Aloha Foot Centers

Kailua Kaneohe Foot & Ankle Specialists

Robert LaReaux, DPM
Sandra Au, DPM
Ken Tsubata, DPM

After Surgery

POST-OP (AFTER OPERATION) INSTRUCTIONS 
 
Because a surgical procedure has just been performed on your foot, expect some degree of discomfort. The following 
instructions are for your benefit and will help minimize swelling and pain. Please follow these instructions carefully to insure 
good healing. 
 
1.  Go directly home. Elevate your feet on the way home if possible. Avoid sitting with your feet down or legs crossed as 
this can cause swelling and pain.  
2.  Expect a limited amount of swelling. If the skin appears bruised, this is normal. 
3.  Elevate your feet about six inches above hip level, Use pillows to support your feet and legs. 
4.  Keep bandages clean and dry. Do not remove bandages to inspect wound. Some blood on the bandage is normal.  
5.  SHOWERS 
€  Take off dressing next day. Shower normally. Apply topical antiseptic over incision (Neosporin, betadine, 
hydrogen peroxide etc.) 
€  Don’t get foot wet. Leave dressing on. Use stay dry bag with paper towel between 2 elastic bands. 
6.  To stimulate circulation and speed healing, exercise your legs while sitting or lying down by bending your knees and 
ankles frequently (5 minutes every hour). This will decrease the chance of a clot forming in the leg. 
7.  Take medication as directed. If medication causes stomach upset, headache, rash, or other abnormal reactions, 
discontinue use and call Dr. LaReaux if it doesn’t subside in a reasonable amount of time. 
8.  You DO NOT NEED crutches. 
9.  You may bear FULL weight on foot. 
10. Curtail alcoholic beverages and smoking. 
11.  If you were dispensed a post-op shoe, please wear it whenever you put weight on the foot. 
12. Get plenty of rest with foot elevated. Eat a regular well-balanced diet and drink plenty of fluids.  
13. Do not drive until instructed to. 
14.  Ice foot 15 minutes every two hours for 3-5 days. 
15. Make an appointment with Dr. LaReaux in 3-5 days. 
16. Call Dr. LaReaux immediately if:   
a)  The bandage becomes overly stained. 
b)  Toes become numb, tingling, or turn blue. 
c)  Your prescribed medication does not ease the discomfort. 
d)  You bump or injure your feet. 
e)  Fever develops, over 101 degrees. 
17. You may need to loosen bandage if there is tightness causing excess pressure, pain, dressing cutting into skin, excess 
swelling, and/or blue toes. Remove colored outer wrap (Coban). Then cut gauze away from the incision (which is 
usually on the top). If there is no relief within 15-20 minutes call Dr. LaReaux. 
18. Local anesthetic will last for 4-24 hours. So it will feel numb.

If you are unable to contact Dr. LaReaux in the event of a problem or emergency then you may go directly to Castle Emergency 
Room. 
 
In the event that Dr. LaReaux is out of town the covering physicians are:
 
Dr. Susan Hiraoka, DPM       
The Queen’s Physicians Office Building II      
1329 Lusitana Street, Suite 802         
Honolulu, HI. 96813         
Phone: (808) 532-3338           
 
Dr. Gregory Morris, DPM 
The Queen’s Physicians Office Building II   
1329 Lusitana Street, Suite 802         
Honolulu, HI. 96813         
Phone: (808) 532-3338           
 
Harry and Jeanette Weinberg Medical Plaza 
642 Ulukahiki Street, Suite 207 
Kailua, HI. 96734 
Phone: (808) 261-9931