REHABILITATION PROTOCOL

Immediately After Surgery

  • Keep foot elevated for 72 hours

  • Bed rest x 72 hours with bathroom privileges.

  • Apply ice to area 20 minutes every two hours

  • Weight bearing on the heel of the foot in the post-operative shoe placed on your foot at time of surgery.

  • Take pain medication prescribed on a regular basis to stay ahead of pain.  Medication will be PERCOCET 1-2 tabs every 6 hours for severe pain, or TYLENOL #3 (with Codeine) 1-2 tabs every 4 hours for moderate pain.

  • Take antibiotic prescribed (Keflex) every 8 hours for 5 days.

After 72 Hours

  • Ambulation as tolerated in post-op shoe. May use crutch, cane or walker for assistance with walking as needed.

  • Begin passive range of motion of the big toe, by gently moving it up & down. You should do this for 5 minutes, four times a day.

At 2 Weeks

  • Return to office to have sutures removed.

  • Begin Physical Therapy with attention to PROM and active ROM of great toe. May advance to EHL/FHL strengthening when swelling decreased and good ROM is established. Use of modalities for edema control, scar tissue management, pain control, and padding encouraged.

  • May begin wearing regular shoes in 3-4 weeks.