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Doctor insights on: Pain After Ankle Fusion

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What is a ankle fusion?

What is a ankle fusion?

Ankle fusion: It's a surgical procedure where the joint surface is resected than locked together with screws, rods or plates. This allows for no motion across a painful joint. ...Read more

Fusion (Definition)

A fusion gets rid of a joint or disk between to bones, getting the bones to join together with bone between them. If successful, it eliminates almost all the motion between the bones. Sometimes fusion simply occur as a result of disease, rarely from aging. Most of the time ...Read more


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Can you tell me more about to have their ankle fusion repeated due to pain?

Can you tell me more about to have their ankle fusion repeated due to pain?

Fusion: As stated, if it is to be repeated then the bones were not in proper position or the patient was not compliant resulting in improper healing. ...Read more

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I had ankle fusion back in 1997. Now I'm hurting more everyday. What happen after 15 yrs and having a lot pain?

I had ankle fusion back in 1997. Now I'm hurting more everyday. What happen after 15 yrs and having a lot pain?

Arthritis: Assuming the ankle fusion healed well, and you really haven't had too many symptoms until recently, the most likely cause is surrounding arthritis in other foot joints. There could be complications of the hardware, however, and a visit to a specialist and x-rays are warranted. ...Read more

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I had ankle fusion 6 months ago and don't have full sensation in parts of the area. How long might it take to regain the feeling?

I had ankle fusion 6 months ago and don't have full sensation in parts of the area. How long might it take to regain the feeling?

It can take: A year or longer to get full sensation back. It even possible for certain areas to remain numb and never get full sensation. I don't know what type of fusion you had but if you are concerened discuss it with your surgeon. Personally I wouldn't worry at 6 months. ...Read more

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Can you provide some advice for someone who's had ankle & heel fusion?

Can you provide some advice for someone who's had ankle & heel fusion?

Yes: Chances are that it has left your leg shorter than the other. You will either need a special shoe or will need to have a lift attached to your current shoe. ...Read more

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What to do if I am considering an ankle fusion. Do you have any feedback or suggestions for me?

What to do if I am considering an ankle fusion. Do you have any feedback or suggestions for me?

B 4 fusion try brace: Try a brace first it will mimic how u will feel with a fusion. If u try this it is reversible while a fusion is not. Anot. Also u may b happy using the brace, ; not need the fusion at all. ...Read more

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If I am 22 active female should I get an ankle fusion or replacement? My dr. Said fusion. Do u agree?

If I am 22 active female should I get an ankle fusion or replacement? My dr. Said fusion. Do u agree?

Why do you need it?: At 22, you must have either a significant prior trauma to the ankle, or a severe rheumatologic condition.

Either option is pretty extreme. As far as which has a better track record, fusions do have more durability, especially for active patients.

If you think replacement, make sure you get an opinion by a surgeon that specializes in the operation. There are very few of them. ...Read more

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Can you tell me how much time will it take to recovery from ankle fusion surgery, and what is to be expected?

Can you tell me how much time will it take to recovery from ankle fusion surgery, and what is to be expected?

Several months: It could be more or less depending on the procedure and what type of fixation is used to fuse the joint. You will not have any motion at the ankle after surgery. ...Read more

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I had a ankle fusion 15 years ago. I having a lot pain. I feel my pins. I' have diabetes. Do u think that my pins might need to remove? I

I had a ankle fusion 15 years ago. I having a lot pain. I feel my pins. I' have diabetes. Do u think that my pins might need to remove? I

Have it evaluated.: If the pins are giving you pain or discomfort, have it evaluated as you may need to have them removed. ...Read more

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What are the best pain reliever for ankle fusion?

What are the best pain reliever for ankle fusion?

Talk to your surgeon: It would be best to talk to your surgeon because it will depend on the intensity of the pain. ...Read more

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How painful is having an ankle replacement/fusion?

Variable: There is some pain involved because of soft tissues and bone are cut and manipulated. Hardware also has to be placed. Many surgeons performing use regional nerve blocks which substantially decrease and sometimes even eliminate the pain for an extended time. Everyone has a different pain tolerance and response to pain medications as well. In short the pain levels vary with individual cases. ...Read more

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Is it common to have an ankle replacement or fusion?

Is it common to have an ankle replacement or fusion?

Ankle surgery: At your age, if indicated (arthritis, etc) it is usually an ankle fusion that takes place unless you have been told you have juvenile ra. Both procedures are commonly done by foot and ankle surgeons who have been trained properly. The recovery time is roughly the same, but at your age, if indicated by medical history and physician evaluation, usually a fusion is done. Hope that helps! ...Read more

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Can you have an ankle replacement done after you have an ankle fusion?

Yes...maybe: This is possible, but it is a highly complex procedure and must be done by a trained foot and ankle orthopedic specialist who has extensive experience with total ankle replacement. ...Read more

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What is the recovery period of a subtailar tibial fusion on your ankle?

What is the recovery period of a subtailar tibial fusion on your ankle?

About one year: 2-3 months of initial non weight bearing post op for bone healing : usually upon verification of bone /fusion site healing there will be gradual return to protected weight bearing (with a boot) and ultimately to proper shoes and orthotics. Physical therapy may be indicated. Full return to exercises may take about a year pending level of exercise ...Read more

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Should I get joint fusion in my ankle? What are criteria?

Complex: Criteria for ankle fusions are complex and generally conservative approaches are attempted first before considering fusion. A noninclusive list of factors include history of injury, response to prior treatment, current ankle positioning, current medical history & social factors that include history of or present use of nicotine containing products. Talk to a board certified surgeon for more info. ...Read more

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Triple joint ankle fusion, how long does it take to feel normal?

Triple joint ankle fusion, how long does it take to feel normal?

Maybe never: This is a major fusion of the foot where mobility is sacrificed to relieve pain.
The continued stiffness may not allow it to feel normal. ...Read more

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How does an ankle fusion for correction of a tarsal coalition work?

Coalition: Ankle fusion is used for severe arthritic deformity with or without deformity it

you may be referring to subtalar fusion which could b used to eliminate pain if the boney coalition comprises several articular facets of this joint and account for pain. More commonly coalition resected/removed only. ...Read more

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Can you tell me about an ankle fusion for correction of a tarsal coalition?

Can you tell me about an ankle fusion for correction of a tarsal coalition?

Fusion: Without the x rays in front of me that would be very difficult. Speak to your treating physician and ask questions. Then get a second opinion if you are unsure ...Read more

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Which has a longer recovery time: ankle replacement surgery or ankle fusion?

Depends: Most total ankle replacements require a shorter period of being non weight bearing than ankle fusions. The decision for which of these treatment options is best should not be based on the recovery time but rather factors such as age, size, functional demands, etc. ...Read more

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Recovering from ankle fusion surgery but having some stiffness in my leg, is that normal?

Recovering from ankle fusion surgery but having some stiffness in my leg, is that normal?

It's common...: It will take a while for the other joints to regain their range of motion after a period if immobilization. Physical therapy or home stretching exercises will help speed up this process. Good luck. ...Read more

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My ankle was shattered and my tin and fib were broken in a head on collision 35 yrs ago. I've had 3 ankle fusions and have had pain which is gettinle.

Pain syndrome: Ankle fusion is essentially a last resort surgery, and if you've had 3 of them then that tells me further surgery likely is not the answer for your pain. You may want to see a pain management physician to be evaluated for possible complex regional pain syndrome. Treatment for that can include physical therapy, medications, and injections. Also consider a spinal cord stimulator. ...Read more

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Do you think I should I get joint fusion in my ankle?

Depends: Joint fusion are done only when other options have failed and there is severe pain and difficulty walking.
Another option may be an ankle replacement implant. ...Read more

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I had subtalar fusion surgery a year past. Is there any possibility that I can get my ankle movement back can it be reversed?

I had subtalar fusion surgery a year past. Is there any possibility that I can get my ankle movement back can it be reversed?

No: The ankle and the sub talas joints are two different joints. The ankle allows for dorsi and plantarflexion of the foot the subtalar joint allows for inversion and eversion of the foot. There is no procedure to reverse a sub talar joint fusion once it has been performed. ...Read more

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Why is ankle fusion performed if it is not related to ankle arthritis? What are the main reasons? Recovery time? How long are you in a cast?

Why is ankle fusion performed if it is not related to ankle arthritis? What are the main reasons? Recovery time? How long are you in a cast?

Ankle pain: Pain in the ankle, secondary to cartilage deterioration (arthritis) develops with motion. If you eliminate the motion in the joint, pain will no longer be present. The downside is no ankle motion. A cast with either screws or frame is used for a period of approximately 8 weeks. At approximately the 8th week, weight bearing is encouraged if the bone is showing evidence of healing (x-rays). ...Read more

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Can bowstringing of ant tib tendon after fasciotomy be surgically corrected or will I need orthotics or ankle fusion? If can be fixed, how?

Can bowstringing of ant tib tendon after fasciotomy be surgically corrected or will I need orthotics or ankle fusion? If can be fixed, how?

Time sensitive: Your longterm treatment options are very dependent on how long after the fasciotomy you have the tendon corrected or addressed. See a podiatrist soon for evaluation. ...Read more

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I need fusion of L ankle for arthritis + R foot for tenosynovitis. Should I get both feet done at once or one at a time? In a wheelchair already.

I need fusion of L ankle for arthritis + R foot for tenosynovitis. Should I get both feet done at once or one at a time? In a wheelchair already.

Post-op care: Ankle fusion usually requires the patient to be non-weight bearing and to use wheelchair/crutches for mobility. In planning your post-op, consider your support system and living conditions. How many stairs are in the house? Will there be someone to cook, clean, look after the kids, walk the dogs? Ideally, one foot at a time is the safest to minimize falls/complications. ...Read more

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What to do if I need a ct-cat scan possible triple fusion operation on ankle?

What to do if I need a ct-cat scan possible triple fusion operation on ankle?

See below: First get the scan done so you doctor can evaluate the bone structure and then discuss the treatment options for the problem. ...Read more

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I'm a diabetic with charcot and a ankle fusion. I am now in a boot walking cast, what to do?

I'm a diabetic with charcot and a ankle fusion. I am now in a boot walking cast, what to do?

Limit your walking: For starters and discuss with doctor in detail what to do. You haven't told us why you are in the walker...Do you have an active charcot foot? An ulcer? What is going on? ...Read more

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Which procedure has less risk & better outcome - a fasciotomy of lower leg compartments left open to later close w/ skin grafts or an ankle fusion?

Which procedure has less risk & better outcome - a fasciotomy of lower leg compartments left open to later close w/ skin grafts or an ankle fusion?

Low risk procedure: Fascioatomy is a low risk procedure, ankle fusion as procedure never recommend never done as a first choice not the fusion of the joint Speak to your doctor with time and rigorous physical therapy, you should improve ...Read more

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Any ideas why my ankle aches but doesn't really hurt after a subtalar joint fusion?

Any ideas why my ankle aches but doesn't really hurt after a subtalar joint fusion?

Change in position: The surgery you had changes the position of the foot and decreases motion, therefore my experience aching, but should go away with time. ...Read more

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If debridement and bone spur removal is done and ankle stiffness isn't resolved is ankle fusion next step? Is it to slow/stop arthritic progression?

If debridement and bone spur removal is done and ankle stiffness isn't resolved is ankle fusion next step? Is it to slow/stop arthritic progression?

Fusion last option: Fusion only if everything else has failed. Other options include steroid injection, cartilage "replacement" injection, arthroscopy (scope), athrodiastasis (a procedure including an external fixator to try to "expand" the ankle joint, physical therapy, ankle joint replacement surgery.
Definition of arthritis is inflammation of the joint. Fusion eliminates the joint so it no longer exists. ...Read more

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I have tarsal coalition and last year I had the resection surgery on my foot. Well, the surgery did not work. Would I be a candidate for ankle fusion?

I have tarsal coalition and last year I had the resection surgery on my foot. Well, the surgery did not work. Would I be a candidate for ankle fusion?

Hmph: This is a complicated questions with many different possible outcomes. I would recommend that you visit different speasliclist who specialize in foot/ankle reconsturctions and get at least 2 opinons. Those who are board certified may give you the best answers e.g. American college of foot and ankle surgeons acfas and american board of podiatric surgery abps. ...Read more

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I rec'd a TTC (talus, tibia, can.) ankle fusion. I am pre-diabetic. My daily blood sugar test b4 brkfst. Is pain in ankle consider neuropathy?

I rec'd a TTC (talus, tibia, can.) ankle fusion. I am pre-diabetic. My daily blood sugar test b4 brkfst. Is pain in ankle consider neuropathy?

No: If you are neuropathic and are having sharp pain in your fusion site go see your surgeon. If you are neuropathic sharp pain comes through indicating a different problem.
There are good supplements for Diabetic neuropathy such as Biotin, Benfotaime and B complexes. Diabetics have great improvement with these. ...Read more

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Is there a difference in a walking boot? I have from an ankle surgery &my doc said I could use it. Big toe fusion surgery. It hurts end toe joint

Is there a difference in a walking boot? I have from an ankle surgery &my doc said I could use it. Big toe fusion surgery. It hurts end toe joint

Yes: With post op immobilization of toe I can't fathom the need to immobilize the ankle your using the old boot won't hurt you it's the rocker bottom on the boot that will help. The I just don't see the bed to immobilizing the ankle we used post op shoes for foot surgery but both would work ...Read more