Swollen Misshapen Uvula After Tonsillectomy REDNESS OF SOFT PALATE AND FLESHY BUMPS ON UVULA Painful swallowing with red uvula and soft palate. Tonsillectomy recover uncomfortable feeling in back of throat not going away Soft palate hole post tonsilectomy Taste Following Tonsillectomy surgery statistics uvula …Swelling. Swelling is normal after any surgical procedure, including a minor biopsy. The extent of swelling varies and depends on the extent of the surgery and each individual patient. Swelling around the mouth, jaws, cheeks, and below the eyes is not uncommon. The swelling will usually reach its maximum 2–3 days after the surgical procedure.May 15, 2018 · Reasons for Swollen Uvula. The reason this occurs is because of nasal congestion. Breathing at night through a congested nose actually makes the velocity and turbulence of the air increase. This is a physics principle called the Bernoulli effect. The rapid and turbulent air reaches the back of the patient’s nose and enters the back of the ... Complications during surgery include accidental damage to surrounding blood vessels or tissues. Complications after surgery may include: Sleepiness and periods when breathing stops (sleep apnea), both related to the medicine (anesthesia) that made you sleep during surgery. Swelling, pain, infection, and bleeding. A sore throat and trouble ...The general progress of swelling peaks at day 2 or 3 after surgery and thereafter decreases. 11-13) Sanfilippo et al. 10) advised that although soft tissue swelling was observed even at two weeks after surgery, it normalized at 6 weeks. Similarly, in our study, degrees of swelling progressed and peaked on day 2 at the anterior 3rd. cervical ...Uvulitis is the inflammation and swelling of the uvula, usually associated with infection of nearby structures. Uvulitis can be treated symptomatically, using medication or in some cases with uvulectomy, the uvula surgical removal or shortening. Traditional uvulectomy by traditional practitioners has been practiced in Africa for ages, associated with adverse outcomes. Although there is no ...May 26, 2023 · Uvulopalatopharyngoplasty, or UPPP, is a common surgery healthcare providers use to treat obstructive sleep apnea (OSA). UPPP widens your airway by removing or restructuring tissue in the back of your throat. Your healthcare provider may recommend this surgery if conservative treatments to manage your OSA, like CPAP, haven’t helped. The medical term for inflammation of the uvula is uvulitis, according to the Government of Alberta, and the most common cause of uvulitis is an infection, though allergies may also be a cause. When your uvula is infected, it becomes swollen and red. Additionally, your throat may feel sore, and you may find swallowing difficult and painful. Uvular necrosis is a vanishingly rare cause of sore throat post-gastroscopy. Symptoms characterised by severe throat pain and inability to eat, drink or swallow saliva with onset within 24 hours of a gastroscopy. Caused by compression of the uvula against the hard palate and the gastroscope compromising the blood supply and causing …Epiglottitis. Epiglottitis is inflammation and swelling of the epiglottis. It's often caused by an infection, but can also sometimes happen as a result of a throat injury. The epiglottis is a flap of tissue that sits beneath the tongue at the back of the throat. Its main function is to close over the windpipe (trachea) while you're eating to ...Studies have reported sore throat as a complication of intubation after surgery in anywhere from 14.4–90% of people. In most cases, a sore throat is mild and resolves within a couple of days ...Later, on return to the ward, the patient experienced severe pain at the back of the throat, the sensation of a foreign body and frank haemoptysis. Examination revealed a swollen and erythematous uvula with evidence of haemorrhage at its base extending into the surrounding soft palate (fig 2). There were no signs of airway obstruction or infection.Uvulitis is the inflammation and swelling of the uvula, usually associated with infection of nearby structures. Uvulitis can be treated symptomatically, using medication or in some cases with uvulectomy, the uvula surgical removal or shortening. Traditional uvulectomy by traditional practitioners has been practiced in Africa for ages, associated …Lung (pulmonary) complications. Sometimes, pulmonary complications arise due to lack of deep breathing and coughing exercises within 48 hours of surgery. They may also result from pneumonia or from inhaling food, water, or blood, into the airways. Symptoms may include wheezing, chest pain, fever, and cough (among others).Was ur uvula swollen, or were u overadvanced? Reply DetectiveFujiwara • Additional comment actions. I'm not sure. I just told them I could feel my uvula now after the surgery and it was annoying as hell. So they cut it off Reply …Jul 27, 2023 · The uvula is a part of the small palate that hangs within the back of the throat and aids in phonation and swallowing. Postoperative uvular injury typically involves compression of this highly vascular structure which, after a prolonged period, can lead to ischemia and epithelial damage, resulting in uvular injury (Reid et al. 2020). Had surgery 2 days ago (abdominal) and the anesthesiologist did a jam and shove when endotracheal intubation was performed. Apparently he didn't know he was to insert it gently and apparently just jammed the laryngoscope blade into the back of my throat causing a number of cuts down the back of my throat and damaging my uvula to the point of being swollen and blood red for days.Tonsillitis refers to inflammation of the palatine tonsils, most commonly due to infection. Whilst most cases of tonsillitis are mild and fully resolve, significant complications include deep neck space infection and airway compromise. Tonsillitis is a common presentation in primary care, most common in children and young adults.Swelling after surgery in the location where the hernia used to be, and for men in the scrotum and penis, is a sign of seroma or benign fluid collection, states Hernia Repair in Ne...Is swollen uvula a plan b side effect? 3 doctors weighed in across 2 answers. my five year old had an adeno tonsillectomy 4 days ago and her uvula is still very swollen and covered with white- is this normal?: Tonsillectomy: Yes. It … with swallowing solids and liquids and felt the sensation of his uvula hitting one side when tilting his head, “like a wrecking ball.” On examination, we identified an elongated and swollen uvula with necrosis affecting a large portion of the uvular tip (Figure 3). 2021 Xiao et al. Cureus 13(3): e14233. DOI 10.7759/cureus.14233 3 of 6 Swelling of the uvula after surgery utlilizing general anesthesia is not unusual. It is generally caused from irritation by the endotracheal tube used to maintan the airway. That is a very sensitive area so the discomfort is considerable even though the issue is not serious. It should resolve after 7-10 days.1. Initial Swelling: Swelling is a natural response to surgery, and it usually begins immediately after the procedure. In the first 24 to 48 hours, expect significant swelling in the surgical area. This initial swelling can make it challenging to evaluate the surgery’s outcome, and it may affect your ability to put weight on the operated foot. 2.Uvulopalatopharyngoplasty is surgery that opens your airway by removing or reshaping tissue in your throat ( pharynx ). It’s also called UPPP. You may need UPPP if you have obstructive sleep apnea (OSA). UPPP removes tissue blocking your airway so you can breathe (and sleep) more easily. Your surgeon may remove all or part …Recovery Period for Swollen Uvula After Tonsillectomy. Before the surgery, the physician or surgeon will discuss with the patient the significance of drinking lots of fluids after the operation. The recovery period of tonsillectomy is characterized with pain and swollen uvula. The recovery period comes in two phases— Severe.Uvulopalatopharyngoplasty (UPPP) The surgery consists of tissue rearrangement at the uvula, palate and throat walls in order to increase the airway size and decrease tissue collapse. Initially described several decades ago, this technique has been refined with several modifications to minimize possible long-term side effects such as swallowing ...Losing weight can improve your health in numerous ways, but sometimes, even your best diet and exercise efforts may not be enough to reach the results you’re looking for. Weight-lo...The symptoms usually resolve in 4–7 days, and the necrotic part of the uvula sloughs off on its own in 14 days. 9 The prognosis is excellent, with most patients having a full recovery in 2 weeks. 11 Data suggest that surgery is not usually required in this self-limited condition.Tonsillitis refers to inflammation of the palatine tonsils, most commonly due to infection. Whilst most cases of tonsillitis are mild and fully resolve, significant complications include deep neck space infection and airway compromise. Tonsillitis is a common presentation in primary care, most common in children and young adults. What is the cause of an elongated uvula after surgery? Dr. Gregg Nishi answered. Bariatrics 24 years experience. Uvula: Your uvula was probably irritated by the endotracheal (breathing) tube during surgery which caused it to become swollen and possibly elongated. Jun 15, 2023 · Uvulitis is the inflammation and swelling of the uvula, usually associated with infection of nearby structures. Uvulitis can be treated symptomatically, using medication or in some cases with uvulectomy, the uvula surgical removal or shortening. Traditional uvulectomy by traditional practitioners has been practiced in Africa for ages, associated with adverse outcomes. Although there is no ... The comprehensive literature review identified 26 reports and seven case series, totaling 53 cases of this complication. Use of suction was reported in 19 cases, and six cases reported no use of suction. Ninety-four percent of cases were treated conservatively, whereas 6% underwent excision. Ninety-one percent resolved within 14 days.Answer: Your swollen uvula following rhinoplasty surgery may be irritation from the endotracheal tube used during your surgery. A swollen and ulcerated uvula can lead to discomfort and concern following rhinoplasty surgery. The good news is that this will be completely healed in around seven to ten days, and will look completely normal.Mar 28, 2021 ... In order to decrease swelling, a cold compress or ice pack can be applied to the throat. 20 minutes on and then 20 minutes off until the ...Sep 1, 20061. Blood Clots. Surgery is a major cause for blood clots (“ deep vein thrombosis “). In fact, one leg swelling is worse than two swollen legs . Always think about a blood clot if there is one swollen leg after a surgical procedure. Blood clots are a medical emergency. Immediate diagnosis and treatment are important. 2.Surgery Overview. Uvulopalatopharyngoplasty (UPPP) is a type of surgery to remove tissue from the back of your throat. You will be asleep during surgery. The doctor may remove extra tissue from the uvula, tonsils, or part of the soft palate. The soft palate is the back part of the roof of your mouth. After this tissue is removed, air may move ...An even better test is a sleep endoscopy procedure which is when the patient is sedated and starts snoring, endoscopy is performed to visually confirm that the uvula is truly the source of the snore.. Another clue that the uvula may be responsible for a person's snore include: A uvula more than 1.5 cm in length; The uvula tip instead of being … Uvulopalatopharyngoplasty (UPPP) is surgery to cut away soft tissue in the back of the throat. The doctor may have taken out the uvula. This is the small piece of skin that hangs down at the back of the throat. The doctor also may have taken out the tonsils and part of the soft palate. The soft palate is the back section of the roof of your mouth. Patients may have a sore throat after surgery. Cold foods may make wounds and sore throats feel better. Dr. Maranon asks patients to start with ice chips, Jell- ...Uvula removal surgery may help treat certain medical conditions, such as sleep apnea and HANE.. HANE is a rare condition that causes severe swelling of body parts, including the airways. Although ...Symptoms of uvular necrosis may not a ppear right away, and after surgery, pat ients are likely to focus their. ... Examination revealed a swollen, elongated uvula. The lower half of the uvula was ...Case 1. A 64-year-old man underwent uncomplicated bilateral ptosis repair, upper and lower lid blepharoplasty and fat transfer to the face was performed under general anaesthesia (GA) with endotracheal intubation. His height was 180 cm and he weighed 76 kg at the time of operation.Objectives/hypothesis: Postoperative uvular necrosis is rare, but can be distressing to the patient when it unexpectedly occurs. Little has been published regarding its predisposing factors and pathophysiology. The purpose of this comprehensive review was to compile cases of postoperative uvular necrosis and identify risk factors and potential causes for …Jul 6, 2020 · Dehydration: A lack of fluids can lead to uvulitis. Although less common, you could experience a swollen uvula after drinking alcohol. Snoring: Snoring can be the result, and in some rare cases, the cause of a swollen uvula. It can often be the reason why you wake up with a swollen uvula and is linked to sleep apnea. Description. UPPP removes soft tissue at the back of the throat. This includes: All or part of the uvula (the soft flap of tissue that hangs down at the back of the mouth). Parts of the soft palate and tissue at the sides of the throat. Tonsils and adenoids, if they are still there. Uvulitis is mainly caused by an infection with streptococcus bacteria. Other causes are: An injury to the back of the throat. An allergic reaction from pollen, dust, pet dander, or foods such as peanuts or eggs. Inhaling or swallowing certain chemicals. Reflux of acid from the stomach into the esophagus. Smoking. Mar 31, 2021 · Uvular necrosis is a rare postoperative complication that can manifest from endotracheal tube intubation or laryngeal mask airway placement resulting in compression and restriction of blood flow to the uvula. This report describes three patients who underwent outpatient shoulder surgery under general anesthesia and were subsequently diagnosed with uvular necrosis. Their symptoms included ... Had surgery 2 days ago (abdominal) and the anesthesiologist did a jam and shove when endotracheal intubation was performed. Apparently he didn't know he was to insert it gently and apparently just jammed the laryngoscope blade into the back of my throat causing a number of cuts down the back of my throat and damaging my uvula to the point of being swollen and blood red for days.After surgery. After surgery, you'll be moved back to the ward (after local anaesthetic) or a recovery room (after general anaesthetic or an epidural), where you'll be told how the operation went. You may feel hazy or groggy as you come round from the general anaesthetic. A nurse may give you oxygen (through tubes in your nose or a mask) to ...Dehydration: A lack of fluids can lead to uvulitis. Although less common, you could experience a swollen uvula after drinking alcohol. Snoring: Snoring can be the result, and in some rare cases, the cause of a swollen uvula. It can often be the reason why you wake up with a swollen uvula and is linked to sleep apnea.Swelling of your uvula can occur after a tonsillectomy for the same reason the tongue can become swollen. Eating cold foods and drinking cold liquids also helps to reduce uvula swelling. You should call your doctor or get medical help if you have a swollen uvula that causes drooling, gagging, or difficulty talking or breathing. 4 .21F: Uvula and tongue still swollen 1 month after surgery. I made a post on here over a week ago, but the swelling still hasn't gone down. I got prescribed prednisone today and i took my first dose this morning (60mg), but i don't feel any different. Really starting to regret having this surgery. I'm hoping it gets better but i feel like 2 ...Causes of a swollen Uvula. A swollen uvula occurs when there is inflammation of the structure. This is medically known as uvulitis. Uvulitis is known to be having many causes including infection. The most common infection of the throat being by the bacteria Streptococcus pyogenes, it remains one of the most important causes of uvulitis [7].i unfortunately had an ER visit due to bleeding, so i don’t know how much that affected my healing rate, but i started to feel a bit better about 10 days after my original surgery. i believe the last time i really needed my prescription pain med was 9 days after, and beyond that i’ve been okay with just tylenol. right now it’s been 2 weeks and i’m feeling SO much …If you’ve recently had surgery, here are some techniques your doctor may recommend to help reduce swelling and manage edema after surgery. 1. Elevation. The fluids in your body are affected by gravity. When you’re sitting down all day, it’s easy for fluid to pool in your lower extremities, which can lead to edema.Uvulopalatopharyngoplasty (UPPP) is surgery to cut away soft tissue in the back of the throat. The doctor may have taken out the uvula. This is the small piece of skin that hangs down at the back of the throat. The doctor also may have taken out the tonsils and part of the soft palate. The soft palate is the back section of the roof of your mouth.It's normal to experience some discomfort and changes in speech and swallowing in the weeks following the surgery. The uvula and soft palate can be particularly sensitive and may take longer to heal than other areas. ... Swollen uvula and scabs falling off after tonsillectomy eating soft foods after tonsillectomy? Enlarged …It can also cause mouth breathing, which in turn can irritate your uvula & cause it to swell a bit even on a regular day. If you’re only or primarily breathing through your mouth, this could be exacerbating your irritation and swelling from the surgery. A swollen uvula is rather common after a tonsillectomy and should subside soon.The carotid arteries connect the aorta of the heart to the brain and run from the heart up either side of the neck. Carotid arteries can be clogged by conditions such as atheroscle...Postoperative swollen and elongated uvula after general anesthesia occurred in a patient in a prone position as a result of possible mechanical trauma (Rempf et al. 2008). Uvular necrosis is reported after an otherwise uneventful intubation and anesthesia (Atkinson et al. 2006).Jun 13, 2021 · Swollen after Surgery. Surgical removal of the uvula is done in extreme cases such as cancer. After surgery, the patient has to have utmost care to prevent infection and recurrence of the condition. If there is no proper care before healing, expect to experience it swelling due to bacterial or viral infections. Treatment – medical Online Primary Care Doctors Accepting New Patients. $44 video appointments available today with a membership as low as $15/month. what is the cause of an elongated uvula after surgery?: Uvula: Your uvula was probably irritated by the endotracheal (breathin.Sep 1, 2006 · Sore throat after tracheal intubation is a common event with an incidence between 24 and 100%. 2 A recent prospective evaluation of 809 patients found it to occur in 40% with an average duration of 16 ± 11 h. 3 However, a very severe or persistent sore throat is much rarer and in these cases uvula necrosis should be part of the differential diagnosis. As alcohol depletes the body of fluids, rehydrating oneself is very important. This will also help the body's natural healing processes work more efficiently. Cold water, iced tea and ice cream can help alleviate the swelling of the uvula by cooling it down. Foods with large amounts of fat or carbohydrates should also be avoided.Swollen Uvula, Bad Breath, Swollen Tongue, and Other Symptoms or Complications. Medically reviewed by John Carew, MD. Bad breath after a tonsillectomy, a surgery to remove your tonsils, is a ...May 26, 2023 · Uvulopalatopharyngoplasty, or UPPP, is a common surgery healthcare providers use to treat obstructive sleep apnea (OSA). UPPP widens your airway by removing or restructuring tissue in the back of your throat. Your healthcare provider may recommend this surgery if conservative treatments to manage your OSA, like CPAP, haven’t helped. Swelling of your uvula can occur after a tonsillectomy for the same reason the tongue can become swollen. Eating cold foods and drinking cold liquids also helps to reduce uvula swelling. You should call your doctor or get medical help if you have a swollen uvula that causes drooling, gagging, or difficulty talking or breathing. 4 .Sep 17, 2009 · Abstract. A 28-year-old man presented with a sore throat 72 hours after undergoing upper endoscopy. The patient had a 6-month history of intermittent solid-food dysphagia; upper endoscopy revealed ... A swollen uvula can cause a sore throat, redness, trouble breathing or talking, or a choking feeling. If your uvula is oversized, it's a sign from your body that something's not right....Hi, again. It's not uncommon to experience discomfort and sensations like what you describe after surgery on the soft palate or uvula. In many cases, these sensations may gradually improve or disappear with time as your body heals and adjusts to the changes from surgery.Swollen Uvula. White Scabs. Other Symptoms. Symptoms and Risks. Follow Up. Bad breath after a tonsillectomy, a surgery to remove your tonsils, is a common symptom you or your child may experience during recovery. A swollen uvula or tongue, nausea, and pain are also common. A tonsillectomy procedure may done if you or your child experiences ...What is the cause of an elongated uvula after surgery? Dr. Gregg Nishi answered. Bariatrics 24 years experience. Uvula: Your uvula was probably irritated by the endotracheal (breathing) tube during surgery which caused it to become swollen and possibly elongated.After Sleep Apnea Surgery: UPPP. UPPP or uvulopalatolpharyngoplasty is a procedure to treat obstructive sleep apnea. During the procedure the tonsils and uvula are removed and the palate is trimmed. Sutures will be placed to keep the airway open. Most patients with spend one night in the hospital after this procedure.Surgery such as tonsil removal; Damage due to acid reflux. Symptoms. Symptoms may include any of the following: Fever; Feeling like something is in your throat ...Oct 21, 2021 ... This could be due to stretching of the nerves which supply the vocal cords during surgery, or as a result of post-operative swelling or bruising ...The medical term for inflammation of the uvula is uvulitis, according to the Government of Alberta, and the most common cause of uvulitis is an infection, though allergies may also be a cause. When your uvula is infected, it becomes swollen and red. Additionally, your throat may feel sore, and you may find swallowing difficult and painful.The medical term for inflammation of the uvula is uvulitis, according to the Government of Alberta, and the most common cause of uvulitis is an infection, though allergies may also be a cause. When your uvula is infected, it becomes swollen and red. Additionally, your throat may feel sore, and you may find swallowing difficult and painful.Uvula is touching the back of tongue causing gagging reflex tonsillectomy recovery not too bad! 4 weeks Post tonsillectomy surgery statistics uvula apnea toothache after tonsillectomy Tonsillectomy - the road to recovery Coughing/clearing throat after tonsillectomy Adult Tonsillectomy - Not Too Bad I have got a swollen uvula and it has …
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Curious about laser surgery costs? The ultimate laser surgery price depends on a variety of factors. Learn more about laser surgery, types of lasers, cost considerations and possib...Had surgery 2 days ago (abdominal) and the anesthesiologist did a jam and shove when endotracheal intubation was performed. Apparently he didn't know he was to insert it gently and apparently just jammed the laryngoscope blade into the back of my throat causing a number of cuts down the back of my throat and damaging my uvula to the point of being swollen and blood red for days. with swallowing solids and liquids and felt the sensation of his uvula hitting one side when tilting his head, “like a wrecking ball.” On examination, we identified an elongated and swollen uvula with necrosis affecting a large portion of the uvular tip (Figure 3). 2021 Xiao et al. Cureus 13(3): e14233. DOI 10.7759/cureus.14233 3 of 6 Jun 13, 2021 · Swollen after Surgery. Surgical removal of the uvula is done in extreme cases such as cancer. After surgery, the patient has to have utmost care to prevent infection and recurrence of the condition. If there is no proper care before healing, expect to experience it swelling due to bacterial or viral infections. Treatment – medical Abstract. A 28-year-old man presented with a sore throat 72 hours after undergoing upper endoscopy. The patient had a 6-month history of intermittent solid-food dysphagia; upper endoscopy revealed ...A total of 102 candidates for elective surgery were allocated to licorice, green tea, and control groups by simple random allocation. The scores of sore throat, ...Remove your gauze pad (s) 2-3 hours after surgery ends (or whenever your surgeon instructs you to do so) Use an ice pack for the first 24-36 hours after surgery. Use moist heat as needed to reduce jaw soreness after the first 36 hours. Eat only soft foods. Drink plenty of fluids, including water.Odontogenic and oropharyngeal infections are relatively common in the cervicofacial region. In rare cases, odontogenic or peritonsillar abscesses may spread through the deep fascial cervical spaces and cause life-threatening complications. Odontogenic infection is the most common cause of deep neck infections and it accounts …Hot air or steam inhalation. Inhalation of strong chemicals. Excessive smoking. Excessive alcohol drinking. Sleep apnea and the stress of snoring. Dry mouth. Injury to the uvula. Complications from procedures, such as tonsil removal. Congenital condition (present from birth), such as.Uvulitis is the inflammation and swelling of the uvula, usually associated with infection of nearby structures. Uvulitis can be treated symptomatically, using medication or in some cases with uvulectomy, the uvula surgical removal or shortening. Traditional uvulectomy by traditional practitioners has been practiced in Africa for ages, associated with adverse outcomes. Although there is no ...Jun 10, 2016 · Trouble breathing, especially if the tonsils are also affected. Difficulty talking. Due to the role the uvula plays in sound production and how swelling can affect other parts of the throat, hoarseness can develop. Gagging, as the uvula potentially brushes against the back of the tongue and triggers the gag reflex. Causes. Treatment. FAQ. References. If you have a swollen uvula, you may also be experiencing a sore throat, trouble swallowing, and maybe even a fever. An enlarged uvula is often caused by infection, an allergic reaction, or irritation from chemicals or medical procedures.Oct 14, 2023 ... Effects of ultrasound-guided stellate ganglion block on postoperative sore throat and postoperative sleep disturbance after lumbar spine surgery ...May 31, 2014 · Swollen Uvula, Bad Breath, Swollen Tongue, and Other Symptoms or Complications. Medically reviewed by John Carew, MD. Bad breath after a tonsillectomy, a surgery to remove your tonsils, is a ... Online Primary Care Doctors Accepting New Patients. $44 video appointments available today with a membership as low as $15/month. what is the cause of an elongated uvula after surgery?: Uvula: Your uvula was probably irritated by the endotracheal (breathin.Epiglottitis. Epiglottitis is inflammation and swelling of the epiglottis. It's often caused by an infection, but can also sometimes happen as a result of a throat injury. The epiglottis is a flap of tissue that sits beneath the tongue at the back of the throat. Its main function is to close over the windpipe (trachea) while you're eating to ...Recovery Period for Swollen Uvula After Tonsillectomy. Before the surgery, the physician or surgeon will discuss with the patient the significance of drinking lots of fluids after the operation. The recovery period of tonsillectomy is characterized with pain and swollen uvula. The recovery period comes in two phases— Severe.If the swelling does not go away with medicines, your provider may advise surgery. Surgery is done to remove a part of the uvula. ... Uvulitis usually resolves in 1 to 2 days either on its own or with treatment. Possible Complications. If swelling of the uvula is severe and goes untreated, it may cause choking and restrict your breathing.Swelling after bunion surgery often lasts for nine to 12 months, according to MedlinePlus. To help reduce swelling, patients need to elevate the affected foot whenever seated or ly....