hello all, i am a new member and this is my first post so be kind!
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i am a GP with an orthopedic interest. i have had a couple of patients experience chronic mid foot stiffness following bunion surgery. both are now more than 12 months since surgery. both had bilateral surgery but current problems are unilateral. they describe stiffness, worse in the morning. it eases somewhat through the day but towards the end of the day, after time on their feet the stiffness becomes debilitating once more. there is minimal arthritic changes and neither have an inflammatory arthropathy.
i as wondering therefore, if someone has lived with bunions for many years with presumably gradually compensating foot mechanics but then has bunion surgery, would the new anatomy alter the foot mechanics to explain this stiffness?
i am assuming the stiffness is more from soft tissue tightness/tendinopathy rather than bone inflammation given the normal XR.
orthoses are currently being used for medial arch support with some relief.
are there other therapeutic measures? cycling would seem the obvious self-help to improve flexibility and relieve the stiffness.
James
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