Post-Surgery Concerns for Fifth Toe Valgus Correction: What to Expect - Orthopedics

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Postoperative Issues Related to Fifth Digit Varus Deformity Surgery


Hello, Doctor: I have hallux valgus on both feet, but without bunions on my big toes.
After walking for a long time, I experience pain that has persisted for two to three years.
I finally made the decision to undergo surgery.
From January 9 to January 11, I was admitted for osteotomy correction and internal fixation with screws on my right foot (no need for suture or screw removal).
I heard that currently, the healthcare system allows doctors to operate on only one foot at a time.
I would like to ask:
1.
After the surgery, should I compare the condition of my big toe with hallux valgus? Should I wear a walking boot properly and walk on my heels until my attending physician says I can walk normally without it? (Because aside from the pain at the incision site, I seem to have no issues walking normally, although my toes and the sole of my foot feel numb.) I have bandages but am not wearing a walking boot.

2.
What kind of rehabilitation do I need to do?
3.
How long will it take before I can return to normal activities and work? Should I follow the same timeline as for hallux valgus? (I work in a kitchen, which requires standing for long periods and walking a lot, and I wear Birkenstock shoes.)
4.
Is it normal for the foot that was not operated on to feel numb as well? (It occasionally feels numb.)
5.
I have diabetes; what should I pay attention to postoperatively?
I plan to ask my attending physician during my follow-up appointment in two weeks (on January 25) because I am really confused! Thank you for your answers! 😄

Wu, 20~29 year old female. Ask Date: 2022/01/16

Dr. Shi Guozheng reply Orthopedics


1.
Correct.

2.
No special rehabilitation is needed; if the joint can move, practice the range of motion for the joint.

3.
Typically around six weeks.

4.
Not necessarily.

5.
The wound should be kept clean and dry, and diabetes should be well controlled.

Reply Date: 2022/01/16

More Info


Post-surgery concerns regarding fifth toe valgus correction are quite common, and it's essential to understand what to expect during the recovery process. Here’s a comprehensive overview based on your questions and the typical recovery protocols for this type of surgery.

1. Post-operative Care and Footwear: After your surgery, it is crucial to follow your surgeon's instructions regarding footwear. Typically, patients are advised to wear a special postoperative shoe or a walking boot to protect the surgical site and allow for proper healing. The recommendation to walk on your heel is common, as it minimizes pressure on the forefoot and toes. If your surgeon has indicated that you can transition to normal footwear when you feel comfortable, that is a positive sign. However, if you experience persistent numbness or tingling in your toes and foot, it’s essential to communicate this to your doctor during your follow-up appointment. These sensations can sometimes occur due to swelling or nerve irritation post-surgery.

2. Rehabilitation: Rehabilitation is a critical component of recovery. Initially, your focus should be on gentle range-of-motion exercises to prevent stiffness. As healing progresses, your physical therapist may introduce strengthening exercises for the foot and ankle. It's essential to start rehabilitation under the guidance of a qualified professional to ensure that you are performing exercises correctly and safely.

3. Return to Normal Activities: The timeline for returning to normal activities varies from person to person, depending on the extent of the surgery and individual healing rates. Generally, patients can expect to resume light activities within a few weeks, but full recovery, especially for those who are on their feet for long periods (like in your kitchen job), may take several months. It's advisable to discuss your specific job requirements with your surgeon to get a tailored recovery plan.

4. Numbness in the Non-operated Foot: Experiencing occasional numbness in the non-operated foot can happen, especially if you are favoring one foot over the other during your recovery. This can lead to altered gait mechanics, which may cause temporary nerve compression or irritation. However, if this numbness persists or worsens, it should be evaluated by your healthcare provider.

5. Diabetes Management Post-surgery: Since you have diabetes, it's crucial to monitor your blood sugar levels closely during your recovery. Elevated blood sugar can impede healing and increase the risk of infection. Ensure you maintain a healthy diet, stay hydrated, and follow your diabetes management plan. Additionally, keep an eye on your surgical site for any signs of infection, such as increased redness, swelling, or discharge, and report these to your doctor immediately.

In summary, while the recovery from fifth toe valgus correction can be challenging, adhering to your surgeon's guidelines, engaging in appropriate rehabilitation, and managing your diabetes effectively will contribute significantly to a successful outcome. It’s always best to keep an open line of communication with your healthcare team, especially if you have any concerns or experience unexpected symptoms. Your upcoming follow-up appointment is an excellent opportunity to address these questions and ensure you are on the right track for recovery.

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