Post-Surgery Pain and Recovery for Hallux Valgus - Orthopedics

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Hallux valgus issue


Hello, Doctor: I am the one who previously posted about issues after my hallux valgus surgery.
I apologize for continuously asking questions, but there is very little information available regarding hallux valgus.
I just had surgery on January 11, and on January 18, my mother gave me a corrective brace for my hallux valgus to wear.
However, it was too tight and uncomfortable, so I only wore it for less than an hour before taking it off.
After removing it, I noticed that the joint area (the osteotomy site, not the incision) hurts significantly whenever I bend my toe or press on it intentionally, to the point where I almost break into a sweat.
Additionally, it seems that the angle of my toe has returned to what it looked like before the surgery, based on the photos I took when I changed the dressing right after the operation.
Could this be due to swelling in my foot, making it appear similar to how it looked before the surgery? I'm concerned that I might have injured the bone inside that is currently healing (though I am still able to stand and walk wearing a walking boot).
Thank you for your response, and I apologize for the disturbance.
😥😥

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

Dr. Shi Guozheng reply Orthopedics


Postoperative pain is expected and can be alleviated with medication.
To determine if the correction is complete, a follow-up appointment is necessary to obtain X-ray imaging.

Reply Date: 2022/01/20

More Info


After undergoing hallux valgus surgery, it is not uncommon to experience discomfort and pain during the recovery period. The surgery typically involves realigning the bones of the big toe and may include procedures such as osteotomy, which can lead to swelling, bruising, and pain in the affected area.
In your case, you mentioned that you had surgery on January 11 and that you experienced significant pain in the joint area after trying on a corrective splint. It is important to understand that post-operative pain can vary widely among individuals and can be influenced by several factors, including the extent of the surgery, the individual's pain tolerance, and how well the body is healing.

The pain you are experiencing at the osteotomy site, especially when bending the joint or applying pressure, could be due to several reasons:
1. Swelling and Inflammation: After surgery, it is normal for the foot to swell. This swelling can put pressure on the surrounding tissues and nerves, leading to pain. The inflammation can also cause discomfort when moving the joint.

2. Healing Process: The bones and soft tissues are in the process of healing, and this can lead to discomfort. It is essential to allow adequate time for the healing process, which can take several weeks to months, depending on the individual and the complexity of the surgery.

3. Improper Use of Orthotics: Wearing a corrective splint that is too tight can exacerbate pain and discomfort. It is crucial to ensure that any orthotic devices fit properly and do not cause additional pressure on the surgical site. If the splint is causing discomfort, it may be best to consult your surgeon or a physical therapist for guidance on appropriate use.

4. Potential Complications: While less common, complications such as infection, nerve damage, or issues with bone healing can occur. If the pain persists or worsens, or if you notice any signs of infection (such as increased redness, warmth, or discharge), it is essential to seek medical attention promptly.

Regarding your concern about the appearance of your toe and whether it looks similar to its pre-surgery state, it is not unusual for the toe to appear swollen and misaligned during the initial recovery phase. The swelling can affect the alignment temporarily, and as the swelling subsides, the true alignment of the toe will become more apparent.

In terms of recovery, here are some general guidelines:
- Rest and Elevation: It is crucial to rest your foot and keep it elevated to reduce swelling. Avoid putting weight on the foot unless advised by your surgeon.

- Pain Management: Over-the-counter pain medications can help manage discomfort. Always follow your surgeon's recommendations regarding pain management.

- Follow-Up Appointments: Regular follow-ups with your surgeon are essential to monitor your healing progress. They can assess the alignment of your toe and make any necessary adjustments to your treatment plan.

- Physical Therapy: Once your surgeon gives the green light, physical therapy can be beneficial in restoring mobility and strength to your foot.

In conclusion, while discomfort after hallux valgus surgery is common, it is essential to monitor your symptoms closely. If you have concerns about the severity of your pain or the appearance of your toe, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Recovery can be a gradual process, and patience is key as your body heals.

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