Medical Forum / Diseases and Disorders / Diabetes / April 2006
Bunion Surgery
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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
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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.
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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
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