The surgery and recovery during the deformation of the first toe

Before surgery it is compulsory to consult with a specialist-podiatrist. The doctor's conclusion is based on three parts:

hallux valgus
  • History. The doctor will ask you about General health status, the effectiveness of conservative treatment for and how strong the pain is bothering you. Very important information about migrated and chronic diseases, as they can affect the outcome of the operation. Diabetes or rheumatoid arthritis, for example, increase the risk for infection and slow healing. Vascular disease can cause severe pain and slow healing. Compulsory to tell the doctor about allergic reactions to medications.
  • Review allows to assess the degree of deformation, soft tissue damage. A podiatrist will reveal the presence of other deformations (hammer toes, corns, calluses).
  • Radiographs provide the ability to accurately measure the deformation of the angles of the bones to determine the methodology and scope of action. Radiographs performed in a standing position (load). At the consultation, the podiatrist will determine if surgical method is best for you to discuss all over again bezoperatsionnye methods. He will also talk about the risks and complications after the surgery.

Preparation for the surgery

If you decide to do the surgery, then you need a full workup – blood tests and urine tests, chest x-ray, EKG. The results of these studies, the therapist will report on the state of your health. Talk with your doctor about the drugs you take constantly: the reception is to be continued, and some of which before the operation should be discontinued.

Special radiographs stop should be with you during surgery – this can help in the time of the intervention.

The operation of the

Almost all of the activities that we do in the "hospital one day" or even on an outpatient basis. This means that you have come to the clinic for a few hours before the surgery, you must re-examined by a doctor, filled medical records and you are in the operating room.

the operation of the

Most operations are performed in block anesthesia: this means that the foot does not feel anything, and you are conscious and breathing on his own. General or spinal anesthesia is rarely used. The team of anesthesiologists is present, in the case that you need fix anesthesia.

After surgery you will be taken to the department. You completed the same or next day.

Your recovery at home

The success of treatment largely depends on how accurately follow the instructions and recommendations of the doctor in the first few weeks after surgery. You will regularly see your doctor, be sure that the foot heals properly.

Dressings: You will be discharged with dressings on the foot, having the toes in the correct position. You will also have a special postoperative shoes, or hard lock coniciendum for the protection of the foot. The stitches will be removed usually 2 weeks after the surgery, but the foot may need additional bandage or rigid fixation for 6-8 weeks. The treatment was successful, you should never fascia, or wet clothing. This can lead to the intrusion of the infection or the return of the deformity. When you take a shower, it is desirable to close the bandage with a plastic bag or cling film.

Load: the Podiatrist may advise in the first few days after surgery to use a Walker or crutches. Gradually, as the foot will begin to heal, you can increase the load on it. However, you should limit the walk in the first few weeks after surgery.

Swelling and shoes after the surgery: In the first days after surgery as long as possible, try to keep your leg elevated and apply to the foot, ice to reduce swelling and inflammation.

Slight inflammation of the soft tissues of the foot in the first 6 weeks after surgery is normal. When you remove the bandage and special Shoe, wear running shoes or shoes made of soft skin in a few months, until the foot completely heals. Do not wear dress shoes, high heels, within a period of 6 months after the surgery. Follow the instructions on the right Shoe, above, which will prevent return of deformity.

For rehabilitation after surgical treatment

Often the question: "What rehabilitation?" "How is she leaking?"

Let's look at weeks. You agree that all terms, which shall be counted from the time of the transaction. And these tips are of a General nature, which is in most patients is exactly what happens. SO!

1-2 weeks.

Most of the home, bed rest and leg elevated above heart level to prevent swelling. On foot you can step in the shoes of Baruch, or to step only on the heel. Then you can decide how quickly to get to the toilet. Because you can only go to the bathroom and kitchen to eat. Why is it so and what is it, You will. After the surgery, when you lower the foot down, You will feel the blood flow in your feet and you feel that it shook, "gravity". First, it is uncomfortable and painful. Secondly, the foot will be swollen, and this can slow down your rehabilitation, which will be launched in 3 weeks. For a lot of swelling that will be difficult to develop your fingers. And when You put your foot down in blood under the influence of gravity and the heart, running down. But up her in addition to the work of the heart helps the flow of the working muscles and the valves. And you have after the surgery muscles work bad, my leg hurts. So on your toes and quite primitive, I tried to explain, especially in the first 2 weeks after surgery.

In the post-operational period. 3-4 on the week.

recovery
  • The first 2 weeks, You have been and stayed at home. Leg up, You have been saving myself and waiting, when you can have something to do. But not in a hurry.
  • 2 weeks after the surgery, an important step is to remove the seams. In some cases this is not necessary, as the doctor washes sui to use absorbable thread.
  • You can start the wash in the shower and you do not want to wrap the leg in plastic wrap. ( this is assuming that all heals well and the wound is dry).
  • You have removed the seams, and now is the time to develop your fingers. And this is VERY important. This can be painful, uncomfortable and so on. But it MUST start doing. If you can't do it, then, that restitutio in artifex and deal with it.
  • If this is not done, then wait, it will hurt less, etc, then You will have a smooth finger, but not tendentes. Keep this in mind.
  • You can walk more and as much as You are comfortable. But not necessarily in the post-op Shoe! .
  • You can sit behind the wheel and drive. Only shoes Baruka. And keep in mind the fact that ice is, that she is "slightly" unusual. So my advice - work in the garden, and then go on the road. It is Your responsibility for your own life and the lives of others.

By the end of 4 weeks I to my patients prescribe x-rays control and after that opt for the transition to normal shoes (this should be free to no pressure on the feet. Something like sneakers.)

I can say that 70-80 % of my patients, which come with a 5-weeks without a postoperative Shoe. However, there are a few important points!
The patient would not complete to roll through 1. metatarsal-phalangem common. And 2 weeks move in the normal shoes. And we have continued physical therapy for the toes. Daily 2-3 times a day for 10-15 minutes. And if the foot swells, so it is necessary to wear compression socks.

Starting with 7. week a very important event, from which all weaned!!
You started to walk with rolling over the first finger. This is very important. Many of You make the mistake of shifting body weight on the outer edge of the foot. So, in a few weeks starts to hurt in the area of 3,4,5 mold the bones and 1. finger on You for fear spare. I understand that it is terrible to be so used so easily ...... but it is critical to start to walk properly. And it requires attention and concentration.

In principle, this is the most basic action that You are in these conditions. And of course, wear loose fitting and comfortable shoes. The foot may still be swollen and this is NORMAL. You can wear compression socks. And at the end of the 8 weeks again you need to do x-ray control with the load.

29.08.2018