Q. What is the reason for pain following a plantar fascia release surgery?
Hi doctor,
I had plantar fascia release surgery three months ago and my doctor released me to work even though I was supposed to get one more x-ray. After getting the second X-ray, he said the x-ray looks good. But, still I am in a lot of pain. Also, the pain has spread to the outside of my foot along with the area of all the joints especially over the last three. Should I get a second opinion?
Hi,
Welcome to icliniq.com.
- No, you do not need a second opinion.
- The surgery is done, but you still have some tenosynovitis of the other tendons, which has to come down.
- Also, it is very likely that you have a flat foot due to the tenosynovitis of the posterior tibialis tendon.
- So, I suggest you the following treatment. Consult your specialist doctor, discuss with him or her and take the treatment with consent.
- Tablet Ibuprofen 400 mg twice daily in the morning and night after food for 10 days.
- Tablet Rabeprazole 20 mg twice daily in the morning and night after food for 10 days.
- Tablet Shelcal CT (calcium) 500 mg, one tablet at night before food for 30 days.
- Wear a total plantar arch support for flat foot.
- Use a crepe bandage 6 inches throughout the day from the toes to the mid-leg area.
- You need to do wobble board exercises, once the pain settles down and also sand walking exercises.
- Calf stretching exercises need to start twice daily for 15 minutes each.
- Use silicon heels or buy the arch support with silicon heels, which will reduce the pain and swelling of the heel.
- Dip your feet in cold water twice daily.
- Use Dolonex ointment (Piroxicam) for local application twice daily.
- These measures will help you reduce the pain and tenosynovitis. You will get better with this treatment.
Revert back after 10 days to an orthopaedician and traumatologist online --> https://www.icliniq.com/ask-a-doctor-online/orthopaedician-and-traumatologist
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