Soft tissue type surgeries:

For example, tarsal tunnel decompression, partial to full plantar fascia repair, compression syndrome, peroneal tendon repair, lateral ligament (ATFL and CFL), neuromas and cysts, insertional Achilles tendon repair, primary Achilles repair, posterior tib tendon, anterior tibialis tendon repair (insertional and non-insertional).

1st post op (2 weeks after surgery)

  • You will have your post-operative splint/dressing removed. The surgery site will be inspected for any abnormalities. You may or may not be weight bearing at this point coming into your first appointment pending on the instructions you received at the surgery center.
  • At this point, your weight bearing status will be determined. Usually, you will be placed in some kind of immobilization (for example boot, cast, or another soft splint dressing). Your sutures will also be removed as well.

2nd post op (4 weeks after surgery)

  • For this appointment, if your sutures are left they will be removed.
  • Pending on the surgery you will have your casting removed and either placed in a boot or another cast.
  • Your weight-bearing status will be determined as well. At times you can either start applying weight or still will be non-weight bearing.

3rd post op (six weeks after surgery)

  • Extensive soft tissue surgeries will return to have casting removed and a boot applied.
  • You will begin to bear weight as tolerated at this point as well.

Expectations: Postoperative/recovery process expectations will vary per individual.

** A script for Physical therapy will usually be given once you return to the clinical side**

You can expect the following when transitioning into a boot:

  • Continued postoperative pain, swelling, and tenderness.
  • Possible nerve pain.
  • Discoloration of the skin surrounding the incision or toes from standing and being weight bearing for the first time in weeks.
  • Delayed or slow healing of the wound/incision or bone.
  • Slow mobility.

Skeletal (Bone) type surgeries :

1st post op (two weeks after surgery).

  • You will have your post-surgical dressing removed.The incision site will be evaluated for any abnormalities. The sutures may or may not be removed.
  • Radiologic pictures will be obtained for any surgery that has retained hardware (for example, screws or pins).
  • Weight-bearing status will be determined as well, usually, suspect to still be non-weight bearing for any screws that are in your joints. For surgeries that are just with pins (for example hammer toes or bunion corrections) will continue to start to be partial weight bearing on your heel only.

2nd post op (four weeks after surgery)

  • At this appointment, your surgery site will be inspected and the sutures will be removed if they are still in.
  • Pending on the type of surgery, you will be placed back into a cast or boot.
  • Depending on the surgical recovery progress, you may still be non-weight bearing or begin partial weight.  
  • Usually, at this visit, it will only be a cast change but if you have an external frame then you will have a radiologic picture completed.

3rd post op (six weeks after surgery)

  • You will be transitioned from your cast/splint into a boot to begin weight bearing on your ankle/foot.
  • Radiologic pictures/CT scan will be completed prior to moving back to the clinical side.
  • All pins/wires will be removed in office after CT scan

Expectations: Postoperative/recovery process expectations will vary per individual.

** A script for Physical therapy will usually be given once you return to the clinical side**

You can expect the following when transitioning into a boot:

  • Continued postoperative pain, swelling, and tenderness.
  • Possible nerve pain.
  • Discoloration of the skin surrounding the incision or toes from standing and being weight bearing for the first time in weeks.
  • Delayed or slow healing of the wound/incision or bone.
  • Slow mobility.