The first 24–48 hours set the foundation for the early recovery. Local or regional anaesthetic may keep the foot comfortable for several hours, but pain can increase as the block wears off. Prescribed analgesia should be taken according to the written plan rather than waiting until pain is severe.
Elevation is important because the foot tends to swell when it is below heart level. In the early phase, time upright should generally be limited to essential activities. The postoperative shoe protects the osteotomy and keeps pressure away from the forefoot, but it does not make unrestricted walking safe.
Keep the dressing clean, dry and intact unless the surgical team instructs otherwise.
Use the postoperative shoe or boot every time you stand or walk.
Elevate the foot regularly, with support beneath the calf rather than pressure directly beneath the heel.
Move the ankle and knee as instructed to maintain circulation; do not start toe exercises unless authorised.
Follow the medication plan, including any specific thrombosis-prevention instructions.
Is some blood on the dressing normal?
A small, stable area of staining can occur. Fresh bleeding that spreads, soaks through the dressing or continues despite elevation requires prompt advice.