Discussion
havent had it done but have done lots.
can be extremely effective and improve big toe pain for many years or can be extremely disappointing with further surgery needed.
Getting the joint moving again after surgery is really important in maximising benefit, (really) good rest for the first couple of weeks pays dividends down the road
can be extremely effective and improve big toe pain for many years or can be extremely disappointing with further surgery needed.
Getting the joint moving again after surgery is really important in maximising benefit, (really) good rest for the first couple of weeks pays dividends down the road
I had mine done maybe 4 or 5 years ago. I only had it done as I had a big bunion on the side of the foot and when I went for it looked at the consultant told me my toe had limited movement and was arthiritic.
It hurt for quite a long time after, around 3 years and has only stopped recently. In retrospect I should not have had it done as it wasn't causing me any issues as such.
It hurt for quite a long time after, around 3 years and has only stopped recently. In retrospect I should not have had it done as it wasn't causing me any issues as such.
Mine is giving me some grief when I walk so something needs doing at some point unfortunately. To those that have done it when we’re you able to walk and drive again? I understand it’s a quicker recovery than a full fusion? I’m tempted to try a cortisone injection but feel it’s just masking the problem really.
Sawman, you have done these procedures then? Sounds like sometimes it doesn’t work out and more work is needed? Given I’ve lived with it for around 5 years I don’t want to make things even worse !
Sawman, you have done these procedures then? Sounds like sometimes it doesn’t work out and more work is needed? Given I’ve lived with it for around 5 years I don’t want to make things even worse !
Edited by funbobby on Friday 11th June 09:13
I've got my annual consultation with my consultant rheumatologist on Monday.
I'm going to ask if he can refer me for the keyhole cheilectomy developed by David Redfern and colleague. The whole procedure sounds better in many ways when compared to the non keyhole version. Much quicker recovery time etc.
I walked for one and a half hours yesterday and was in pain for the last fifteen minutes.
I'm going to ask if he can refer me for the keyhole cheilectomy developed by David Redfern and colleague. The whole procedure sounds better in many ways when compared to the non keyhole version. Much quicker recovery time etc.
I walked for one and a half hours yesterday and was in pain for the last fifteen minutes.
I too have an arthritic big toe and dorsal bunion where bone has built up. Very restricted movement and impossible to wear nice shoes or boots. I always have to wear trainers.
I hike and walk but it's always painful and the toes and foot are swollen by the end of the day.
I've seen the keyhole surgery on YouTube where the surgeon fits a small drill or burr through an incision and wears away the excess bone and then pushes the pulp back through the incision like a zit.
Patient is apparently back on their feet very quickly.
I believe the NHS version is more invasive and you can be laid up for weeks.
I hike and walk but it's always painful and the toes and foot are swollen by the end of the day.
I've seen the keyhole surgery on YouTube where the surgeon fits a small drill or burr through an incision and wears away the excess bone and then pushes the pulp back through the incision like a zit.
Patient is apparently back on their feet very quickly.
I believe the NHS version is more invasive and you can be laid up for weeks.
funbobby said:
Mine is giving me some grief when I walk so something needs doing at some point unfortunately. To those that have done it when we’re you able to walk and drive again? I understand it’s a quicker recovery than a full fusion? I’m tempted to try a cortisone injection but feel it’s just masking the problem really.
Sawman, you have done these procedures then? Sounds like sometimes it doesn’t work out and more work is needed? Given I’ve lived with it for around 5 years I don’t want to make things even worse !
Painful stiff big toe is a degenerative process. Cheilectomy will not reverse any degeneration that you have in the joint, although fortunately the worst degeneration is at the margins of the joint and associated with the new bone that has grown around the joint - resecting this (cheilectomy) is effective but the fact that the joint has had surgery can cause further degeneration. Getting the joint moving again is important (exercises). The cheilectomy preserves the joint(mainly) and means that if there are more problems later you havent burned any bridges. Other procedures like fusion or arthroplasty destroy the joint they are final but you are stuck if you dont like it because they are one way tripsSawman, you have done these procedures then? Sounds like sometimes it doesn’t work out and more work is needed? Given I’ve lived with it for around 5 years I don’t want to make things even worse !
Edited by funbobby on Friday 11th June 09:13
Cheilectomy should have you back to work and driving in 4-6 weeks, fusion more like 8 weeks - sometimes they take months to settle
Cortisone shot can help but my experience is that if theres much degeneration seen on xray they are of limited benefit - wearing stiff soled shoes/ very supportive trainers is best non surgical treatment
croyde said:
I too have an arthritic big toe and dorsal bunion where bone has built up. Very restricted movement and impossible to wear nice shoes or boots. I always have to wear trainers.
I hike and walk but it's always painful and the toes and foot are swollen by the end of the day.
I've seen the keyhole surgery on YouTube where the surgeon fits a small drill or burr through an incision and wears away the excess bone and then pushes the pulp back through the incision like a zit.
Patient is apparently back on their feet very quickly.
I believe the NHS version is more invasive and you can be laid up for weeks.
MInimal incision surgery is available in the nhs in many areas, for cheilectomy it may promote slightly quicker recoveryI hike and walk but it's always painful and the toes and foot are swollen by the end of the day.
I've seen the keyhole surgery on YouTube where the surgeon fits a small drill or burr through an incision and wears away the excess bone and then pushes the pulp back through the incision like a zit.
Patient is apparently back on their feet very quickly.
I believe the NHS version is more invasive and you can be laid up for weeks.
Think the problem I have with mine was on the x Ray it showed the gap between the joint on my toe had closed up almost like it had started to fuse itself ? Problem is the X-ray was just before the first lockdown so I’m struggling to remember what the exact details were ! I do know if I’m in the wrong footwear it’s bloody painful.
funbobby said:
Think the problem I have with mine was on the x Ray it showed the gap between the joint on my toe had closed up almost like it had started to fuse itself ? Problem is the X-ray was just before the first lockdown so I’m struggling to remember what the exact details were ! I do know if I’m in the wrong footwear it’s bloody painful.
if you feel things have go worse in the 15+ months since your x ray, you should discuss with your surgeon - they way want to revise the plan. good luck
Backlog depends where you are - we have more or less cleared backlog in my area, whilst i know some areas further south have barely got going again yet.
Gently but firmly mobilising the joint by hand and massage, possibly with anti inflamatory gel can actually be helpful keeping things going- i used to get people to do this back in the days of long waiting lists in the noughties - some folks did so well with it that they didnt need op!
Gently but firmly mobilising the joint by hand and massage, possibly with anti inflamatory gel can actually be helpful keeping things going- i used to get people to do this back in the days of long waiting lists in the noughties - some folks did so well with it that they didnt need op!
Edited by sawman on Friday 11th June 21:44
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