Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / Diseases and Disorders / Diabetes / April 2006

Tip: Looking for answers? Try searching our database.

Bunion Surgery

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
sharppointy1 - 05 Apr 2006 14:09 GMT
I have had bunions for as long as I can remember (am now 52).  Have
been wearing Birkenstocks & clunky shoes for over 20 years.  Had custom
insoles made to slow progression, but alas, my feeties HURT all the
time. I do not have neuropathy (yet, thank God)- the pain is in the big
toe joints.  Am scheduled for first surgery 4/28, which will involve
bone cuts & remodelling.  I am wondering if there are others on asd who
have had bunion surgery & what their experience has been.  My A1c is
6.2, am using diet, exercise, metformin & Byetta to beat my T2 diabetes
into submission.  I will have to be in bed for first 3 days, but will
be able to resume exercise bike after that, as I will be in a walking
boot.  Any personal experience with bunions, b surgery, pain control
tips, what your blood sugars did after surgery, how soon you could
resume exercise, any tips on nutrition for bone healing would be
greatly appreciated.
Thanks  Barbara
Susan - 05 Apr 2006 14:19 GMT
> I have had bunions for as long as I can remember (am now 52).  Have
> been wearing Birkenstocks & clunky shoes for over 20 years.  Had custom
[quoted text clipped - 3 lines]
> bone cuts & remodelling.  I am wondering if there are others on asd who
> have had bunion surgery & what their experience has been.

Yes, left foot only, in 1999.

  My A1c is
> 6.2, am using diet, exercise, metformin & Byetta to beat my T2 diabetes
> into submission.  I will have to be in bed for first 3 days, but will
[quoted text clipped - 4 lines]
> greatly appreciated.
> Thanks  Barbara

Barbara, if you want to heal well, you might want to cut the carbs a
bit; that A1c is a tad high if you're exercising and taking both those
meds.  Higher carbs produces more inflammation, and this will matter a
lot with this surgery.

Discuss pain management with your surgeon before you have the
bunionectomy.  I know and met (more about this later) many others who've
had it.  There is no way to describe the pain, seriously.  All I can say
is, it feels as if a piano fell on your foot from a great height for
about 2-3 days post op.  The good news is, most docs give you gonzo pain
meds.  I had Percocet and another drug to take together, for
potentiation of painkilling.  I was in a half asleep fog for the first
two days, after day 3 Tylenol was enough.

When I was in my post surg boot a couple of weeks after surgery, folks
would walk up to me and ask, "bunionectomy? Bet you'll never do that
again!"   It really effing HURTS.  The pain in my foot was so bad I had
no choice about doing it; even bed sheets brushing it set off pain.
It's been well worth it; I did a lot of flexibility exercises in that
first month, and went to PT to keep it loose.  Well worth the discomfort.

If possible, get a walking cast instead of crutches, which I found
hazardous.  My surgeon ordered a walker for me to use in the house; it's
more stable and safer.

Hope all goes well.

Susan
sharppointy1 - 06 Apr 2006 14:02 GMT
Thanks, Susan - I will be using a walking cast thank goodness.  I can
be quite the klutz and am afraid crutches and I would equal Barbara
being on her tush on the floor with dogs, cat, husband, children &
grandkids giggling at me.  I have a bit of a pain management glitch in
that I am 6.5 years clean & sober from narcotic and alcohol addiction.
Happily my husband will hold onto the pain pills and has said "we'll
keep you ahead of your pain".  I'm actually more worried about the
pills reawakening my overactive "stinking thinking" brain and making
cravings reappear.  I have a plan for that - have increased my meetings
and am asking for help from my 12 step friends.  I'm also worried about
rises in my BS, but I'll take your advice & reduce the carbs more,
starting now, so I'm in the best condition I can be.
Barbara
Susan - 06 Apr 2006 14:05 GMT
> Thanks, Susan - I will be using a walking cast thank goodness.  I can
> be quite the klutz and am afraid crutches and I would equal Barbara
[quoted text clipped - 9 lines]
> starting now, so I'm in the best condition I can be.
> Barbara

Sounds like a good plan, though I understand your worry about the
cravings.  OTOH, I've known others in drug recovery who were able to use
such drugs only for pain relief, then leave them alone post op.
Meetings are a great idea.

When is your surgery?

Susan
sharppointy1 - 06 Apr 2006 15:00 GMT
April 28. Hope it's not a blizzard on that day as it is today!!  I'm
going to ask for a PT referral, I think that will be helpful.
Susan - 06 Apr 2006 15:18 GMT
> April 28. Hope it's not a blizzard on that day as it is today!!  I'm
> going to ask for a PT referral, I think that will be helpful.

A blizzard would be bad.  Though on day one or two, you won't be
thinking much about the weather.

Susan
W.M.McKee - 05 Apr 2006 14:20 GMT
>I have had bunions for as long as I can remember (am now 52).  Have
>been wearing Birkenstocks & clunky shoes for over 20 years.  Had custom
[quoted text clipped - 11 lines]
>greatly appreciated.
>Thanks  Barbara

Sorry to hear of the bunions and the surgery ahead, Barbara, but I
hope you sill soon be getting that relief you need that will improve
your life. I do know what severe and unremitting foot pain is like,
and it bites big time.

Wishing you all the best.

Will, T2
hilbert - 05 Apr 2006 17:17 GMT
Hi Barbara:

I hope your surgery goes well.

May  I ask you what your bg numbers are like on the byetta (the fasting
bg
and the usual pp bg) ?

Best wishes
H.
sharppointy1 - 06 Apr 2006 13:54 GMT
Hilbert
My fastings range from 90-120 on the Byetta, and the post meals from
70-100 depending on what I ate & what exercise I have done.  It has
been amusing to see my BS readings "reverse" with the lizard spit.
Loretta Eisenberg - 05 Apr 2006 19:47 GMT
Barbara, I know nothing about bunions except that people have them.  I
just want to wish you good luck on your surgery and hope that your
feetsies feel all better. lol
Loretta

--
In tribute to the United States of America and the State
of Israel, two bastions of strength in a world filled with strife and
terrorism.
Julie Bove - 05 Apr 2006 22:05 GMT
> I have had bunions for as long as I can remember (am now 52).  Have
> been wearing Birkenstocks & clunky shoes for over 20 years.  Had custom
[quoted text clipped - 10 lines]
> resume exercise, any tips on nutrition for bone healing would be
> greatly appreciated.

I haven't had that surgery done but my mom has.  She did not have both feet
done at once.  Immediately after the surgery, she had to wear a clunky
wooden shoe for a few weeks.  Then she could switch to regular shoes, but
her foot was swollen for a while.  She had to get some shoes in a larger
size than she usually wore.  And because the larger shoe didn't fit the
smaller foot, she bought an identical pair in the smaller size.  This worked
well because she then had the shoes she needed following the second surgery.
I don't recall her taking any pain medication other than OTC stuff.  And she
wasn't off her feet for long, but she couldn't drive for a while after they
did the right foot.  Now her feet are a more normal width.  She had taken
AAAA width and those were very hard to find.  Now she can sometimes take a B
width, but more often an A.

Signature

See my webpage:
http://mysite.verizon.net/juliebove/index.htm

Mary - 06 Apr 2006 02:06 GMT
Barbara, I just had bilateral bunion surgery in late October, and it
went very well.  I also was put immediately into the "bunion shoes" and
was walking around the house the day of surgery.  I only took ONE
Vicodin pill the night of surgery, just to make sure pain didn't keep me
awake.  But after that, I really didn't suffer any pain at all (and I
don't have neuropathy!).

My workplace requires that we return to work at 100%, so I had to stay
out for 5-6 weeks.  I work in the operating room, and we're on our feet,
working physically, all day long.  But after about 5 1/2 weeks, I was
back to work.  I did shop for a pair of tennis shoes that were a bit
larger than usual, just to keep my feet comfortable (the swelling take
awhile to go down).  I would say that it has taken probably 5 months for
the swelling to completely subside during the healing process.  I just
had the screws removed in the office 2 weeks ago, which was about 4-5
months after surgery.

I didn't stay in bed for the first 3 days, but I did try to keep my feet
up as much as possible.  At my computer, I just propped my feet up on
the desk.  It would drive me CRAZY to remain in bed for 3 days :)

Good luck on your surgery!  I also had much pain in the joints prior to
surgery, which kept me awake at night, so at that point the surgery was
necessary.  I hope yours goes well.  I hope you know something about
your surgeon.  Working in surgery, I know that some are good, some not
so.  So hopefully you've gotten some referrals from satisfied customers.

My bgs were a bit higher the day after surgery, probably from the
physical stress, and also because the surgeons usually inject a steroid
of some sort at the end of the surgery (Decadron or Celestone).  But
it's better to have it than to not have it.  The bgs will level out
within a short time.

It has taken me about 4 1/2 to 5 months to begin exercise on the
elliptical machine or running on the treadmill at the gym.  But that's
OK by me.  I did gain a few pounds, but also that's not so abnormal
during the winter.  So I've just gotten back into the exercise program.

Oh, one thing.  I did find that when exercising on the elliptical, I had
some discomfort in the ball of my right foot.  If you are uncomfortable,
mention that to your doctor.  Mine wrote an Rx for inserts for my shoes,
and that has helped immensely.

Mary

> I have had bunions for as long as I can remember (am now 52).  Have
> been wearing Birkenstocks & clunky shoes for over 20 years.  Had custom
[quoted text clipped - 11 lines]
> greatly appreciated.
> Thanks  Barbara
sharppointy1 - 06 Apr 2006 14:17 GMT
Thanks, Mary!  Wow, both bunions at once??  My doc "strongly
recommended" I not do that. From a time off work & pain management
angle I'd prefer to do both at the same time, but doc said his
experience was folks had a rougher time with less mobility & more pain
doing both at once.   He said I'll be in one of those walking cast
boots - I used one years ago for a foot fracture and was amazed at how
comfortable and noisy it was.  I suspect I'd be very unsteady on my
feet if both were encased in Frankenstein boots.
I am taking 2 weeks off per foot - am the only RN at the homeless
clinic and we are on the road doing outreach visits more than we are in
the office.  I can sit when I'm in the office, but I'm not there much.
I can sit & elevate at the outreach sites.
Did you use any vitamin/calcium/antioidant supplements to help with
bone & wound healing?  I'm searching for more info about that.
I'm happy to hear you only needed on pain pill - see my note to Susan -
I worry about reactivating my dangerous craving brain that I have
struggled to overcome....
Thanks again for your information!
barbara
Susan - 06 Apr 2006 14:45 GMT
> Thanks, Mary!  Wow, both bunions at once??  My doc "strongly
> recommended" I not do that. From a time off work & pain management
> angle I'd prefer to do both at the same time, but doc said his
> experience was folks had a rougher time with less mobility & more pain
> doing both at once.

My mother and sister's surgeon insisted on doing both at once, too.  He
said it hurts so much that many folks don't come back to do the second
one otherwise.  I would've hated the restrictions on mobility, and if
the other foot ever needs it, I won't hesitate to have another surgery.

   He said I'll be in one of those walking cast
> boots - I used one years ago for a foot fracture and was amazed at how
> comfortable and noisy it was.  I suspect I'd be very unsteady on my
[quoted text clipped - 10 lines]
> Thanks again for your information!
> barbara

I didn't use supplements, just PT after the first two weeks, with
ultrasound to break up adhesions and keep it flexible.  I wiggled it
back and forth a lot, too, in the first months.

My friend used pain pills only one night, then Tylenol.

Susan
 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.