lisfranc injury and postoperative swelling

I injured my foot on Aug. 2, 2007. Because I have high pain tolerance (both a blessing and a curse), I did not seek medical care until mid September. I wore an "air boot" for 3 months but the pain increased. I saw an orthopedist and he did an MRI, at CAT scan and finally a bone scan. He determined that I had a lisfranc injury to my right foot, along with a large neuroma between the 3/4 met.
I had surgery to correct the problems on Feb. 7, 2008. My surgeon placed 5 titanium deck screws(that is what they look like on x-ray), removed what he called a huge, nasty nueroma, and took bone marrow from my ankle for a bone graft.
I am currently 8 1/2 weeks post op, and am on crutches. I was completely non-weightbearing for 7 weeks. I am doing 3 sets of flexing exercises daily with a band and can do 100 per set. My pain is minimal, but my foot and ankle swell tremendously upon rising, usually within 10 - 20 minutes the swelling is severe.
Is this normal? I have read many articles about this surgery, and removal of screws seems to be the norm. However, my surgeon has said my screws are permanent.
I am 44 and was active before my injury, however, I am about 45 lbs. overweight. What is your opinion of my swelling, the maintenance of the screws and my prognosis for complete recovery?
Thank you for your time.

Posted By Robin Grimes on April 07, 2008 at 23:08:50:

Disclaimer
Knitted ankle support incorporating an anatomically contoured silicone insert lying posterior to the medial and lateral malleolus and over the front of the foot. Used to reduce swelling and soreness.

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