Post-Surgery Complications from Plantar Warts: Pain and Swelling Explained

What are the potential complications of surgery for plantar warts?

After undergoing surgery for a corn on the sole of my foot, I have experienced some complications, including swelling and pain in the dorsum of my foot.
It feels like the tendons are hurting.
I consulted an orthopedic doctor who mentioned it might be due to "water retention" and prescribed Mydocalm 150mg, advising me to soak my foot in warm water and elevate it.
However, the pain has persisted for 1 to 2 months and has not improved.
Is this normal, doctor? Thank you.

rone, 50~59 year old female. Ask Date: 2011/07/25

Dr. Chen Xingyuan reply Orthopedics

Dear Online Friends,
Post-surgical scar tissue can sometimes be more sensitive, and excessive irritation may lead to discomfort or the recurrence of calluses.
Therefore, reducing activity levels and wearing appropriate footwear are very important.
Additionally, swelling in the feet and pain in the dorsum of the foot are primarily related to poor peripheral blood circulation or tendon inflammation.
Poor peripheral blood circulation is associated with age and underlying medical conditions such as diabetes, kidney disease, and heart disease.
Generally speaking, if peripheral blood circulation is poor, it is advisable to avoid prolonged standing or sitting.
Engaging in some muscle contraction and stretching exercises for the feet and legs, as well as elevating the feet, can be beneficial.
If there are underlying medical issues, proactive treatment is necessary.
Medication can help alleviate symptoms, but it is essential to identify and address the underlying causes of pain; simply taking medication does not resolve the issue.
If you have been very cautious and symptoms still do not improve, it is necessary to return to the orthopedic clinic for further evaluation.
Wishing you health and safety!
Sincerely,
Dr.
Chen

Reply Date: 2011/07/25

More Info

After surgery for plantar warts, it is not uncommon to experience complications such as pain and swelling. These symptoms can be attributed to several factors, including the surgical procedure itself, the body's healing response, and potential complications that may arise post-operatively.

Firstly, it is important to understand that surgery, even for seemingly minor issues like plantar warts, can lead to localized trauma. The incision made during the procedure can cause inflammation, which is a natural part of the healing process. This inflammation can result in swelling and pain, particularly in the first few weeks following surgery. The body's immune response to the surgical trauma can also contribute to these symptoms.

In your case, the pain you are experiencing in the top of your foot, described as feeling like it is coming from the tendons, could be due to several reasons. One possibility is that the surgical site is still healing, and the surrounding tissues are sensitive. Additionally, if there was any manipulation of the tendons or ligaments during the procedure, this could lead to discomfort as well.

The term "water retention" or "water qi" mentioned by your orthopedic doctor may refer to edema, which is the accumulation of fluid in the tissues. This can occur after surgery due to inflammation and the body's natural healing processes. Elevating the foot and soaking it in warm water, as advised, are common recommendations to help reduce swelling and improve circulation. However, if these measures are not providing relief, it may indicate that further evaluation is necessary.

Persistent pain lasting for 1-2 months post-surgery is not typical and warrants further investigation. It is essential to rule out any complications such as infection, which can occur even in minor surgeries. Signs of infection may include increased redness, warmth, or discharge from the surgical site, as well as systemic symptoms like fever. If you notice any of these signs, it is crucial to seek medical attention promptly.

Another potential complication could be the development of scar tissue or adhesions around the surgical site. Scar tissue can sometimes form in a way that restricts movement or causes pain. Physical therapy may be beneficial in such cases to help improve mobility and reduce discomfort.

If the pain persists despite conservative measures, it may be worthwhile to consult with a specialist, such as a podiatrist or a pain management physician. They can assess your condition more thoroughly and may recommend additional treatments, such as corticosteroid injections to reduce inflammation or other pain management strategies.

In summary, while some pain and swelling after plantar wart surgery can be expected, persistent symptoms lasting for an extended period should be evaluated further. It is essential to communicate openly with your healthcare provider about your symptoms and any concerns you may have. They can help determine the best course of action to alleviate your discomfort and ensure proper healing.

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