Essential preparation for successful foot surgery
Undergoing foot surgery can be a significant step toward improving your quality of life and alleviating chronic pain. However, a successful outcome is not just determined by the procedure itself but also by your preparation. Avoiding specific actions and habits in the days and weeks leading up to your surgery can drastically reduce complications, speed up your recovery, and ensure the best possible results. From diet and medication to personal care and home preparation, this guide covers the crucial 'don'ts' you need to know.
What NOT to do with food and drink
One of the most critical pre-operative instructions revolves around your dietary intake. Anesthesia risks are significantly increased if there is anything in your stomach during the procedure.
- Do not eat or drink anything after the time specified by your surgical team. This fasting period typically starts the night before your surgery and includes water, gum, and hard candies. Following the strict fasting rule is non-negotiable for patient safety.
- Do not drink alcohol in the 24 hours leading up to your surgery. Alcohol can interfere with anesthesia and increase bleeding risks.
- Do not swallow water when brushing your teeth the morning of surgery. Use only a small sip for rinsing and spit it out.
- Do not overeat or feast in the days before surgery. While it might be tempting, maintaining a healthy, balanced diet is better for your body's healing capacity.
Medications and supplements to avoid
Certain medications and supplements can increase the risk of bleeding or interact negatively with anesthesia. Your surgeon will provide specific instructions, but here is a general list of things to avoid.
- Do not take aspirin or NSAIDs (e.g., ibuprofen, Aleve) for the duration specified by your surgeon before your procedure. These medications are blood thinners and can potentially cause excessive bleeding during surgery.
- Do not take any blood thinners without direct instruction from your surgeon. If you are on prescription blood thinners like warfarin (Coumadin), clopidogrel (Plavix), or others, your doctor will advise you on when to stop and restart them.
- Do not use certain herbal supplements. Many supplements, including fish oil, ginkgo biloba, and vitamin E, have properties that can affect blood clotting. Always disclose all supplements you are taking to your surgeon.
- Do not stop taking prescription medications without consulting your doctor. Some medications, such as those for blood pressure or heart conditions, may need to be taken with a small sip of water on the morning of your surgery.
Personal habits and activities to stop
To ensure your body is in the best possible condition for surgery and recovery, certain habits should be stopped.
- Do not smoke or use nicotine products. Nicotine constricts blood vessels, which significantly impairs wound healing and increases the risk of complications. Stopping well in advance of surgery is strongly recommended.
- Do not ignore any signs of infection. Report any cuts, scrapes, rashes, or ingrown toenails on your foot or leg to your surgeon immediately. Surgery may need to be postponed until the infection has cleared.
- Do not wear nail polish or artificial nails on your toenails. This is crucial as the surgical team needs to monitor the blood flow in your toes using a pulse oximeter.
- Do not forget to arrange for a driver. You will not be permitted to drive yourself home after receiving anesthesia. Plan for a responsible adult to drive you and assist with your recovery.
Home and day-of-surgery preparations
The preparation for foot surgery extends to your home and your routine on the day of the procedure.
- Do not wait until the last minute to prepare your home. Take care of tasks like removing loose rugs, decluttering walking paths, and setting up your recovery area with everything you need within easy reach.
- Do not wear makeup, jewelry, or contact lenses to the hospital. All valuables should be left at home, and contacts, dentures, and piercings must be removed before surgery.
- Do not neglect to bathe thoroughly. Follow your surgeon's instructions, which often involve using an antibacterial soap the night before and the morning of your procedure. Focus on cleaning your feet and between your toes.
Comparison of Pre-Operative Do's and Don'ts
| Category | What NOT to Do (Don'ts) | What TO Do (Do's) |
|---|---|---|
| Dietary Intake | Don't eat or drink after the specified time. | Do fast according to your surgeon's specific timeline. |
| Medications | Don't take NSAIDs, aspirin, or unapproved supplements without instruction. | Do take approved medications with a sip of water, as instructed. |
| Smoking | Don't smoke or use any nicotine products. | Do cease smoking several weeks before surgery for better healing. |
| Personal Items | Don't wear nail polish, makeup, or jewelry. | Do remove all personal items and wear loose, comfortable clothing. |
| Home Prep | Don't forget to organize your recovery space. | Do prepare your home by clearing walkways and setting up a comfortable recovery area. |
| Physical Activity | Don't overexert yourself before surgery. | Do stay active within your limits, if approved by your doctor. |
Conclusion: A final word on patient responsibility
Your surgeon and the medical team are committed to your health, but your active participation is vital. Following the directives on what not to do before foot surgery is a critical part of that partnership. By adhering to these guidelines, you minimize potential risks, set yourself up for a smoother operation, and pave the way for a more efficient and comfortable recovery. For more authoritative guidance on surgical preparation and patient safety, you can consult resources like the American College of Surgeons' Patient Education Information. Always remember that clear communication with your medical team is your best tool for success. If you have any questions or concerns about your instructions, do not hesitate to contact your surgeon's office. Your diligence in preparation directly contributes to a positive surgical outcome.
