Saturday, January 31, 2009

Bye Bye Stitches!!!





My stitches are out! Yay! It was a strange sensation... Like a really thick deep ingrown hair being pulled out from underneath the skin.

Most of the wounds have healed, with the exception of the top of the incision on the inside of my left big toe. My doctor used a butterfly stitch to bring the skin back together, so one more week of bandages which means I STILL can't get my feet wet!!!

So I'm back to sitting in the bath with my feet hanging out over the edge, and wiping my feet down with clean cotton balls and warm water before my daily physio and massage session. The physio seems to be going well. I'm bending the big toes as far backwards and forwards as I can for around 3 minutes each and then stretching the remaining toes out for 1 minute. I then massage the swelling up my feet using sorbeline cream and finish my treatment off with ice-packs wrapped around my feet and secured with a rubber band. It feels fantastic to take my bandages off for twenty minutes and feel the fresh air on my beautiful new toes :)

Friday, January 30, 2009

The Walking Wounded

As I sat outside on my balcony this morning diligently wiggling my big swollen toes back and forth I became aware of how stiff my toes were even though I wasn't in any pain. I have had a serious case of cabin fever for the past week, and the weather has great so I came to the conclusion that if the physiotherapist decided no more crutches, then I should be ready to try walking further than the distance of my bedroom to the bathroom... and it might even help stretch out my feet and toes to a larger degree.

Although my husband was dubius, he agreed to help me walk the dogs to the park at the end of our street. While he got the dogs organised I slipped on my ugly new crocs and then we set off on a mission to the park.

I couldn't keep up with the dogs or my husband, so they walked ahead and I hobbled the 300m up the street to the park.

When we got to the park the dogs were thankful and so was I. Perched on the park bench I relaxed and watched the dogs have a run. It felt fantastic to be out of the house. Ten minutes later I felt like I had recovered enough to make the journey home.

As soon as I walked in the door I got back into bed, elevated my feet and wrapped the ice packs around my feet. Although the park is so close to my house, it's the furthest I've walked in nearly three weeks! It's a big milestone in my recovery, and I now feel much more content but incredibly tired.

Monday, January 26, 2009

Bunion Surgery and the 2 Weeks After

So I googled for a surgeon with a great reputation, and after reading some forums I stumbled across an orthopaedic surgeon who specialises in foot and ankle procedures, and has had extensive experience working with professional athletes and dancers. I made an initial appointment to consult with the surgeon about my feet and he agreed to perform a bilateral Scarf/Akin osteotomy.

The operation was performed through two incisions. One of the tight ligaments on the opposite side of the bunion was released. Then the bunion was shaved. Following this the metatarsal bone was cut and adjusted to narrow the foot and realign the joint. A small screw was placed in the bone to provide fixation. A fine wedge of bone was then removed from the bone to straighten the toe and a small staple wasused to hold the bone in place.



When I first woke up from surgery I had no pain at all due to a sciatic nerve block that had been administered behind the knee. I was moved to my hospital bed and the dead weight of my legs was elevated. The feeling in my feet began to return around 12 hours later. It was a gradual return in sensation; tingling, like pins and needles. The nurses at the hospital advised that I start taking the pain medication straight away to avoid experiencing any severe pain. I was alternating taking two Digesic tablets and two Ibuprofen tables every two hours. There was a small amount of bleeding after a trip to the bathroom so my bandages were changed on the first day post op. I stayed at the hospital for two nights, and by the time I was checked out I was able to walk small distances on the heels of my feet, using crutches for support.

For the first three nights out of hospital I stayed planted to the sofa bed, only moving to go to the bathroom. My mother and husband were on food and drink duty! There was no way that I could have prepared any meals for myself, or even carried any drinks while supporting myself on crutches. Luckily for me I had seasons 1 and 2 of Dexter on DVD and although I had never seen an episode I managed to get through 24 hours of Dexter within one weekend.

On day five after surgery I had my first post-op appointment with the surgeon. He was very happy with my progress and said he could tell I had been a good girl, doing absolutely nothing. The clinic's nurse redressed my wounds and they booked me in for an eight week post-op review.



The next ten days were spent doing much of the same... Absolutely nothing. There are only so many tv box sets and movies a person can watch during one day. My daily activity increased to having a bath (feet still elevated, protected by plastic bags), going to the toilet and surfing the internet... Thank god for the internet!!!

Friday, January 23, 2009

The Dreaded Hallux Valgus





I have had bunions ever since I can remember. My feet have always been slender in the middle, with big wide nasty bumps on the big toe joint. My right foot has always had a larger bump with my big toe pushing inwards toward the other toes. The left foot is the one that aches... when I'm walking and when I'm sleeping.

For years I have struggled with buying shoes that fit. I have always opted for sneakers and boots that were wide but trendy, justifying my choices by telling my friends that I just like to wear practical foot wear. This made formal formal events a nightmare. Trying to hunt down the perfect pair of heels with a strap wide enough to accomodate my feet, yet soft enough to not dig into my bunions and also try to keep my nasty looking tootsies hidden from my friends... Maybe if no-one else could see them, then maybe they didn't exist.

I hated going places that I would be required to take my shoes off and reveal my hidden ugliness. The beach, the pool, dance class... I even dreaded going to the good old "No Shoe House", where I would always leave my socks on, just in case someone caught a peek of my hideous feet.

After I lost one of my faithful orthodics my podiatrist decided that my feet had suffered beyond help. All the years of dancing in unsupportive shoes and training for martial arts in bare feet had pushed my bunions over the edge. I asked about bunion surgery but my podiatrist advised against it. "It's too painful", he said. Too many of his patients had regretted the surgery, with some have experiencing more pain than before, and long recovery times. His solution for the situation... quit dancing.

So here I was left with a choice; quit dancing or pursue surgery against specialist advise. Life without dancing was not a valid option. So surgery it was. The prodiatrist advised that I search for the best surgeon in Australia. So I did.