Anesthesia and Foot Surgery

Anesthesia allows the surgical act to be performed in the best conditions for both the surgeon and the patient. It must be the least likely to cause complications. For this reason, this discipline has evolved a lot in the last few years allowing to propose different types of anesthesia depending on the difficulty of the operation, its location and the pathologies presented by the patient.

What Type of Anesthesia for Foot Surgery?

  • Loco-regional anesthesia puts a specific part of the body to sleep in order to perform an operation. The goal is to temporarily numb the foot and/or ankle so that you feel no pain during the operation. Nerve impulses are blocked between the operated leg and the brain, therefore the leg is paralyzed and insensitive to pain.
  • Local anesthesia can be considered for almost all foot and ankle operations. However, some operations still require general anesthesia. In combination with this general anesthesia, a lighter local anesthesia (locoregional analgesia) can be used to reduce post-operative pain and speed up your recovery. 

Relative contraindications:

  • Blood clotting problems;
  • Active infection.

Day of Surgery: What to Expect?

What to Wear?

On the day of the operation, you should wear comfortable clothes. You will leave with a large bandage and/or splint on the operated limb. Your clothes must fit around your bandage and/or splint. You can wear shorts or sweatpants, for example.

Course of the Procedure

  1. Just before the operation, the team will ask you to put on a hospital gown;
  2. Once you have put on your gown, you will meet with a member of the nursing team who will review your medical file;
  3. He or She will also put an IV in one of your arms. This device allows you to receive the necessary medication (painkiller, sedative, antibiotic...);
  4. Once the infusion is in place, you will meet the operating room team: operating room nurse, nurse anesthetist, anesthesiologist and surgeon;
  5. The anesthesiologist will perform the anesthesia according to the modalities agreed upon with you during the anesthesia consultation: local anesthesia or general anesthesia through the infusion.

How to Prepare ?

A consultation with an anesthesiologist will be arranged before the procedure. Your anesthesiologist may ask for some of the following information:

Potential Medical Examinations Before the Operation

Your medical condition and planned surgery may require you to have tests before surgery. These tests may include:

  • Blood tests ;
  • X-rays ;
  • An electrocardiogram, or a more thorough examination by a cardiologist.

Stopping Certain Medications

Some medications can be dangerous when taken just before surgery. Your anesthesiologist will tell you which medications to stop and when to stop them.

Among the medications that may need to be discontinued:

  • Non-steroidal anti-inflammatory drugs such as ibuprofen or naproxen;
  • Anticoagulants such as Eliquis, Xarelto, AVK...;
  • Oral antidiabetics;
  • Contraceptive pill.

Anticoagulants prevent blood from clotting and increase bleeding during surgery. Stopping or continuing them must be evaluated and decided by your doctors (anesthesiologist and surgeon). 

Some birth control pills increase the risk of blood clots. It is therefore sometimes recommended to suspend them for a few weeks after the operation. Discuss this with your anesthesiologist or surgeon.

Some diabetic medications may need to be stopped or the dosage changed. Discuss this with your anesthesiologist. 

Quitting Smoking

Smoking increases the risk of complications during and after surgery. It increases the risk of infection, poor healing and anesthetic complications. 

For the best results during orthopedic foot or ankle surgery, you should quit smoking before surgery. There are several options for quitting smoking, so you may want to talk to your doctor. 

Potential Risks and Complications

  • Hematoma;
  • Infection;
  • Skin healing disorder;
  • Algodystrophy (joint stiffness).

After the Procedure

Your surgery will be scheduled either as an outpatient or inpatient procedure. If you are an outpatient, you will go home the same day after eating and drinking in the outpatient department.

The type of foot surgery performed will determine the length and type of post-operative care needed to ensure your recovery is uneventful. Basic postoperative care is designed to enhance and ensure a safe recovery from your foot or ankle surgery. It may include:

  • Rest with ice, compression and elevation of the leg;
  • Bandages;
  • Splint;
  • Cast;
  • Crutches.

Your surgeon will inform you when you can begin walking again with support on your operated foot.


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More than 1 in 3 surgical patients has complications


About 38% of adult patients suffer an adverse event during or following their surgery, researchers reported Wednesday in the BMJ.

Nearly half of these complications result in serious, life-threatening or fatal harm, results showed.

60% of the complications were potentially preventable and 21% were definitely or probably preventable, researchers report.

"More than 1 in 3 surgical patients has complications

study finds, and many are the result of medical errors.
—CNN Health


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"About 38% of adult patients suffer an adverse event

About 38% of adult patients suffer an adverse event during or following their surgery, researchers reported in the BMJ.

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"2 in 100 people who have surgery develop a surgical site infection

The U.S. CDC estimates 1 to 3 in 100 people who have surgery develop a surgical site infection.


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"More than half of open-heart-surgery patients receive blood transfusions

But two new studies suggest that many of the transfusions provide little benefit.


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"Preoperative evaluation visit is associated with decreased risk of postoperative mortality

Anesthesiologists are well equipped to design and oversee the preoperative patient preparation process.

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Frequently Asked Questions

1. Who's behind Hoopcare?
Hoopcare is a telehealth service dedicated to preparing patients for surgery. Our team consists of world-class clinicians, including Richard Boyer, MD, PhD, who serves as our Chief Medical Officer and is affiliated with Weill Cornell Medicine. Our team has trained and supervised over 100 licensed clinicians to ensure you receive first-class preparation and optimization for your surgery. You can also find us on Zocdoc.
2. I need a physical examination, how does it work?
If you require a physical examination, Hoopcare will send you a telehealth pack. After scheduling your surgery, complete our online pre-surgery assessment to determine if you can receive your surgical clearance or if you need further preparation.
3. Can you tell me more about the Health Monitoring Surgery Box?
Certainly! Our innovative Health Monitoring Surgery Box is a comprehensive health management solution. It's designed to provide you with the tools needed to monitor your health accurately. This kit is not just a product but a commitment to your optimal evaluation and monitoring. Please note that all medical equipment is loaned, and we provide a free return shipping label.
4. Is Hoopcare legitimate? Will the letter will be accepted?
Absolutely! Hoopcare is a trusted telehealth service with a primary focus on pre-surgery checkups and clearances. Our Chief Medical Officer, Richard Boyer, MD, PhD, is affiliated with Weill Cornell Medicine. Additionally, we have received over 123 Google reviews with an average rating of 4.8, showcasing our commitment to excellence and patient satisfaction.
5. Are there any limitations for outpatient surgery?
While the website doesn't specify all the limitations, it's common for outpatient surgeries to have certain restrictions, such as high BMI or the complexity of the surgery. It's always best to consult with our expert clinicians to determine if you're a suitable candidate for outpatient surgery.
6. My surgeon requested an EKG, how do I proceed?
If your surgeon has requested an EKG or any other tests, Hoopcare can assist. We provide at-home EKG services, among other tests, to ensure you're fully prepared for your surgery.
7. I need to send documents, how do I do that?
You can send your documents to docsend@hoopcare.com or upload them directly in the Hoopcare application for a seamless experience.
8. Are the costs of labs and other paraclinical examinations included?
No, the costs for labs and other ancillary services, such as medical equipment, are not included in our pricing. However, these costs are usually covered by most healthcare plans.
9. How do you determine if I can have a fast track clearance in less than 48 hours?
Fast track clearance in less than 48 hours is determined based on your health assessment and risk factors. If you don't require a physical examination and are deemed a low-risk patient, you might be eligible for this expedited service.