Hyprocure (sinus tarsi implant)

My sinus tarsi implant (Hyprocure)

Hi everyone!

I had the Hyprocure Sinus Tarsi Implant implanted in my left foot in the middle of February (five months ago). Before I had the procedure done I could hardly find any information that wasn’t provided by the Hyprocure website or podiatrists who were associated with the company. In addition, every patient testimonial was on a podiatrist website. I would have really appreciated having more information that was provided by independent people who had had the surgery done. Sorry if this blog is a bit long- I wanted to give anyone who’s interested a complete picute of what the surgery is like. It’s also a diary of sorts for me.

It has been five months since I had Hyprocure surgery done so I have decided that I am far enough along in the healing process to provide my opinion. Let me say this- it has completely changed my life! Although I am still healing, my foot now looks completely normal and every week I am experiencing less pain. I’m 24 and I had lived in pain for ten years before the surgery.

When I was about eleven, my mom noticed that I had a flat left foot. My right foot wasn’t affected. My foot didn’t give me very much discomfort, at least not nearly as much as I would experience as I got older. I went to see an orthopedic surgeon around this time and he suggested that I could go through a very complex, irreversible procedure involving months of healing and a high possibility of arthritis when I’m older. I wasn’t experiencing that much pain, so we decided to wait until I was older to decide to get surgery. Instead, we got an orthotic made for my left foot (which, by the way, was a horrible orthotic- please shop around for them!). Not getting this complex surgery done will probably be one of best decisions of my life.

(At this time I should mention that I live in Canada. As you may know, Canadians don’t have to pay to visit regular doctors or for operations. They do, however, have to pay to visit podiatrists and for any operations they perform. The cost of complex orthopedic procedure was never an issue but the long term side effects and the high rejection rates were.)

As my left foot became progressively worse, I went to visit another orthopedic surgeon who said I should wait one more year to see if I wanted the surgery. I felt really defeated and wondered if this surgery would help me at all. Throughout senior high school I tried to forget about my foot and didn’t visit any more doctors.

By the time I started university my foot had gotten much worse. If I thought it hurt before, it was nothing compared to what it was like now. I couldn’t walk around my large campus without pain. Every flight of stairs was an obstacle and I would plan ways to avoid them. Often when I had to walk to another library I couldn’t because of the pain. I felt like my daily life was being controlled by my foot. On the other hand, I didn’t want to complain too much. When I saw people in wheelchairs it made me think how lucky I was to even be able to walk. Still, I compared myself to everyone else. I watched how other students could walk around campus with friends, something I could never do because it would exhaust me. I felt extremely frustrated.

In addition, it also began to control my plans for the future. I had always wanted to be a journalist, but I knew I had to be realistic. If I couldn’t stand on my feet then, I definitely wouldn’t be able to in the future. I knew I needed a desk job for when my foot got worse and that made most kinds of journalism out of the picture. But at the same time I knew a desk job wasn’t for me at all. I had so much energy that I wanted to let loose!

I had been trying to get an appointment with a orthopedic surgeon for several months. Every single surgeon who could do the surgery in my area wasn’t taking new patients or had a long waiting list. My previous doctor had a four year long waiting list!! It was very frustrating, especially considering the surgery they suggested might not even help.

My left foot continued to get worse. It was at the point where it was noticeably flat. I went to see a podiatrist and she said she had never seen one so severe, but she couldn’t do anything about it. I had always worn runner and orthotics, but now I was replacing my orthotics often because my foot was collapsing more and more. I began to lose hope that I would ever be able to help my foot. I was thankful to have a good right foot but worried that it too would begin to flatten.

One night I began to look up ways to stop feet from pronation on the internet. I thought if I couldn’t cure it, I mine as well try to stop it from progressing. This was the first time I ever truly felt defeated. As I lay on my bed browsing the internet on my lap top, I came across the Hyprocure website. I couldn’t believe what I was seeing. The operation looked too simple, quick, and easy to do. I stayed up literally all night looking at the website and trying to find other websites or articles about the surgery. After I finished looking at all the information, I still couldn’t believe what I was seeing.

There was a number from Michigan on the website to call for more information. I didn’t call for a few days because I thought that everything was too good to be true and I wanted to enjoy the feeling of hope. When I did call, they told me that there was a Hyprocure surgeon within an hour from my house.

(In Canada, only podiatrists do Hyprocure surgery. Funding for podiatrists, even by private insurers, is extremely limited. On the other hand, orthopedic surgeons are completely funded. The totall cost of Hyprocure surgery was $2500).

I called the podiatrist and I got an appointment within a week. I still thought I was dreaming on my way to his office. When I got there I was so happy to see posters advertising Hyprocure- at least now I knew that it was true! I was ecstatic to hear that I was a perfect candidate for the sinus tarsi implant after my x-rays came back. I decided to get the procedure done a couple of weeks later during a reading break at my school. I didn’t want to wait to finish the school year because I thought the surgery might somehow disappear. (After all, I still thought I was dreaming!)

I had been trying to get an appointment with an orthopedic surgeon for over three years to get very invasive surgery that had many negative side effects. I had been suffering from pain almost as long as I could remember. Now, within two weeks, I was set up to get the Hyprocure surgery! It seemed so simple- the surgery was only fifteen minutes long and required only one bolt. Surely you can see why I thought I was dreaming!

Taking the side of precaution, I decided to look in academic journals to see any negative side effects of the procedure. I wanted to find any horror stories or any less dramatic cases of infection or cases where the implant had to be removed. Well, there weren’t any horror stories to be heard of. The success rate is extremely high and negative side effects are extremely rare. In any case, the implant can be removed as if it wasn’t even there if it’s uncomfortable. This is rare as well.

The day of the surgery I was very nervous. I had watched a video of it being performed (available on the Hyprocure website) the night before that was reassuring, but I was still scared. In the video, I saw that the doctor made a small incision in the foot and then tried the different sizes of implants. I arrived about half an hour before the operation was to begin. I was awake during the whole thing. He gave me a local anaesthetic which, of course, made my foot completely numb. About an hour before, I rubbed on a numbing cream that would make the initial poke of the freezing needle less painful. The needle hurt a little going in, but wasn’t too bad at all.

During the operation, the surgeon suggested that I listen to my iPod or read a book. I tried to do both but I wasn’t able to do either one. I sat upright and there was a screen shielding my view of my foot. I knew generally what was happening because I watched the video online of the operation (even though the video isn’t very graphic at all, I don’t recommend everyone watch it because for some people it might be better to not know exactly what’s happening). My main fear was that the local anaesthetic wouldn’t work in some areas in my foot and he would cut into tissue that wasn’t numb. Of course this didn’t happen though. The surgeon was really nice and made me relax as much as he could although I was still scared.. His receptionist came in and told me stories about her son that made me more happy and comfortable. I got through about one sentence of my book and I just couldn’t lay back and relax music. Also, I had to tell the surgeon if the placement of the implant was comfortable when he moved my foot.

When the surgery was over he bandaged my foot. The bandage didn’t cover my whole foot- it was only wrapped around where the incision was. He then wrapped my foot in an open ended sock to keep the bandage clean and my foot warm. I had to wear a black sandal/boot and I could walk out of the office. My foot didn’t hurt at all at this time because it was completely numb. On the way home, I sat in the passenger seat and elevated my foot. My mom and I even went through drive-through at Burger King to get veggie burgers!

That night it wasn’t painful at all. My room is on the second floor of our house so I had to hop down the stairs every time I wanted to go to the first floor. My mom made all my meals for about the first week and I just lay in bed. I had to lay the whole day with my foot elevated. At night I was also supposed to. I did but found it very uncomfortable and hard to sleep. I took a couple of showers which were so hard to do! I had to keep the bandage dry the whole time. I put my foot in a grocery store bag and duct taped it to my leg so no water would get in. I then had a shower while sitting on the floor (I have a separate shower- not one in a bath tub) with my leg out of the shower. It was such an ordeal and made me exhausted but was definitely worth it! I recommend having a bath while elevating your leg. I would of had a bath, but our house was under construction and the bathtub wasn’t installed yet.

After the second day, my foot started to hurt more. If I moved it while I slept I would wake up in pain. The pain wasn’t too unbearable though. I took a couple of ibuprofen a couple of times a day. I also took inflammatory medicine to ease the swelling. I highly recommend these because they can be just as helpful, if not more, than pain medication. Try to get ones that are non-drowsy and that don’t have anything in them that will make you feel dizzy. Later on, I used a rub on anti-inflammatory that also worked well but wasn’t as strong.

At the end of the week I went back to the podiatrist to get my bandages removed. All that was left was an ordinary band aide that covered the the stitches. I couldn’t get the area wet for another week. After that, I went to get the stitches removed (I had a combination of degradeable stitches and ones that needed to be taken out- there were two that needed to be taken out).

After the first week, I could put as much pressure as I wanted on my foot. I could walk to tolerance but I wasn’t supposed to do anything strenuous like run or exercise. Later that week I decided to go back to school. I was allowed to wear my normal shoes now but felt that the swelling was too much so I continued to wear the black shoe they gave me. I also decided to get crutches because walking was still painful. Sometimes while I was sitting in class, I felt shoots of pain going up my leg that were very painful. I tried to keep it elevated because this decreased the swelling and pain.

I hated the crutches so much that I only used them a couple of times to go to school. When I didn’t take them, I just hobbled around campus using elevators whenever I possibly could. People must of been thinking why I wasn’t using crutches!! Looking back, I am even a little embarrassed because I must have looked kind of silly! I was very slow going everywhere, but I still preferred this to crutches.

The pain continued but gradually decreased every week. I think it’s important to write a log of your progress each week because the heeling can be very gradual and it can be hard to see how far you’ve come in a few months. I didn’t do this but wish I had. By the second month I would get very frustrated because it still hurt quite a bit to walk. I would also still get shooting pains up my leg if I had walked to and from classes. I had to keep reminding myself that the pain I was experiencing was much less than it was a month earlier. I fell a bit behind in my school work but was able to catch up quite quickly later in the semester. Luckily, my teachers were understanding and gave me extensions.

Every couple of weeks the pain gets less and less. Three months after the surgery I went to Disney World. I was able to walk around the whole park in runners. It was painful, but not that much more painful than it would have been if I had done this much walking before my surgery. My foot swelled quite a bit but I rubbed anti-inflammatory medicine on it throughout the day. This was the first time in my life that I was able to walk around in sandals without feeling self conscious. Before, I hated it when people walked behind me because I thought they were looking at my foot. I know they sometimes where because I even had a couple of people ask me if I realized my foot was that way! At the time it really upset me, but looking back I just wonder what those people were thinking?! The scar on my foot is about an inch long and 1/4 an inch wide (about 3cm long and 1/2cm wide). It’s barely even noticeable- it looks like a bruise or a scar from a cut. It’s not puffy and doesn’t stick out- it feels the same as my foot.

Today, it’s been about five months since I’ve gotten the surgery. I work full time at a job where I’m on my feet about six hours a day. I have been friends with the people in charge for a while, so I feel comfortable asking them for a break when I need it or to shorten my shifts from eight to six hours. I wouldn’t have taken a job this summer that involved this much standing otherwise. Also, I stopped working for a couple of months during the school year. It would have been hard to work at this time, even at a desk job. It’s still a bit sore during the day but I walk on it anyways. It’s not unbearable at all. Every couple of weeks I can feel an improvement. I think that by the end of the summer I should be able to run on it comfortably.

After the surgery, I had to learn how to walk on my foot again. It’s wasn’t very difficult. Since I only have one foot done, I’m walking differently on each foot. I walk on the outside of the foot that I had surgery on- all the pressure goes to the outside of my left foot. My right foot still walks normally. At first this took a bit getting used to, but now I barely notice it. I think the hardest thing to get used to is walking so straight! I feel like my spine is straight now and I’m not hunched over or leaning to one side! I feel a big difference when I walk. I love the feeling of my whole body being so straight and in-line.

Hyprocure has completely changed my life. I know that the remaining pain will subside soon and that someday I will only have vague notions of what my old foot used to feel like. Now I’m planning on going to journalism grad school! This might sound corny, but in some way I still feel like I’m in a dream. After all I went through trying to get surgery from an orthopdic surgeon, it was a podiatrist who helped me. In Canada, podiatrists usually do relatively small surgeries like fixing hammer toes. In a way Hyprocure is a small surgery- it’s not very invasive and takes only fifteen minutes- but it has enormous benefits to people like me with flat feet.

No one ever mentioned Hyprocure to me; I had to find out about it by myself on the internet. Hyprocure is a knew surgery but sinus tarsi implants have been around for years. I don’t know why this surgery isn’t as widely known as it should be. No orthopedic surgeon every suggested that I should get it done. I know that they don’t do sinus tarsi implants, but they knew the numerous problems with the surgery that they wanted to perform. Their major kind of surgery might be good for some people, but if definitely wasn’t for me. How could they not know about Hyprocure or similar kinds of surgery? Even if they weren’t sure if I was a good candidate, why didn’t they at least mention that it could have been an option? Isn’t it their responsibility to be informed about the different surgery options and isn’t it ethically good to tell me about different kinds of surgeries that are available, especially if I was a perfect candidate for one?

I don’t know the answers to these questions and they still trouble me. If they would have mentioned this surgery before, I possibly could have spent years without as much pain. If I hadn’t gone on the internet and researched it myself, I might not have known for a long time, if ever, about this surgery. Now I tell everyone I know about Hyprocure in case someone know someone who might want to get it done.

I’m incredibly appreciative to have been able to get it done. I’m also very appreciative that my foot wasn’t worse than it was. This time last year I would never had dreamed that my foot would be better. I wake up about once a week to the same nightmare. I dream that my foot has gone flat again when I stand up. It’s the worst feeling ever, but I’m so happy when I realize it’s not true. Now that I’m able to walk normally I can’t ever go back to the way my foot was. I have a bunch of orthotics laying around the house. I’ve been throwing them out whenever I see them.

As you can tell, I highly recommend Hyprocure. If you have any questions or comments please write below or email me at kayla731@hotmail.com. Also, if you’ve had the surgery done please tell me how it went for you because I haven’t been able to find very many people who’ve had it done.

Thank you for reading and I hoped this helped :)

Michaela

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11 Responses to “Hyprocure (sinus tarsi implant)”

  1. Karen Says:

    Michaela – I just wanted to thank you for posting the summary of your experience. I found this doing a google search on the cost of the procedure as it has been recommended to me and I don’t believe my insurance covers this (considered “experimental”). I’ve been having ongoing issues with my feet which are a result of hyper-pronation. The irony is that they cover other things that don’t work. At the recommendation of my primary dr., I am actually getting a second opinion from a ortho surgeon, but I am fearing they would recommend something more invasive like you discussed (but I bet the insurance co would cover that :-)). Thanks again for posting your information I found it very helpful.

    • hyprocurefeet Says:

      Hyprocure sugery was called “elective surgery” when I wanted to get it even though it’s proven to work better than the surgery the orthopedic surgeons wanted to do. I’m lucky that I only had to get one foot done right away, so that kept the costs down.
      I went to the best orthopedic surgeon in my province and he wanted to take out bones and put lots of bolts in and even do skin graphs! Make sure your surgeon isn’t like that!!

      Do you know how much it costs to get it hyprocure in the US? Also, I hear they put you under in the US?

  2. ST Says:

    I’m so glad you shared your experience. I just had the surgery done about 2 months ago. Just like you said, I’m getting frustrated and my Dr. keeps making me think I should be walking on it without crutches by now, but it still hurts. I wanted to see if this is normal from someone who had it. After reading this I now have more hope that it will get better and patience and perseverance will help me get there. I thank God that every 2 weeks it seems to get better so I believe it’s just a matter of time. I cant wait to get to the point of walking normally again. Best Wishes with your new foot and God Bless you for sharing your story!

    • hyprocurefeet Says:

      Hi ST, thanks for commenting. It makes me feel better too that some people don’t recover as quickly as the doctors say!
      It’s been a year this month since I got the procedure done, and it still does hurt sometimes but it WAY better than it was six months ago. It’s definitly a longer recovery than they say it would be (at least for me). The foot I got it done still gets a lot more tired than my other foot, so I think I’m going to go to physio to get some exercises to do.
      I just hope my foot continues to recover and hope that one day it will be the same as my other foot.

  3. caroline Says:

    Hello – Thank you Michaela – what you have to say is very helpful to me. Like you, I have had the hyprocure, although very recently.
    I’m 57 years old and live in London. I have been suffering from a bunion deformity on my right foot for about 15/20 years. My right foot pronates quite badly. I had orthotics to correct this but my bunion had become painful and getting into shoes was becoming increasingly problematic as I was told I would need even bigger orthotics to balance my pronation. After much consultation with professionals and research on my part, I decided to consult a Consultant Podiatric Surgeon. I knew I could not avoid bunion surgery any more so that was a given. However, he also told me about the hyprocure, suggesting I would be a good canditate. I went away with the Gramedica literature and did more research. Despite the fact this procedure has not been given the all clear by the National Insitutute for Clinical Evidence in the UK I decided the reports of hyprocure in the UK and the American literature seemed encouraging.
    On 15th January 2010 I had the hyprocure implant together with bunion surgery for my right foot. I opted for a local anesthetic (a leg block) which fortunately lasted for 24 hours so I had no post op pain and none of the the fuzzy feeling I get from general anesthetics! However once I began weight bearing properly in the 3rd week I experinced pain in my heel and my ankle became a bit swollen. Now in my 6th week,that is slowly beginning to improve. I take a slow release anti-inflammatory on the days it feels swollen. As I am still in early recovery my foot is adjusting to a new way of walking with resulting discomfort and sometimes, pain. I am also coping with recovery from the bunion surgery so have two areas of my foot to take care of!
    I have just begun to walk down the stairs almost normally. Walking on uneven surfaces is still difficult.
    Yesterday was the first day I ventured out on my own to take a walk down the road endeavouring to put one foot in front of the other without being tempted to limp!
    I found it helpful seeing a physiotherapist in the 5th week. She gave me some exercises tailored specifically for my needs together with a relaxing foot massage. I continue to do this twice a day massaging with a moisturizing cream up the foot into the leg. I find this helps with the prickly feeling I get on the top of my foot and the discomfort in my heel. She also gave me the confidence to trust in my recovery and be brave with the exercise!
    So, where am I now. Having to realise that I need to be patient in that it will probably be another couple of months before I am walking my dog for an hour in the park! At the moment I do not relish the idea of having the other foot done – at least not for another year. On the postive side, I now have an arch in the right foot so that’s a good beginning and generally my foot looks much better. Just need to keep walking! I’d welcome any comments on this subject.

  4. caroline Says:

    I had the hyprocure sinus tarsi implant together with bunion sugery on my right foot 7 weeks ago in January 2010.
    The bunion sugery is healing well with no pain. However I am getting pain in my heel and swelling in the ankle area. Whilst I expected some discomfort I did not realise it would feel as though I have to learn to walk again! So, I move very slowly very conscious of putting one foot in front of the other. Waling on uneven surfaces is difficult as is coming down the stairs.
    I am still taking pain killers in the morning and later on in the day when the pain in my heel makes it difficuult to walk. I am also icing the foot plus doing the exercises I was given by my surgeon. I have also had some physiotherapy and will continue with this.
    On the positive side I now have an arch whereas before my right foot was flat although not chronically so. I tried orthotics for a number of years but had been told that I would need even bigger ones when my bunion sugery had been done. The prospect of wearing large shoes to accomodate the orthotics did not fill me with glee!
    At the moment I concerned that my slow walking will take a long time before I speed up.
    I’m due to see my Consultant Surgeon in a couple of weeks so he can take x rays and photos of my foot. He’s keen to have before and after photos as this is a relatively new procedure.
    Does anyone have any helpful comments about what I can do to alleviate the pain and how long the slow walking will last?

    • hyprocurefeet Says:

      Hi Caroline,
      Sorry it has taken me so long to reply to you. I was having some problems with the site, but everything is all good now. Thanks for writing about your expience on the blog, it makes me feel so reassured that others are going through it too!

      It took me quite a while to start walking properly again. Even today (a year after the surgery) I can’t walk down stairs as fast as I once could. It’s not because of the pain, its just that I had to relearn how to walk on my foot and going down stairs is the hardest for me.

      It took me MUCH longer to begin walking than my doctor told me. My doctor said a couple of weeks before I could start running, but it has been a year and I still find it very uncomfortable to do so. However, now I can walk any distance, but my foot does get tired still. I hope that it will be like my other foot soon!

      About four months after my surgery, I went to Disney World and walked a coupel of miles a day, but it was painful. There was a huge difference between the third and fourth month in terms of pain. During the third month, I could only walk very slowly, but the fourth month is got much better.

      It was also very hard for me to walk on uneven surfaces. Even textured tiles were hard for me. I was extremely conscious of how I stepped. Today, I still watch where I step, but I don’t really need to. However, sometimes when I step on a rock and my ankle turns just a bit it hurts quite a lot.

      I just finished a job where I was on my feet all day. My foot became sore after a couple of days, but it was more tired- not a sharp pain. I think I’m goign to start going to physio to get some exercises and a massage like you did. I probably should have gone sooner.

      At first my doctor gave me antiinflamatory pills, but later he recomended a cream to rub on. The cream worked well and I like not having to deal with the side effects of the drugs (sore stomach, etc.). I would recommend asking your doctor for the rub on cream. I applied it twice a day and it seemed to work well.

      Lets keep each other updated on how we’re doing along the way :)

  5. caroline Says:

    Hello all, Thank you for your comments which are very helpful. I won’t blog again until I’m a litter further on in my recovery. Need to see what my surgeon says next week. Today, 8 weeks since the procedure, I’m in quite alot of discomfort but probably did too much yesterday! I see that I commented twice so sorry I’ve repeated myself but wasn’t sure if my first blog had got through – obviously did!
    Look forward to hearing your updates and from others who have had this procedure.
    Thanks again for your support.
    Caroline

  6. Julie Crowe Says:

    Dear Caroline,

    Where in the UK do you live and who did your surgery, how much did it cost. Have been suffering for about three years now in different forms and have had no joy with private or NHS apart from phsyio which didn’t make much difference. I have been considering the implant but realistically could only be off work for four weeks and it appears that this is not really long enough?

    Any help would be gratefully received.

    Regards,

  7. caroline Says:

    Dear Julie,
    I had the hyprocure fitted 6 months ago. I had this done due to pronation on my right foot which caused the bunion which I had done at the same time as the implant. Previous to the op I wore orthotics which worked but I was attracted to the op because it would mean I wouldn’t have to wear them. The literature, what there is of it, is mainly by the people that are promoting it. If you look under complications on the hyocure website by Gramica there is an honest list of them.
    My surgery was done by a very experienced Podiatric Surgeon, called Jason Hargrave. He heads up an NHS foot and Ankle Clinic in Norwich but also does private work in Norwich and in Harley Street, London.
    The bunion surgery plus the implant cost £3,500 approx. It is not yet available on the NHS. He seemed enthusiastic about the implant and has done a few (not sure how many). He gave me as much information and also suggested I look at the NICE guidelines. There is very little research as this is such a new procedure! So I took a risk.
    It is difficult to answer your question concerning recovery time from the implant because people vary.
    However, I would urge caution before you go down the road of surgery, particularly as this is a relatively new procedure and has not been passed by the National Insitute of Clinical Excellence in the UK yet. Although I now have an arch whereas before my foot was flat, I have found the adjustment to my foot being realigned difficult and painful. It still feels as though I am walking on the side of my foot and it is still sore when I walk. In the first few weeks I found walking anywhere hard as it felt as though I was learning to walk in a completely new way with all the resultant pain that went with it. I find walking on uneven surfaces difficult so walking in the countryside I have to watch I don’t go over on my ankle. I have had lots of physio, done all daily exercises I and been swimming to taken more anti-inflammatory tablets that I care to. Given what I know now, I would have stuck to wearing my orthotics and not had this operation. I am seeing Jason next week. I am in two minds about having the implant removed. However, it has clearly been successful for others. As for my bunion surgery, that has been very successful. I wish I’d just had that and stuck to my orthotics!

  8. caroline Says:

    Hello All,
    Sadly, the implant has not worked for me. I was getting pain and still feeling as though I was walking on the side of my foot. So much so that I developed what looked like a small bunion on the other side of my foot!
    So, after 8 months of trying everthing suggested including physio, swmming, and even a very pain cortisone injection into the the ankle, I’ve had the screw out. The size of the screw was a size 6. This was 4 weeks ago and I am recovering. I did not take this decision lightly as it obviously involved more surgery and a bigger incision to take the screw out plus further expense – another fifteen hundred pounds!
    I am now back walking again. At the moment it would seem that the realignment of my foot with the screw has meant that I am walking with an arch without the screw so that’s positive in itself. There is obvioulsy a lot of healing of scar tissue and muscle going on before I’m fully recovered. I have begun ankle strengthening exercises again as my poor ankle has taken quite alot of trauma over the past year. I am back walking my dog wearing supportive walking boots. As soon as things have settled down, probably in another month I will go back to my Podiatrist for a gait analysis to see what size orthotics I’ll need. For me, having the screw fitted has been quite traumatic. Unless you are in pain due to severe flat foot abnormality and every other intervention has failed, I would not recommend this operation. But, it obviously works for many and I have been in the 5% of stent removal that the hyprocure makers indicate is the figure for failure rate. It would have been great if had worked and Iknow my excellent Surgeon was disappointed although he agreed that it had not worked for me despite externally the foot position looking good. I did not have the pain before this op that I had afterwards. It’s been a steep learning curve! I am very glad for everyone for whom the hyprocure has been a life changing success.
    Good luck to everyone,
    Caroline

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