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pain on top and arch of foot

by Sue
(Illinois)

I had a lapidus bunionectomy 8 months ago, I had removal of plate and screws 2 months ago.. I now still have some swelling and pain in top and arch of my foot. My ankle is starting to hurt also, probably because of the way I am now walking. It is painful to walk with my foot completely flat , I tend to walk on the outside of my foot, I have had many orthodics, and tried many different shoes. I also did physical therepy for 2 months. My Dr. also said that when she removed the screws one was broken and stuck in the bone, which she said she did not want to retrieve, because she would have had to go in through the bottom of my foot, and would have put me back to square one with the cast and all.




The area that hurts most is the actual place the plate was. There also seems to be an indentation in that area with swelling around it. Is it common to have swelling 8 months after the original surgery..I must say it has been a nightmare!

Hi Sue,
Not knowing anything about your overall medical history, including age, activity and weight, it would not be unheard of to still have "some" swelling in the surgical site. They question you need to ask yourself is whether or not you are still seeing continued improvement, albeit slowly. If you are still noticing improvement as time goes on then you might be wise to wait it out.
Having said that, if you think the majority of your problem is coming from the area where the fractured screw still remains then you may have to eventually deal with having your doctor go back in and remove it.
Speak to your surgeon about your options. If you are not satisfied with the answers, seek a second opinion with another doctor who can examine your foot and view the xrays.

Marc Mitnick DPM
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