Thank you everyone who has responded to my blog/questions.  I’ve learned a lot from you and know that I am not alone in this journey.  In reading your collective responses I’ve learned that there are many schools of thought in treating our injury.  Some have stitches while still in hard casts while others have transitioned to boots a lot sooner than others. What gives?  Is there no "one" rule on how tho deal with this?  By the way, I am 10 days from getting my hard cast removed and transition into a boot…(yay)  My doctor seems to be taking the "old school" course in healing this.  I had to negotiate getting out of my hard cast a week early because there was no way he would put me into a walking boot before 4 weeks in a cast. So what should I expect when I get the boot — (pardon the pun)?  Do I have to sleep in it?  Can I not wear it in the shower?  By the way, the shower cast protector is fantastic!  If you don’t have one, get one!  Arrrrgh!  I just want to wear my shoes again!!!


4 Comments so far

  1. mtbrider on August 19, 2011 4:30 pm

    I think that the bed and shower situation is up to you. Both involve some risk of re-rupture from slipping, turning the wrong way etc.

    I think it is a matter of evaluating what you think the risk is vs what you think the benefits are. I personally slept with the boot up until about week 8, and showered with the boot until about week 6.

    In hindsight happy with the bed call but the shower I could have done earlier. Found it a rght nuisance showering with it on as I did not have a proper shower cover. I used a towel, rubbish bags and tape.

    If you do go without the boot for either or both just be extremely careful.

  2. xplora on November 24, 2011 4:55 pm

    Mtbrider is very right in what he has said about showering and sleeping with the boot. You will have to make that call. Regarding the old school way. It was not my way but it still works. Even if you asked why he does it that way, he would probably not tell you the entire truth. There is nothing wrong with having a cast. Doctors like it because you can’t take it off. Surgeons hate us patients when we destroy their work and it is tempting to take a boot off when you shouldn’t. Newer protocols get you moving quicker but looking long term, the older ways will still give good results. It comes down to how you apply yourself in the physio. The faster track protocols do seem to produce a slightly better power outcome sooner. The thing about tendons is they like to be loaded (when healed)and collagen laid down at injury is weak and disorganised. Physio will help change that and all that will take time regardless of the way you are treated. The good thing about having a boot is the ability to get some gentle movement into you foot (I started this week 3. As long as you don’t go pulling on it, you should be able to move it around while support and out of the boot. Just use your own muscles and move it within its own range. Write the ABC’s. The bad thing about being in a cast for a long time is all the other little muscles and bones have to get working again.

  3. 1shutinathlete on November 25, 2011 9:27 am

    Ok, thanks for that. Hope you’re healing well.

  4. Becky on November 25, 2011 10:35 am

    I sleep and shower with the boot. I am 5 wks post- op and I just feel more secure in my decision to keep the boot on. I want nothing but to walk again so taking a little caution will get me there.
    Take care.

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