I saw an orthopedic surgeon regarding an overlapping toe on my left foot. The second toe overlapped the big toe. Before the doc even mentioned the overlapping toe he started asking about the inversion and foot drop on the left foot. I explained it had been like that for years but recently it may have gotten worse and was bothering me a bit more in the morning. It’s always extremely tight and inverted in the a.m. and it’s usually an hour before it’s loose enough that I can put it flat on the foot pedal of my chair. I wear a night splint and I’m getting an AFO for times when I’m in my chair.
The doc said he could lengthen the Achilles tendon to fix the drop foot and a tendon transfer for the inversion. He said one problem that could occur is that he over corrects w/the tendon transfer, which would leave the ankle at a little less than 90 degrees. One concern I have w/the lengthening is the spasticity in my left foot; that heel cord is very tight and its worse in the morning as is the clonus. I’m concerned about how this might affect the tendons the doc operated on after the surgery. Could clonus damage the work the surgeon did if it were to happen shortly after surgery?
Has anyone else in the group had a similar surgery and how did it go? What was recovery period like? I’m still undecided as to weather I want to go ahead w/this surgery. While the stiff drop foot and clonus can make things even harder in the a.m. it does calm down eventually and a good AFO will help too. I’m 44 years old and have been in a chair and dealt w/the inverted drop foot for approx. 20 yrs. I could probably go another 20 but the doc said the foot might get worse over time. I don’t think he’s a chop happy doc out for money because he offered to do the surgery for free. He’s one of the top ortho surgeons at the Hospital for Special Surgery.
I do plan on going for a second opinion but was thinking of going to a physiatrist instead. I feel he may know more about what would happen w/the foot if I did not have the surgery. Any info on this is really appreciated!