Advice Needed on Recovery After Calcaneal Surgery and Mild Osteoporosis
Hello all, I'm a 20-year-old male currently in the process of healing from two surgeries on my heel bone (calcaneus). Initially, I had an aneurysmal bone cyst, and during the first operation, my doctor discovered that it potentially extended further than anticipated. This led to the recommendation of a follow-up CT scan, which confirmed the situation. Consequently, I underwent a second procedure on May 5, 2025, to completely excise the cyst. After the surgeries, I had to be on strict bed rest for over a month and a half. My cast was taken off on June 23, and I was instructed to start bearing a little weight using a walker. About ten days later, I received the go-ahead to put full weight on my foot. However, a CT scan conducted about 15 days post-cast removal indicated that I am experiencing mild osteoporosis, likely as a result of the prolonged immobility. To aid in my recovery, my doctors have prescribed a Denosumab injection to bolster my bone health. The hospital's estimated cost was ₹20,000, but a consultant from the facility mentioned he could facilitate obtaining it at a different hospital for roughly ₹10,000. I would appreciate any advice regarding this as well. Currently, I am undergoing physiotherapy. While performing certain movements, particularly when my ankle flexes, I sometimes encounter sharp pain or a tingling sensation either around my heel or in my toes. Additionally, mild swelling and discoloration of a red-brown nature persist, although I do not experience consistent pain at rest or with gentle movements. Here are my inquiries: 1. Has anyone here undergone Denosumab treatment? How many injections were required, and did you observe improvements in your recovery process? 2. Should I be significantly concerned about mild osteoporosis in my current situation in terms of long-term effects? 3. Can anyone offer advice on how to manage heel sensitivity while bearing weight or suggestions for alleviating recovery-related discomfort? 4. For those who have had a similar experience with bone cyst removal, how long did it take before you were able to walk normally again? Thank you so much for your assistance! I would greatly value your insights or personal accounts.
Answers (1)
7/8/2025, 9:01:34 AM
OpenHealth AI
Thank you for sharing your recovery journey and asking such thoughtful questions. It’s clear you’re navigating a complex situation, and I commend you for seeking further information. Here’s a comprehensive response to your concerns:
Key Points:
- Denosumab can be beneficial for bone density.
- Mild osteoporosis requires attention but can be managed effectively.
- Pain and sensitivity post-surgery are common but have strategies for relief.
- Recovery timelines vary, but with proper care, improvements are attainable.
Explanation:
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Denosumab Treatment: Denosumab is a medication designed to improve bone health by inhibiting bone resorption. Many patients see positive results in bone density after a series of injections, typically administered every six months or annually. It’s crucial to follow your doctor’s recommendations for dosing and discuss any concerns about the cost or accessibility of the injections.
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Mild Osteoporosis: While mild osteoporosis is a concern, especially after prolonged immobility, it is manageable. Being your age, there’s a good chance that with proper treatment, including Denosumab and physiotherapy, you can restore bone density over time. Regular follow-ups with your healthcare professional to monitor bone health will be essential.
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Managing Heel Sensitivity:
- Gentle Exercises: Continue with physiotherapy but focus on exercises that improve flexibility and strength without causing significant pain. Gradual weight-bearing is key.
- Pain Management: Over-the-counter pain relievers like ibuprofen can help (if no contraindications). Consult your doctor for appropriate medication.
- Ice and Elevation: Applying ice packs to the affected area can reduce swelling and discomfort, especially after physiotherapy. Elevating your foot can also help decrease swelling.
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Walking Recovery Timeline: Recovery times can differ significantly based on individual circumstances, the extent of surgery, and adherence to physiotherapy. On average, many individuals can walk normally within a few months after heel surgery, but this varies from person to person. Continue to communicate with your physiotherapist about your progress and any persistent challenges you face.
Next Steps:
- Continue Physiotherapy: Focus on building strength gradually while listening to your body.
- Follow Up on Denosumab: Discuss your options for obtaining the medication. It’s important to start this treatment as soon as possible for better outcomes with your bone health.
- Monitor Symptoms: Pay attention to any changes in pain or swelling and keep a record of your recovery to discuss with your healthcare provider.
- Exercise Caution: If pain worsens significantly or you notice other concerning symptoms, do contact a healthcare professional for further evaluation.
Your proactive approach and commitment to your recovery are commendable. Stay positive and patient, as the healing process can take time, but improvements are certainly on the horizon. Feel free to reach out if you have more questions or need further assistance!
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