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How was surgery for you?

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How was surgery for you? Was yours a similar experience: 1st step: 10+ shots in the foot for “nerve blocker.” 2. No anesthesia. Just wore sound canceling headphones phones. 3. Laid on a flat surgical table; chose not to look, but I could have chosen to watch the whole thing. 4. Doctor had a hand-held x-ray machine. (No scope inside the foot.) She did many x-rays throughout the procedure. She would lift my foot (with my help) onto a small platform next to the surgical table; take an x-ray, and then put my foot back on the table to work further. This was disturbing because when she did this I could see my blood dripping from her gloved hands. (Maybe this wouldn’t bother some people, but it bothered me!) 5.My feeling kept coming back and she had to give me more and more shots. By the end, I just put up with dull pain until she was done. My feeling was FULLY back within a half hour (or less) after surgery. I am experiencing great trepidation about going back for my other foot. I wish I could just be put under anesthesia or SOMETHING! Just wondering if this is pretty normal and I’m just a big wimp, or what?!

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Community comment#1

That sounds awful!

Community comment#2

I have never heard of this. That sounds horrible. Can you find another doctor?

Community comment#3

That sounds horrible. I am in the UK and had general anesthesia as well as nerve blocker. Upon wakening I had loads of pain do requested painkillers and was given some strong ones. I'm sorry you had that experience. Sounds awful and unusual but maybe normal where you are?

Community comment#4

My friends mum had hers done awake and I feel she was very very brave... we are uk based. I've had the surgery and wouldn't want to have that done and be aware of it.

Community comment#5

😮 I was asleep

Community comment#6

Oh my, I was under and had a nerve block. Never had pain till day two, and then by day 4 I was just taking Tylenol. I hope you can find someone else!

Community comment#7

This sounds like a nightmare. Was this done in the UK or the US? Did you not want twilight or a stronger block?

Community comment#8

I was totally out!

Community comment#9

Not normal I've had both my feet done I was put to sleep I had no pain in both feet ever

Community comment#10

I was knocked out.

are you in the UK? Just wondering. Maybe they always do anesthesia there. I know at least one other doctor here in the US that doesn’t do anesthesia.

A friends mum also had a full hip replacement done while awake. It depends how well they can take anesthetic I suppose. Again uk

my pain was manageable with ibuprofen from the beginning. For the first week I took it every two hours. Then was able to get off of it totally.

Community comment#21

Does no anesthesia lessen the risk of blood clots?

Community comment#22

😢 I’ve heard that they’re done while the patient is awake but thankfully I was completely out🥰 I could never ever do that 🥴😱

Community comment#23

I love this post! Raises a bunch of questions and uncertainties that most doctors don’t address with their patients. First, sounds like your experience was not good, something no one should have to deal with - especially without knowing. I will preface by saying that I perform this surgery daily without general anesthesia, the numbing part, injections, depending on how many toes are being worked on is the worst. No doubt. Takes less than 20 seconds normally, and 5 pokes. I will weigh pros and cons from my experience, but admittedly, this is not that of the patient. What I, personally offer, is different than what you’ve had, and more similar to sedation dentistry - offering Valium, lorazepam for anxiety, and nitrous oxide/laughing gas, to help with the pain of the injections. Nonetheless, here is what I have found. General anesthesia- don’t feel the foot injections. That’s a positive. In my experience, that’s about it. The negatives I see - cost, anesthesia comes with it the cost of the doctor, in addition, the cost of the often required tests - lab draw, (which is also more needle sticks), urine test, chest x-rays, EKG, not to mention the IV poke - which I have needed for other surgeries (took 3 attempts to get a good vein that didn’t roll, or blow - bruised arm for 3 wks). If other comorbidities - diabetes, fasting leads to medicine adjustments, if blood thinners, often heparin bridge which is needle pokes to stomach 1-3 times daily for 1-4 wks. If RA - often need a C-spine x-ray, and medicine adjustments if on anti rejection medications. Also, the fasting. And recovery. Your experience of having numbing not last long, is not what my patients get at all. My patients are often numb for 24-48hrs. Also, they never wake up out of anesthesia in pain, because 1, I they are never put to sleep, and 2, I could not perform the surgery with them awake without a good block. I have heard horror stories of patient la waking up during the surgery in pain, as well as in the recovery area in pain with a cast on that needed a further block and a cast change. Some docs insert popliteal pain catheters in the pre-op area, which is often ultrasound guided, but another poke or too. I’m sorry you had the experience, definitely not good. But, I will say I have patients travel from all over, 17 states last year, and other countries because I don’t use general anesthesia (I also don’t use hardware) and let my patients walk - typically takes under an hour, and some fly home same day). General anesthesia comes with added risks of pneumonia, chipped teeth from intubation, scratched cornea from taping your eyes closed, stroke, UTI (if a catheter is used), amongst needing a ride home and hours/days in hospital. Some younger patients susceptible to malignant hyperthermia, can be fatal. All these rare, but zero if not put to sleep. If you want your other foot fixed, but don’t want to be put under, feel free to reach out. We offer free phone/email consults.

Community comment#24

I would have to be out!

Community comment#25

I was totally out, that sounds horrible! Editing to add though, I don't think it was general anesthesia however. If I recall correctly they just sedated the crap out of me and I did have an IV. I was not aware of anything happening.

Community comment#26

I did both bunion and Taylor’s bunion on both feet at the same time, I was put to sleep and had block put in, don’t think I could have handled it otherwise, I’m in Australia

Community comment#27

I was under general anesthesia. I can’t imagine being awake for entire procedure.

Community comment#28

I had both feet done (4 months between surgeries) this way and have zero regrets. My Dr gave me a Valium to take when I got to the clinic and I was fine. As mentioned above, the numbing injections were the worst part- I felt nothing but movement and it was over quickly. I saved thousands by not going to a hospital and I really don’t like the way anesthesia makes me feel. Everyone is different for sure! I knew what I was getting into too beforehand.

Community comment#29

What did they actually do??

Community comment#30

I’m so sorry!!! Yes, AntiAnxiety meds before, anesthesia totally knocked out and nerve block! Narcotic pain meds after for a few days.

I feel so honored that you not only appreciate my post, but also answered it thoroughly! That does help me understand about anesthesia and actually appreciate that I didn’t get it! The shots were awful, and because I had all of my toes worked on, I had LOTS! But first question: why would they not have lasted long for me, when you say your patient’s shots last days??? I also didn’t have hardware used, but I was not able to walk out of there nor have I put weight on my foot yet, 3 1/2 weeks later. The procedure took 2-3 hours too. Pain was immediate, as stated previously. Also, how do you feel about the x-ray machine she used vs a scope?

Thanks for the post. I am very afraid of GA, bad experience with it with a major knee full reconstruction 20 years ago and then another surgery a couple of years ago left me with a slight chipped front tooth. Yikes! Also, I know some folks that say they never felt like they fully recovered from GA, left a little of themselves on the table.

yes, a good local block should last half a day minimum. Possibly your doc used a short acting anesthetic, or not enough, or didn’t target all of the nerve branches. I think for foot surgery, arthroscopy is rare, as need to inject fluid in the joints to give space for a camera - more portals for fluid, camera, and instrument to work with. Good to clean up joints, not fixing bunions or hammertoes. Laparoscopic involves insufflating air, good for abdominal surgery, also not bunions. Fluoroscopy, live x-ray, is great for bunions because you can use metallic instruments and see what you’re doing with the bone, without added incisions. So, I like that, and use daily. Hope this helps!

Community comment#38

I was totally out! That process seems barbaric to me! This is 2025 get the anesthesia

Community comment#39

That's exactly how I'd prefer to have it done and I'm a nurse anesthetist!

Community comment#40

This sounds dreadful, sorry to hear you had such a terrible experience with your bunion surgery. I was also awake for my op, I felt a little pushing and pulling about but I felt absolutely no pain. Before the op I had two or three local anaesthetic injections near my ankle and very light sedation which made me feel relaxed. The procedure didn't involve any hardware and after refreshments I was able to walk out of the hospital wearing a post operative shoe. I didn't need crutches. The numbness didn’t wear off until the following morning. I don't know where you had your surgery but my surgeon was Mr Bianchi at The Private Clinic, London, UK

Community comment#41

No ... that's not a great experience. I was asked what music do I want. Given snacks and water beforehand Sitting up in a chair that had a warming blanket I could not see anything - there was a drape. Also - the nerve blocker for me worked for about 24 hours not 2 hours. I am 2 weeks post op - get stitches out tomorrow and pin out in 2 weeks. Minimally invasive ... with a pin.

Community comment#42

I was under a general anaesthetic for the first one and spinal nerve block and sedation for the second foot. Your experience sounds like torture

I don’t know the name of the procedure, exactly, but they fixed my bunion without hardware, by cutting a wedge into my toe bone and realigning it. They did the same for the the buniotette. Also, I had a neuroma under my foot so they broke the other toe bones in order to release pressure and heal the neuroma. Honestly, I’ve felt no pain from those middle toe bones being broken. I guess the bunion was the biggest deal and it did hurt the most afterwards. She also took much longer on the bunion than any of the others. Does that answer your question? Honestly, I think the way it was done wasn’t the problem as much as the pain, discomfort, and anxiety I was dealing with.

I think it was just not done right. Dr Brant McCartan, who left some comments below is a very successful and experienced doctor who uses the same tactics, yet with completely different results. Those comments helped me see it in a different light.

that’s an ideal experience! I do wish I could have had it that easy! And I do feel a little fearful to get the next one done. Thinking about switching doctors. Now that I’m almost 7 weeks post op I’m seeing that everything is healing nicely so I’m thankful for the final result. Still not fully on my foot yet though. Unfortunately, I won’t be going with your doctor! lol I’m in Pennsylvania, US.

sounds like luxury! The doctor I went to owns her own practice and is very small so I think that’s why it was so primitive. I am very hesitant still to go back for my second foot with her. I’m looking into other options.

same --- my doctor owns his own practice. Maybe find a new doctor. That does not sound like a good experience at all.

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