The subtle effects of general anesthesia, or sedation with regional or local anesthesia, can last more than 24 hours. Rest on the day of surgery. Although you may feel normal, your reflexes and mental ability may be impaired. You may feel dizzy, lightheaded, or sleepy for 24 hours or longer. Do not consume alcohol, drive, operate machinery, or make important personal or business decisions for 24 hours.
What hurts most often is the swelling. Try to keep your foot, ankle, and knee above the level of your heart as much as possible for the first few days to reduce swelling. Use ice — 20 minutes on, 20 minutes off — for the first 48–72 hours.
Depending on your surgery, your doctor will direct your activity level, including range of motion and weight bearing status. For your procedure following regarding your toleration of bearing weight:
We will prescribe a narcotic for pain control for most patients. Usually, your foot will be numb and pain-free in the recovery room after the procedure, due to the local anesthetic we inject at the end of the surgery. When the local anesthetic starts to wear off, that is when you should start to take your pain medicine. Remember, your goal is to stay ahead of the pain and not get behind. Playing catch up is difficult and can be unpleasant. In addition, an anti-inflammatory medication can be helpful to reduce pain and swelling.
Advance your diet as tolerated. Constipation is common with the use of pain medicine. You can usually ward off constipation by increasing both dietary fiber and fluid intake. Stool softeners are available if needed.