Ace Physiotherapy and Sports in Singapore
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ACE PHYSIO SPORTS
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Weil Osteotomy
Weil osteotomy surgery
Weil osteotomy is a surgical procedure performed to relieve generalized pain under the ball of the foot (metatarsalgia) or to correct and straighten clawed toes.
Pain under the ball of the foot (metatarsalgia) can be caused by a number of structures, including:
- The metatarsal heads (bones of the forefoot)
- The joints connecting the metatarsals to the toes (metatarsophalangeal joints)
- Ligaments and tendons supporting the forefoot
- Fat pads that cushion the forefoot
- Nerves running between the metatarsals (e.g., interdigital nerves)
Weil osteotomy surgery is carried out to relieve forefoot pain (metatarsalgia) or to correct clawed toes. The procedure involves making an incision over the affected metatarsal, then cutting and realigning the bone. The bone is then fixed in place using small screws or wires. This surgery works to redistribute pressure across the forefoot and restore normal toe alignment, reducing pain and improving function. Physiotherapy is important following Weil osteotomy to reduce pain and swelling, restore movement, and regain strength in the forefoot and surrounding muscles.
Weil osteotomy surgery is performed through a 4 cm incision on the top of the forefoot, between the metatarsal bones. If toe straightening is required, the incision may extend into the toes. The surgeon opens the joint at the base of the toes to allow surrounding tissues to relax, then makes a cut in the metatarsal bone. This allows the bone to slide back, relieving pressure under the foot. Finally, the bone is fixed in its new position with screws, and the incision is stitched closed.
Physiotherapy following Weil osteotomy surgery is essential to reduce pain, restore range of movement, and maintain strength in the foot and surrounding joints. It also helps ensure proper walking mechanics and supports a safe return to everyday activities.
Symptoms after Weil osteotomy
Following Weil osteotomy surgery, it is normal to experience some residual pain and swelling around the surgical site. The operated foot will need to be protected in a post-operative shoe for approximately 4–6 weeks to allow the bone to heal correctly and reduce stress on the joint.
Although the post-operative shoe and the nature of the Weil osteotomy allow you to walk immediately after surgery, walking is likely to remain uncomfortable during the first week.
Physiotherapy after Weil osteotomy
0–1 weeks: acephysiosports.com advises you to predominantly rest with your foot elevated and only walk for short periods using your surgical boot and crutches. Ice therapy (Cryotherapy) is recommended to help reduce pain and swelling.
1–6 weeks: You will remain in your surgical boot during this period, but will be encouraged to walk for short periods as pain allows. Staying on your feet helps maintain strength in the rest of your lower body and supports overall stamina. The physiotherapists at acephysiosports.com will provide a personalised exercise programme to gradually increase range of movement in your affected foot.
6–10 weeks: After removal of your surgical boot, the physiotherapists at acephysiosports.com will focus on refining your walking pattern. They will develop a tailored programme that includes balance exercises, strengthening routines, and range-of-motion activities, enabling you to continue improving your walking technique safely at home.
10 weeks+: Once you’re walking correctly, the physiotherapists at acephysiosports.com will focus on more challenging activities you may find difficult, such as driving, returning to sport, or navigating stairs. They will guide you on the safest and most effective way to approach these tasks and may suggest helpful modifications where needed.
Summary
Weil Osteotomy surgery is performed to relieve pain under the ball of the foot. The procedure involves opening the joint at the base of the toes to allow the tissues to relax, followed by a cut into the metatarsal bone to relieve pressure under the foot. The bone is then fixed in its new position with screws, and the incision is stitched closed. Recovery typically takes between 6 and 12 weeks, depending on your goals. acephysiosports.com will create a personalised physiotherapy programme to help you progress at your own pace and return to the most important tasks of daily life.
Call AcePhysioSports.com now on +65 81535374 for more information or to book an appointment.
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The Benefits Post-Surgery