Sunday, February 13, 2011

Q&A: One Year Later

So I decided I'd do a blog answering some questions I've received.
If you have questions, please send and I will answer as best I can based on my experience :) I'll try to keep it short, but this one will be long. I tried editing it so many times but it's no use!

~ANONYMOUS asked: Do you have any regrets?

The thing I realized with this surgery is the recovery was far more extensive than I can ever have imagined (that is hammertoe AND shortening surgery cuz remember I had both). It seems easy, especially because it is a relatively short surgery process, but it's extensive in healing. My doctor compared it to a very controlled accident with a car running over your foot! I don't have any regrets, absolutely not. But I am surprised at how easy I thought it would be. I took off of work for 2 months and I thought I would be able to walk when I got back to work without having anyone know I'd done anything. WRONG! I was limping SO HARD, people said it was painful to look at me because they could feel my pain. Not to scare you, because it isn't a constant pain. The pain comes when you accidentally bend your joints, so you have to walk and not bend your toes. That's hard work! And I wasn't on pain killers, they made me dizzy. I had both feet done at the same time so it contributed to my hard limping (wanted to get it over with). I do have a freedom now, especially in the summer, where my thoughts are never on my feet. I am extremly happy with my decision and the fact that I take care of the body part I always neglected :) but I don't want to paint a rosy picture that leaves out the reality that it is a surgery that requires healing and alot of proper care on your part. If you are going in and you have decided it is right for you, then you will be fine and you will be happy! You won't be disappointed as long as you know that your doctor does his/her part in the operating room and you have to do your part when you get home for weeks, possibly months, after. Good luck, I'd love to hear about your progress! If you get scared or have any questions during the healing process, I am happy to write back based on my own experience.

~STEPHANIE asked:
After 28 days... did you doctor recommend that you start trying to use your toes more? Did she say that the more you walk on them, the easier it gets? Can you finally bend your toes, run, exercise?

I was told I could start massaging my joints and trying exercise, such as picking up a towel or object with my toes, at my own pace whether that be right away or waiting until I felt I was ready. I couldn't do it right away, bending was just TOO painful. I didn't feel pain if I left them alone. When bending became bearable, I tried forcing the joints to bend but I never felt much progress. I guess scar tissue had already developed. But I always tried before bed. The mobility I have in my toes now, a year later, is only at the tip, not at the mid joint. That's why I got the shots, twice now. It breaks up the scar tissue and really loosens up the joints. I've only gotten them in my right foot so that I can do a comparison and there is a difference. But the foot that isn't getting the shots looks better... because the toes getting the shots seem to have gotten boney. When it bends there is a weird little elevated bone that feels like a pebble and I'm afraid that the bone will rub against my shoe and give me the look of corns again. It sounds obsessive, but I didn't go through all this for nothing! At least when it was stiff, it was straight and there was no way I could have gotten corns again because there was no elevated bone for my shoe to rub against. I hope I'm describing this in a way you can envision. (If anyone has gotten the shots in your toes, please reach out and tell me your before and after experience please!) I can run, exercise, dance, etc without any issues but probably couldn't until... (I'm guess-timating) 7 months after. I'm sure everybody is different. But with my case, it would have been difficult.
I believe Geena was able to sooner (http://geenassurgery.blogspot.com/ )
Last year, about 4 months after my surgery I started walking alot. At least 30 blocks a day. I had to walk off the weight I gained anyway because being immobile will put a good 15-20 lbs on any body type. I believe she did say walking was good for my feet. But elevation is really important, even months after I still elevated my feet occasionally to watch tv etc. Because the swelling is the biggest obstacle initially. Actually, you don't even see results at first. When the swelling subsides, that's when your toes look shorter! It's like they shrink!

Questions I have for myself now are:

Do I want to not be able to bend my toes fully ever again in order to never get a corn again? What is the down side to not being able to bend the middle joint? The only time I really notice that I can't bend my joints is if I gently bang my toe. It hurts to high hell because rather than bend a little to absorb some of the shock, it stays stiff! My friend said to me the other day, "big deal if your toes don't bend". I guess I'm afraid it will affect me in the future, and by then it will be too late to break up the scar tissue. So I'm trying to determine now which is the best for me. I'm going to talk to my doctor. She also does laser treatments to loosen scar tissue. I'll see about that, although the lasers take longer to work. On a positive note, I got a chemical foot peel and I recommend it!! It doesn't hurt or burn and it left my feet so soft! So nice to take care of me!
xoxo

Tootie

18 comments:

  1. Thanks for the prompt response. Yes I am nervous. I am getting hammertoe and shortening done as well, one foot at a time, the first on march 18th. My doctor insist that I'll be able to walk the same day and return to work the following week. Based on blogs it appears that this may not be true. I really want to get this over with asap because I want to feel like you and be worry free when it comes to my horrible feet. It's like my feet dictate all outfits Over the summer and I hate that. I just want to be able to wear flip flops again and not be ashamed. I've been needing and wanting this operation for over 5 years and I'm thankful that the time has come.
    Your blog has been so helpful. I'm just ready to get it done and be back to normal. If I can walk by July I'll be so happy. I'll keep you posted and of course ill be asking for tons of advice along the way.

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  2. My day is getting closer. Is it normal for me to be nervous? I pray that my results are as good as your results were. Your feet look fabulous.

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  3. Awe don't be nervous. Actually wouldn't it be not normal if you weren't nervous? You'll be fine. If you know you want to do it, then all you have to do is show up. What made me nervous was laying on the table to get anesthesia. But in 3 minutes, I was loaded up with it and out like a light. I know they can do it while you're awake. I begged my doctor to put me under, I didn't want to be awake while they performed the procedure. You'll be ok, but nerves I think are so normal!

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  4. Thanks Tootie for this blog. I wished I would've read it before I had my toes shorten and bunion removed. I agree with you, post operation healing is much longer than expected. Here's my questions, do you feel the new look is worth the pain you had to endure? And did your toe joints ever feel natural again. I'm experiencing the same stiffness and discomfort you wrote about earlier. By the way your feet look very pretty. I'm going to start PT soon in hopes of some relief with the stiffness in my joints. Any advice would be much appreciated. Thanks.

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  5. Thank you :) I've honestly asked myself if it was worth it, especially during healing. Cosmetically, yes it was, at maybe 85%. They aren't perfect, especially my right foot. The tip of my toe is starting to "lean" to the side, and to me looks drastically different from the left side. My friends say they don't see it, how could they not it's clear as day! So surgery outcome wasn't perfect but a VAST improvement. I never regained the feeling I had before in my joints. If anything is disappointing it's not getting that back and especially not being told that I would possibly never get that back. Yes, we are all responsible for the questions we ask our doctors, but I would never have assumed that I was having surgery that would permanently straighten my toes. I tried shots, and even though I was encouraged to continue & have thought about it, they made my toe very bumpy inside and discolored, I didn't see the point. Because now those bumps can rub against my shoe and if it causes corns, that would be so upsetting. I would say I am 85% satisfied and 15% dissatisfied. People say "so what, big deal you can't bend them, what does bending do anyway?". But when it's you and you tell your body to bend and it doesn't happen, it's something you can only understand, you know? It's not an ongoing frustration, just a simple one and I mention it in my blog a few times because shouldn't someone say that it's a very likely side effect from surgery? What the shots did do (well, the two I got) is take away the soreness that was in my joint. But the price was the boniness it left me with. If I speak to my doctor about the laser treatment that loosens the scar tissue, I will make sure to update the blog :) Please let me know how PT goes, I might consider!

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  6. Hi my name is amanda i always hated my ring toe i guess youd call it its as long as my big toe and my tiny pinky toe just makes it worse i just found out that there is really surgury that xan dix this but can i afford it

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  7. Hello. Again thanks for the blog. I had right foot done on march 18 th and left foot done yesterday. So far so good. I can walk really well and the pain has been minimal. I'm just wondering when the stitch scabs willnfall. I guess I had a good doctor. I would love to share pics with you.

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  8. Thank you sooo much. Your comments and pictures were incredibily informative. I am supposed to have surgery of two hammertoes , the second being shortened and a morton's neuroma removed all on my driving foot. i am scared.
    What do you think is the best month to do it. I was thinking in January when I will have nothing to do. I was hoping that by the summer I would be back to walking, pilates and zumba! Can you wear 3 inch heels on occasions? Thanks for your input.

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  9. Anonymous April 3rd - I would check with your doctor and if it's medically necessary, check with your insurance. I wouldn't have paid to have my feet altered only for cosmetic reasons, although that was an awesome side benefit for me.

    Anonymous on April 9th - I wonder how you're healing, so sorry I've taken so long to answer! My stitch scabs healed differently on the left side. I have a slight dark discoloration where that scab was but really only I know it's there, you can't even see it. That scab in particular was extremely deep and that's the toe that is now leaning :( I think it ight be because I use to pick at the scab (yuck, I couldn't help it!). But the right side looks really good. I remember my scabs lasting for such a long time, I wondered the same thing!!

    Anonymous on June 13th - I think winter is a great idea. I had surgery in winter and I can't say that by summer I was ready for all the things you listed, but everyone is different. I do wear very high heels when I go out and I feel fine, but I don't wear them everyday like I used to. I wear high wedge espadrilles, since the material absorbs shock. I could wear heels, but I don't want to :)

    Tootie

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  10. I had an operation for a hammer toe 6 weeks ago, and have been back to my consultant today, he said it looks like it is going back to the way it was! Has this happened to anyone else? Also I was given a triangular shaped object from my pediatrist and I have strapped it on my toe but I'm in agony when I elevate it!

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  11. Anonymous July 4th

    Hi - Sorry to hear that it's going back to what it was after having surgery, that's terrible news! I hope to hear an update and wish you luck!

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  12. Hi Tootsie

    I recently had hammertoe surgery and toe shortening on my second third and and fourth toes. I still have the pins in as its only been a week. i accidentally bent my toe, do you think this could cause any complications?

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  13. Can you post what doctor you went with? I would like to find the same one.

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  14. HI! i will have my 3 toes shortened on both feet in couple weeks i've got freakishly long 3 toes next to my big toe and I am a huge runner/sprinter and i was wondering how long it took you to run again? thank you!

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  15. Hi Tootie, Your blog has been a wealth of info, especially from a patients' POV. I will be having surgery soon on one foot, and I wanted to know if your Dr. used a Smart Toe implant. Does that explain why you didn't need pins? Your feet look great and I hope that my surgery will be as successful as yours.
    Thanks!

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  16. Hi there

    Thank you, I'm glad it's been helpful. My doctor used her stitching technique to keep my toes straight. She cuts from the side, not the top, so there are no visable scars. The cuts are stitched tightly in a way where the tension/pulling keeps the toe straight. At first, it looks crooked because my toes were swollen but as they healed, they straightened. I haven't heard of a Smart Toe Implant.

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  17. So... i went to the doctor to get my corns removed and walked out learning i need hammertoe surgery. I am extremely nervous. I read blogs EVERYDAY since I found out. I am a single female and I am a waitress. So I'm on my feet constantly and I have to work. I am getting make both middle toes done. Can I work within 2 weeks? Is that realistic? N it's summer time:/ no toe showing even if I wanted... bummer!!! Oo.. n all this not bending your toes.. is makin me feel some kinda way. Is that the case with everyone? ??

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