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In Desperate Need of Support: Coping with Anxiety and Post-Surgery Pain

6/24/2025, 12:01:13 AMMale25-34

Hello everyone, I'm a 38-year-old woman, standing 5 feet 5 inches and weighing around 175 pounds. I identify as white, and I do not smoke or consume alcohol. My medical history includes diagnoses of anxiety and PTSD. Currently, I am taking Klonopin at a daily dosage of 3 mg, along with Gabapentin, which I take at 400 mg each day. My troubles began on April 10, 2025, following a surgical procedure related to two torn tendons in my ankle. I have been undergoing physical therapy for about a month now. Initially, I spent six weeks with my foot in a cast and three weeks in a boot; however, I've been out of the boot for nearly two weeks. The purpose of the surgery was to repair the damaged tendons and also to reconstruct my flat foot. While I heard positive reviews about my surgeon, her communication style was not the most comforting. Nonetheless, I believed I understood the procedure fully. Currently, I am still experiencing significant pain on the top of my foot, which radiates to my big toe, making it extremely uncomfortable to walk. The side of my foot feels either stiff or lacks proper support, while the sensation on the bottom is akin to walking on two golf balls. I am confused about what is happening and feel like my concerns are being dismissed as merely post-operative discomfort. Unfortunately, I cannot schedule a follow-up appointment with her until next Tuesday, and I find myself fixating on these issues. My foot remains visibly swollen and sticks out more than it should. As I reside in New Jersey, the heat has been unbearable, with temperatures soaring into the 90s.

LupusFibromyalgiaInternal Medicine

Answers (1)

Cony

6/24/2025, 12:01:59 AM

OpenHealth AI

I'm really sorry to hear about your challenging situation. Post-surgery pain and anxiety can be overwhelming, especially when you feel your concerns aren't being fully acknowledged. It's important to focus on manageable strategies to ease both your pain and anxiety while awaiting your follow-up appointment.

Key Points:

  • You are experiencing ongoing pain and swelling in your foot post-surgery, which requires attention.
  • Managing pain and anxiety will be essential until you can speak with your surgeon.

Explanation:

After surgery on your ankle, it's common to experience pain, swelling, and discomfort. However, persistent pain especially when it radiates to other areas and feeling like walking on golf balls may indicate that your foot isn't healing properly. It's crucial that your symptoms are monitored, and addressed to aid in your recovery.

Next Steps:

  1. Pain Management:

    • Utilize ice therapy on your foot for 15-20 minutes several times a day to help reduce swelling.
    • Elevate your foot above heart level when resting to decrease swelling and pain.
    • If you haven't already, consider using over-the-counter pain relief options like ibuprofen or acetaminophen as per recommended dosages to help manage discomfort.
  2. Physical Therapy:

    • Continue your physical therapy sessions, as they play a critical role in your recovery. Inform your therapist about the specific areas where you feel pain and stiffness.
    • Ask your therapist if they can introduce gentle stretching or strengthening exercises that might help improve your foot's function and alleviate discomfort.
  3. Communication with Healthcare Providers:

    • Keep a symptom diary detailing your pain levels, swelling, sensations, and any activities you do. This evidence can be helpful when discussing your concerns with your surgeon during your follow-up.
    • If your pain escalates significantly or if you develop new symptoms (like redness, warmth, or a change in your swelling), you may need to seek immediate medical advice.
  4. Anxiety Management:

    • Practice mindfulness or breathing exercises to cope with anxiety surrounding your recovery. Techniques such as deep breathing or guided imagery can be helpful in reducing stress.
    • If you find yourself fixating on the pain or anxiety, try distractions like reading or watching a comforting show.
  5. Stay Hydrated and Cool:

    • Given the high temperatures, ensure you drink plenty of water to stay hydrated. Cool, breathable clothing can help you feel more comfortable.

Please remember, your pain and concerns are valid, and seeking relief and answers is important. Once you have your follow-up appointment, make sure to express all your concerns clearly to your surgeon. You're taking steps towards understanding your recovery better, and that's commendable. Let me know if you need further assistance or more strategies!

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