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  • Phone: 1300 522 096
  • Fax: 07 5676 9695
  • Email: info@footsurgery.com.au

Handouts

  • Steriod Injection

     

    Steriod Injection

    Why inject steroids?

    Steroids act as an anti-inflammatory.

    These are not the same as anabolic steroids used by body builders to increase muscle size and strength.

    Steroid injections are often recommended to people with arthritis or inflammatory soft tissue conditions such as arthritis, bursitis, nerve pain, tendinitis etc.

    How long does it take to work?

    Some steroid injections start working within hours and last a couple of weeks whereas some other steroids may take up to a week to become effective but can ease pain for three months or longer.

    Can I take other medications along with steroid injections?

    Yes, you can take other medications with steroid injections.

    Fertility, pregnancy, and breastfeeding.

    Current guidelines say that steroids are not harmful in pregnancy or breastfeeding. However, if you are pregnant or breastfeeding, you should discuss this with Dr. Kim before having a steroid injection.

    Contraindications or Considerations

    • Infection
    • Diabetes
    • Allergy to steroids
    • Too many steroid injections into the same areas

     

    Post Injection Care

    Immediately after surgery:

    The numbing medication usually wears off in 3 to 4 hours. After it wears off, you may feel some soreness in injected areas. The soreness may last for up to 48 hours until the steroid medication starts to work.

    If you feel sore, using a cold pack may help. Hold the cold pack for no more than 10 minutes, then remove it for 10 minutes. You can do this several times a day, as needed. Don’t use cold packs if you have:

    • Problems with blood supply, such as Raynaud’s Disease
    • Problems related to poor circulation
    • Nerve problems with poor sensation

    Keep a dry and clean bandage or Band-Aid® over the injection site for 24 hours.

    Driving – You are able to drive immediately after the injection.

    Return to Work – You are able to return to work immediately after the injection.

    Low impact exercise try to limit activities on the day

    High impact exercise limit high impact exercises for 2-3 days

  • Ingrown Toenail Post-Op Instructions (Phenolisation Procedure)

     

    Ingrown Toenail Post-Op Instructions (Partial Nail Avulsion with Phenolisation)

    The following should be adhered to in order to hasten your recovery from foot surgery.

    Rest

    When you get home lie down and place your feet above your heart until the local anaesthetic wears off. This will prevent the throbbing pain that tends to occur when individuals walk around and continue to engage in activities while numbed up and the agent wears off.

    • Numbing agent will wear off in 3-4 hours — feel free to take Panadol as needed for pain management.
    • You may experience post-surgery bleeding — this is normal. Do not remove the bandage or dressing, instead place additional dressing over toe.

    Care

    Keep your foot clean & dry until the next morning then:

    • Soak your foot/feet with bandage on, for 10 minutes, 1-2 times a day (you may take a shower as well, if you feel your toes can handle the pressure of the water hitting your toes.)
    • Dissolve 1 tbsp. of Table salt or Epsom salt per pint of warm water.
    • Gently remove bandage(s) after soaking and pat dry softly before applying Betadine (ointment or liquid) into the groove where the nail previously existed.
    • Place a new bandage/dressing on wound and repeat for 7 days until your first post-op appointment.

    You may experience drainage (body waste and chemical solution) from the wound, and this is normal as the body expels the root cells in the nail matrix that were killed with the chemical acid for 2-4 weeks.  Redness around surgical area is normal unless it increases dramatically.

    Contact Dr Kim if

    1. You experience excessive pain or see signs of infection such as an extended redness
    2. You see a presence of pus
    3. You have excessive swelling and pain

    Email photos of your foot to info@footsurgery.com.au

  • Ingrown Toenail Post-Op Instructions (Winograd Procedure)

     

    Ingrown Toenail Post-Op Instructions (Winograd Procedure)

    The following should be adhered to in order to hasten your recovery from foot surgery.

    Medications

    1. Antibiotics. Take as directed until completed to reduce risk of infection. In case of abdominal discomfort, take acidophilus tablets with each dose of antibiotic to reduce symptoms. Should you experience any adverse reaction to the antibiotics, please stop taking them and call Dr Kim immediately.
    2. Analgesics. Take pain medication only if you need to with some food to reduce the risk of nausea.

    Rest

    When you get home lie down and place your feet above your heart until the local anaesthetic wears off. This will prevent the throbbing pain that tends to occur when individuals walk around and continue to engage in activities while numbed up and the agent wears off.

    • Numbing agent will wear off between 8-12 hours — feel free to take Panadol, as needed for pain management.
    • You may experience post-surgery bleeding — this is normal. Do not remove bandage or dressing and instead place additional dressing over toe.

    Care

    Keep your foot clean and dry until your follow-up appointment. Your first follow-up appointment is usually scheduled 7 days after surgery. Your suture is usually removed during your second follow-up appointment between 7-10 days post-surgery.

    Until suture removal, you are required to keep your foot clean and dry.

    Contact Dr Kim if

    1. You experience excessive pain or see signs of infection such as an extended redness
    2. You see a presence of pus
    3. You have excessive swelling and pain

    Email photos of your foot to info@footsurgery.com.au

  • Plantar Wart Post-Op Instructions

     

    Plantar Wart Post-Op Instructions

    The following should be adhered to in order to hasten your recovery from foot surgery.

    • Go home immediately after the procedure and stay off your foot as much as possible for a couple days.
    • Keep the foot elevated above your heart.
    • The anaesthetics will typically wear off in 4 to 8 hours after the surgery.
    • Assuming that pain medication is needed, use either the medication prescribed by your surgeon or 2 Ibuprofen approximately 3 hours after the procedure is performed.
    • Wart excisions tend to bleed a lot. So, a small amount of bleeding and drainage (roughly 3-4 cm in diameter) oozing into your dressing is normal post-operatively. It should not be actively expanding though, and it should be pretty much dry by the next day. If significant bleeding occurs, please call the office.
    • Do not remove the dressing applied until 2-3 days as instructed by your surgeon. After removing the dressing soak the foot in Betadine solution and lukewarm water (seven capfuls of Betadine to 1 litre of water) for twenty minutes. You are to soak your foot each day until your first post-operative visit.
    • Keep the foot dry until the first dressing change. Following your foot soaks, you will apply topical antiseptics such as Betadine and a clean dressing 2-3 times a day.
    • Try to keep the dressing clean and dry when showering. After a shower, change your dressing immediately.
    • If the foot gets wet accidentally, you may remove the dressing, apply an antiseptic cream or ointment and a sterile dressing.
    • Healing time varies depending on the wart size.

    Contact Dr Kim if

    1. You notice excessive bleeding
    2. You develop a fever
    3. You have any questions

    Email photos of your foot to info@footsurgery.com.au

  • Minor Procedure Post-Op Instructions

     

    Minor Procedure Post-Op Instructions

    The following should be adhered to in order to hasten your recovery from foot surgery.

    Medications

    1. Antibiotics. If needed, take as directed until completed to reduce risk of infection. In case of abdominal discomfort, take acidophilus tablets with each dose of antibiotic to reduce symptoms. Should you experience any adverse reaction to the antibiotics, please stop taking and call Dr Kim immediately.
    2. Analgesics. Take pain medication only if you need to with some food to reduce the risk of nausea.
    3. Anti-inflammatories. Take these if you are directed to. As with analgesics, have some food at the same time to reduce the risk of nausea.

    Rest

    When you are resting, keep your operated foot elevated. To reduce the risk of blood clots in your legs (DVT), exercise your leg muscle by rotating your ankles and flexing and extending your knees at regular intervals. Walking is permitted and encouraged, as tolerated.

    Bandages

    Bandages must be kept dry at all times and must not be removed before your first post-operative consultation with Dr Kim. Wear post-operative shoes all the time, even at bed for the first 2 weeks.

    Place a plastic bag over your foot when showering.

    Contact Dr Kim if

    1. You experience severe pain that is not relieved by rest, elevation, pain medication and/or applying an ice pack to the operated part.
    2. Your bandages become saturated with blood.
    3. The colour of your toes appear abnormal (some bruising is normal and usually appears after a day or two).

    Email photos of your foot to info@footsurgery.com.au

Why Choose Us

Dr Kim takes his time to clearly explain non-surgical and surgical treatments of your problems and if surgery is deemed necessary,
he will thoroughly explain procedures and risks/complications.
Dr Kim’s mobile number is given to patients after surgery so he is only a phone call away if you have any questions about your recovery.

  • ADVANCED SURGICAL TECHNIQUES/METICULOUS SURGICAL APPROACHES

    Improvement and advancement in the surgical techniques in the foot including newer and safer implants allow a speedier recovery/return to work and minimal postoperative pain following foot surgery. Dr Kim is at the forefront of using these safer technologies from around the world, to improve the outcome of surgery and patients’ satisfaction.


    Dr Kim offers less invasive, meticulous dissection, a smaller incision and gentle tissue handling that enable an easy and short recovery, with results that are more optimal. See “before and after photos

  • MINIMAL POSTOPERATIVE PAIN AND FAST RECOVERY

    The advanced prostheses and minimally invasive technique implemented by Dr Kim allows little damage to the surrounding tissues and this allows minimal postoperative pain as well as fast recovery. Although pain is subjective and differs from person to person, it is not uncommon to see that patients report minimal discomfort post operatively.

  • APPROPRIATE ANAESTHETICS

    For some patients, general anaesthesia is a risk and/or a financial burden. Many procedures at Brisbane Gold Coast Foot Surgery can be safely performed under local anaesthetics with/without sedation on a daily case basis. During your appointment Dr Kim will explain the pros and cons of each anaesthetic for your procedure.