Foot and ankle surgery in the United States is becoming more common, likely due to an aging population and increased physical activity. Call it the “Pickleball Effect”!
“Pickleball – the highly competitive sport with a funny name – combines elements of tennis, badminton and ping pong and has recently become popular among people of all ages. But, while everyone’s having a lot of fun and getting some great exercise, foot and ankle surgeons caution players also need to be aware of injury risks and take precautions to avoid them,” says the American College of Foot and Ankle Surgeons (ACFAS). “Pickleball, like tennis, can put players at risk for many toe, foot and/or ankle injuries. Foot and ankle surgeons have seen an increase in injuries from their patients who play the active sport.”
Undergoing foot or ankle surgery can be a daunting prospect – even for Weekend Warriors! -- but with proper preparation, you can ensure a smoother recovery process and better outcomes.
This guide will walk you through essential steps to take before your surgery and provide tips on preparing your home for your return.
Pre-Surgery Preparation
Consult with Your Surgeon
Before your surgery, it's crucial to have a thorough discussion with your foot and ankle specialist. Make a list of questions and concerns to address during your pre-operative visit. Some key points to discuss include:
- The details of your surgical procedure.
- Expected recovery time and post-operative restrictions.
- Potential risks and complications.
- Pain management strategies.
- Any necessary lifestyle changes before and after surgery.
Medical Preparations
Medical preparations for your foot and ankle surgery may include:
- Medication Review: Provide your surgeon with a complete list of all medications you're currently taking, including over-the-counter drugs and supplements. Some medications may need to be adjusted or stopped before surgery.
The ACFAS clinical consensus for perioperative management (medical care a patient receives before, during, and after surgery) includes consideration of patients taking diabetes medications, rheumatoid arthritis medications, and anticoagulation medications.
- Preoperative Testing: Your surgeon may order blood tests, X-rays, EKGs, or other diagnostic tests to ensure you're in good health for surgery.
- Manage Existing Health Conditions: If you have chronic conditions like diabetes or heart disease, work with your primary care physician to ensure they're well-controlled before surgery.
Lifestyle Adjustments
Preparing for foot and ankle surgery is much more than just showing up on time the day of the surgery – in fact, some patients may be encouraged to make lifestyle adjustments such as:
- Quit Smoking: If you smoke, try to quit at least a few weeks before surgery. Smoking can slow down the healing process and increase the risk of complications.
The ACFAS clinical consensus for perioperative management says that cigarette smoking should be considered a risk factor for the development of complications after foot and ankle surgical procedures.
- Maintain a Healthy Diet: Eat a balanced diet rich in nutrients to support healing. Your surgeon may recommend specific dietary guidelines.
- Exercise: If possible, engage in upper body and core strengthening exercises to prepare for using crutches or other assistive devices.
Practical Preparations
Foot and ankle surgery patients will need to make some practical preparations in advance of their procedure:
- Transportation: You should not be driving immediately after surgery, so arrange for someone to take you home and to follow up appointments.
- Plan for Time Off: Discuss with your employer the amount of time you'll need off work and any accommodation you might need upon return.
- Stock Up on Supplies: Purchase any necessary medical supplies, such as bandages or ice packs, as recommended by your surgeon.
- Prepare Meals: Cook and freeze meals in advance or arrange for meal delivery services to make post-surgery nutrition easier.
- Eating and Drinking Prior to Surgery: Typically you will need to stop eating solid foods 8-12 hours before general anesthesia and you are often able to drink clear liquids (water, clear broth or black coffee) up to 2 hours before surgery. It’s important to consult with your doctor for specific instructions.
- What to Bring to the Surgery: You should bring your legal identification, your medical insurance card, a list of medications regularly taken, a credit card or cash if a copay will be due, copy of any presurgical test results, assistive devices such as crutches or walker, and a small bag for personal belongings.
- What to Wear: Always wear loose, comfortable clothing on your foot and ankle surgery day.
Preparing Your Home for Post-Surgery Recovery
Creating a safe and comfortable environment at home is crucial for a smooth recovery. Here are some tips to prepare your living space:
Create a Recovery Zone
Set up a comfortable area where you'll spend most of your time during the initial recovery. This should be on the same floor as your bathroom and kitchen if possible. Include:
- A comfortable chair or recliner for elevating your foot.
- A side table for keeping essentials within reach.
- Entertainment options like books, tablets, or a TV remote.
- A phone charger and any necessary medications.
Ensure Safety and Accessibility
Your home is probably set-up with two healthy feet in mind, but when recovering from foot and ankle surgery you will want to ensure safety by:
- Removing Tripping Hazards: Clear pathways of clutter, secure loose rugs, and remove any obstacles that could cause you to trip.
- Installing Night Lights: Place night lights in hallways and bathrooms to prevent falls during nighttime trips.
- Rearranging Furniture: Create wide, clear paths for using crutches or a walker.
- Preparing the Bathroom: Install grab bars in your main bathroom, near the toiler and in the shower, if needed. Consider using a shower chair for safety.
- Organizing Essentials: Place frequently used items at waist level to avoid bending or reaching.
Kitchen Preparations
Do not forget to also prepare your kitchen for your post-operative recovery:
- Stock Up on Easy-to-Prepare Foods: Fill your pantry and freezer with nutritious, easy-to-prepare meals.
- Organize for Accessibility: Move commonly used kitchen items to easily reachable locations.
- Consider Using Paper Plates: This can reduce the need for dishwashing during your recovery.
Bedroom Adjustments
You may be spending more time in your bedroom than usual during your recovery:
- Elevate Your Bed: If your bedroom is upstairs, consider repurposing a couch, a recliner, or guest bed as a temporary sleeping area on the ground floor.
- Arrange for Easy Dressing: Organize loose-fitting, comfortable clothes that are easy to put on and take off.
- Prepare Pillows: Have extra pillows on hand for elevating your foot while in bed.
Additional Home Preparations
Here are some additional home preparations you should consider prior to your surgery:
- Assistive Devices: If prescribed, have crutches, a walker, or a knee scooter ready and learn how to use them properly.
- Ice Packs: Prepare ice packs or invest in a cold therapy system for post-operative swelling management.
- Communication Setup: Ensure your phone, computer, or other communication devices are easily accessible.
- Pet Care: If you have pets, arrange for someone to help with their care during your initial recovery period.
- Medications: Stock up before your surgery on the medications you take on a regular basis, both prescription and OTC.
- Ask for Help! For those living alone, seek help in advance for things such as bathing, shopping, or driving from a family member, friend or even an in-home caregiver.
By taking these steps to prepare both yourself and your home, you'll be setting the stage for a more comfortable and successful recovery from foot or ankle surgery.
Remember, following your surgeon's specific instructions and maintaining open communication throughout your recovery process is key to achieving the best possible outcome.
The doctors at Sweeney Foot & Ankle can answer all your questions about foot and ankle surgery. Contact them today to learn more about their leading-edge medical and surgical management of the foot and ankle.