surgery on my right foot.  (heel spur, neuroma, and now tarsal
tunnel) Bunion surgery is more recovery time than anything that I have
done.  But I would agree to walk all long as you can stand the pain
before surgery.  At the same time, watch out for muscle and tendons.
They still need to be strong!

Take care,

Vickie B.
RoseB - 15 Sep 2005 14:29 GMT
>I have bunions from hell.
OK Actually I would not mind seeing pics. After seeing the miracle
that happened when Gaetan Michaels had his, I find it amazing what can
be done. Here's hoping that your surgery is just as miraculous.
    Rose   @}>->--
    Being educated means that rather than fearing the unknown, one seeks to understand it. RB

    Please remove "Ima" to reply.
Duckie - 16 Sep 2005 04:26 GMT
Had a friend who had her bunions done and went back
dancing afterward. Of course, she did not have arthur
in her feet and certainly did not have dislocated toes.
They put her in one of those hard blue shoes. KJ isn't
looking very often anymore but we could email her that
you need her if you post pics. bhwaaaaaa!!!
Duckie

> I have bunions from hell. The joints between by toes and metatarsals are
>  dislocated. I can't walk without pain. I guess I'll get the medical
[quoted text clipped - 10 lines]
>> seeks to understand it. RB
>>      Please remove "Ima" to reply.

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Cooly - 16 Sep 2005 16:40 GMT
Oh Duckie, don't be telling my wife I'll be able to dance if I have the
surgery.  That reminds me of a story, once I had an infection in my foot
from my work boots rubbing.  After he treated the infection I had my
doctor write a prescription saying I couldn't dance on New Years Eve
which was getting close. The next time my wife saw the doctor she came
home with a prescription for no housework. I can't get much past her.<G>
Cooly

> Had a friend who had her bunions done and went back dancing afterward.
> Of course, she did not have arthur in her feet and certainly did not
[quoted text clipped - 17 lines]
>>> seeks to understand it. RB
>>>      Please remove "Ima" to reply.
Duckie - 16 Sep 2005 22:26 GMT
Now your wife is funny. That made me laugh flat out loud.
Duckie

> Oh Duckie, don't be telling my wife I'll be able to dance if I have the
> surgery.  That reminds me of a story, once I had an infection in my foot
[quoted text clipped - 3 lines]
> home with a prescription for no housework. I can't get much past her.<G>
> Cooly
d'huit - 17 Sep 2005 23:35 GMT
my mom had both feet (bunions) done at the same time; didn't need a
wheelchair at all, nor did she use crutches.  but then, she didn't have
dislocated toe corrections, either.

kate

> Had a friend who had her bunions done and went back dancing afterward. Of
> course, she did not have arthur in her feet and certainly did not have
[quoted text clipped - 17 lines]
>>> seeks to understand it. RB
>>>      Please remove "Ima" to reply.
Cooly - 18 Sep 2005 21:49 GMT
Thanks Kate, I hadn't seen you post in a while. I hope everything is good.
Cooly

> my mom had both feet (bunions) done at the same time; didn't need a
> wheelchair at all, nor did she use crutches.  but then, she didn't have
[quoted text clipped - 23 lines]
>>>>seeks to understand it. RB
>>>>     Please remove "Ima" to reply.
Walt Hanks - 18 Sep 2005 23:50 GMT
Having had both surgeries twice, I can tell you that the Keller procedure
(bunions) is more painful initially, but the Clayton (MT Head resection and
toe straightening) is a much longer recovery with much more risk for
infection and scar tissue.  Staying off the foot and keeping it elevated as
much as possible is essential.  For me, that meant a wheelchair because I
can't sit still all day.  I got to MOVE!

Walt

> Thanks Kate, I hadn't seen you post in a while. I hope everything is good.
> Cooly
[quoted text clipped - 26 lines]
>>>>> seeks to understand it. RB
>>>>>     Please remove "Ima" to reply.
Gaetan Michiels - 15 Sep 2005 08:17 GMT
My foot surgery

http://users.pandora.be/gaetan.michiels1/hallux-valgus.htm

Toes correction was a hospitalisation of 3 days and a recovery of  8 weeks
foor each foot.
The infection was a month hospitalisation and a month recovery

Wil

> I promise I won't post any pictures.  The feet have progressed to where I
> think surgery is the only option.  I consulted with an orthopedic surgeon
[quoted text clipped - 12 lines]
> Thanks for any insights.
> Cooly
Cooly - 15 Sep 2005 16:25 GMT
I remember those pics too well Gaetan.  They are one of the reasons I've
waited as long as I have.  I'm not sure I should look again. <G>
Cooly

> My foot surgery
>
[quoted text clipped - 22 lines]
>>Thanks for any insights.
>>Cooly
Walt Hanks - 15 Sep 2005 12:16 GMT
Been there, done that, got the t-shirt.  <g>

Seriously, I've had 5 surgeries on my feet.  KJ runs away when I even
threaten to take my shoes off.  Here's what I've learned.

1. DON'T try to do "minor" surgeries to avoid the Clayton procedure (MT head
resection with fusion of the 1st MT).  Wait until you can't stand it then
have the MT heads removed all at once.  The reason is that feet grow scar
tissue - lots of it.  The more surgeries you have, the more scar tissue
you'll have.

2. DO use a wheelchair with leg extension for the first 6 to 8 weeks.  Keep
off your feet and keep them elevated to avoid scar tissue.

3. DO start PT as quickly as possible.  At first, all they will do is wound
care.  This reduces scar tissue (do you see a trend here?).  Then they will
start working the joints to break up the scar tissue and prevent adhesions.
(Yes, it hurts as much as it sounds like it will hurt.)

4. DO plan on buying all new shoes once you're on you feet.  Your old shoes
and old orthotics will no longer fit.

5. DON'T think your pain will all go away.  A post-surgical foot should be
better, but it won't be a lot better.  OTOH, it also should stop getting
worse.

6. And most importantly, DON'T use a surgeon who doesn't whittle on feet on
a weekly basis.  Feet are unlike any other area of the body and you need
someone with a lot of experience to do it right.

Oh, and BTW, your surgeon is only correct about continued damage IF your RA
is still out of control.  IMHO, you should not be considering this surgery
if your RA isn't being properly controlled.

And if you have young kids around the house, please remember that there will
be a ton of pins sticking out of your toes that little ones think need to be
played with.

Feel free to ask any questions you like.

Walt

> I promise I won't post any pictures.  The feet have progressed to where I
> think surgery is the only option.  I consulted with an orthopedic surgeon
[quoted text clipped - 12 lines]
> Thanks for any insights.
> Cooly
Cooly - 15 Sep 2005 16:23 GMT
Thanks for the tips Walt, I can't wait to get the t-shirt. I think it
needs to be done but the doc may try to talk me out of it.  I've had
worse pain but feet are pretty fundamental in my life. I was hoping to
get by with crutches after a while. My RA said this surgeon works with
RA patients a lot and recommened her highly. And most important my RA is
very much under control right now (knocking on wood). I have been very
lucky there. Damage is confined to feet, hand and one wrist.  It hasn't
been inflamed badly for several years.
I'm sure I'll have more questions after my appointment.
Cooly

> Been there, done that, got the t-shirt.  <g>
>
[quoted text clipped - 54 lines]
>>Thanks for any insights.
>>Cooly
escrita@gmail.com - 19 Sep 2005 21:51 GMT
Hi Cooly,

I had bunionectomies on both feet at the same time about 30 years ago,
when I was young and healthy. I was made to get up and walk the same
day, but with those big Frankenstein monster boots. I used a cane to
help me walk sometimes, and I quickly found that I could get around
better with just soft slippers, rather than the clumsy boots. I'm sure
they've got something much better these days.

I got orthotics and new shoes after the swelling went down, and I've
never really been able to wear "feminine" shoes again (pointy toes,
high heels). But the bunion pain totally went away after I recovered
from the surgery. I was able to jog, dance, hike, all of the things I
loved to do back then.

The only thing I notice nowadays is that my toes have spread
out--farther apart than they used to be--and my feet tend to cramp up
if I wear shoes without good support (see the "feminine" reference
again).

As I said, it was a long time ago, and I didn't have arthritis then,
much less RA, so I don't know if it's relevant to your case at all. But
it's always good to hear as many personal accounts as you can, to get a
broad spectrum.

I hope your surgery is as big a relief for you as it was for me.

Cheers,

Evelyn
Cooly - 20 Sep 2005 03:45 GMT
Thank you Evelyn, your right it does help to hear from people who have
had success. And a bonus for me is that I'm not planning on trying to
get into any "feminine shoes". I do have an old pair of cowboy boots
with pointed toes and high heels but that might be to much to hope for.
I'm seeing the surgeon tomorrow morning so I'll know more then.
Say hello to the girls for me, I have so enjoyed listening to your
reports of their successes over the last couple of years.
Cooly

> Hi Cooly,
>
[quoted text clipped - 26 lines]
>
> Evelyn
escrita@gmail.com - 20 Sep 2005 23:50 GMT
Hi back, and I'll tell the girls hello this weekend when I see them.

I just got back from bureaucratic hell, being sent back and forth from
the surgeon's office to the medical secretaries' office, a couple of
times, different buildings, different floors, to get my short-term
disability papers filed. This *was* the first day I have felt good
since the surgery. But now that's out of the way.

What did your surgeon say about your feet?

Evelyn
Cooly - 21 Sep 2005 00:16 GMT
The surgery is set for Dec. 7th, I'm sure it will live in infamy for me
at least.  I really like this surgeon, she listened to what I wanted to
be able to do, and even drew pictures of the process for me.  She is
planning to do the standard bunion procedure on the big toe and then
resection the metatarsal heads.  Lots of talk of screws and she's pretty
sure I'll need the pins in the toes.  Some of the decisions will be made
after she see's how much RA damage there is.    The good news, to me at
least, is that even though we're doing both feet I should be able to get
around somewhat with crutches right away.  I wanted to do both feet for
both economic reasons and the known fact that I'm a coward.  I'm afraid
I wouldn't have the courage to go back.
It was a good appointment and I feel a sense of relief that the decision
is made.
Cooly

> Hi back, and I'll tell the girls hello this weekend when I see them.
>
[quoted text clipped - 7 lines]
>
> Evelyn
Gwen Love - 21 Sep 2005 05:18 GMT
Cooly, since the surgery is three months away, please remind us near the
time for it so we can get the prayers on the way.
Gwen

> The surgery is set for Dec. 7th, I'm sure it will live in infamy for me at
> least.  I really like this surgeon, she listened to what I wanted to be
[quoted text clipped - 22 lines]
>>
>> Evelyn
hacbac@bellsouth.net - 30 Jan 2006 20:20 GMT
Don't put it off.  My orthopedic surgeon said the sooner the better with "RA
feet".
Where are you from Cooly?

Barb C.

> I promise I won't post any pictures.  The feet have progressed to where I
> think surgery is the only option.  I consulted with an orthopedic surgeon
[quoted text clipped - 12 lines]
> Thanks for any insights.
> Cooly
Cooly - 31 Jan 2006 00:26 GMT
Thanks Barb, the surgeon I went to said the opposite. She feels it more
likely to recur because of the loss of synovial fluid between the bones.
Regardless which side is right I had the surgery 12/7 and just returned
to work last weekend. So far I have to say it has been a success. While
the feet are understandably tender, there is already less pain than before.
I live in Salina, which is in the middle of Kansas, but the surgery was
done in Wichita. The orthopedic surgeon was recommended by my RD.
Cooly

> Don't put it off.  My orthopedic surgeon said the sooner the better with "RA
> feet".
[quoted text clipped - 18 lines]
>> Thanks for any insights.
>> Cooly
d'huit - 02 Feb 2006 05:26 GMT
i'm glad it was successful for you, cooly.  heal well.

kate
Thanks Barb, the surgeon I went to said the opposite. She feels it more
likely to recur because of the loss of synovial fluid between the bones.
Regardless which side is right I had the surgery 12/7 and just returned
to work last weekend. So far I have to say it has been a success. While
the feet are understandably tender, there is already less pain than before.
I live in Salina, which is in the middle of Kansas, but the surgery was
done in Wichita. The orthopedic surgeon was recommended by my RD.
Cooly

hacbac@bellsouth.net wrote:
> Don't put it off.  My orthopedic surgeon said the sooner the better with
> "RA
[quoted text clipped - 20 lines]
>> Thanks for any insights.
>> Cooly
Cooly - 03 Feb 2006 03:56 GMT
Thanks Kate, I'm back to work at least. I enjoyed the time off but it's
time to make money now.
Cooly

> i'm glad it was successful for you, cooly.  heal well.
>
[quoted text clipped - 33 lines]
>>> Thanks for any insights.
>>> Cooly
 
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