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Post Operative Instructions

Dr. Latika Hinduja
3578 Brodhead Rd. Monaca Pa 15061
Phone: 724.775.6168, FAX: 724.775.2633

Foot, Ankle and Surgery


  • After discharge from surgery center, go directly home
  • Rest the remainder of the day and limit your activities
  • Keep children and pets away from your operative foot or ankle
  • Limit your walking or standing until you see your surgeon for your follow up visit
  • If applicable, always wear your surgical shoe or CAM walker when walking
  • You should NOT bear weight on the operative foot unless you were otherwise instructed
  • Use crutches, walker, knee scooter or assistance as instructed
  • You can NOT drive for 24 hours after surgery or while taking pain medication. You can NOT drive with operative foot untill cleared by your surgeon
  • You should NOT drive with operative foot until cleared by your surgeon
  • You MUST have a driver to office visit scheduled 1 week after surgery


  • Gradually advance your diets from liquids (soup, jello) to light meals (toast, crackers)
  • There are no dietary restrictions. Resume your regular diet at tolerated
  • At all times, drink plenty of liquids to avoid dehydration

Cold Therapy & Elevation

  • Expect swelling after your surgery. Ice will help reduce pain and swelling.
  • Keep your foot elevated(higher than heart level) while you are sitting or lying down. This will help decrease pain and prevent swelling. Keep this support and positining untill your first post operative visit.
  • On the day of surgery - use ice bags three times a day for 20 mintus. Thw as needed.
  • The first week after surgery - use ice bags three times a day for 20 minutes. The as needed.
  • DO NOT place ice bags directly on your skin, always have a protective barrier

Offloading and weigh-bearing Status

  • You will be placed in a special cast, boot, or surgical shoe after surgery
  • You will be non-weight bearing unless otherwise instructed
  • Use crutches, walker, knee scooter for assistance as instructed

Bandages and Wound Care

  • Keep your dressing or cast dry and intact. Do NOT remove your dressing unless specifically instructed by your surgeon. If bandages or cast become saturated or wet call the office immediately. 724-775-6168
  • DO NOT remove the bandage, boot, or cast after surgery.
  • Your boot will be removed, and your dressing changed within one week after surgery.
  • To shower, cover bandage/cast with plastic wrap or cast bag. Do NOT get bandage / cast wet.
  • Bleeding is expected and your bandage may become stained. If your bandage becomes soaked with blood, please contact the office. 724-775-6168

Pain Medication:

  • The post operative medications prescribed by the surgeon. If unsure of the medication of the possibility of an allergy, do NOT take the medication and contact your surgeon immediately. 724-775-6168.
  • The night after surgery you may take one to two tablets every four to six hours as needed. Usually, but not always, by the third day after surgery your foot/ankle/leg will begin to feel better, and you will require less medication.
  • We recommend taking these medications with food.
  • Many pain medications contain Tylenol or Acetaminophen, DO NOT consume more than 3,000 mg of Acetaminophen in one day.
  • DO NOT take Advil or Aleve or Tylenol unless instructed by your physician.
  • DO NOT drink alcohol, smoke, drive a car, operate any machinery, or work with heavy equipment while taking your prescription pain medication.

Special Instructions

  • You may apply ice over your foot/ankle to help with pain and swelling. Use ice only when you are Wke and make sure that it does not leak and get your dressing wet.
  • DO NOT use hot water bottles or electric heating blankets.
  • We DO NOT recommend travelling for extended periods of time after your surgery.
  • Sponge baths may be taken, but you must keep the surgical site dry.

What to Expect

  • Temporary numbness or tingling (usually resolved after the first few days, May be longer.)
  • Pain at the operative site. (The degree of pain depends on the type of surgical procedure.)
  • Throbbing when the leg is hanging down(Example: When sitting in a chair.)
  • Bruising and swelling to the toes and discoloration and swelling to the toes.
  • Drowsiness, especially if taking any narcotic medication. (Do NOT drive or Operate any machinery or care for infants or young children while taking narcotics, i.e. , pain medication.)

Contact the office / Surgeon if you experience any of the following

  • Fever greater than 101 degrees Fahrenheit
  • Chills or sweats
  • Persistant or increased pain not responding to pain medication
  • Tightness from dressing or cast
  • Persistant nausea or vomiting
  • Red Streaks going up the foot or leg
  • Unsure of any postoperative instructions
  • Dressing or cast gets wet
  • Odor or drainage coming from surgical wound
  • Excessive bleeding through the dressing or cast
  • Abnormal reactive to medication
  • Accident or injury to operative site
  • Significant swelling, numbness, or bleeding.

Call 911 or go immediately go to the Emergency Room if you experience:

  • Shortness of breath or difficulty breathing
  • Chest pain or discomfort
  • Become excessively lethargic or unconscious
  • Significant pain in the calf muscle which is the muscle behind the lower leg. This may indicate a blood clot in your leg, and you need to report to the Emergency Room immediately.

Follow-up Appointment:

  • Call the office if you have not alredy scheduled your follow-up appointment. We would like to see you within 1 week after your surgery.
  • You will be instructed as to whether crutches/walker/knee scooter will be used or not following surgery.
  • Your ability to bear weight will also be disclosed to you by your surgeon. Non-weightbearing means there should be no weight on the surgical foot at any time.
  • After hours, if you have any questions or concerns, call the office number.
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