SURGERY |
SURGERY |
Thinking about SURGERY?
Podiatric surgery encompasses a wide range of procedures tailored to address a wide spectrum of conditions involving the foot, ankle, and lower leg. Surgery is generally reserved for cases where conservative measures have failed, it can be an essential step toward restoring functionality and alleviating chronic discomfort.
What to expect from Foot Surgery?
Foot surgery can be a life-changing procedure for those dealing with chronic pain, deformities, or injuries. However, it’s essential to understand what the process entails, from preoperative preparations to recovery, so you can set realistic expectations and maximize the likelihood of a successful outcome.
Before Surgery: Preoperative Phase
1.Consultation and Evaluation
Your podiatrist will assess your condition through physical exams, imaging studies (X-rays, MRIs, or CT scans), and a review of your medical history.
You’ll discuss surgical options, potential risks, and expected outcomes.
If you have underlying health conditions (e.g., diabetes, arthritis, or circulation issues), these will be managed collaboratively with other healthcare providers.
2. Pre-Surgical Instructions
You may be asked to stop certain medications, like blood thinners, a few days before surgery.
Instructions on fasting before the procedure will be provided, especially if general anesthesia is planned.
You’ll likely arrange for transportation and help at home, as mobility will be limited during the initial recovery.
3. Prehabilitation
Strengthening exercises or physical therapy might be recommended to prepare the foot and surrounding muscles for surgery and recovery.
During Surgery: The Procedure
1.Anesthesia
Foot surgeries are often performed under local anesthesia with sedation. In more extensive cases, general anesthesia may be used.
Regional anesthesia, such as a nerve block, is common for prolonged pain relief post-surgery.
2.Surgical Techniques
Techniques range from minimally invasive procedures to open surgery, depending on the condition.
Examples include bunion correction, joint fusion, tendon repair, fracture fixation, or removal of bone spurs.
3.Procedure Duration
Most foot surgeries are outpatient procedures lasting between 30 minutes and 2 hours, though complex surgeries may take longer or require a short hospital stay.
After Surgery: Recovery Phase
1.Postoperative Care
Dressing and Immobilization: Your foot will be bandaged or placed in a cast, splint, or surgical boot to protect the site and immobilize the area.
Pain Management: Medications, such as anti-inflammatories or prescribed painkillers, will help manage discomfort.
Elevate and Ice: Keeping your foot elevated reduces swelling, and icing may be advised to minimize inflammation.
2.Mobility and Weight-Bearing
Initially, you may be non-weight-bearing, using crutches, a walker, or a knee scooter. Follow your podiatrist’s instructions for when to begin bearing weight on the foot.
Gradual progression to weight-bearing is typical, with some patients starting partial weight-bearing within weeks, while others may take months.
3.Physical Therapy
Once cleared by your surgeon, physical therapy helps restore strength, flexibility, and range of motion. This step is crucial for regaining full function and avoiding stiffness or weakness.
4.Wound Care
Keeping the surgical site clean and dry is essential to prevent infection. Your podiatrist will guide you on dressing changes and signs of complications.
Common Recovery Milestones
First Few Days
Pain, swelling, and bruising are normal. You’ll spend most of your time resting with your foot elevated.
1-2 weeks
A follow-up visit to remove or check the dressing or stitches is common.
You may transition to light movement with aids like crutches or a surgical boot.
5-6 Weeks Post-Surgery
Swelling begins to subside, and you may start physical therapy.
Some patients can return to light activities, depending on the surgery.
6–8 Weeks Post-Surgery
Most people can resume regular shoes and begin walking more comfortably, though heavy activity may still be restricted.
3–12 Months
Full recovery and return to high-impact activities can take up to a year, depending on the complexity of the surgery.
Tips for a Smooth Recovery
Follow Instructions: Adhere to weight-bearing restrictions, wound care guidance, and activity modifications.
Stay Active (When Cleared): Gradual movement prevents stiffness and supports circulation, aiding recovery.
Maintain a Healthy Diet: Good nutrition supports healing; consider foods rich in protein, vitamins, and minerals.
Communicate Concerns: Report signs of complications, such as increased pain, fever, or unusual swelling.
What to Expect Long-Term
Improved Quality of Life
Surgery often results in reduced pain, improved mobility, and better foot function, significantly enhancing daily activities.
Adaptation to Changes
If your surgery involves structural changes (e.g., joint fusion), you may need to adapt to altered biomechanics with orthotics or supportive footwear.
Continued Monitoring
Regular podiatric visits ensure the long-term success of the surgery and help prevent future issues.