Specialists in Foot & Ankle Surgery
Mr. Richard R. Brown
MA (Cantab) MB BS FRCS (Tr&Ortho)
Consultant Orthopaedic Surgeon
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How did you find the administration for your Outpatient appointments and surgery?
“I found it very organised and supportive”. “Very prompt and efficient. Good”
“ Efficient, little waiting and surgery to fit my schedule”.
“I was very impressed with how soon I was booked in for a consultation and to be given a surgery date two weeks later. Everything was explained and dealt with in a professional manner”. “All aspects of the administration were managed and communicated efficiently. I wanted to pull forward my operation and this was accommodated”.

How was your initial consultation? Were all your questions answered?
“Yes. Mr Brown was very thorough and I felt confident in his planned treatment”.
“All questions were answered and I knew the options open to me, thus enabling me to make decisions”.
“Very caring, friendly and direct. All questions were answered including some which I had not thought of”.
“Very clear demonstration of the problems with my foot using the X-ray. All questions were fully answered”.
“Excellent. I found Mr. Brown someone to whom it was very easy to talk to and to ask as many questions as I needed.”

Did you quickly have a clear diagnosis and a plan of treatment?
‘Yes”. “Virtually there and then”.
“At the first consultation a detailed diagnosis was given. Proposals for treatment were set out at that time and again I was given every opportunity to discuss these. I was to appreciate the advice I was given on the amount of activity I should undertake after surgery.”
“Mr Brown was very professional; I explained my symptoms and the level of pain I had. He listened to what I said and asked a lot of questions. I felt comfortable and cared for”.
“I had two options open to me following initial consultation, and once my decision was made to operate all was straightforward”.
“Mr Brown gave me a diagnosis at that first consultation along with a plan of action. During surgery his diagnosis proved to be 100% correct.”

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How was your experience of the ward during your surgery?
“Very friendly staff who made sure I was aware of all aspects of my stay. Before surgery I was reassured and afterwards checked carefully.”
“I saw Mr Brown and my Anaesthetist prior to going into theatre to discuss any last questions. The nurses were very kind and caring. The physiotherapist came to see me and got me out of bed and mobile. Even the ward hostess showed an interest and felt very looked after, cared for and nothing was too much trouble”.
“Normal Nuffield standard – excellent. Very good”.
“Very attentive, good food – could have stayed longer! Excellent”.

How was the aftercare?
“The physiotherapist was very good in showing me the best way to move about. I had regular appointments to check progress which were most useful.”
“All nursing staff were very considerate and caring. The physiotherapist fitted my sloped shoe and helped to get me up out of bed and walking with crutches. They even got me to go up and down the stairs – on the same day as surgery! Unbelievable”.
“Again “Normal excellent Nuffield standard. Good”
“At the Nuffield excellent but I had to have the six week check and plaster removal at the Shire Hospital elsewhere. This fell very short of the standards in Cheltenham”.

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How were you at 6 weeks after surgery
I returned to my office based job after three weeks. I was in a sloped shoe and on crutches. I felt very well and was not in much pain, I was up and about but I took things slowly and rested a lot. As my foot was always elevated I never had a lot of swelling. I was in normal shoes after eight weeks approximately.

And then at 3 months after surgery?
It has been twelve weeks since my operation and I am very pleased with the results. I am in normal shoes (not all yet). I can drive and walk the dog. I have a small amount of swelling but it is still early days. The results are amazing and I am very pleased. Thank you so much Mr. Brown.

Now in hindsight what would your advice be to anyone considering your surgery?
My advice to anyone considering foot surgery is to make sure you make a note of all questions you want Mr. Brown to answer. As you will be on crutches at home you will need someone to help you as even doing the basics is difficult. Once you are able to drive again make sure that you have someone with you and only do it if you feel ready.

Miss Emma Taylor (Cheltenham) 2011

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Describe your how you were 6 weeks after your complex hindfoot surgery
“At six weeks I was in London having the plaster removed and a “boot” fitted. I was just about to start partial weight bearing and regain some independence.”

Describe your final experience at a year after surgery
“Prior to surgery I could only walk one hundred yards before having to stop due to acute pain. Now I can walk without pain and without the use of a stick for a couple of miles and the distance is still increasing. Due to Mr Brown’s excellent surgery it is now almost impossible to see the two incision scars.”

Now in hindsight what would your advice be to anyone considering Foot surgery?
“Do not hesitate! It really was a painless experience, which gave me pain free mobility, which I had lost. Post operatively I never took painkillers.”

Patricia Davies (Cheltenham) 2010

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First few Days after surgery
“Do not believe the “horror stories” about foot surgery being agony. My foot was painful the first night and when moving but it was completely acceptable”.
Do take advice on resting immediately after surgery to allow healing.
Do not expect instant results; my foot looked quite odd to begin with and any thoughts of trotting around in Jimmy Choo shoes need to go on hold.

How you were you 6 weeks after surgery?
Very eager to say goodbye to my lovely boot and crutches! Walking at first was quite strange and my foot swelled after any length of time. I elevated my foot as much as possible – people in meetings got used to leaving a chair beside me for my foot! I quickly got back to walking more but still “listened” to my foot and kept an eye on swelling. After ten/fourteen weeks there is a sudden change and progress in walking.
I may need surgery on the other foot and I would not hesitate as the benefits are clear.

Mrs Reed, Cirencester, 2011

How was your experience of the ward during your surgery?
I found all the ward staff very helpful.

How was the aftercare?
Very good. Good communication.

How you were 6 weeks after surgery?
I felt everything was going as planned.

Describe your final experience at a year after surgery
I am now back to normal. I am able to walk with no pain for long distances. Now in hindsight what would your advice be to anyone considering your surgery? To go to the Cheltenham Nuffield; you will be very happy with your experience.

Rose Leaver (Gloucester) 2010

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Describe your how you were 6 weeks after surgery
Out of Air Cast boot; just started driving, physiotherapy once a week, calf and toes still very stiff, walking unaided but stairs a slight challenge.

Describe your experience beyond three months from surgery
I am five months on from surgery, running four/six miles twice a week, cycling and fully mobile. Toes require regular manipulation and stretching. Building both calf muscles with various exercises to strengthen and develop flexibility.

Now in hindsight what would your advice be to anyone considering your surgery?
  1. Look at short, medium and long term
  2. Be prepared to work hard with physiotherapy
  3. Be determined to get back to fitness levels pre injury
Gareth Jones (Cheltenham) 2011

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How you were 6 weeks after surgery?
I was still in plaster, on crutches but diminishing pain level.

What is your final experience at a year after your Ankle Fusion surgery?
Pain free. Some loss of flexibility in the foot and ankle but walking extremely well. I cannot praise Mr. Brown and the Nuffield highly enough.

Now in hindsight what would your advice be to anyone considering your surgery?
Do not wait. Have it done, as I now realise how debilitating it was.

Christopher Harrison (Gloucester) 2011

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How were you 6 weeks after Ankle Fusion surgery?
Swollen ankle; some nerves dead; tendon very tight, could walk 100 metres flat footed. Ached a bit.

What is your experience 3months after surgery?
Only ten weeks at the moment. Can now walk a mile a day and nearly normal.

Now in hindsight what would your advice be to anyone considering your surgery?
If you have tried all other methods first, go for it – seems a good job.

Mr W (Cheltenham) 2009

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How did you find the administration for your Outpatient appointments and surgery?
Very good. The biggest problem was with BUPA and sorting out the insurance.

How was your initial consultation? Were all your questions answered?
Yes, very well; things were clearly explained to me.

Did you quickly have a clear diagnosis and a plan of treatment?
Yes, the process was very quick and I was booked in straight away.

How was your experience of the ward during your surgery?
Very good; all the nursing staff were very kind and helpful.

How was the aftercare?
I am really glad I went ahead and had both feet done at the same time. It meant it was all over and done in one go rather than go through it all, then start again. The difference having one foot bandaged or two was negligible; the pain was quite bearable.

Now in hindsight what would your advice be to anyone considering your surgery?
I would say definitely go ahead and have it done. It is uncomfortable, yes but it is worth getting it over and done with. I even managed stairs quickly by just being careful and listening to what my body was telling me.

Describe how you were 6 weeks after bilateral bunion surgery
Much more mobile than I expected to be. I was walking around weight bearing on my heels and outer part of my feet quite happily. If I over did things my feet soon told me. I kept my feet up every time I sat down and as discussed with my surgeon I started wearing "Ugg" boots which were much more comfortable than the shoes I was given. What you need is protection and support (like the boots you get when a bone is broken in your foot) - not open toe shoes. A thick sole for balance/support and a closed end for protection of toes, so a boot not a shoe!!

Fiona Merchant (Cheltenham) 2013

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Describe how you were 6 weeks after surgery?
In plaster but comfortable and able to walk carefully with a frame.

How was the aftercare?
Very good and sympathetic.

Describe your final experience at a year after surgery?
Complete freedom of movement. No pain. Able to walk easily and comfortably with no support and no pain.

In hindsight what would your advice be to anyone considering your surgery?
Do not delay. The benefits are immeasurable.

Mrs A (Ludlow, Shropshire) 2013

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