Ice and elevation are good for pain control, the swelling can be pretty big when you first get home and will continue as long as your foot is down. Most of my patients need significant pain control for about 4 weeks, then they start tapering off. The narcotic pain relievers do have an effect- they can make you a little sleepy or goofy (I know this from personal experience! My work had to call me when I was in the hospital once and had just been medicated, and it wasn't pretty)- that is why you shouldn't drive or operate machinery until you know how you react to them. Give yourself easy tasks to do at first- something you can do while sitting in a chair- got any quilt bindings to do? Also if you usually sew with your right foot you may have a problem at first learning to do it with your left one (kinda like driving with the wrong foot).