Metatarsophalangeal Joint Arthrodesis - Part II

It's been 10 days since the surgery. The incision site doesn't seem too tender and actual bone that was worked on isn't too painful. However the rest of my foot is quite tender. I had to unwrap the dressing a few days ago; it was slipping off of the end of my foot. I was a bit nervous about unwrapping it, but I did not see much of a choice. It was either unwrap it myself, or drag Abelisto out of class and have him drive me to LaCrosse and get the podiatry nurse to rewrap it.

I did not want Abelisto to miss any more of his classes (his students would have probably not minded, but he hates getting behind the schedule he sets in his syllabi), so I did it myself. I took off the big black space boot that covered the dressing on my foot. It has some of the best velcro I have ever seen - it grabs onto itself very securely and the ripping sound it makes when it is unbelted and opened up is tremendous.

Lifting my foot out of the boot I saw that somewhere I had lost one of the elastic bandage clips (found it later in the bedding at home). Since I did not have any new cotton batting, I tried to gently remove the old batting and carefully roll it up as I took it off so that I could put it back on. The sight as the last layer of batting came off was a wee bit scary - the foot had swelled considerably. I had deep red, purple, and greenish-yellow bruising all over my foot, and a large crack in the callous on the bottom of my foot. I lifted the gauze and pad off of the incision site and saw that the swelling had expanded the skin to where the stitched area was stretched out nearly flat.

My foot looked like a mugging victim.

I had spent nearly a full day at work the day before, and I am guessing that was too much. I sort of knew it was because about 11 the foot had started some pretty serious throbbing and burning, which of course, I ignored - with the above results. Since then I have come in in the morning and worked until the throbbing starts and then gone home and put my foot up with a cold pack on it. Yesterday I brought a cold pack to work in hopes of extending my time there a bit, mainly because today is the president's inauguration and I will likely be here most of the day.

I do work at home, but sometimes I end up taking pain medication when I get there and that puts me to sleep. I had worried about having this sort of down-time during the website redesign, but this has not been too bothersome, since at this point most of the work is being done by the vendor. Soon though, I will need to be back at full-force and ready to start working with the content management system and doing some pretty extensive Flash work. However, I am lucky in that even if I need to be home with my foot up, I can still do my work because most of it is done online anyway. And I do have an almost-comfortable way to sit in bed and work.

I have another doctor appointment in three days. Hopefully he won't tell me I really screwed up.

Metatarsophalangeal Joint Arthrodesis

I've been recovering from a surgery I had this week - Metatarsophalangeal Joint Arthrodesis. The lines on the above image only roughly represent the work that was done.

The bone connecting to my right big toe was too long. This was putting all the weight of my body on the toe joint when I walked or stood, instead of distributing it across all the toes.

the right foot, awaiting the surgeon's skill
(arrgh, I haven't seen that leg shaved in over 20 years)
the left decked out in a fancy stocking and
pressurized anklet to keep my blood flowing like it should...

I am now, 3 days after the surgery, doing better. The surgery itself went well, but recovery has been rough. I had a pretty severe reaction to the pain medicines they gave me (vomiting and mild hallucinations - crawly things all over me) and have sworn off prescribed drugs for now. I am only taking Tylenol.

what I saw today at the doctor's office

Today I got to see my foot when they took off the first cast (they would not let me stay awake and photograph the procedure - everyone quit talking and just stared at me when I asked, so I took that as a NO). I took pictures of my foot before they put the new dressings on it

the new boot, at least for the next few weeks I will get to wear

all my favorite socks that have had mates go missing

I now have a walking boot on my foot, but it is still too tender to walk on much. However, I am fairly tough, with a reasonable tolerance for pain, and I heal quickly... and I surely do hate crutches. Once this is over I am so going on a shoe-buying spree...

However, this damn boot isn't going to be easy to sleep in. And I will have to go to work in sweat pants - that's all that will fit over it (big hardship there...).

I've avoided reading about the procedure as a matter of principle, but you can if you want. Here's the Google search.