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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Increasing Pain And Inflammation Following A Bunionocotmy?

My name is Debbie I had bunionocotmy June 20 2012 pain is increasing where the plate was place I have sharp pain and it feels like it is locking, when I walk there is pain at the base of my big toe, and there is still swelling 3 weeks ago my surgery said I had synovitis inflammation of my 2nd toe I am discourage as pain is increasing each day, what is you expert opinion I would appreciate any feedback to understand what is going on
Wed, 31 May 2017
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Orthopaedic Surgeon,  's  Response
Hello,
Thank you for your question.
I think first thing is to exclude an postoperative infection or inflammation.
For that purpose you can do blood test, PCR, ESR, total blood count.
Overseeing the foot if you have swelling until 12 month after the surgery , I consider it normal.
If your skin on the surgery site is red and warm that is not normal after 4 weeks postoperative.
Also another rare cause of pain may be nerve pain or as we call Sudeck's atrophy ( or RSDS Reflex Sympathetic Dystrophy Syndrome). If that is the case it need longer and complex treatment pram pain medicine doctors.
Also a X-ray of the foot would clarify the status of hardware ( plate , screw , pins) position in the bone, in case of migration or failure of metal hardware.
I hope I helped you.
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How To Treat Increasing Pain And Inflammation Following A Bunionocotmy?

Hello, Thank you for your question. I think first thing is to exclude an postoperative infection or inflammation. For that purpose you can do blood test, PCR, ESR, total blood count. Overseeing the foot if you have swelling until 12 month after the surgery , I consider it normal. If your skin on the surgery site is red and warm that is not normal after 4 weeks postoperative. Also another rare cause of pain may be nerve pain or as we call Sudeck s atrophy ( or RSDS Reflex Sympathetic Dystrophy Syndrome). If that is the case it need longer and complex treatment pram pain medicine doctors. Also a X-ray of the foot would clarify the status of hardware ( plate , screw , pins) position in the bone, in case of migration or failure of metal hardware. I hope I helped you.