The specific details of postoperative instructions are described in the relevant sections in each procedure. In general terms:
- Avoid driving, work, or excessive activity early on after surgery.
- Keep the limb elevated to reduce swelling. This is most important. When possible, lie down, foot up in the air, use pillows or cushions to keep the foot above the level of the heart.
- Use ice on the affected area, 20 mins on 20 mins off, regularly for the first few days.
- A cardboard box or similar can be used to keep bedclothes off the foot when sleeping.
- Use pain killing medications as required. Paracetamol or anti-inflammatory medications are used regularly, stronger meds such as Endone only if the pain is severe.
- Weight bearing status depends very much on the type of surgery performed. If allowed, try to put as much weight on the limb as you can with mild to moderate discomfort only.
- Keep the operated joint moving as much as possible. Again there are specific recommendations for each surgery.
- Move the other joints above and below the operative area.
- Dressings are usually left intact until the first post-op review. This may mean having to bathe/ shower with a bag over the limb. Use plastic bags and tape or invest in a purpose-built solution such as the “Limbo”.
- Constipation can be a problem with many pain-relieving medications. Drink plenty of water, use fibre supplements or laxatives as required.