Forefoot Arthroplasty : I experience a lot of pain when... - NRAS

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Forefoot Arthroplasty

Canaries profile image
8 Replies

I experience a lot of pain when walking, after xrays on both feet I have been informed by an orthopaedic consultant that I need surgery. Stainsby and Akin procedures. If I don't have surgery then long term the condition will worsen and can result in ulcers on the feet.Has anyone had this surgery and if so I would be grateful if you could let me know it it was successful.

Thank you

Canaries

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Canaries
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medway-lady profile image
medway-lady

I don’t know what it was called but my left foot was straightened etc some years ago. It has been pain free ever since.

Canaries profile image
Canaries in reply to medway-lady

That's good to know. Thank you for your reply

medway-lady profile image
medway-lady in reply to Canaries

I don’t remember the name but as I said pain free and normal shoes afterwards. I had a couple of days in hospital, toes broken and straighten with a bit shaved off but it never hurt although the cast and boot were difficult until I wore a platform shoe on the other foot to even up as it did make my hip ache. Same thing as last year with the broken leg! Honestly the way I looked at it was do do nothing meant awful shoes, painful left foot ( my right foot is not affected byRA) was not an option so I went for it and yes there is a recovery time but after that normality. Lol x ps the scars are hidden on the side of my foot and the toes if you get a magnifying glass does have a few odd dots the other scars are hidden in the bit before the toes. No idea how it was done as when explained I tuned out as a bit sceamish.

Canaries profile image
Canaries in reply to medway-lady

I was shocked when told what was involved. Pin to straighten the big toe, pins on top and underneath other toes. Two hour op. I know it needs doing or things will get worse.Thanks again for your reply. It's reassured me a little. I wonder how common this surgery is as yours was the only reply?

medway-lady profile image
medway-lady in reply to Canaries

I don’t know as mine was done about 5/6 years ago and the way things are now I think it’d be classed as frivolous because pain doesn’t kill you type of thing. I was lucky as very active so my GP supported and referred me to a good surgeon who said the degree of turn of my foot was easily rectified by surgery. And of course it was as my feet are great and although the there is a risk my foot bends in the same way it did before and so far hasn’t turned again. I know there are a lot of bits of wire and screws made of metal in it but only because I saw them on X-ray.

Canaries profile image
Canaries in reply to medway-lady

Thanks again for the information. Glad the op rectified your problem. I have hammer toes, pain walking is getter worse so I hope the op is successful.

cyberbarn profile image
cyberbarn

I have had three lots of surgery on my feet, an Akin on one big toe, and a Scarf on the other, but eventually that big toe had to have a silastic joint replacement.

I had mine done as day cases in a local hospital by visiting podiatric surgeons and I had a great time! Having had surgery on my feet as a teen too, I guess I knew what to expect. I had prepped everything at home before hand. Dinners in the freezer for two weeks, really tidy kitchen, instructions for my son to follow for the first couple of days, and most importantly a 'station' on the sofa with my laptop and charger, books, writing materials, radio, telephone and so on. I also had two wicker baskets, one to carry things (I was none weight bearing for a couple of days so needed crutches) and one for rubbish.

Every morning I had a routine. Breakfast was laid out the night before wtih my son helping, then I would come down stairs and do a clockwise hobble around the kitchen with the basket to carry everything to my 'station' then settle down for the morning.

I used a cold pack out of our picnic basket to ease the pain as I can't take strong pain killers; I think they said originally 15 minutes every hour, but now they say every few hours. I just used it when the pain started distracting me.

I would lay back on the sofa with my feet up on cushions to keep the foot above my heart, and put the laptop on a tray and type away. It was great because I had to hand in my progression report for my PhD, and because I couldn't distract myself around the house I got it done in no time!

Where they successful? Yep. Obviously everyone is different but I am pain free from the conditions that were fixed, even if my PsA creeps into my foot from time to time!

So I would say go for it. Without working feet our lives are so restricted, they are the most important part of the body!

Canaries profile image
Canaries in reply to cyberbarn

You sound so well organised, I'll take your tips on board. I've had a few hospital spells do always organised the food, will definitely organise the rest as much as possible. I'm 73 now so it will be more difficult. Fortunately we've moved to a bungalow, so no problem with stairs!

Thank you for your reply, glad everything went well for you

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