1. Surgical treatment guidelines
Surgical procedure:___________________________________________
When do you need surgery?
Is your foot pain interfering with your daily activities? (shopping,
exercising, playing with your kids, hanging out with your friends)
YES
NO
Have you tried different conservative treatment to resolve this pain?
(padding, anti-inflammatory, wider or different shoes)
YES
NO
Your foot problem makes finding or wearing the shoes that you like
difficult
YES
NO
Surgical goal:
Relieve 85% of your pain
Provide a more functional foot during ambulation
Prevent deformities from getting worse
Avoid new foot problems
Surgical recovery
____wk_ No weight bearing on a cast
____wk_ Limited weight bearing on a surgical shoe (coach-bathroom-bed)
____wk_ Limited weight bearing with a CAM boot (coach-bathroom-bed)
____wk_ Range of motion the joint
____wk_ Begin physical therapy
____wk_ Weight bearing with a surgical shoe (listen to your foot)
____wk_ Weight bearing with a CAM boot (listen to your foot)
____wk_ Transfer to a tennis shoe
How to avoid potential complications
Pain, Swelling Rest, elevate, ice (20min in, 20min out), anti-inflammatory
Numbness
Related to the swelling
Joint stiffness Physical therapy, range of motion
Infection
Occurs on rare occasions, can be treated with antibiotics
Recurrence of Custom inserts and proper shoes will prevent this (avoid
deformity
barefoot walking and sandals)