The type of surgical correction needed for pronated feet depends mostly on how long the problem has been present. Surgery can be as simple as cleaning the inflamed tube around the tendon if the tendon is healthy, or as complex as removing the part of the tendon that is completely damaged and stretched out and reconnecting the remaining healthy tendon to the nearby bone.
The procedure is performed in an outpatient facility under sedation and non weight-bearing is essential for 3 to 6 weeks, and after 48 to 72 hours bed rest and foot elevation. Partial weight bearing can begin at 6 to 8 weeks in a walking cast.
Other more complex procedures may be necessary and involve bone osteotomies and fusions. Non weight bearing is extended to 8 weeks, and full weight bearing at 12 weeks.