The job description matters more than the job title. Working from home at a desk is very different from commuting, walking through a large workplace, operating machinery or standing for an entire clinical list.

A premature return can increase swelling and pain even if it does not damage the bone. A staged plan—shorter days, elevation, fewer steps and temporary duties—can be more realistic than an all-or-nothing date.

Desk work: consider travel, elevation and medication as well as sitting.

Standing work: prolonged dependency commonly aggravates swelling.

Physical work: lifting and rapid direction changes increase forefoot load.

Clinical or theatre work: long standing, infection control and closed footwear all matter.

Driving-based work: the driving criteria apply for the entire shift, not just a short personal trip.

Should I plan leave before surgery?

Yes. Arrange a realistic minimum and discuss contingency plans. Recovery varies, and complications or persistent swelling can delay a planned return.