FOLLOW UP:

• First appointment: approximately 2 weeks from surgery, usually at the Burnaby Hospital Fracture Clinic.

• Prior to your surgery, you should have received dates for your 6 week and 3 months follow up visits.

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EXPECTED RECOVERY TIMELINE:

• You will be immobilized with the toes down to protect the tendon for often 4-6 weeks.  This will be in a splint or boot.

• Swelling and pain is normal and expected in the first two weeks.  Rest, elevation and pain medication are important to help manage this. 

• If your pain is severe and you aren't managing with the instructions and pain medication provided, call or go to the Burnaby Emergency Department.

• Ideally by 3 months following surgery, you are walking not necessarily far, or fast but able to get back to your normal day to day in a more normal shoe.

• Swelling is normal and not a concern and can last for up to 6-12 months.  Some swelling doesn't always resolve fully.

• If all is healing well, you can progress your walking and other physical activity as your symptoms allow. 

• You will not know full recovery (pain, swelling, strength) until 9-12 months following surgery.  

 

DRESSING:

• You will go home from surgery with a splint on your foot and ankle.  This can remain as is until your first 2 week appointment. The toes will be pointed down (plantar flexed) to protect the reconstruction. After this appointment, once your wound has healed adequately, you will be placed in a post operative boot with two wedges under your heel to protect the reconstruction.

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WOUND:

• Your wound(s) are closed with sutures, some of which will need to be removed.  

• Do not get the dressing or wound wet for the first 2 weeks.  To ensure this, a bag should be placed over the let to avoid anything getting wet.  

• The dressing/splint should remain on until your first appointment.  Do not remove this.  It will be changed at the first 2 week appointment

• Sutures are removed typically at the 2 week mark. Its not uncommon given the high risk of wound troubles in this area, to have them removed at 3 weeks.  

• After your sutures are removed, you can shower 2-3 days later and allow clean water to run over the wounds.  Pat this dry and reapply a dressing if it is your preference. It is not required.  The steristrip tapes on your wound can get wet.  Just pat them dry. 

• Steristrips should stay on for about 10-14 days usually.  If they fall off prior to this, they do not need to be reapplied.  If they are still on after 14 days, ensure you please remove them yourself. 

• Do not immerse the wound in a bath, hot tub or pool until the scar is fully healed with no scabs.  This is often 4 weeks. 

• No lotions or creams should be used until the wound is fully healed, often 4-6 weeks. 

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WEIGHTBEARING 

• You may not put any weight on your foot until 2-6 weeks from surgery.

• Unless you've had additional work done, at 2 weeks from surgery, you can begin walking in your boot.  If you have had extensive work done and/or a tendon transfer, you may need to stay non weightbearing for 6 weeks.

• The plantar flexed position (toes down) is critical in the first 6 weeks to protect your tendon.

• At 6 weeks from surgery you can transition out of the boot slowly.  Dr Roberts will guide when each wedge can be removed and when you can begin going  to a shoe as able.  

 

PHYSIOTHERAPY:

• At the 2-3 week mark, if you feel able, you may begin physiotherapy.  Prior to this due to swelling, wounds and dressings, possibly therapy will be limited.  

• Dr. Roberts will provide you a custom physiotherapy prescription to help guide your therapist in your recovery.  This is focused on protecting the achilles for the first 6 weeks in a plantar felxed position, so early motion/therapy can be limited at this time.  

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DRIVING:

• You are not able to drive if you are still taking Opioid (Narcotic) pain medication

• Left foot surgery: You will be in a boot for 6-8 weeks to protect your tendon and cannot drive with a boot by the pedals during this time. 

• Right foot surgery:  You can drive once you are walking fully in a shoe often 9-10 weeks post op.

• Try practicing in a parking lot first to ensure your reaction/strength/motion is adequate 

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FLYING:

• If possible, you should consider avoiding long haul flights for the first 8-12 weeks from surgery.

• If you must fly before this there is an increased risk of blood clot.  Try to keep moving on the flight, stay hydrated, avoid alcohol, consider compression socks.  Discuss with Dr. Roberts if you require a blood thinner to keep your risk as low as possible. 

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WORK:

• You should arrange to be off of work for the first 2 weeks after surgery to allow for rest and recovery.

• If you are working from home or can get to work safely and work in a flexible seated job, you could return to work after the first week if you so choose, provided you are off opiod (narcotic) pain medication.  You will need to elevate the foot and allow for more breaks. More commonly, most patients take 6-8 weeks off work. 

• Any work should be sedentary for the first 8-12 weeks.

• Typically a return to more physical duties can begin gradually at the 16 week mark from surgery. 

• You may discuss your return to work plan with Dr. Roberts if you still have questions.

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