Kaler says she experienced no pain after surgery, which Dr. Demetracopoulos attributes to advances in nerve block anesthesia and pain management protocols after the procedure. and Privacy Policy and steps will be taken to remove posts identified Had a "clean" simple fracture of the ankle a year ago in September. It does feel warm to the touch on the area where it is bruised. Fortunately, most sprains are fairly minor and heal reasonably quickly. Swelling in the foot and ankle due to a fracture and significant sprain is common, even several months later. Orthopedic Reconstructive Surgery 30 years experience. It's definitely tolerable considering what the first part of this recovery was. Swelling is limited to right around the ankle and not the rest of the foot as before. No, i never bruised nor had discoloration, that why I suggested you contact the dr. However, the pain in her right foot persisted. Using crutches / frame until 3 months post surgery. Common types of arthritis that occur in the foot and ankle include rheumatoid arthritis and osteoarthritis. Everything was fine when i was nwb but as soon as i was fwb without a boot at 9 weeks everything went down hill. 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 instability that had plagued her for years. It didn't turn out that way. Susie. Some surgical pain is deep somatic. I called my ankle surgeon and he said it could be inflammation and I would need a cortisone shot. I do not know if swelling is an issue for you or not, but icing that ankle down on a regular basis may help too, especially after doing something strenuous with your ankle, it may help keep further inflammation down. Have you started doing aggressive stretching with PT? WHich is not unusual. X-rays should be taken frequently until 3 months to know the recovery status of the ankle. Ankle Replacement Provides Relief from Severe Arthritis. In the first 28 cases, an extramedullary alignment rod was used and there were no instances of ankle pain (0%). The PT said it was the bone that is used for balance and not weight-bearing. Without the boot once cleared, standing stretches with one leg in front and one back and stretch out the ankle, then switch legs. I am still not convinced with this. Should this be the case, than I can tell you that is a frequently occuring symptom ater major trauma. Begin physiotherapy and . Give yourself time to gradually adapt to the new alignment. Walking is essential. Blood clots. Swelling: Ankle swelling may persist for several months after the surgery. In a 40-month period, the authors performed 87 total knee arthroplasties. While swollen, if someone can massage the elevated leg, "pushing" the swelling from foot toward your groin, it may help get things moving. I never cry, but I cried in front of him, I was so grateful," she says. That can be difficult or impossible on a . Her ankle was a mess. As a result of this fluid, your knee may feel tight or stiff, especially if you bend or squat deep. 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. Question: What was the novel therapy that Duke was able to offer this patient? Traveling is notoriously hard on the broken area. Stormy371. 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. Have you managed to increase your ROM over time? During ankle replacement surgery, your doctor will remove the damaged ends of the bones. Increases in activity and switching into a soft brace can lead to an increase in swelling and is normal. How long should you rest after ankle surgery? Cotton is a poor choice for people with ball of foot pain because of poor cushioning. The benefit of ankle replacement over fusion is better movement after surgery. 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. My hubby has had many of them and has never bruised. The injection may settle all of this down-but at some point later on it may flare up again. 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. 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 Susie. 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. You can't just remodel bone in a day. Hoka Hiking Boot: The Hoka hiking boots are the best midweight rocker hikers we have found for those with bunion (and bunion surgery) pain. 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 My inner leg has stayed numb since the surgery, my outer leg flucuates depending on the amount of swelling in my knee. As soon as i could walk with out a shoe i had unbearable pain in my arch to the point where i couldnt take more than 2 steps without it completely cramping up and me having to limp. I had my second acl reconstruction a little over a month and a half ago. Then follow the icing/elevation guidelines above. I was 6 weeks in a plaster cast and then 2 weeks after this I went . Depending on the nature of the injury, it is possible the damage will never heal properly, not even after surgery. Hi everyone, I just want to ask if anyone else has had problems after ankle surgery. But again, remember whatI said previously, no surgery is 100% pain free afterwards, especially involving bones and joints. "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. The foot is wrapped in a bulky bandage, ice, elevate, and take pain medication. When typing in this field, a list of search results will appear and be automatically updated as you type. 4. It's nothing to worry about. Typically this is due to skin irritation, often from the surgical dressing. as being in breach of those terms. respect of any healthcare matters. She had the surgery in April 2021. Severe complications, such as nerve damage and infection, are extremely rare. She could only wear one type of shoe that she needed to replace every three months. Susie. The HSS doctors expect 90 percent of ankle replacements to last 10 years. I had good days and bad days at your juncture, although my ankle wasn't shattered. Pain management may include NSAIDs. He or she will then put an artificial jointmade of metal and plasticin their place. 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. Maybe being up on your feet too long has caused the ankle to become inflamed, many things could have happened. It entails obtaining a CT scan of the patient's ankle and developing a customized presurgical plan tailored to the individual's anatomy. We want to ensure that you have the best recovery possible, and that begins with a comprehensive pain management plan. There's still a bit of swelling depending on how much standing I do during the day. Try our Symptom Checker Got any other symptoms? Painful Surgical Hardware. But it stil bothers me over one year after surgery. Rest - try to avoid putting weight on the injured foot or ankle. A nerve block is an injection administered during your surgery which will numb your foot or ankle after surgery. "All my shoes were worn out on one side." I was like you, I thought after Cervical Fusion surgery I would be back to normal soon after. After being on this forum, I expect the ankle to still be stiff. Few prospective studies investigate patient pain experience in the management of ankle fractures. One orthopedic surgeon said the problem might be corrected with four separate surgeries, which she declined. 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. 5. Before the surgery, my left ankle was collapsing, it could barely support my weight," says Kaler, a slim 5 foot 7. People usually opt for ankle surgery when it is not cured by conservative means. Does any area of the skin feel warm? Stiffness is in the front of the ankle, not the side where the surgery was. Decreased strength. 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. Thank you for replying. PT helps a lot, lots of elevation and ice. My hubby had two shoulder sugeries this last year to repair a torn rotary cuff. I stopped Physio 9 months ago as I saw not really a progress and kept working on it at home. "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. Your ankle got a big "whack" and some damage might be irreversable. "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. Common causes include infection, bleeding or delayed healing process of a wound, which was the primary surgical site. Well, I think you just answered your question about the onset of pain. 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. There is also bruising to the right of it. In surgery, we can sew the soft tissues and realign the bones so the anatomy looks normal on x-ray. 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. Two that work very well are the Silipos Metatarsal Gel Strap and the Silipos SoftSock. Tendons. Also got a jones fracture during the initial injury august 2013. Thank you for replying. 1 in orthopedics (for the 13th consecutive year), No. All rights reserved. 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. a limp or in some other incorrect way to try to minimize the pain and stress on the bad . After ankle replacement surgery, most people get back to their regular activities in 6 months to a year. Physical therapy is also recommended. Environmental, Social and Governance (ESG), HVAC (Heating, Ventilation and Air-Conditioning), Machine Tools, Metalworking and Metallurgy, Aboriginal, First Nations & Native American. Hopefully the injection will kick in and bring you relief. The cortisoneinjection site is dark colored with bruising around it. Dr. said I could walk on it the next day. Patient does not provide medical advice, diagnosis or treatment. Methods: If they last longer, then the rate of nerve regrowth is about an inch a month. For example, a surgeon must cut through the muscles of the abdominal wall to remove an inflamed appendix. That is just plain body mechanics. Why ankle surgery still hurts year later cub412 Female, 52 years old. My ankle never healed as I had fractured it, also torn ligaments and damaged one of my tendons. 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. See the Hoka hikers here. If could be nothing or it could be a reaction to the meds or an infection. Kaler, who is from Long Island, says the surgery changed her life. Your pain after the surgery may be severe until three days and starts to subside significantly. 3. Scar tissue may also cause pain in the foot but since it is part of the normal healing process, it should not be a . Phone#: 847.247.4000 2923 N California Ave Suite 300 Chicago, IL 60618. Thank you for replying. 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. Take care of that ankle and keep us posted on how you are coming along. 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. 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. The patient stated that her ankle never felt completely normal following surgery, but the pain only started to intensify within the past 6 months. However, we can give general recommendations regarding ankle and foot swelling following a fracture. I would try to get a MRI to see if there's something else causing your pain Maybe get a second opinion? Post-operative pain that exists after surgery with no identifiable cause is known as chronic post-surgical pain (CPSP). 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. 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. Years later, arthritis set in, and the pain worsened and became more debilitating. The reason for the cortisone injection is to decrease inflammation in my 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 . While surgery helps fix your foot or ankle condition, it's still a significant undertaking that may have post-surgical complications. Also, the injection site is stilldiscolored and it seemed ro get bigger and there is bruising around it. "Hers was a complex surgery. She had a type of foot that predisposed her to ankle instability," Dr. Demetracopoulos explained. My doctor said it will take from a couple of days to a week to feel better. Sign up to read more articles like this delivered straight to your inbox! The stiffness isn't anywhere near the plate/screws so I don't think the stiffness would be aleviated. 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. Do you think the surgeon might have missed something during surgery? Back in April so 6 months ago I had the Brostrum repair and a debridement of the joint right ankle. Wishing you luck. Another thing to try is soaking your foot in warm Epsom Salts, alot of times that can help. Occasionally you may experience numbness and weakness of the legs which disappears after the medication is reduced or stopped. Something is also clicking in my foot. Read More. Since your dr feels you have inflammation going on in there, that can be the culprit of the pain. My ankle bone has been painfully sensitive to anything rubbing against it for weeks; however this past . No further follow-up was scheduled and the . www.hss.edu. Last season's top scorer for the Alex pulled up . Her parents took her to several doctors, and she was given a shoe insert to help with her high foot arches. Throw school-aged children into the mix and it's as much fun as a getting a root canal while suffering from a migraine. Lumbar Decompression Back Surgery. My ankle also looks like it is a little bruised near the injection site. Then she learned about total ankle replacement during an appointment with a doctor at HSS Long Island. Tumors: These can form in and around the ankle joint, causing pain and swelling. Whether you're incredibly active or spend most nights on the couch, an ankle injury can happen to anyone. 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. 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! 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. When the Doctor says to elevate, you darn well do it. (A) Anteroposterior, (B) mortise, and (C) lateral images acquired 2 months after the final surgery. But, she had an excellent surgeon and as far as the surgery went everything went fine. I DO NOT WANT ANOTHER SURGERY. "You have no idea how grateful I am. Get your surgery records and any others relating to this and see what another dr thinks. 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. 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. Ankle synovitis can cause anterolateral (front outer side of the ankle) ankle pain located just anterior to the lateral malleolus. Upgrade to Patient Pro Medical Professional? I will have to agree with everyone. . As we learn to target specific nerves, we will be able to treat different types of pain with an unparalleled degree of specificity.. 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. My ankle still bothers me from the cortisone injection I got over a week ago due to inflammation and it still bothers me. Is this normal? Read our editorial policy. My doctor still continued to move me ahead and cleared me for all sports at only 9.5 weeks. 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. cass you need to call your doctor.. No questions asked just call. Cassie, It was good to hear that the injection went good and now the wait is on to see how effective it will be. 2. 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. 20 Truths about Life After Foot and Ankle Surgery 1. During a 2-year period, the woman underwent various injections and trials with different medications. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in That is something no dr can fix. Ankle pain after acl reconstruction. Use a gel pad to cushion the balls of your feet. Your ankle will never be the same again because it has been damaged. Your much longer, and don't blame you for not wanting more surgery. 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. I'll be watching your situation very closely, I do hope all gets much better for you and that you dont need more surgery. "They have consistent pain that limits their activities and affects their quality of life.". Ask our community of thousands of members your health questions, and learn from others experiences. If nothing else, call and speak with his nurse and get her to run things by the dr. 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. Imaging and other tests determine if a patient is a candidate. 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. Once healing takes place, the pain should continue to decrease until it subsides. Do you think there is still something wrong in my ankle after that surgery? Walking after ankle fusion surgery becomes pain free, and most people . Thank you for replying. We all know too well the times when pain does not decrease but at times increases. Explanation: A 66-year-old woman presents with chronic left ankle pain. I've only felt the need to use the ice pack once in the last few months. Completed 2 months of PT and range of motion was back to within 5%. But that hasnt been the case. The pain wasn't very bad . He said that it is normal to have pain long after surgery. So maybe I overdue exercising as times. Kaler says the surgery has enabled her to regain her confidence. After ankle replacement surgery, Kathleen Kaler has no problem climbing ladders for her job. The HSS Innovation Institute works to realize the potential of new drugs, therapeutics and devices. 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) In this study, surgeons from the Department of Orthopedic Surgery at the University of California (Los Angeles) turn their attention to ankle fractures. I've been in PT since March, doing well, but the ankle is still stiff, some days worse than others. At its core is Hospital for Special Surgery, nationally ranked No. 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. 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! Numbness in your foot and/or ankle after surgery is normal, as long as your toes are warm and their usual color. Ankle fusion surgery, also called ankle arthrodesis, is when two or more ankle bones are permanently fused together. appropriate medical assistance immediately. Plan on doing nothing more than resting and elevating your limb for the first two weeks after your surgery. In addition to patient care, HSS leads the field in research, innovation and education. The first 5 months were hell. Cassie you never mentioned the discoloration before. Swelling and inflammation. If the implant wears out, patients could be candidates for a revision ankle replacement or an ankle fusion. 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. Following surgery, the knee and ankle may be swollen, and gravity may cause your foot and ankle to swell as well. I had brostrum type procedure as well as fixing peroneal tendon and its cover due to sublexation april 26th. I also did "tight rope" walking where I walked heel to toe forward and backward for as far as you want to go. 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. Posts: 2. requires it, or if non-surgical treatment doesn't bring relief, your doctor may recommend surgery. It's where the plate and several screws are. I am getting it this Friday. Patients should be informed about the substantial risk of developing persistent postsurgical pain. Anti-inflammatory medicine, ice, and/or compression with an ACE bandage or compressive stocking may help to reduce swelling. For people considering an ankle replacement, the first step is a thorough assessment of the ankle and the foot, and a discussion of patient goals and expectations. You can also try and touch your knee to the wall and keep moving your foot back the better flexiblity you get. Do not copy or redistribute in any form! (female) Join Date: Apr 2014. Mind you, after the removal of hardware she still had pain but less. 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. 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. Recovery After Foot and Ankle Surgery After the surgery You will need to have a designated driver to take you home. 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). Three months non weight bearing was unbearable. Most simple fractures heal well with immobilization and non-weight-bearing activity. The surgeon put in a plate and 4 screws. 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. You will be given anesthesia before your surgery and incisions are made. Ankle fusion surgery impacts ankle mobility and will probably limit activities like running and jumping. See your surgeon: There can be several reasons for a rash following knee surgery. Good luck. At least you had surgery so you have a surgeon who can follow your care. Registered in England and Wales. As a child, Kaler recalls constantly twisting her ankle. Ankle swelling lasts for about nine to twelve months. Yes for me, some days hardly any stiffness - other days a lot. The implant, made of metal and plastic, has the shape of a natural joint and seeks to provide normal, pain-free movement. Call the dr and get this checked out. Usually the boot can be removed at this stage if xrays satisfactory. If the injury does not improve with bracing and therapy over time, the best treatment is surgical ligament repair. Most people are surprised and seemingly annoyed (which annoys me) that I'm still dealing with this ankle but, lo and behold, I am. 2022 MH Sub I, LLC dba Internet Brands. Numbness The numbness is virtually gone. Ice - put an ice pack or frozen vegetables, covered in a damp cloth, on the painful area for 20 minutes every 2-3 hours. cass yes Skeye is right and I'm glad your going back in at least for injections. Tip 1 - Start with a calf stretch. But why is it inflammed over a year after surgery? Like ankle replacement, it can be very effective at relieving pain. 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). Posted Chronic pain that lasts more than six months after surgery can be the result of damaged or injured nerves. He complained of mild to moderate pain around the swollen left ankle. The physicians follow and monitor patients in a joint replacement registry at HSS. Most episodes of nerve damage after surgery last for a few weeks to a few months. Kaler says her consultation with Dr. Demetracopoulos gave her hope, and she would not be disappointed. Specifically, they examined the risks of complication after surgery for severe ankle fractures. Do not exercise, instead try gently moving it from time to time to stop the area getting stiff. Immediately following the surgery, she developed severe pain in her right foot; 3 months later, she underwent an additional decompressive procedure. Dear egrace, The swelling may be just because of not elevating the foot enough. My injury was last November, surgery in November, another in January. Your bones have molded to the old knee over decades of time. 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. A regional nerve block at your ankle causes the temporary numbness, which may last anywhere from a few hours to a few days. Place the ball of your foot on a wedge or half foam roll. Re: Swelling and pain 7 months AFTER surgery. 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. Pain still 6 months on after ankle surgery. There are several symptoms that indicate there is a nerve problem after an ankle fracture. The pain came about as I did more jogging and playing sports as Spring had arrived. Please call the doctor and tell his staff the injection site is discolored. "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.". Postoperative pain after fixation of ankle fractures has a substantial effect on surgical outcome and patient satisfaction. The type of surgery would be determined based on the cause of the continued chronic . Also, be sure to use your boot or supportive soft sided shoe instead of regular shoes and elevate your foot as often as possible. 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. How long has the pain been there, ever since surgery or what? Postoperatively, the patient noticed almost immediate relief from her neuropathic pain. In cases of significant damage, arthritis, and severe pain in the ankle joint, a total ankle replacement may be recommended by your orthopedic surgeon. The body does not always accept foreign materials put in that did not come with itin the beginning. But he also didn't tell me what a long recovery the November surgery would be, either. 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. This is why I needed surgery because it never healed properly. "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. 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. 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. And not just severe ankle fractures but those requiring open reduction and internal fixation (ORIF). I'm now trying to do some cross . You may even experience tingling or burning as your foot heals. My husband has had an injury to his foot and it pops all the time, also stiffens up and hurts at times. I say how effective as we always want every procedure, operation, pill, or whateve to take away all the pain. I think this technology is just in its infancy, Lad remarks. Best to . I sympathize with you, most of us here have had surgery or injuries that we thought once treated would be fixed. 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 can still walk with it being stiff, and I feel like it could be worse than this. Headache can occur, but this is rare. Oooooo. The images were obtained after removal of the external fixator . "He saved my life. Examination finds pain with passive. 5 years ago, Thank you for replying. Three separate bones meet to form the ankle joint. So, the patients have the . Use of the forums is subject to our Terms of Use 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. If you will remember at the time of your surgery, your consent forms stated surgery was not a 100% success rate. I went to the foot surgeon yesterday for a checkup. Sometimes this is a temporary condition as the nerve root or roots take time to heal. My ankle was messed up when I injured it. He had grade II great toe extension, ankle dorsiflexion and plantar flexion strength. That would be the worst thing I could hear after the last 18 weeks of hell. It has a "metatarsal rocker" which is the best type of rocker for people with pain in the big toe joint. All rights reserved. The patient should continue to elevate their foot for two to three weeks. Hardware was used in myankle during surgery. Thank you for replying. Thank you for replying. Newswise After years of searching for answers and numerous doctor consultations, 59-year-old . 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. I also work out on the Total Gym. Susie. Decreased range of motion. Sx. Cision Distribution 888-776-0942 So maybe that is one reason why it is still sore. Anteroposterior . 5 users are following. Muscle. What I still don't understand is why am I still feeling the pain over a year after my ankle surgery? 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. 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. 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). I am 4 months post op from a brostrom and scope on the right ankle. We cannot undo the damage that was caused to the joint. Despite multiple attempts to reprogram the stimulator, the patient saw no improvement, and it was eventually removed. But of course my experience is hardly expertise. This includes the part of the incision that cuts through muscle or other internal tissue. 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. End result was having the hardware removed before she felt any relief. "PSI has been a game changer. My knee also bothers me especially when I am standing or kneeling for some time. Pain Six Months After an Ankle Sprain? She underwent open reduction and internal fixation (ORIF) for an ankle fracture approximately 1 year ago. Like other types of joint replacements, the surgery involves replacing the damaged bone and cartilage in the ankle with a prosthesis. When to go contact the office immediately Fever >101 F (see above) Dr. Anand Vora. Created for people with ongoing healthcare needs but benefits everyone. 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). Left ankle X-ray. . Newbie. A good friend of mine stepped in a hole in a friends yard and pretty much had a crushing type injury to her ankle. Seems to me you still have issues that will need treatment. Cassie, I have had both of my knees injected gosh so many times, not to mention my neck and back. I suppose the "clcking" you described as as though there is a small piece "loose" somewhere in there that moves from time to time, right? How long did he say it would take for the foot to settle down? This can take days to weeks. If not, then it soulds like the doctor is willing to look into it further which should give you some hope as well. But there is a light at the end of the tunnel. Some patients may wake up in the recovery room with pain despite having a nerve block. This type of pain can be intense and prevent you from participating in your daily activities. Ankle stiffness: Will improve with rehabilitation exercises and resuming activity. This boot is waterproof and has a high-traction outersole. The bruising, I don't know it thats normal. That is something no dr can fix. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. To get the swelling down, elevate your leg above your heart & ice - it may take up to 48 hours to calm down. Could my knee may have been injured also from that twisting I did? No one here can say whether or not your dr missed anything. 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. 720 Florsheim Drive Libertyville, IL 60048 To remain in boot until 3 months following surgery. It will take a long time to recover from this surgery. from 8 AM - 9 PM ET. Dr. Bertrand Kaper answered. Is the pain constant and how severe? You should be starting to feel better. Yes it did when he PRESSED on it. Patient is a UK registered trade mark. One of the most noteworthy advances in ankle replacement is patient-specific instrumentation, or PSI, Dr. Ellis says. Damage caused by arthritis can cause pain and disability. If the pain is still there after 3 months, it is unlikely to improve on its own. I fell and heard a huge pop. 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. We are hoping for the best, will to accept reality but not even near ready to give up the fight. 2. 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. Nerve pain in feet is mostly defined by a range of symptoms such as tingling, numbness, cramping, and burning. I was able to run a 5k without pain and with a normal stride about 2 years after the surgery. I have been having lots of problems but none as bad as your i dont think. Physical Therapy. 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. You'll get there I am sure! function and pain in ankle fusion patients before and after the procedure. Everybody is different I guess. Everyone has given valid info and advice! Here is an update in May 2022, 18 months after the surgery. He notes that each patient experiences pain differently, though. 4 months after surgery, with only minor changes occurring after this time point in the future. 12 weeks (3 months) 1. HSS is the world's leading academic medical center focused on musculoskeletal health. 3. An ankle fusion would also be a better option for someone with weakened bones or osteoporosis. 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. Lad explains that the typical stimulation targets for foot pain are L4 and L5. Dr. took an X-Ray, fracture is completely healed, screws and plate are intact but he suggested having it out!! 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 patient should use crutches to move around and keep the foot elevated while lying or sitting. 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. 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. Abstract. Sometimes an ankle replacement needs to be combined with another procedure, as it was in Kaler's case. No one can tell you for sure. I know I must have patience. I've accepted that I will have some stiffness for quite some time, maybe forever. You feel deep somatic pain after an ankle sprain or broken bone. We can expect arthritus with a broken bone, too. When are you suppose to go back and see your dr? Two yrs postop the pain would not stop. Follow the written and verbal postoperative instructions that have been given to you. Many times when hardware is used in surgery the end result is alot of pain afterwards. He just grins and bares it. Skin Itchiness Skin itching may be a side effect of the antibiotics, pain medications, or anesthesia. 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. 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. I think you now have an idea as to what to expect in the future. Do you feel better with it out, and what is the recovery? 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. Just wondering about people who kept hardware in . versus having it taken out. I hope the injections help! 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. I got my cortisone injjection last Friday and tt is still sore fromit. I noticed the discoloration at the injection site a couple of days after I got my cortisone injection. I hadankle surgery last April (2008),and I started feeling pain about March (2009) and it is a dull, achy pain. 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. Patients requiring large amounts of narcotics are at higher risk of long-term use of pain medications. Ihad surgery on my right ankle over a year ago and it still bothers me. It is very common to have continued pain after an injury or even after surgery to help correct the problem. 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. This provides a level of specificity not available with previous stimulation systems.. Always speak to your doctor before acting and in cases of emergency seek When the pain worsened, she was referred to a pain specialist who inserted a spinal cord stimulator. It often is a small piece that s loose (bone, metal - if you ever had any put in your ankle, etc.) Increase weight bearing to full body weight at 10 weeks from surgery. I got told at my very first PT that my ankle would most probably be stiff and much thicker than the other for good after this. 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. Join the conversation! Physical therapy helps prevent problems such as: Excessive scar tissue. 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. I didnt want to go anywhere public because im unable to walk without a limp. However, he started poking around, and on the side "does this hurt?" 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. 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 Nausea, vomiting, itching and drowsiness can occur. Ankle Fusion Ankle fusion is an alternative to ankle replacement. 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. . Founded in 1863, the Hospital has the lowest complication and readmission rates in the nation for orthopedics, and among the lowest infection rates. The authors present their experience with four cases of ankle pain occurring in the immediate postoperative period after total knee arthroplasty. 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. 2. 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. I never give up hope though and do try different treatments in an effort to reduce the pain. At 8 months control the patient was exercising as normal, running short distances without pain and had returned to recreational sports. It never hurts to get a second opinion. In February 2016, the therapy was approved, and the patient returned to Duke. Trying to trick the body into accepting something that was not there originally is a very difficult at best. Having a broken ankle is as much fun as getting a root canal. You will need to wear a cast or boot for 3 to 4 weeks after surgery and be non-weight bearing. How to STOP ankle pain after knee replacement surgery. 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. If the cortisone injection doesn't work in about a week or so, then I would have to go back and see him. Egton Medical Information Systems Limited. We want the forums to be a useful resource for our users but it is important to remember that the forums are Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Below are a few reason why leg pain may persist after surgery. Even if the hardware remains in the correct position, it can irritate nearby soft tissues and . If you are thinking along those lines get yourself a second opinion. But then the ankle or foot has less muscle mass to deal with. Outpatient review with xray on arrival. Our most recommended sock for ball of foot pain are any of the Thorlo Thick Cushion socks. 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). The 31-year-old seam-bowling allrounder is likely to be out of action for three months after undergoing a keyhole surgery to remove loose bone fragments and repair cartilage. Some days it takes forever for mine to get going due to stiffness, other days nothing!! Cortisone shots could only do so much, and she resumed the search for a long-lasting solution. It's usually done to treat ankle arthritis. So think it can be quite normal for it to get stiff. At Hospital for Special Surgery (HSS), Constantine Demetracopoulos, MD, performed successful ankle replacement surgery. The rest of your body will hurt *almost* as much as the surgical area. A fluid buildup can typically last 4-6 weeks after surgery, after which it can be removed by your body. After physical therapy and other conservative measures failed, a woman experiencing pain and weakness in her legs and lower back underwent lumbar decompression surgery. Jogging puts an enormous amount of stress and strain on a healthy joint which is something you do not have. She can now drive her stick-shift Mini Cooper and carry out her demanding job responsibilities at a major home improvement store. After ankle surgery, a patient should expect to experience some pain. Now we can offer this new therapy for a whole group of patients who previously didnt really have any good options.. First, take it slow. The tear is fixed but the pain is still there. Should I be worried? Four doctors said nothing could be done. 8 Reasons To Be Grateful For Chronic Illness. . "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.". Fractures and Ankle Surgery. 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 . If you are very physically active in your job, it may take 3 to 6 months. I'm 11 weeks out from ankle surgery - peroneal dislocation and torn ligament - and I feel your pain. You can also develope arthritis because of this injury. It appears you have not yet Signed Up with our community. Rest is still important after . If so please tell the dr this. It hurts at times and is stiff at times as well. 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