820 East Hillsboro Blvd.
Deerfield Beach, FL 33441

East Ocean Podiatry, Dean B Dorfman, DPM, P.A. & Dominick Sansone, DPM

After Care Instructions

East Ocean Podiatry and its board-certified podiatrists offer a variety of care options to help treat bunions, foot pain, plantar fasciitis, plantar wars, heel pain and many other conditions. Here you can find a list of after care instructions following a procedure or surgery.

Bunion, Exosectomy, Chielectomy, Osteotomy, Weil, 1ST MPJ, Metatarsal Surgery Fractures, Ankle, Achilles and Tendon surgery
Neuromas, Soft Tissue Mass, Plantar Facial surgery ie: cysts, neoplasms, etc. Digital, Toe correction surgery ie: Hammertoe surgery


After Care Instructions

Bunion, Exosectomy, Chielectomy, Osteotomy, Weil, 1ST MPJ, Metatarsal Surgery

1st visit– 3-5 days after surgery

  • Bandage change & incision site check
  • Begin wearing walking boot

2nd visit– 14 days/2 weeks

  • Sutures removed
  • Range of motion exercises are explained
  • Massaging exercises are shown and begin with scar cream/Amerigel or Vitamin E lotions
  • May drive in case of emergency wearing post op shoe
  • May resume pool activity
  • May resume low impact, core upper body only exercises
  • Begin wearing compression socks during the day only, not while sleeping
  • Continue to Ice 20 minutes on, 20 minutes off
  • Some patients may need to wear digital splint based on their level of deformity prior to surgery

3rd visit– 3.5-4.5 weeks

  • May resume normal driving

4th visit– 8-10 weeks

  • Depending on swelling, patient may resume normal shoe wear and higher activity levels

Other instructions:

  • Incision site must stay dry for the first 2 weeks
  • Ice 20 minutes on 20 minutes off just above the bandage
  • Evaluation should be to the level of the bed or higher
  • Weight bearing status: First 3-5 days in post-op shoe with weight towards your heel.
  • Once able to walk in walking boot/walk to toleration.
  • DO NOT WEAR WALKING BOOT WHILE SLEEPING
  • PATIENT IS NOT TO DRIVE IN WALKING BOOT
    ** Physical therapy will sometimes be recommended based on patients progression during post op course
    ** Swelling and edema will be the last symptom to resolve after surgery. This is normal based on surgery up to 2-6 months due to the fact that your foot is furthest from your heart and the effects of gravity due to daily living.

After Care Instructions
Neuromas, Soft Tissue Mass, Plantar Facial surgery ie: cysts, neoplasms, etc.

1st visit– 3-5 days after surgery

  • Bandage change & incision site check
  • Begin wearing walking boot (patient will be in walking boot for the next three weeks)

2nd visit– 14 days/2 weeks

  • Sutures removed
  • X-ray taken
  • Range of motion exercises are explained
  • Massaging exercises are shown and begin with scar cream/Amerigel or Vitamin E lotions
  • May resume pool activity
  • May resume low impact, core upper body only exercises
  • Begin wearing compression socks during the day only, not while sleeping
  • Continue to Ice 20 minutes on, 20 minutes off
  • May resume wearing normal shoes at 3-4 weeks
  • May resume normal driving in 3 weeks
  • May resume full activity with no restrictions around 7-8 weeks

3rd visit– 8 weeks

4th (Final) visit– 6 months after surgery

Other instructions:

After Surgery:

  • Incision site must stay dry for the first 2 weeks
  • Ice 20 minutes, on 20 minutes off just above the bandage
  • Evaluation should be to the level of the bed or higher
  • Weight bearing status: First 3-5 days in post-op shoe with weight towards your heel.
  • Once able to walk in walking boot/walk to toleration.
  • DO NOT WEAR WALKING BOOT WHILE SLEEPING
  • PATIENT IS NOT TO DRIVE IN WALKING BOOT
    ** Physical therapy will sometimes be recommended based on patients progression during post op course
    ** Swelling and edema will be the last symptom to resolve after surgery. This is normal based on surgery up to 2-6 months due to the fact that your foot is furthest from your heart and the effects of gravity due to daily living.

After Care Instructions
Fractures, Ankle, Achilles and Tendon surgery
Patient will be non-weight bearing for approximately 4 weeks with protection in walking boot.

1st visit– 3-5 days after surgery

  • Bandage change & incision site check
  • Begin wearing walking boot (patient will  be in walking boot for the next three weeks)

2nd visit– 14 days/2 weeks

  • Sutures removed
  • X-ray taken
  • Range of motion exercises are explained
  • Massaging exercises are shown and begin with scar cream/Amerigel or Vitamin E lotions
  • May resume low impact, core upper body only exercises
  • Begin wearing compression socks during the day only, not while sleeping
  • Continue to Ice 20 minutes on, 20 minutes off
  • May drive in emergency in post op shoe

3rd visit– 3.5-4.5 weeks

  • Begin putting light pressure on foot in walking boot
  • May resume normal pool activity

At six weeks, the patient will  begin to walk in the walking boot.

At six weeks, the patient is allowed to resume gym activity with only low activity and core upper body – wearing the boot.

4th visit– 8 weeks

  • Begin transitioning out of the walking boot and into regular daily shoes
  • May resume normal driving

5th visit– 12 weeks

6th visit– 6 months after surgery

Based on patient’s physical status, the patient will use crutches/walker/roll-about to maneuver around during non-weight bearing status.

Other instructions:

  • Incision site must stay dry for the first 2 weeks
  • Ice 20 minutes on 20 minutes off just above the bandage
  • Evaluation should be to the level of the bed or higher
  • Weight bearing status: First 3-5 days in post-op shoe with weight towards your heel.
  • Once able to walk in walking boot/walk to toleration.
  • DO NOT WEAR WALKING BOOT WHILE SLEEPING
  • PATIENT IS NOT TO DRIVE IN WALKING BOOT
    ** Physical therapy will sometimes be recommended based on patients progression during post op course
    ** Swelling and edema will be the last symptom to resolve after surgery. This is normal based on surgery up to 2-6 months due to the fact that your foot is furthest from your heart and the effects of gravity due to daily living.

After Care Instructions
Digital, Toe correction surgery ie: Hammertoe surgery

1st visit– 3-5 days after surgery

  • Bandage change & incision site check
  • Begin wearing walking boot or post op shoe (based on the amount of surgery performed)

2nd visit– 14 days/2 weeks

  • Sutures removed
  • X-ray taken
  • Range of motion exercises are explained
  • Massaging exercises are shown and begin with scar cream/Amerigel or Vitamin E lotions
  • Begin wearing compression socks during the day only, not while sleeping
  • Continue to Ice 20 minutes on, 20 minutes off
  • May drive in emergency in post op shoe
  • May resume pool activity

3rd visit– 4 weeks

  • May resume normal driving
  • May resume low impact, core upper body only exercises
  • Return to open toed shoes or sneakers based on swelling

4th visit– 8 weeks

  • Resume full activity

5th visit– 4 months after surgery

  • X-Ray and Evaluation: Based on the patient’s physical status, patient will use crutches/walker/roll-about to maneuver around during non-weight bearing status.

Other instructions:

After Surgery:

  • Incision site must stay dry for the first 2 weeks
  • Ice 20 minutes, on 20 minutes off just above the bandage
  • Evaluation should be to the level of the bed or higher
  • Weight bearing status: First 3-5 days in post-op shoe with weight towards your heel.
  • Once able to walk in walking boot/walk to toleration.
  • DO NOT WEAR WALKING BOOT WHILE SLEEPING
  • PATIENT IS NOT TO DRIVE IN WALKING BOOT
    ** Physical therapy will sometimes be recommended based on patients progression during post op course
    ** Swelling and edema will be the last symptom to resolve after surgery. This is normal based on surgery up to 2-6 months due to the fact that your foot is furthest from your heart and the effects of gravity due to daily living.

Please also see the attached PDFs for:

These instructions may apply to the following surgeries and procedures:

  • Bunion Surgery – Involves realignment and removal of boney prominence with or without the use of fixation.
  • Neuroma Surgery- Removal of inflamed portion of nerve between metatarsal heads.
  • Osteotomy Surgery- Cutting of bone and realigning with internal fixation.
  • Weil Surgery- Correction of joint deformity or boney abnormality with cutting of bone and internal fixation. Usually the 2nd,3rd, or 4th metatarsal.
  • 1st MPJ Surgery- Removal of bone spurs to allow proper motion in joint.
  • Metatarsal Surgery- Correction of alignment with the use of fixation.
  • Soft tissue mass removal- Removal of tumor benign or malignant.
  • Fractures- repair of break in bone with the use of fixation.
  • Tendon surgery- repair of ruptured or injured tendons.
  • Ankle Surgery
  • Achilles surgery
  • Digital toe correction surgery- Correction of deformity in toes with or without bone removal and use of fixation.
  • Exosectomy Surgery- Generally involves the surgical excision of an exostosis or other bony bump.
  • Chielectomy Surgery- A first MTP Cheilectomy removes bone spurs on the top surface of the big toe joint bones.
  • Plantar Fascia Surgery- Involves cutting part of the plantar fascia ligament to release tension and relieve inflammation of the ligament (plantar fasciitis)