09/06/2014    

QUERIES (CLINICAL)

Query: Pain After Foot Surgery Due to Tight Dressing

 

In the last few months, I have seen an increasing number of post-surgical patients who have experienced post-op pain which is not relieved by medication. A majority of these patient have had tight bandage issues. Once the outer elastic outer dressing is removed, the patient gets immediate relief. My dressing consists of 4x4" gauze pads, 4" Webril (cast padding, absorbent), 4" Kerlix roll, and 4" Coban self-adherent wrap. We provide detailed instructions regarding post-op pain expections, and its management, but to no avail. We still have patients having issues. Any suggestions regarding post-op pain management and dressing materials that should be used instead of what is my standard protocol would be helpful.

 

Joseph Borreggine, DPM, Charleston, IL