Post-Surgery Swelling of the Fifth Toe: Causes and Concerns - Orthopedics

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Swelling of the wound after fifth toe valgus surgery?


Hello Doctor: I underwent surgery for hallux valgus on my left foot on July 11.
After the procedure, the attending physician applied cosmetic (non-stitch) tape to the surgical wound.
Later, when the tape came off, I used some leftover cosmetic tape from my sister's previous car accident.
During today's dressing change, I noticed that the wound is swollen; it doesn't hurt when pressed, but it feels a bit soft (not excessively soft), as if there might be pus inside.
Two days ago, my entire foot was extremely itchy, and I scratched it until the skin broke (but there was no swelling issue during the dressing change two days ago).
I'm not sure if this is related to the wound.
I have a follow-up appointment on August 2, but my attending physician only sees patients on Tuesdays due to being an orthopedic specialist, and I couldn't get an appointment.
I wonder if applying the cosmetic tape myself caused an allergic reaction at the wound site.
However, I had the same doctor for my right foot's hallux valgus surgery, and I used cosmetic tape then without any issues, and I have no known allergies to medications or substances.

Ling Er, 20~29 year old female. Ask Date: 2022/07/22

Dr. Shen Boquan reply Orthopedics


Hello, after surgery, the wound may swell for several weeks or even two to three months.
If you suddenly experience significant swelling, it is important to be cautious about infection.
If your original doctor is not available, consider consulting another physician or a local clinic for reassurance.
Wishing you good health.
Best regards, Shen Baiquan.

Reply Date: 2022/07/22

More Info


Post-surgery swelling, particularly in the context of a toe surgery such as the correction of a bunion or hallux valgus, can be a common concern for patients. In your case, having undergone surgery on your left fifth toe on July 11, it is understandable to be worried about the swelling and other symptoms you are experiencing.
Firstly, it is important to recognize that some degree of swelling is normal after any surgical procedure. The body responds to surgery with inflammation, which is part of the healing process. However, there are several factors that can contribute to excessive swelling or changes in the condition of the surgical site, including infection, allergic reactions, and improper wound care.

From your description, the swelling you are observing, along with the soft feeling upon palpation, raises a few considerations. The fact that the area is not painful upon pressure is somewhat reassuring, as pain is often a sign of infection or other complications. However, the sensation of softness could indicate the presence of fluid accumulation, which may be serous fluid or, in some cases, pus if an infection is developing.

The itching you experienced prior to the swelling could also be a sign of an allergic reaction to the adhesive used in the beauty tape. While you mentioned that you have no known allergies, it is possible to develop sensitivities to certain materials over time. If the tape was not specifically designed for medical use or if it had been previously used, there could be contaminants that might irritate the skin or the surgical site.

Given that you are unable to see your primary surgeon until August 2, it is crucial to monitor your symptoms closely. Here are some steps you can take in the meantime:
1. Keep the Area Clean and Dry: Ensure that the surgical site is clean. If you notice any discharge or increased redness, it may be a sign of infection.

2. Avoid Scratching: Since you mentioned that you have scratched the area, try to avoid further irritation. If the itching persists, consider using a cool compress to soothe the area, but avoid applying any creams or ointments without consulting your doctor.

3. Elevate Your Foot: Keeping your foot elevated can help reduce swelling. Try to rest with your foot raised above the level of your heart whenever possible.

4. Ice Application: Applying ice wrapped in a cloth to the swollen area for 15-20 minutes at a time can help reduce swelling and discomfort.

5. Watch for Signs of Infection: Be vigilant for symptoms such as increased redness, warmth, discharge, or fever. If any of these occur, seek medical attention sooner than your scheduled appointment.

6. Avoid Using Non-Recommended Materials: It is advisable to use only the materials recommended by your healthcare provider for wound care. If the beauty tape you used is not specifically designed for surgical wounds, it may not provide the necessary support or could cause irritation.

In conclusion, while some swelling is expected after surgery, the symptoms you describe warrant careful observation. If you notice any worsening of your condition or if new symptoms arise, do not hesitate to seek medical attention sooner. It is always better to err on the side of caution when it comes to post-operative care. Your health and recovery are paramount, and your concerns are valid.

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