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surgery update

pantherpanther Member Posts: 251 Courageous
edited June 2014 in Disabled people
Well pre op appointment is now done I now know what the surgery plan is just have to wait till admission day now. It's scary to think it's only just over 2 weeks away.

This time they are removing the toenail on one of my little toes, putting a pin in the other little toe and posibliy injecting one of my feet where the bunion use to be because I've carried on walking on it and there's now a problem there!!

All being well this should be done as day surgery so fingers crossed. Though my gut feeling is this won't be the end of all the surgery but will have to wait and see.

Will keep you all posted.
Helen

Replies

  • leg_ironleg_iron Member Posts: 37 Listener
    Hi Panther, good luck with your op. I can understand how your feeling. I hate the wait prior to surgery.
  • pantherpanther Member Posts: 251 Courageous
    Hi leg iron, Thanks for your good wishes for my upcoming surgery. Luckily I haven't got too long to wait I'm just getting fed up with it all this is now my fourth lot of surgery after agreeing to bunion surgery a few years ago.
    I've since being going through ongoing problems with the surgeries because of the cp so it's almost here we go again. At pre op last week they said you sound really bored doing these forms I bet you could do them with your eyes closed now you've done them so often!!

    Take care
  • leg_ironleg_iron Member Posts: 37 Listener
    I was like that when i was at pre-op in October last year. The nurse who did my pre-op assessment knew me well as she had dealt with me for about 5 years.

    I'm just about to return back to work after being off since 8th November after having my 5th op in 5 years. I dont want any more! I have had enough. Let me know how you get on.
  • acrossthepondacrossthepond Member Posts: 36
    Hi Panther,

    I wish you all the best with your upcoming surgery. I haven't gone through all that you have but I can relate to your frustration because just going back and forth to our various doctors can be exhausting.

    One of mine is still asking me to consider having a Baclofen trial to see if I can tolerate the drug intravenously. He still wants me to consider having that pump surgically placed to deliver the drug automatically. It's a big leap that could put me on a road even more similar to yours. I have much more research to do and second opinions to gather first.

    I hope that you will update us when you can. I hope this resolves your problem so that you can enjoy life more. It may not help with everything but every improvement helps.

    Regards,

    across the pond
  • HymerkarHymerkar Member Posts: 63 Courageous
    Hi Helen, sorry I havent been on here for ages. I seem to go through stages where I check in on a regular basis and then forget for ages.

    I hope your surgery goes well, and that it helps and improves your life this time.

    Across the pond - I take Baclofen in tablet form. I have 10mg tablets, and my GP has prescribed for me to take 3 daily. However, I dont take them EVERY day, I might take them daily for a month or so and then once my muscles have reaxed enough for me to be more mobile, I leave them, sometimes for up to 6 months. This has worked for me, and at least I am in control of it. Intravenous seems a bit drastic dont you think?

    All the best to both of you anyway, and HAPPY NEW YEAR to everyone on here

    Take care, and keep smiling,

    Karen XX
  • pantherpanther Member Posts: 251 Courageous
    Hi acrossthepond thank you for your good wishes I agree with Karen intravenous baclofen sounds a bit drastic I'm not sure I'd want to do it. I didn't get on with baclofen in tablet form though. Before getting ready for this next lot of surgery I was taking Dantrolene tablets and Voltrol tablets this combination of tablets has been the first lot of tablets that I've found have helped me and not given me bad side effects. They are the only ones I've been prepared to carry on taking much to my GPs surprise as I usually only last a few weeks or days before I'm back saying I can't cope with the side effects.

    As for the upcomming surgery I hope it will help but the previous surgeries have ended up putting me into my wheelchair more often rather than less. But I knew there was that risk when I went into it I still manage to walk about indoors but when out and about I need my chair, and at the moment it's difficult at times to have shoes on that's why I'm back in hospital in a few weeks hopefully then it will help with the problem but time will tell. I doubt it very much knowing what my luck is like.

    Take care all of you and will keep you posted especially once surgery is done and I'm going through a rather boring recovery and resting!!

    Helen
  • pantherpanther Member Posts: 251 Courageous
    Hi Everyone

    Just a quick update I had the latest lot of surgery yesterday they have removed part of my little toenail on one foot and put a pin in the little toe on the other foot.

    Thankfully the surgery was able to be done as day surgery so I got home last night and am now just doing the recovery. Have been advised to have my feet up for next few days just weight bear during transfers and then slowly start walking next week depending on the pain.

    Although on painkillers this time round I don't feel too drugged up so expect to see plenty of posts on here as I pass the next few days!! Stitches come out in 10 days so now it's just wait and see if further surgery is needed.

    Take care all will keep you posted although this time they aren't putting physio in they're letting me do the recovery myself!

    Helen
  • leg_ironleg_iron Member Posts: 37 Listener
    Hi Helen, thanks for the update. I'm glad everything went ok yesterday. Hope your being well looked after. Hope you dont get too bored. Day time tv it bloody awful!!

    Take care.
  • leg_ironleg_iron Member Posts: 37 Listener
    Hi Helen, take it easy and dont over do it. Have you got anyone to wait on you? Make the most of it!
  • acrossthepondacrossthepond Member Posts: 36
    Hi Helen,

    I'm glad that your surgery is complete and that you are doing so well. I do agree with the others in that you should be careful not to overdo things. Give yourself some time to heal before pushing yourself. You certainly don't want to undo your surgeon's work and potential create more difficulty for yourself.

    Now...as to the horrors of daytime tv, it's apparently an international, universal problem for which there is no quick solution that I know of. DVD's and other recorded favorites, good books and the company of good friends are some of the best ways I know to pass the time. I hope some or all of these help you. Recover quickly and stay in touch.

    Regards from across the pond,

    Joyce
  • pantherpanther Member Posts: 251 Courageous
    Hi Joyce and Legiron

    I did have someone waiting on me but unfortunately he had to go back to work at the weekend. I've tried to be good and don't think I've over done it today but I'm sure my partner would disagree lol!!

    Recovering from my surgery is the least of my problems at the moment last week before I had my surgery I also had an appointment with my neurologist.
    Amongst many thing the neurologist has decided to try me on anti convulsants which the gp has suggested I start taking next week!!

    The neurologist is unsure if some episodes I'm having may be epilespy so he's going to see me in 5 months time to see how I've got on trying the tablets. The neurologist and I have a bad relationship but then I guess anyone would hate someone who told you that your cerebral palsy was all in your mind not to mention other things along those lines.

    Take care both of you talk again soon
    Helen
  • pantherpanther Member Posts: 251 Courageous
    Hi Legiron

    Yes you are right day time tv is no fun!! Today is my first day of being able to walk a little bit pain doesn't seem too bad at the moment maybe I've just tempted fate by saying that time will tell.
    I still can't get shoes on either foot yet due to the bulky dressings stitches come out next Monday so I guess until I'm in shoes and walking we won't be to sure of if this surgery has worked, at least when I have shoes on I can see where I wear them out and can understand more how my walking has or hasn't changed at first today it felt very flat footed now as I've walked a bit more it feels more normal for me.

    Take care
    Helen
  • acrossthepondacrossthepond Member Posts: 36
    Hi Karen,

    Thank you for sharing the information concerning your dosages of Baclofen and your method of utilizing it. Unfortunately, very early on in my search for relief from pain, spasms etc., I was prescribed Baclofen. My very first dose made me sick to my stomach almost immediately. I have had the same reactions to Synemet and other medications. In addition, I react to medicines in the sulfate category too which apparently leaves my doctor without options.

    My doctor believes that I would benefit from Baclofen if it was administered directly into my body via the pump I have written about in earlier postings. That's why he wants to do the trial by giving me a spinal injection that would indicate whether I would benefit from the medication and also indicate whether I should undergo the surgery I mentioned elsewhere on this site.

    Since muscles in my legs and feet are beginning to contract and affect my walking ability, he thinks it would help/slow down this process and keep me from eventually needing a wheelchair. He might be right but I need to be sure that there are no other options that could help me put off surgery. To be fair, even I know that I have a short window before something has to happen. That's why hearing what you are all going through is so helpful.

    Thanks for your input.

    J
  • acrossthepondacrossthepond Member Posts: 36
    Hi Helen,

    Thanks for the breakdown of your medication regiment. I will try to find out if those medications are approved for use here and then discuss them with my doctor. Did your gp say why he doesn't like your taking them? Is there some conflict with some of your other medications or some dangerous long-term side effect that he is concerned about?

    I can relate to your not having a great relationship with your neurologist. Since my move, I am finding that my new doctor rushes things along and isn't as accessible as I would like. It makes it hard to ask questions and even provide him with information. He has his nurse get the information concerning any general medical updates I might have. He usually just comes in and injects me and asks few questions. Unfortunately, that seems to be becoming more the norm in our medical system these days. I will have to see what happens but your information may provide another option without surgery. I will keep you posted.

    Good luck with your doctor. As you know, my neurologist recommended the surgery, in part, because my toes are curling too and affecting my walking. On the other hand, I have another doctor who is more skilled in Integrated (holistic) medicine who says my mind is having an effect on things and is at least some of the reason the toes are curling. She isn't a fan of my having the surgery but she has written a prescription for a rolling walker. She wants me to use that when I am going to be out for longer periods to help me with fatigue. When I can, she wants me to stay with a quad cane or nothing at all. She also recommended modified yoga and meditation and aqua therapy in warm water whenever possible.

    I know that seizures can occur in people with CP but I thought that those would be something that you would have from the onset rather than something that could occur later in life. You might want to ask your doctor about that. I would be interested in hearing what he says.

    Take care of yourself and keep in touch.

    Regards,

    Joyce
  • pantherpanther Member Posts: 251 Courageous
    Hi Joyce

    It's the neurologist that says he doesn't like dantrolene he didn't give me any reasons why and I will fight him all the way I think if he trys to get me to stop it.
    The gp is just happy I have found something that helps. The thing with my toes curling we know was a reaction to bunion surgery I had a few years ago, I trust the consultant that does my foot surgery 110% because he used to specialize in cp before he moved over to foot and ankle. That's why I don't believe the neurologists opinion, unfortunately for him I'm not sure I'll ever trust him his attitude towards me is so bad to start with.

    With regards the seizures I have a history of non epileptic seizures these look the same as epilepsy but in the past have been proved to be stress related and these ones can't be controlled by medication. Last year I started having these other episodes that are nothing like what I've had before hence there is now a new neurologist on the scence looking into them. Just my luck the last neurologist I had about 10 years ago who was very good has moved into research and no longer sees patients. So I am left trying to get on with someone new who doesn't listen to anything I say and who loves to give people with cp Botox.

    The gp has also asked this new neurologist for ideas on my cp I'm starting to wonder if the neurologist gets comission or something for every patient he signs up for Botox!!

    Good luck with your research let us know how you get on.

    Helen
  • acrossthepondacrossthepond Member Posts: 36
    Hi Helen,

    Thanks for the explanation. I understand how you feel about your doctor. I have had a few bad experiences with a couple of them myself. I can also relate to your having had a doctor move from clinical medicine to research. One of mine did the same because he was being pressured into spending less time with his patients. Rather than shortchange his patients, he decided to leave and do pharmaceutical research instead. I still haven't found a neurologist who listens as well or is as dedicated to patient care as he was.

    One more word about Botox. As an inter-muscular injection, I don't think you would have any problems with it conflicting with your other medications and causing you any problems. As long as your dosage stays in the recommended range, it should continue to work for you without any problem. It might stop working if your doctor increased your dosage beyond the recommended amount indefinitely. My doctor uses the same dosage but may divide it up into more or fewer injections depending on what the EMG machine indicates via the "static" sound.

    I hope you find something that helps with your seizures. It must be awful to have something just come over you without warning. I hope you find relief soon. I will let you know how things turn out for me when I see my doctor.

    Regards,

    J
  • pantherpanther Member Posts: 251 Courageous
    Hi Joyce

    Just seen your last post like you I couldn't take baclofen it made me really ill along with many other drugs I've tried over the years. I was starting to give up hope as was my gp.
    Then he prescribed Dantrolene and I love it, it is the first drug that has really helped with the pain and tight muscles without making me have side effects.

    To start there was some slight light headness and feeling slightly sick but it soon wore off only lasted a day or two. Now I take two 25MG of dantrolene a day topped up with 50MG of Diclofenac 3 times a day, and for the first time something is helping and I'm a lot happier.

    At the moment I'm building back up to those doses as I stopped it all to have my surgery and I couldn't wait to get back on it as my muscles went so tight when I wasn't on it.
    The neurologist I saw last week made a comment that he doesn't like Dantrolene and he was pushing me to try Botox injections, but he will have a fight on his hands because as I usually respond badly to tablets and medication I'm adament that as the Dantrolene and Diclofenac are working he's not going to start injecting me with something that I don't know how I'll react to it.

    Hope what I've said may give you another option to look into Take care

    Helen
  • acrossthepondacrossthepond Member Posts: 36
    Hi Helen,

    Thanks again for the information regarding the medications you're using. I was not aware of these medications until you and others mentioned them on this forum.

    You mention that your doctor wants to try Botox. I can understand your reluctance to try something new but I will share with you the fact that I have been getting Botox injections for more than 10 years and I wouldn't give them up without a fight. Without them, I would be even tighter than I am and I would be in even more pain and distress. Unfortunately, many years without treatment because my CP is a mild case, allowed other problems to develop. I have issues with my back and neck etc. Since I can only receive Botox every three months and my dosage is at the max., it can't be used to help address all my issues. Botox is injected into the muscles.T hey can't spread it around to all the different areas I would need it injected in, so my doctor uses it in my legs and puts a smaller amount in my back.

    One problem I am having now, having just moved from one area of the country to another, is that not all doctors are equal and so the way they inject you can be different. The effectiveness of the injections can vary if the injections don't go deep enough into your muscles or if your doctor only injects the dosage into one or two places in your muscles verses splitting the dose and injecting maybe 5-6 areas.

    For me, it took a few rounds of injections before my original doctor and I found the right combination of injections and depth of injection. (My doctor used an EMG machine that emits a static kind of sound to determine the effectiveness of the depth. The static quiets down as the Botox takes effect.) My new doctor and I haven't got it all worked out yet.

    For me, Botox doesn't interfere with my other meds since it goes directly into my muscles. If anything, it has probably helped me not to need more/different drugs for different problems through the years. Now though, I have reached the maximum amount of Botox I can be injected with, and other issues continue to surface, which is why he is talking about the Baclofen trial/ pump.

    I will investigate your input and see if we have these medications available here in the states. If they are available here, I will see what my doctor says when I see him in March. I will let you know, but, if you happen to remember how your initial dosages were prescribed, that might help, since you tolerated it well, while you built up to your current dosages.

    It should be an interesting conversation. To me, it seems the doctors in the UK have more treatments available for adults than we do here. Thanks again.

    Regards,

    Joyce

  • pantherpanther Member Posts: 251 Courageous
    Hi Joyce

    Thank you for sharing how you have got on with botox I think if I had a better relationship with the neurologist maybe I'd explore it further but when the neurologist tells you when enquiring about what surgery I was having last week and I explained toes were being pinned due to toe curling after earlier bunion surgery he said your toes don't curl because of your cp your toes curl because it's in your mind you are making them curl. He also went on to tell me that the mind controls the body and the mind can convince the body of anything if you want it to.
    He said he would send me to a psychiatrist if they still had one but as they didn't he supposes he could treat me with botox just because he doesn't like the tablets the gp has put me on.

    As you can imagine with his attitude being like that there is no trust between us and I think for something with botox you have to have a good relationship and trust with your consultant.

    I started the Dantrolene at 25mg once a day for a few months.
    Then I increased to 25mg Dantrolene once a day and 50mg Diclofenac once a day for a few weeks
    Then 25mg Dantrolene two in the morning and one in the afternoon for about a month.
    Then I added another 50mg of Diclofenac to that at lunch time
    Finally after a few months I went on to 25mg Dantrolene two twice a day and Diclofenac 50mg one three times a day so I tend to do 2 Dantrolene and 1 Diclofenac in the morning, 1 Diclofenac at lunch time and then in the evening I do the same as the morning 2 Dantrolene and 1 Diclofenac to hopefully help me stop my legs from hurting during the night so I get a good nights sleep.

    Hope that helps when you make more enquires with your doctors. I'm due to see my neurologist in June as he also wants me to start some anti convulsants as it is unsure yet if some of the episodes I'm having at the moment may be epilepsy so no doubt he wil bring up the botox again then while I'm there.

    Take care
    Helen
  • HymerkarHymerkar Member Posts: 63 Courageous
    Hi Helen and Joyce,

    Thank you for giving me some interesting reading. It sounds as though the three of us are struggling with very similar problems with the leg muscles tightening and curling the toes. I really am not sure what the answer is.

    Glad to hear you got your surgery out of the way Helen, take it easy and dont try to do too much too soon and undo it all.

    Take care everyone.

    Karen X
  • HymerkarHymerkar Member Posts: 63 Courageous
    Hi Helen,

    Im not too bad thanks. Still fighting against surgery on my toes! I havent heard a word from the Neuro Physio since my Hydro ended. So much for her taking an interest and trying to help me sort things out. I suppose I should give her a ring and see what she has planned and a further session of hydro would be good, but like you, I have two things going on. CP and I am still attending the hospital on a regular basis regarding the Intracranial Hypertension - the problem of too much fluid in my brain. This seems to be under control, but has rather taken over our lives for the last 2yrs.

    I hope they find out what is causing your fits soon, thats a worry you can do without. As you have said in the past, our problems are not helped by the current threats of us loosing benefits.

    Keep us informed, hope all goes ok on Monday.

    Hugs

    Karen XX
  • acrossthepondacrossthepond Member Posts: 36
    Hi Karen and Helen,

    I agree that we are engaged in similar circumstances on many levels but I think that the two of you have had to deal with bigger things for a longer period of time than I have. I hope the two of you find some resolution for your problems soon.

    Right now, things are at a standstill for me and will remain so until I see my doctors in March or April. I am hoping to get some questions answered that will help determine what I do next. I know I won't do anything until at least the spring, if it involves surgery.

    Please keep posting and letting me know how things are going for you both.

    Regards,

    Joyce
  • pantherpanther Member Posts: 251 Courageous
    Hi Karen

    How are you? I'm trying not to do too much to soon but it is so boring!! I guess how I'm feeling isn't helped by the neurologist I'm seeing trying to rule out if I have developed epilepsy as well by trying me on some anti convulsants, I've only been on them a few days but they make me feel sick and even more tired at present. That's only on 25mg every 2 weeks I have to increase by another 25mg until I'm on 200mg.

    As for the foot surgery I'm walking indoors the stitches come out on Monday then hopefully I'll be able to get shoes on and will have a better idea of how things have gone. I don't go back to the foot and ankle clinic until the 18th March so won't know for sure all has worked until then.

    Take care
    Helen x
  • pantherpanther Member Posts: 251 Courageous
    Hi Karen

    Glad to hear things aren't too bad for you and also that the Intracranial Hypertension is more under control but like you say all these things do seem to take over our lives. I feel like I'm constantly at either the doctors or one of two hospitals at the moment.

    I managed to ome off the painkillers the hospital sent me home on after just a few days, and I went back on to the tablets the gp had put me on prior to surgery for the pain with my cp but then this week I've added the anti convulsant the neurologist wants me to try and I'm just so tired all the time. I'm certainly not looking forward to the increase I have to do of it soon as he wants it increased every 2 weeks.

    Good luck if you contact the Neuro Physio again I hope she offers you more hydro if you found that helpful. Though I tend to find you often get someone who says they are very keen to help you and are interested, but then they don't always follow through with what they've been saying to you.

    I've already been to the job centre the week before I went into hospital I was called for an interview just so they could "update their records and check I was disabled"! The man that interviewed me advised me to take a copy of the CP and ageing factsheet that Scope have on here to any further interviews or medicals I get called for and also advised that if I do eventually get put in the work related activity group or am considered fit for work to put in an appeal straight away.
    He made me laugh as he seemed surprised that I knew about the changes from IB to ESA when I asked him a question about it. Maybe they think because we are disabled we don't watch the news or read a newspaper!

    I'm sure Monday will be ok having my stitches out then hopefully I will be able to get shoes back on and get more back to normal for now until I do the hospital follow up!!

    Hope all goes well for you keep us posted.
    Take care
    Helen xx

  • HymerkarHymerkar Member Posts: 63 Courageous
    Hiya,

    Thanks Joyce, for your comments, its good to know that my ramblings are of some interest.

    Helen, I know exactly what you mean about feeling as though you spend most of your time either at the docs or the hospitals. We have been the same, between the CP and the IIH, we have been lucky to go 2wks without an appointment over the 2yrs since I was diagnosed with IIH. Things are getting better though, and it is now 8 weekly appts, so cant complain.

    I got called into the Job Centre about 20 months ago, shortly after being diagnosed with IIH. I was really ill at the time, and so tired all the time because my body wasn't accepting the medication. They decided I had to attend 5 interviews with Pathways. The building they were using for the interviews wasn't wheelchair accessible, so Pathways came to my house once a month for 5 months!! At the end of it all they recommended that I stay on IB, and considered not fit for any work, but apparently it is to be reviewed in 2yrs, so thats Nov this year. I will bear in mind, what the job centre have said to you.

    Looking forward to hearing how you are getting on now your stitches are out.

    Keep your chin up,

    Karen XX
  • pantherpanther Member Posts: 251 Courageous
    Hi Karen

    Interesting what you've said about Pathways I guess the review is part and parcel of the fact they want to stop incapacity benefit and put people on ESA or into work.
    The white paper on welfare reform comes out this week I think it is on Thursday so will make interesting and no doubt frightening reading.

    My stitches are now out and it's just a case of getting used to walking again with the pin in my toe. Follow up isn't until March so will have to wait until then to see how thing have all gone.

    Will keep you posted.

    Helen
  • HymerkarHymerkar Member Posts: 63 Courageous
    Really sorry to hear this Helen, when will all this come to an end for you, it just seems to get worse each time they try to make it better.

    Hope someone can give you the answer you are looking for soon.

    Take care,

    Karen XX
  • pantherpanther Member Posts: 251 Courageous
    Hi All

    Just a quick update I thought things were going to well!! It's been a month now since the surgery and I'm in so much pain!!

    As well as putting a pin in my little toe and doing a partial nail removal on the other little toe part of the surgery was to inject something into the side of the ball of my foot. Because of how I walk it was starting to spread out too far and cause a lump at the side of my foot that looked similar to a bunion forming. it was supposed to shrink the size of it and firm the kin so I didn't have this srea sticking out at the side which it does look like it is doing.

    But I am now in so much pain because of this injection I can only put very limited weight through the ball of my foot and because of this it is forcing me to try and walk even more up on my toes which in theory I can't really do that easily because all my toes have now got pins in them.

    I can barely walk bare foot at all now as the pain that suddenly goes through the base of the ball of my foot is so sharp and sudden I nearly loose my balance. It is making me really unsteady and unsafe. It will also really hurt after awhile of wearing shoes. And in the last few days have even started to hurt when I am not walking or wearing shoes or slippers.
    If I touch the base of the ball of my foot with my finger I know when I find the spot that hurts because I nearly hit the ceiling!!

    I'm counting down the days until the 18th when I go back to hospital for my first follow up appointment I'm just hoping they can either tell me the pain will stop in time or there is something they can do. But as this was something that was injected I'm not sure they can do something.

    Will keep you posted

    Helen
  • acrossthepondacrossthepond Member Posts: 36
    Hi Helen,

    You are certainly having quite a time of it. I am sorry to read about all the pain and difficulty you are having. I had hoped that this surgery would be the one that gave you relief. I hope that your doctor is able to do something that will make things better for you.

    The 18th seems a long way off for you to have to endure such pain. Is it possible for you to call the doctor and explain you circumstances? Perhaps you could get the appointment moved up or he could give you something that would manage your pain better until the 18th.

    Keep us posted.

    Regards,

    J
  • speedyinpainspeedyinpain Member Posts: 52 Listener
    Hi Panther

    I have just read your update. I am sorry to hear that things are not too good at the moment. I hope things will get a little easier for you, and the pain subsides. Did the hospital offer any pain relief to manage the pain?

    Andrew
  • pantherpanther Member Posts: 251 Courageous
    Hi Karen, Joyce and Andrew

    Thank you for your coments.
    I could try and move my appointment but I know my appointment on the 18th is with the consultant that did the surgery if I move the appointment I may end up seeing one of his registrars instead so would rather wait
    .
    The pain comes and goes so it's difficult it's worse when I'm walking but not as bad if I have shoes on though it can still get painful then as well.

    I was just told to take paracetomal and codiene for pain when I came out of hospital. Now after surgery I'm back on the medication I usually take for the pain with my cp and the pharmacist has told me with the combination of tablets I take for that I can only really add paracetomal for any other pain relief.

    Take care all of you will update on or after the 18th.

    Helen
  • pantherpanther Member Posts: 251 Courageous
    Well I've done the first follow up after the last lot of surgery and what a surprise I might need more surgery!!
    The registrar I saw is concerned about the pain I am getting from the base of the ball of my foot so he has requested an ultra sound scan on it.

    Depending on what they show they may try to inject it again with the same as what they injected it with before, that's the easy option as far as I'm aware the injection can be done when I'm awake.
    But it may be that I have chipped or cracked one of the many little bones that float about in that part of your foot. If that is the case then it may well be more surgery to remove those bones.

    And it's just my luck the left foot has now started to hurt in the same sort of way so I think I may end up phoning the secretary to ask if they can do an ultra sound on both feet rather than having to go back at a later date to find out what is happening with that one.

    Am begining to think I live at the hospital!!

    Helen
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