Son getting foot surgery Friday

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My son is having foot surgery on Friday. He has what is known as an "accessory navicular" (google it), which is an extra little bone in his foot. It has been causing him some pain right above the arch of his foot. I guess it is in 10% of people, and it comes on in adolescence. He is 14, and from what I've read might be laid up anywhere from 3 weeks to 6 months, depending on what they find in there and how his therapy goes, etc.

Any advice or suggestions welcome, as well as good wishes for him.

Thanks.
 
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Tell me it's an Orthopedic doc and not a podiatrist
Oh crap @yanquidog . One of my big concerns, exactly.

It is a podiatrist. Dr. Frances Lagana at UMass Memorial/Hahnamen. This is planned for Friday, with school vacation week as his first week of recovery. Do you think we should hold off? Her office said she has done many, MANY of these surgeries.
 
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He has had an MRI. The bone is wearing on his tendon. Surgery (removal of the extra bone) in this case is a pretty much cut and dry decision. It protrudes out above his arch and looks like, as he put it, a second ankle bone. It does, and almost is. Removal of that bone is a very successful surgery to relieve the symptoms. I've read a bit on it, and it looks like the best course for his age. All the other methods will wind up hurting more and more and lead to more problems.

Someone please reassure me this doctor is the right one. It is who his pediatrician recommended.
 

Mountain

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He has had an MRI. The bone is wearing on his tendon. Surgery (removal of the extra bone) in this case is a pretty much cut and dry decision. It protrudes out above his arch and looks like, as he put it, a second ankle bone. It does, and almost is. Removal of that bone is a very successful surgery to relieve the symptoms. I've read a bit on it, and it looks like the best course for his age. All the other methods will wind up hurting more and more and lead to more problems.

Someone please reassure me this doctor is the right one. It is who his pediatrician recommended.
I wouldn't second guess your son's pediatrician. Also, and a big also- UMass Hahneman is staffed with some of the best specialists in their field. I'm sure she has been recommended because she's the right doc for the job.

Prayers and best wishes for an excellent outcome and speedy recovery.
 

xjma99

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I suggest you get him a little bell he can ring while he’s layed up so he doesn’t have to yell at his mom to fetch him some meat loaf!
Best of luck!

Also, grab an extra pee thing from the hospital and the ice bags they have for his recovery. The pee thing is key when you can’t get up to go on your own!
 

Sauer Grapes

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Is the Doc jumping straight to surgery? Some patients respond to non surgical approaches. Your son is still growing, get a second opinion, recommend for anyone considering surgery not emergent.
 
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I guess he actually has 2 extra bones in his right foot. His left is fine right now. She said chances are, it might happen there also.
 

Sauer Grapes

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Oh crap @yanquidog . One of my big concerns, exactly.

It is a podiatrist. Dr. Frances Lagana at UMass Memorial/Hahnamen. This is planned for Friday, with school vacation week as his first week of recovery. Do you think we should hold off? Her office said she has done many, MANY of these surgeries.
The doc that the doctors go to is Dr. Mark Slovenkai, chief of foot and ankle surgery at the Baptist. He sees patients in Waltham and operates at the outpatient surgi-center there.
 
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Oh crap @yanquidog . One of my big concerns, exactly.

It is a podiatrist. Dr. Frances Lagana at UMass Memorial/Hahnamen. This is planned for Friday, with school vacation week as his first week of recovery. Do you think we should hold off? Her office said she has done many, MANY of these surgeries.
For kids Dr Kocher from Boston Childrens and Dr Micheli are top notch.

It's hard to give and receive advice from the interwebs, everyone has an opinion in a field they're not familiar with, but feet are tricky. I'd at least ask about outcomes and not surgeries and see if the answer changes.
 

Sauer Grapes

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Nearly 40 yrs in medical field, the last 20 in Orthopedics. Podiatrists
are great for formulating orthotics, inserts to correct gait. They are well versed in bunions and foot care such as cutting back nails in elderly patients. Yes, some do more and deserve recognition, but as I posted earlier, a foot and ankle surgeon is whom I would recommend, especially for a child who’s still got plenty of future bony growth and modeling of such.
Children’s hospital is also a great place to get a second opinion or transfer of care.
Your podiatrist lists clinical interests as arthritic care....not pediatric
conditions, big difference. Just my $.02, but I wouldn’t let a child, or grandchild of mine have surgery without a second opinion. What ever you decide, I wish the best outcome for your son. 😘
 

JDL

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I had to have a 1/2 inch length of a round toothpick surgacaly removed from my foot. Long story The point is I was off my feet for 5 weeks. I had to use crutches and had a special style shoe and was not able to use real shoes for that period of time. It also sounds as though the surgery your son will be going through may require a cast. If that's the case I'llase it could be a long recovery.
 
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It's over. Went in at 7:30, and they wheeled him in around 8:10. Turned out his tendon was inflamed, but not seriously damaged. However, he had 5 "accessory" (extra) bones, one of which was pretty attached. She said she removed them all, and did a little "resculpting" or something like that on the navicular bone. Followup visit next Thursday, no weight bearing for two weeks. He's in my recliner now. We have: Die Hard "director's cut", Alien (I've never seen it either), Guns of Navarrone, Creed, Ben Hur, Patriot, and some Star Wars movies to watch. For snacks, by request, pringles, goldfish, sprite. Ibuprofen and Tylenol.
 
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Right before surgery, the nurse and anesthesiologist were talking, and one said "He's a big boy." and the other said "He's a man." My wife and I looked at each other and realized it. Holy cow, he's getting big.
 

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Glad he's doing ok!

I bet your son appreciates all the help he is getting at home to recover!

Thank God for the healthcare we have in Massachusetts!
 
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It's over. Went in at 7:30, and they wheeled him in around 8:10. Turned out his tendon was inflamed, but not seriously damaged. However, he had 5 "accessory" (extra) bones, one of which was pretty attached. She said she removed them all, and did a little "resculpting" or something like that on the navicular bone. Followup visit next Thursday, no weight bearing for two weeks. He's in my recliner now. We have: Die Hard "director's cut", Alien (I've never seen it either), Guns of Navarrone, Creed, Ben Hur, Patriot, and some Star Wars movies to watch. For snacks, by request, pringles, goldfish, sprite. Ibuprofen and Tylenol.
Board games.
 
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Board games will be tough with foot elevated in front, trying to reach the board. Maybe after a few weeks.

Thanks, everyone, for the words of wisdom, encouragement, and caring. He's doing OK, as long as he does what he's supposed to do. He's a 14 year old boy, so we'll see. Very mouthy.
 
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