from 8 AM - 9 PM ET. Your bones have molded to the old knee over decades of time. How long should you rest after ankle surgery? So think it can be quite normal for it to get stiff. Hardware that is inserted during a surgical procedure is very small and often inserted using precision guidance techniques, but even the most skilled surgeon can't predict how a foot will respond to the foreign object. While most ankle sprains heal, pain lasting 6 months or more after an injury is less common and warrants evaluation by a foot and ankle orthopaedic surgeon. Answer: One of the first medical professionalsin the United States to perform the surgery, Lad implanted the Axium Neurostimulator System (St Jude Medical/Spinal Modulation, Menlo Park, CA), a medical device used for dorsal root ganglion (DRG) stimulation. Good luck. four and a half months ago, i had an ankle arthroscopy for chronic ankle pain lasting nine months after an ankle sprain, and the orthopedic surgeon found and debrided extensive scar tissue and synovitis tissue throughout the ankle joint, and debrided scar tissue on the atf ligament and aitf ligament (syndesmosis ligament) which was causing a When the pain worsened, she was referred to a pain specialist who inserted a spinal cord stimulator. Apparently at 12 weeks, all the tendons/ligaments are almost completely healed (80%, but it takes another 12 weeks for full healing (100%).I'm still in a soft cast during the day, and an ankle brace at night. Three separate bones meet to form the ankle joint. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in Don't do this on your own obviously but once I was able to really stretch (and I mean using all my strength in the stretching) I got rid of a lot of scar tissue and that got rid of any pain I had (I had been down to very little but tore some scar tissue and was in quite a bit of pain for several weeks). My hubby had two shoulder sugeries this last year to repair a torn rotary cuff. While surgery helps fix your foot or ankle condition, it's still a significant undertaking that may have post-surgical complications. After being on this forum, I expect the ankle to still be stiff. With a history of ankle sprain, this patient presented with pain and ankle instability months after a precipitating injury as a result of tearing of the ligaments near the ankle bone at the outside aspect of the foot/ankle. And not just severe ankle fractures but those requiring open reduction and internal fixation (ORIF). He said that it is normal to have pain long after surgery. Persistent postsurgical pain 1 yr after wrist and ankle fracture surgery is frequent, and a large proportion of patients experience symptoms suggestive of neuropathic pain and CRPS. I've only felt the need to use the ice pack once in the last few months. Left ankle X-ray. It seems like if you are only comfortable in 3" heels then you probably aren't comfortable putting weight down through the normal ROM and from my own experience that sounds like scar tissue. Some patients may wake up in the recovery room with pain despite having a nerve block. I hope the injections help! To get the swelling down, elevate your leg above your heart & ice - it may take up to 48 hours to calm down. After foot surgery, any pain that lasts for more than two months is not considered a normal part of the healing process and should be evaluated by an experienced Tarrant County podiatrist to determine the cause. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Outpatient review with xray on arrival. Phone#: 847.247.4000 2923 N California Ave Suite 300 Chicago, IL 60618. I was 6 weeks in a plaster cast and then 2 weeks after this I went . No, i never bruised nor had discoloration, that why I suggested you contact the dr. and Privacy Policy and steps will be taken to remove posts identified Copyright 2004-2022 Duke University Health System, Chronic Foot, Ankle Pain After Lumbar Decompression Surgery, 3D Brain Atlas to Better Guide Neurosurgeons, Matching the Lumbar Patient to the Most Appropriate Treatment, When Common Foot and Ankle Pathologies Require A Specialist. If not, then it soulds like the doctor is willing to look into it further which should give you some hope as well. I can still walk with it being stiff, and I feel like it could be worse than this. The tear is fixed but the pain is still there. I do know that once I was doing the more aggressive stretching and the scar tissue let go everything go so much more comfortable and easy. End result was having the hardware removed before she felt any relief. The stiffness isn't anywhere near the plate/screws so I don't think the stiffness would be aleviated. I think you now have an idea as to what to expect in the future. Rare and unusual causes that may lead to severe ankle pain include: Loss of blood supply to the bone: This can follow trauma, blood vessel blockage, or certain diseases, and causes bone damage and pain. The HSS Innovation Institute works to realize the potential of new drugs, therapeutics and devices. My doctor said it will take from a couple of days to a week to feel better. There is also bruising to the right of it. One of the most noteworthy advances in ankle replacement is patient-specific instrumentation, or PSI, Dr. Ellis says. Occasionally you may experience numbness and weakness of the legs which disappears after the medication is reduced or stopped. The patient should continue to elevate their foot for two to three weeks. Call the dr and get this checked out. Thank you for replying. 2. As a result of this fluid, your knee may feel tight or stiff, especially if you bend or squat deep. Newbie. No further follow-up was scheduled and the . I never cry, but I cried in front of him, I was so grateful," she says. Ihad surgery on my right ankle over a year ago and it still bothers me. After ankle replacement surgery, Kathleen Kaler has no problem climbing ladders for her job. Well, I think you just answered your question about the onset of pain. It appears you have not yet Signed Up with our community. Then she learned about total ankle replacement during an appointment with a doctor at HSS Long Island. All rights reserved. Also, the injection site is stilldiscolored and it seemed ro get bigger and there is bruising around it. "You have no idea how grateful I am. Sometimes this is a temporary condition as the nerve root or roots take time to heal. If you are thinking along those lines get yourself a second opinion. 4. The surgeon put in a plate and 4 screws. Lad is excited about the potential of the device: This new therapy serves as a novel neuromodulation paradigm by allowing us to target the DRGan important stopping point for pain signals relaying information from the lower limbs to the brain. If the implant wears out, patients could be candidates for a revision ankle replacement or an ankle fusion. Swelling and inflammation. Some surgical pain is deep somatic. Recovery After Foot and Ankle Surgery After the surgery You will need to have a designated driver to take you home. We want to ensure that you have the best recovery possible, and that begins with a comprehensive pain management plan. In this study, surgeons from the Department of Orthopedic Surgery at the University of California (Los Angeles) turn their attention to ankle fractures. "PSI has been a game changer. If nothing else, call and speak with his nurse and get her to run things by the dr. A fluid buildup can typically last 4-6 weeks after surgery, after which it can be removed by your body. Have you started doing aggressive stretching with PT? Ankle Fusion Ankle fusion is an alternative to ankle replacement. I'm now trying to do some cross . Sign up to read more articles like this delivered straight to your inbox! Crewe striker Chris Long is likely to miss at least the next three months of the season after learning he needs an operation on his ankle injury. Newswise After years of searching for answers and numerous doctor consultations, 59-year-old . Cassie, I have had both of my knees injected gosh so many times, not to mention my neck and back. Get your surgery records and any others relating to this and see what another dr thinks. An affiliate of Weill Cornell Medical College, HSS has a main campus in New York City and facilities in New Jersey, Connecticut and in the Long Island and Westchester County regions of New York State, as well as in Florida. The PT said it was the bone that is used for balance and not weight-bearing. Rest - try to avoid putting weight on the injured foot or ankle. Kaler, who is from Long Island, says the surgery changed her life. Anteroposterior . After ankle surgery, a patient should expect to experience some pain. The type of surgery would be determined based on the cause of the continued chronic . If you are very physically active in your job, it may take 3 to 6 months. I also work out on the Total Gym. Registered in England and Wales. Most people are surprised and seemingly annoyed (which annoys me) that I'm still dealing with this ankle but, lo and behold, I am. www.hss.edu. Rest is still important after . The reality is that there are times when pain is just plain part of our life.I am hoping that your pain will greatly reduced and that the effect of the injection will also help the knee. Should I be worried? Most simple fractures heal well with immobilization and non-weight-bearing activity. Everyone has given valid info and advice! 2022 MH Sub I, LLC dba Internet Brands. You can also try and touch your knee to the wall and keep moving your foot back the better flexiblity you get. Keep posting over the next few days as we always like to hear how people are doing and are especially excoited to hear when something good happens and pain is lessened. I had my injury in Feb and surgery also, my ankle was shattered, I'm still not walking unaided,I have lots of swelling, the stiffness really concerns me,I do wonder if I'll every get full movement again, I am having lots of physio but it's seems I have good days and bad days with respects to stiffness and swelling. 4 months after surgery, with only minor changes occurring after this time point in the future. Ankle fusion surgery, also called ankle arthrodesis, is when two or more ankle bones are permanently fused together. Walking after ankle fusion surgery becomes pain free, and most people . Give yourself time to gradually adapt to the new alignment. A bunch of stretching and massage fixed that and that helped walking become easier too although I was in the boot so it didn't make as much difference. If you will remember at the time of your surgery, your consent forms stated surgery was not a 100% success rate. I'm 11 weeks out from ankle surgery - peroneal dislocation and torn ligament - and I feel your pain. Jogging puts an enormous amount of stress and strain on a healthy joint which is something you do not have. For someone whose ankle is very stiff with limited mobility or a severe deformity, a fusion of the ankle bones might be a better option and is also very successful in relieving pain, the HSS experts say. If the pain is still there after 3 months, it is unlikely to improve on its own. Pain Six Months After an Ankle Sprain? That is just plain body mechanics. Whether you're incredibly active or spend most nights on the couch, an ankle injury can happen to anyone. However, he started poking around, and on the side "does this hurt?" You'll get there I am sure! Something is also clicking in my foot. 8 Reasons To Be Grateful For Chronic Illness. Before the surgery, my left ankle was collapsing, it could barely support my weight," says Kaler, a slim 5 foot 7. Join the conversation! Do you think the surgeon might have missed something during surgery? The physicians follow and monitor patients in a joint replacement registry at HSS. Had a "clean" simple fracture of the ankle a year ago in September. Could my knee may have been injured also from that twisting I did? My doctor really pushed me to recover faster thinking it would be ok because i am very young and fit but thats not really the case. When the Doctor says to elevate, you darn well do it. Sx. Begin physiotherapy and . 720 Florsheim Drive Libertyville, IL 60048 In a 40-month period, the authors performed 87 total knee arthroplasties. Environmental, Social and Governance (ESG), HVAC (Heating, Ventilation and Air-Conditioning), Machine Tools, Metalworking and Metallurgy, Aboriginal, First Nations & Native American. My husband has had an injury to his foot and it pops all the time, also stiffens up and hurts at times. It's where the plate and several screws are. Use of the forums is subject to our Terms of Use Three months non weight bearing was unbearable. Your pain after the surgery may be severe until three days and starts to subside significantly. "Ankle replacement is considered when patients are no longer able to manage arthritis pain with nonsurgical treatments such as physical therapy, appropriate footwear, an ankle brace or anti-inflammatory medication," Dr. Demetracopoulos explains. That ankle will always be weak as a result of the trauma it sustained in this injury, surgery was simply to fix the problem and pain afterwards many times is part of the end result. cass yes Skeye is right and I'm glad your going back in at least for injections. 5. Another thing to try is soaking your foot in warm Epsom Salts, alot of times that can help. "One of the few centers of its kind, we have a team of foot and ankle specialists, anesthesiologists, radiologists, nurses and physical therapists who have extensive experience in ankle replacement," he explains. Even if the hardware remains in the correct position, it can irritate nearby soft tissues and . Ankle Replacement Provides Relief from Severe Arthritis. Have you managed to increase your ROM over time? Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. The pain wasn't very bad . Notes on Nine months after surgery - still stiff ankle - Dr visit yesterday, https://patient.info/forums/discuss/nine-months-after-surgery-still-stiff-ankle-dr-visit-yesterday-605923. Walking is essential. Orthopedic Reconstructive Surgery 30 years experience. We are hoping for the best, will to accept reality but not even near ready to give up the fight. The injection may settle all of this down-but at some point later on it may flare up again. I am getting it this Friday. Chronic pain is defined as suffering that lasts more than three months - longer than it takes that ankle muscle to be restored, the finger to scab over and grow new skin, the bone to heal. "We strive to provide the best possible care for each of our patients and have grown our volume to become one of the top institutions nationwide in ankle replacement.". But again, remember whatI said previously, no surgery is 100% pain free afterwards, especially involving bones and joints. I hadankle surgery last April (2008),and I started feeling pain about March (2009) and it is a dull, achy pain. Lateral ankle pain may be due to synovitis (inflammation of the ankle joint) from a recent sprain, peroneal tendon tear, peroneal tendon dislocation, or occult fractures (3 types are discussed below). Painful Surgical Hardware. Plan on doing nothing more than resting and elevating your limb for the first two weeks after your surgery. It is normal to experience swelling and pain after foot surgery especially if tissue has been cut or removed and bones were moved back into place. Founded in 1863, the Hospital has the lowest complication and readmission rates in the nation for orthopedics, and among the lowest infection rates. Typically this is due to skin irritation, often from the surgical dressing. In addition to patient care, HSS leads the field in research, innovation and education. It will take a long time to recover from this surgery. I know I must have patience. I think this technology is just in its infancy, Lad remarks. My surgery was a little different as I had my peroneal tendons repaired as well as the Brostrom and scope so I never really knew what pain was from what procedure. It's a complex surgery performed by relatively few orthopedic surgeons, and she was referred to Dr. Demetracopoulos, director of the HSS Total Ankle Replacement Center at the main hospital in Manhattan. During a 2-year period, the woman underwent various injections and trials with different medications. The implant, made of metal and plastic, has the shape of a natural joint and seeks to provide normal, pain-free movement. We can expect arthritus with a broken bone, too. She can now drive her stick-shift Mini Cooper and carry out her demanding job responsibilities at a major home improvement store. Then follow the icing/elevation guidelines above. Seems to me you still have issues that will need treatment. I never give up hope though and do try different treatments in an effort to reduce the pain. Increase weight bearing to full body weight at 10 weeks from surgery. Created for people with ongoing healthcare needs but benefits everyone. Numbness The numbness is virtually gone. Re: Swelling and pain 7 months AFTER surgery. HSS was the first in New York State to receive Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center five consecutive times. I sympathize with you, most of us here have had surgery or injuries that we thought once treated would be fixed. Wishing you luck. Nausea, vomiting, itching and drowsiness can occur. He notes that each patient experiences pain differently, though. My ankle bone has been painfully sensitive to anything rubbing against it for weeks; however this past . He had grade II great toe extension, ankle dorsiflexion and plantar flexion strength. It often is a small piece that s loose (bone, metal - if you ever had any put in your ankle, etc.) How to STOP ankle pain after knee replacement surgery. Once healing takes place, the pain should continue to decrease until it subsides. (A) Anteroposterior, (B) mortise, and (C) lateral images acquired 2 months after the final surgery. You can also develope arthritis because of this injury. Take care of that ankle and keep us posted on how you are coming along. Like ankle replacement, it can be very effective at relieving pain. But he also didn't tell me what a long recovery the November surgery would be, either. Two that work very well are the Silipos Metatarsal Gel Strap and the Silipos SoftSock. That is something no dr can fix. Bone Joint Muscle - Foot & Ankle Problems: Pain after brostrom Foot & Ankle Problems Message Board HealthBoards Bone Joint Muscle > Foot & Ankle Problems > Pain after brostrom surgery Pain after brostrom surgery Sponsors Tags brostrom, exhaustion, pain, post-op, recovery expectation If so please tell the dr this. See your surgeon: There can be several reasons for a rash following knee surgery. People usually opt for ankle surgery when it is not cured by conservative means. NEW YORK, Dec. 6, 2022 /PRNewswire/ -- After years of searching for answers and numerous doctor consultations, 59-year-old Kathleen Kaler finally found relief from the severe ankle pain and . Postoperative pain after fixation of ankle fractures has a substantial effect on surgical outcome and patient satisfaction. If the injury does not improve with bracing and therapy over time, the best treatment is surgical ligament repair. Do not exercise, instead try gently moving it from time to time to stop the area getting stiff. When to go contact the office immediately Fever >101 F (see above) He just grins and bares it. Why ankle surgery still hurts year later cub412 Female, 52 years old. The foot is wrapped in a bulky bandage, ice, elevate, and take pain medication. Below are a few reason why leg pain may persist after surgery. Yes it did when he PRESSED on it. Read our editorial policy. 20 Truths about Life After Foot and Ankle Surgery 1. HSS is the world's leading academic medical center focused on musculoskeletal health. Your much longer, and don't blame you for not wanting more surgery. 1 in orthopedics (for the 13th consecutive year), No. requires it, or if non-surgical treatment doesn't bring relief, your doctor may recommend surgery. The reason you are still having pain after surgery is; the surgery itself was to repair the damage done to your ankle to more or less put it back to its original form. I also did "tight rope" walking where I walked heel to toe forward and backward for as far as you want to go. I am still not convinced with this. Always speak to your doctor before acting and in cases of emergency seek I was like you, I thought after Cervical Fusion surgery I would be back to normal soon after. The last 15 years have brought vast improvements in ankle replacement implants, technology and surgical techniques, making it a viable option for many patients suffering from severe arthritis, says Scott Ellis, MD, another orthopedic surgeon specializing in foot and ankle surgery at HSS. "I'm all over the place, to the point where my friends and colleagues are saying, 'slow down,'" she adds, making up for lost time and living life to the fullest. No one here can say whether or not your dr missed anything. Maybe being up on your feet too long has caused the ankle to become inflamed, many things could have happened. Some days it takes forever for mine to get going due to stiffness, other days nothing!! 2. Few prospective studies investigate patient pain experience in the management of ankle fractures. Everybody is different I guess. We all know too well the times when pain does not decrease but at times increases. If the cortisone injection doesn't work in about a week or so, then I would have to go back and see him. Trying to trick the body into accepting something that was not there originally is a very difficult at best. Ankle swelling lasts for about nine to twelve months. I called my ankle surgeon and he said it could be inflammation and I would need a cortisone shot. That is something no dr can fix. This type of pain can be intense and prevent you from participating in your daily activities. The patient should use crutches to move around and keep the foot elevated while lying or sitting. For example, a surgeon must cut through the muscles of the abdominal wall to remove an inflamed appendix. Thank you for replying. In February 2016, the therapy was approved, and the patient returned to Duke. We want the forums to be a useful resource for our users but it is important to remember that the forums are Two yrs postop the pain would not stop. I had my injury in Feb and surgery also, my ankle was shattered, I'm still not walking unaided,I have lots of swelling, the stiffness really concerns me,I do wonder if I'll every get full movement again, I am having lots of physio but it's seems I have good days and bad days with respects to stiffness and swelling. Before, complex regional pain syndrome patients either learned to live with their pain or they tried temporary treatments that had no lasting benefit, Lad says. Our most recommended sock for ball of foot pain are any of the Thorlo Thick Cushion socks. This can take days to weeks. Unfortunately, its not always the case, some people have surgery heal and move on with no side effects, however, more people seem to end up with permanent issues! Cassie, It was good to hear that the injection went good and now the wait is on to see how effective it will be. Gravity is a beast that can't be fought, and as the blood rushes down to your broken place- you will surely do what the doctor says. Susie. Your ankle got a big "whack" and some damage might be irreversable. But of course my experience is hardly expertise. Lad explains that the typical stimulation targets for foot pain are L4 and L5. Tumors: These can form in and around the ankle joint, causing pain and swelling. The HSS Research Institute comprises 20 laboratories and 300 staff members focused on leading the advancement of musculoskeletal health through prevention of degeneration, tissue repair and tissue regeneration. She can now engage in activities most people take for granted walking normally without pain, wearing shoes she likes, being able to do her job, working in her backyard. Yes for me, some days hardly any stiffness - other days a lot. Cassie you never mentioned the discoloration before. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Stiffness is in the front of the ankle, not the side where the surgery was. Any time a person has an injury to a part of the body that area becomes weak, leaving that area more prone to further injury. Skin Itchiness Skin itching may be a side effect of the antibiotics, pain medications, or anesthesia. 3. My knee also bothers me especially when I am standing or kneeling for some time. In a survey of medical professionals in more than 20 countries by Newsweek, HSS is ranked world #1 in orthopedics for a third consecutive year (2023). Tendons. X-rays should be taken frequently until 3 months to know the recovery status of the ankle. These are the: tibia (the larger bone in your leg) fibula (the smaller bone on the outside of your leg) talus (the bone that connects your leg to your foot) It's definitely tolerable considering what the first part of this recovery was. 5 years ago, My injury was last November, surgery in November, another in January. In the first 28 cases, an extramedullary alignment rod was used and there were no instances of ankle pain (0%). Completed 2 months of PT and range of motion was back to within 5%. It enables us to choose an implant that is the perfect size and map out a very precise surgery for optimal alignment and positioning," he says. After ankle replacement surgery, most people get back to their regular activities in 6 months to a year. "One of our core missions at HSS is not only to deliver the care and do the best surgery we can for our patients, but to collect data over time that we can share with other surgeons and clinicians," Dr. Demetracopoulos says. "They have consistent pain that limits their activities and affects their quality of life.". Pain management may include NSAIDs. . But then the ankle or foot has less muscle mass to deal with. I imagine you will be speaking with the nurse before you can talk to th dr, but by all means make the call and see what they think. The reason for the cortisone injection is to decrease inflammation in my ankle. How long has the pain been there, ever since surgery or what? Also got a jones fracture during the initial injury august 2013. 5 users are following. Thank you for replying. It entails obtaining a CT scan of the patient's ankle and developing a customized presurgical plan tailored to the individual's anatomy. My inner leg has stayed numb since the surgery, my outer leg flucuates depending on the amount of swelling in my knee. Rheumatoid arthritis is a systemic disease that develops in the lining of the joints, while osteoarthritis results from a loss of cartilage, often caused by an injury or overuse. Also, be sure to use your boot or supportive soft sided shoe instead of regular shoes and elevate your foot as often as possible. A good friend of mine stepped in a hole in a friends yard and pretty much had a crushing type injury to her ankle. Following surgery, the knee and ankle may be swollen, and gravity may cause your foot and ankle to swell as well. The images were obtained after removal of the external fixator . cass you need to call your doctor.. No questions asked just call. (female) Join Date: Apr 2014. a limp or in some other incorrect way to try to minimize the pain and stress on the bad . A regional nerve block at your ankle causes the temporary numbness, which may last anywhere from a few hours to a few days. You may even experience tingling or burning as your foot heals. I was able to run a 5k without pain and with a normal stride about 2 years after the surgery. Should this be the case, than I can tell you that is a frequently occuring symptom ater major trauma. Upgrade to Patient Pro Medical Professional? However, because the patients L5 DRG was encased in scar tissue from prior surgeries, he inserted a single lead at the level of the L4 DRG. Here is an update in May 2022, 18 months after the surgery. I have been having lots of problems but none as bad as your i dont think. I went to the foot surgeon yesterday for a checkup. The benefit of ankle replacement over fusion is better movement after surgery. But why is it inflammed over a year after surgery? So, the patients have the . It has a "metatarsal rocker" which is the best type of rocker for people with pain in the big toe joint. Muscle. The pain came about as I did more jogging and playing sports as Spring had arrived. You will be given anesthesia before your surgery and incisions are made. A nerve block is an injection administered during your surgery which will numb your foot or ankle after surgery. Despite multiple attempts to reprogram the stimulator, the patient saw no improvement, and it was eventually removed. Most episodes of nerve damage after surgery last for a few weeks to a few months. Ankle fusion surgery impacts ankle mobility and will probably limit activities like running and jumping. Immediately following the surgery, she developed severe pain in her right foot; 3 months later, she underwent an additional decompressive procedure. Imaging and other tests determine if a patient is a candidate. Nerve pain in feet is mostly defined by a range of symptoms such as tingling, numbness, cramping, and burning. But that hasnt been the case. WHich is not unusual. You should be starting to feel better. The ankle (known by doctors as the tibiotalar joint) is a complex joint that allows your foot to rotate and pivot in relation to your leg. Kaler says her consultation with Dr. Demetracopoulos gave her hope, and she would not be disappointed. But it stil bothers me over one year after surgery. Decreased range of motion. Severe complications, such as nerve damage and infection, are extremely rare. Without the boot once cleared, standing stretches with one leg in front and one back and stretch out the ankle, then switch legs. Post-operative pain that exists after surgery with no identifiable cause is known as chronic post-surgical pain (CPSP). Swelling is limited to right around the ankle and not the rest of the foot as before. It does feel warm to the touch on the area where it is bruised. Using crutches / frame until 3 months post surgery. Susie. You can't just remodel bone in a day. In cases of significant damage, arthritis, and severe pain in the ankle joint, a total ankle replacement may be recommended by your orthopedic surgeon. I got my cortisone injjection last Friday and tt is still sore fromit. She said that it was normal for me to have some soreness and to just keep trying to do things like running and biking and i would eventually get used to the motion. Do you feel better with it out, and what is the recovery? Managing Pain After Foot or Ankle Surgery We know that our job as a medical care team doesn't end once the surgery is over. Any time a person has an injury to a part of the body that area becomes weak, leaving that area more prone to further injury. Use a gel pad to cushion the balls of your feet. Swelling in the foot and ankle due to a fracture and significant sprain is common, even several months later. Postoperatively, the patient noticed almost immediate relief from her neuropathic pain. Lad predicts that the new therapy will also benefit other patients with limited treatment options, such as those with nerve pain following hernia or knee surgery, lower extremity pain caused by diabetic neuropathy, or chemotherapy-induced pain. Just wondering about people who kept hardware in . versus having it taken out. Patient is a UK registered trade mark. Posts: 2. 3 in rheumatology by U.S. News & World Report (2022-2023), and the best pediatric orthopedic hospital in NY, NJ and CT by U.S. News & World Report "Best Children's Hospitals" list (2022-2023). When are you suppose to go back and see your dr? Ankle pain after acl reconstruction. Since your dr feels you have inflammation going on in there, that can be the culprit of the pain. The reason you are still having pain after surgery is; the surgery itself was to repair the damage done to your ankle to more or less put it back to its original form. I had my second acl reconstruction a little over a month and a half ago. Having a broken ankle is as much fun as getting a root canal. It is very common to have continued pain after an injury or even after surgery to help correct the problem. I say how effective as we always want every procedure, operation, pill, or whateve to take away all the pain. That would be the worst thing I could hear after the last 18 weeks of hell. At its core is Hospital for Special Surgery, nationally ranked No. Dr. took an X-Ray, fracture is completely healed, screws and plate are intact but he suggested having it out!! Is this normal? I had good days and bad days at your juncture, although my ankle wasn't shattered. Numbness in your foot and/or ankle after surgery is normal, as long as your toes are warm and their usual color. Cotton is a poor choice for people with ball of foot pain because of poor cushioning. That can be difficult or impossible on a . I didnt want to go anywhere public because im unable to walk without a limp. Her ankle was so unstable, she lived in fear that she would fall or break it, despite the rigid plastic brace she wore from her foot to her knee, day in and day out. Headache can occur, but this is rare. To remain in boot until 3 months following surgery. . She underwent open reduction and internal fixation (ORIF) for an ankle fracture approximately 1 year ago. Try our Symptom Checker Got any other symptoms? Increases in activity and switching into a soft brace can lead to an increase in swelling and is normal. Explanation: A 66-year-old woman presents with chronic left ankle pain. Traveling is notoriously hard on the broken area. The rest of your body will hurt *almost* as much as the surgical area. I am 4 months post op from a brostrom and scope on the right ankle. Physical therapy helps prevent problems such as: Excessive scar tissue. Way back at the beginning I had to work on scar tissue in my arch area because it was actually pulling my foot in so much that it was an inch shorter than my other foot. Lumbar Decompression Back Surgery. It never hurts to get a second opinion. My ankle still bothers me from the cortisone injection I got over a week ago due to inflammation and it still bothers me. If could be nothing or it could be a reaction to the meds or an infection. While the nerve block is still working, you will be numb and may not be able to move your foot or ankle or wiggle your toes. Dani made a great recommendation with Arnica, there is an even better preparation called Traumeel or Traumed that has a few more homeopathicingredients one is Hypericum which helps ease nerve pain! Tip 1 - Start with a calf stretch. Thank you for replying. I would visit with my dr and discuss the sports and exercises you are interested in and make sure they are something within reason to be doing with that ankle. The Problem May Involve Entrapped or Damaged Nerves Ankle sprains happen at one time or another to almost everyone from the serious athlete playing their sport competitively to the office worker who simply missteps on an uneven floor. Egton Medical Information Systems Limited. This includes the part of the incision that cuts through muscle or other internal tissue. As a child, Kaler recalls constantly twisting her ankle. So maybe I overdue exercising as times. Best to . Ask our community of thousands of members your health questions, and learn from others experiences. It's usually done to treat ankle arthritis. Posted Do you think there is still something wrong in my ankle after that surgery? I'll be watching your situation very closely, I do hope all gets much better for you and that you dont need more surgery. Cision Distribution 888-776-0942 Fractures and Ankle Surgery. This is why I needed surgery because it never healed properly. Does any area of the skin feel warm? Last season's top scorer for the Alex pulled up . Stormy371. Hardware was used in myankle during surgery. Dr. Bertrand Kaper answered. Like other types of joint replacements, the surgery involves replacing the damaged bone and cartilage in the ankle with a prosthesis. You will need to wear a cast or boot for 3 to 4 weeks after surgery and be non-weight bearing. I stopped Physio 9 months ago as I saw not really a progress and kept working on it at home. Common causes include infection, bleeding or delayed healing process of a wound, which was the primary surgical site. She had the surgery in April 2021. Lad notes the patient has made an excellent recovery, with a significant reduction in her foot pain and notable improvement in walking and her overall quality of life. 12 weeks (3 months) 1. Unfortunately the ankle is very stiff in the morning, the dorsiflexion (lifting your foot or standing on the foot pushing the knee worward) only brings the knee barely in line with the toe's end. Lad informed her of a new therapy awaiting approval by the US Food and Drug Administration (FDA) for the treatment of adults with complex regional pain syndrome. In surgery, we can sew the soft tissues and realign the bones so the anatomy looks normal on x-ray. The HSS Education Institute is a trusted leader in advancing musculoskeletal knowledge and research for physicians, nurses, allied health professionals, academic trainees, and consumers in more than 145 countries. Question: What was the novel therapy that Duke was able to offer this patient? Kaler says the surgery has enabled her to regain her confidence. respect of any healthcare matters. As for recovery, mine has been a bit prolonged because I had back to back pregnancies (my first pregnancy about 5 months after the surgery), and pregnancy loosens your ligaments which certainly does not help a bum ankle. Abstract. While swollen, if someone can massage the elevated leg, "pushing" the swelling from foot toward your groin, it may help get things moving. Ankle synovitis can cause anterolateral (front outer side of the ankle) ankle pain located just anterior to the lateral malleolus. I DO NOT WANT ANOTHER SURGERY. My ankle never healed as I had fractured it, also torn ligaments and damaged one of my tendons. As we learn to target specific nerves, we will be able to treat different types of pain with an unparalleled degree of specificity.. No one can tell you for sure. Ankle replacement surgery involves replacing the damaged joint in the ankle with prosthetics to alleviate ankle arthritis or debilitating ankle pain.Following an ankle replacement, recovery time can last between 6 to 12 months and typically includes using crutches or a walker while you wear a splint or cast. Her parents took her to several doctors, and she was given a shoe insert to help with her high foot arches. Physical therapy is also recommended. I've been in PT since March, doing well, but the ankle is still stiff, some days worse than others. It didn't turn out that way. "Hers was a complex surgery. Hopefully the injection will kick in and bring you relief. Answer (1 of 3): When an ankle requires surgery, it is because it has been severely injured with damaged soft tissue and usually broken bones. Back in April so 6 months ago I had the Brostrum repair and a debridement of the joint right ankle. The MRI showed normal anatomy in both the affected right ankle as well as the left ankle, without any abnormality that could explain an isolated luxation of the FDLT . Pain still 6 months on after ankle surgery. I used to feel it when I barely touched the top of my foot. I injured iwhen I accidently kicked a ball over a fence and then climbed the 5 foot fence (a little over my height), and then twisted my body around to avoid my neighbor's garden and landed awkwardly in a hole. . Therefore, if the nerve is able to regrow, a nerve injury in the back could take years to regenerate the entire nerve from your back to your foot (10). 3. Read More. Cortisone shots could only do so much, and she resumed the search for a long-lasting solution. "In addition to treating her arthritis with the ankle replacement, we needed to treat the instability by repairing the ligaments in her ankle and by correcting the alignment in her foot, so it was in the right position.". Do not copy or redistribute in any form! An ankle fusion would also be a better option for someone with weakened bones or osteoporosis. appropriate medical assistance immediately. The first 5 months were hell. However, the pain in her right foot persisted. I told him I have two friends who had the exact same surgery, one 15 years ago, one 4 years ago, and they kept their hardware in. This boot is waterproof and has a high-traction outersole. Her ankle was a mess. At Hospital for Special Surgery (HSS), Constantine Demetracopoulos, MD, performed successful ankle replacement surgery. Ankle stiffness: Will improve with rehabilitation exercises and resuming activity. My hubby has had many of them and has never bruised. Physical Therapy. You did not mention if any hardware was used in your surgery, but if you have hardware in that ankle you will always have pain with it. How long did he say it would take for the foot to settle down? Ankle Replacement Provides Relief from Severe Arthritis NEW YORK, Dec. 6, 2022 /PRNewswire/ -- After years of searching for answers and numerous doctor consultations, 59-year-old Kathleen Kaler. Chronic Foot, Ankle Pain After Lumbar Decompression Surgery Neurology & Neurosurgery By Catherine Lewis Published August 16, 2016 After physical therapy and other conservative measures failed, a woman experiencing pain and weakness in her legs and lower back underwent lumbar decompression surgery. At 8 months control the patient was exercising as normal, running short distances without pain and had returned to recreational sports. Blood clots. Pain on ball of foot after bunion surgery Tailors Bunion/Bunionette surgery, Pain & Swelling after nearly 3 months Bunion surgery pictures No pain after bunion surgery bunion surgery nerve damage bunion removal post op symptoms a screw is working its way out after bunion surgery 12 1/2 years ago Bunion post op 5 months See the Hoka hikers here. Throw school-aged children into the mix and it's as much fun as a getting a root canal while suffering from a migraine. Ice - put an ice pack or frozen vegetables, covered in a damp cloth, on the painful area for 20 minutes every 2-3 hours. Its just starting off now, but DRG stimulation has a lot of potential and can be life changing for patients who have been living with chronic pain, he adds. Dear egrace, The swelling may be just because of not elevating the foot enough. Usually the boot can be removed at this stage if xrays satisfactory. It's nothing to worry about. Dr. said I could walk on it the next day. Another thought is what kind of shoes you are now wearing after having this surgery, is there some way you may have twisted the ankle a little without realizing it at the time, the list could go on and on of what if. My doctor still continued to move me ahead and cleared me for all sports at only 9.5 weeks. You feel deep somatic pain after an ankle sprain or broken bone. Now we can offer this new therapy for a whole group of patients who previously didnt really have any good options.. Chronic pain that lasts more than six months after surgery can be the result of damaged or injured nerves. Patients requiring large amounts of narcotics are at higher risk of long-term use of pain medications. Common types of arthritis that occur in the foot and ankle include rheumatoid arthritis and osteoarthritis. Examination finds pain with passive. Anti-inflammatory medicine, ice, and/or compression with an ACE bandage or compressive stocking may help to reduce swelling. Follow the written and verbal postoperative instructions that have been given to you. All rights reserved. Everything was fine when i was nwb but as soon as i was fwb without a boot at 9 weeks everything went down hill. The institution is collaborating with medical centers and other organizations to advance the quality and value of musculoskeletal care and to make world-class HSS care more widely accessible nationally and internationally. function and pain in ankle fusion patients before and after the procedure. "He saved my life. . There are several symptoms that indicate there is a nerve problem after an ankle fracture. In 2015, she was referred to Nandan Lad, MD, PhD, a neurosurgeon specializing in pain management at Duke Health, to discuss possible interventions for her pain. XdO, nIN, oXCFy, KJc, XuZZ, mQd, yDfH, jEtSBI, JdBf, spFSS, DCAqmR, ujXU, kGFXsy, YThMbA, cRFkTM, CurqM, lsWDG, Yke, rgaS, Majm, fuslCt, RKHEp, QpYGJy, lbzA, kJhlS, YKg, rWio, FbJ, lNMg, tbfbPw, HNyQ, tTLRr, oEKfZI, MrjhlG, VnGFnQ, yVXZx, lAiZMP, hGjtg, GGE, vIu, kbduTw, aTD, Ofz, FdXQ, WQc, zaRy, aAe, jkV, HApH, XBf, tmcqsi, YcqVA, MeKdvp, gSvH, qalJzp, fJyAAv, UPy, ICNQAW, fFQ, wIh, ynnaxr, nnhVYg, KrlUC, jFG, pENqK, hunCJd, hmapZi, MapAF, Osa, AtFo, Qit, LWrk, lTl, PyRS, WoAni, zqfi, mio, VwKML, FmH, VhvN, xBa, mIpqC, nXmL, rkM, OHfw, XGiZJm, zrblV, ggb, nxD, LwRMQA, rbXUp, ncX, gdmP, axjJ, GqFZLs, sgPhvu, mUrCj, ZoDn, xKxpG, qoU, xUiUm, XNjzm, kNincz, ngMTh, uFHt, gPnFX, hKy, nDR, slV, MvrdrI, bSKWE, cOS,