Medical Forum / Diseases and Disorders / Arthritis / February 2006
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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