If you are due to have surgery, you should ask your anaesthetist about pain control on the day of your operation. The clinic performs operations under both regional and general anaesthesia (GA). When a regional anaesthetic is used, the patient is awake (although may be sedated) throughout the operation, but the ‘surgical field’ (eg part of the foot) is numbed. With a GA, the patient is unconscious throughout. Many operations are not possible without a GA and your surgeon will discuss this with you.
The clinic also uses the latest pain control techniques, including regional anaesthetic nerve blocks like the ‘ankle block’ or ‘popliteal nerve block’, which can supplement your GA. With these blocks, it is possible to have a completely painless operation and to only require mild analgesics like Paracetamol, even after quite major surgery. Although the success rate of these blocks is high in the hands of our skilled anaesthetists, it is not failsafe. During your stay in hospital you will be given anything needed to ensure you are comfortable throughout, and will be discharged back home with advice about pain control and medication if required.
Occasionally chronic foot pain can occur following crush injuries, nerve injuries, other trauma or even surgery, with an overall incidence of between 5-10%. It can be difficult to treat but, depending on the cause, can be rectified with either repair of the nerves or with chronic pain management techniques. Our surgeons both work closely with specialist local Chronic Pain Consultants, who provide an excellent service to patients with this disabling complication.
Anaesthetists and Chronic Pain experts allied to the clinic are:
Dr Pushkar Dadarkar, Consultant Anaesthetist
Dr Emmanuel Umerah, Consultant Anaesthetist
Dr Andrew Levison, Consultant Anaesthetist
Our consultant anaesthetists are recognised by all the major insurance companies.