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Podiatry/Lapidus Bunionectomy with Gastroc Recession


Hello Dr. Johnston,

Thank you in advance for your answer to my question.  I am 5 1/2 weeks post op a Lapidus Bunionectomy with Gastroc Recession.  What percentage of your patients with this procedure still have edema in their foot whenever their foot is in a dependent position?  I am doing the best lymphatic massage I can with a cast on to keep my edema low, but it is frustrating that it keeps increasing.  How long do you cast the foot with the above procedure?  

Thanks again for your input!


Hi Jackie, swelling is common post operatively for foot surgery, especially a Lapidus.  Usually a patient is switched from a cast to a removable boot around 6-8 weeks.  That the time period it takes for bone to heal properly after surgery.  Swelling can occur for an additional 3-6 months after foot surgery.  Once your cast is removed, you can use an ace wrap or compression sock to manually manipulate the swelling from the foot.


Dr. Leslie Johnston, DPM


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Leslie Johnston


any podiatry related question. bunions, hammertoes, arthritis in foot and ankle, lumps and bumps, foot pain, ankle pain, neuromas, heel pain, plantar fasciitis, diabetic foot care, ulcers, neuropathy, charcot, ankle replacements, trauma, sports medicine, Achilles injuries, ankle sprains ect.


Currently working as an Associate for Advanced Podiatry in Tampa, FL. Finished 3 year surgical residency with additional certification in rearfoot and ankle reconstruction. Worked in wound care clinic at Veteran's Hospital using advance wound care techniques.



DPM degree earned from the Ohio College of Podiatric Medicine 2005-2009 completed 3 year podiatric medical and surgical residency training at James A. Haley VA 2009-2012. Board qualified status for American Board of Podiatric Surgeons in foot and rearfoot and ankle surgery 2012.

Awards and Honors
1st runner up in Resident case presentations at annual Science and Management Symposium 2012 Who's who among colleges and universities 2009

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