- Discontinue Aspirin/NSAIDs/Blood Thinners 7 days prior to surgery
- You have been prescribed medications including pain medication and a blood thinner (ie Aspirin or Xarelto). You can pick these up at the pharmacy prior to surgery, but DO NOT take until after your surgery.
- Nothing to eat or drink after midnight the night before your surgery. It is okay to take essential medications with a small sip of water.
- Please show up to the hospital or surgery center at the time instructed with the proper paperwork. This is often ~2 hours prior to your scheduled surgery time.
- Keep your foot elevated above heart level. Make sure that your heel hangs free (“floats”). Avoid having your foot below your heart more than 15 minutes at a time for the first 2 weeks. Elevation is often the most important factor in your pain management.
- The numbing medicine in your foot can last several hours. Take pain medicine as soon as you feel it start to wear off.
- Medication to take for Pain:
- Acetaminophen (Tylenol) 1000 mg every 6 hours, (purchase over the counter). Do not exceed 4000 mg (4g) acetaminophen in 24h period
- Ibuprofen/Advil 400 mg every 6 hours, (purchase over the counter)
- IF still in pain add on narcotic pain medication every 6 hours, (prescribed)
- Narcotics commonly cause constipation. You have been prescribed a stool motility medication to take WHILE taking the narcotic. Discontinue if you have diarrhea.
- It is often helpful to alternate above medications. Example medication schedule:
8am: Ibuprofen/Advil 400mg q6
10am: Acetaminophen 1000 mg
12pm: narcotic pain pill (if needed)
2pm: Ibuprofen/Advil 400mg q6
4pm: Tylenol 1000 mg
6pm: narcotic pain pill (if needed)
Repeat as needed. Wean off narcotics first and as soon as possible.
Dressing and/or Shoe
- Keep your dressing dry and clean. Do not take it off until your postop appointment.
- DO NOT change the dressing/splint. If there is a problem with the dressing (too tight/loose, gets wet, etc.) please contact Dr. Natsuhara’s office.
- NO weight bearing unless told otherwise. Use knee scooter for mobilization.
**IF non-weight bearing, starting the day after your surgery take your blood thinner as prescribed (Aspirin OR Xarelto)
- DO NOT get your dressing wet. For showers, you can use an over-the-counter cast cover or wrap a washcloth around the top of your dressing and then cover it with a plastic bag and tape it to your leg.
- DO NOT soak the incision (no tubs, pools, baths, etc.) until you have approval from Dr. Natsuhara.
- When showering, you may need a chair in the shower for balance, as well as someone to help you; falls in and around the shower are common.
- Showering without a covering is allowed after your sutures have been removed. You may let water and soap flow over the incision and then pat dry, but do not rub near the incision.
- Ok to resume home medications as directed
- Take pain medications as prescribed. Take with food to avoid nausea.
- Do not drink alcohol while on narcotic pain medication.
- For medication refills/questions call Erica: 209.946.7134
First Postoperative Visit
- Your first postop visit will be ~2 weeks after surgery.
- The incision will be evaluated for suture removal.
- Further instructions for incision care, showering, etc. will be provided at that time.
- For questions regarding postop appointment scheduling, call Sabrina: 209.946.7107
- Driving: You must be off narcotic pain medication. If your surgery was on the leg you use to drive, then you must be cleared for full weight bearing
- Swelling is very common after foot and ankle surgery. It often takes 3 months for the foot and ankle to begin to feel comfortable. Some amount of swelling can persist for 6-12 months.
Contact Dr. Natsuhara’s office , option 2 or go to the Emergency Room for:
- Temperature over 101.5° F
- Increasing pain, unresponsive to pain medication or elevation
- Excessive redness or swelling in your foot
- Develop pain, swelling, warmth, or discoloration of your calf
- Shortness of breath or chest pain