Best Foot Forward.

Mr. Sandman

A Finding Nemo meme: Dory, the wide-eyed blue tang fish, grins against a blue underwater background. Bold white text reads 'SLEEP. SLEEP.' across the top and 'MUST GET SLEEP.' across the bottom.
Pain
3 /10
Weight-bearing
NWB
Mobility
Couch-bound; still haven't left the basement since surgery
Mood
Chill and optimistic, guarding the foot like a hawk
Swelling
mild

Check-in time: we’re right about at the 72-hour mark, and honestly? What a chill three days it’s been. Mostly. For starters, the extended-release OxyContin has done a genuinely great job of moderating the pain. I’m no chemist, but I swear it’s a better drug than the standard oxycodone. Science says they’re the exact same molecule; my brain swears otherwise. I’m choosing to side with my brain.

So here’s what I’m doing to get through this, and it’s different than the last time:

A bandaged lower leg and ankle wrapped in a beige surgical dressing, with a blue ice-machine cuff velcroed around the ankle and foot, resting elevated on a white pillow.
  • Continuous ice machine. I cannot cannot cannot stress this enough. The device does all the work, and keeping the foot iced around the clock is what holds the swelling down. Swelling = pain. Pain = bad.
  • Elevation. My foot slid down off the pillows last night while I slept, and I woke up at 2am to absolutely excruciating heel pain, right where he cut my heel bone in half. Leg not elevated = pain. Pain = bad.
  • Strict drug schedule. Even when the leg feels fine, it can go from fine to the seventh circle of fiery-rage pain in a heartbeat, the kind that makes you feel like you’re about to black out. No drugs = pain. Pain = bad.

All of this eventually subsides, and I’ll get to step down to fewer drugs, as-needed only. But the first 96 hours or so are genuinely tough, often full of rebound pain. So since I have all the drugs, I’m taking all the drugs. Right now that includes the ibuprofen-plus-Tylenol combo, purely because the doctor gave me the green light. Next week, though, that sweet Advil goes away for a while so the bone can do its thing.

The other big one: sleep. If I had to name a single non-negotiable, it’d be this, because sleep is when the body actually repairs itself. I’m getting around seven hours a night plus a solid nap every afternoon. And really, when else in life can you justify a nap in the middle of a weekday?! I haven’t left the basement, so the couch is my bed, which makes leaning over and drifting off almost too easy.

I’ll get into nutrition and supplements more another time. For now: eyes on the prize. Three days post-op, and we can only go up from here.

Firsts & Wins
  • 72 hours in and the extended-release OxyContin is keeping the pain genuinely manageable
  • A dialed-in protocol this time: continuous ice, foot up, drugs on a strict clock
  • Sleeping ~7 hours a night plus a guilt-free weekday nap, right when the body does its repairs
Medications
OxyContin (extended-release): the backbone right now, and moderating the pain far better than the 'identical' short-acting oxycodone, at least according to my brain.
Ibuprofen + Tylenol: still stacking both while the doctor allows it; the Advil goes away next week to let the bone heal.
Everything on a strict clock through the ~96-hour rebound window, not as-needed yet.
vs. Left foot (2022)
Last time I was reactive, and the rebound pain steamrolled me. This time it's a strict, proactive protocol: ice always running, foot always up, drugs on the clock. It's keeping the worst of it at bay.
Tags early-recoverypost-opmedicationspain-managementsleepice