Post Operative Program for Cheilectomy
Mobilisation:
Week 1
Elevate foot above hip height when resting
Mobilise heel weight bearing to the bathroom
Move ankle up and down and foot in and out frequently during the day
Week 2
Continue as for Day 1 above
In addition start to move toes up and down, including big toe
Foot is to be kept dry at all times during the first 2 weeks
At about 2 weeks after surgery the wound will be checked and the stitch ends trimmed
Weeks 3-6
Increase the amount of walking around as comfort allows
Actively move the big toe joint to maximise movement and prevent stiffness. Hold your foot with the opposite hand. Place your thumb on top of your foot at the end of the scar nearest the ankle and place your fingers under the foot. With the other hand hold the toe between finger and thumb and move it up and down. This will be uncomfortable but needs to be done to prevent stiffness
You can swim if desired. Other light non impact exercise can be introduced once the foot becomes comfortable.
Week 6-
You will be seen in clinic to check on recovery
The foot will continue to improve over many months and may not be completely better for over 6 months