adrienne’s AchillesBlog

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2nd Post-Op: Cast to Boot

January 11th, 2014 · 6 Comments

Jan. 10, 2014 - 2nd Post Op

Had a huge surprise at my 2nd post-op. No more cast! After the PA sawed off the cast and removed the last of my stitches (which didn’t hurt), the doc came in looked at the incision and said it looked great. He tested the dorsi flexion and i was pretty close to 90 degrees (90 being 0% and I was at 2%). He put me into a walking boot with only the last section of the wedge and partial weight bearing. Yay PWB!!!! After 4 days I’m to remove the wedge and try to get to FWB. And of course range of motion exercises - as much as I can do before physical therapy which I start in two and a half weeks. Yay PT!!!

A couple things I noticed right after coming out of the cast is that my achilles and ankle were both more swollen than after getting out of the splint. I guess it might have been that the first two weeks after surgery, I was spending most of my time in bed with my leg above heart-level. I’m really happy with how the incision is looking.

2nd Post Op

I was surprised how stiff my ankle and foot were. From everything I read in these blogs, I was expecting some stiffness, but wasn’t prepared for how bad it was. It was so stiff that it hurt putting a bit of weight on it. In these last few days I’ve been trying to loosen the bones in my foot. It’s like I’m giving myself chiropractic adjustments every hour. Most notable are the first metatarsal and the talus.

As of now, I’ve been PWB for 2 days with the walking boot and wedge. The achilles is definitely lengthening. My ankle is swollen and warm to the touch. I’m assuming this is normal as it’s been completely immoblized for 4 weeks and I’m making it work now. I’m also feeling pain in the heel - I think that’s the nerves waking up. Overall, the ankle is just sore. But I have been able to put a little more weight on it today than yesterday.

So a couple questions for those ahead of me in the recovery timeline:

  1. For the swelling and warmth, is it okay to ice it every once in a while? I’ve read recommendations of soaking the ankle in warm to hot water to loosen up the joints. Haven’t done any soaking yet as I feel the foot is warm enough. I just don’t want to ice if it’s going to have a negative affect.
  2. Any suggestions for scar prevention or incision skin care? The incision is feeling a bit hard. Is that normal?

Last thing, I measured my calves today. The ATR side is 12 3/4 inches while the normal one is just over 14. Looks like I have my work cut out for me….

2nd Post Op Calves

Tags: Post-Surgery

6 responses so far ↓

  • 1 adrienne // Jan 13, 2014 at 10:19 am

    Just a quick update. Range of motion is getting better, but I still have a ways to go. Not too worried here. I am, however, feeling a great amount of pain at the bottom of my heel. I hear that this is normal, but when does it finally let up? There’s no way I can be close to FWB with this pain. Ugh!

    Also I get sharp stabbing pains in my achilles from time to time. Even when I’m not doing anything. I guess this is nerve pain….?

  • 2 normofthenorth // Jan 13, 2014 at 1:11 pm

    The heel-bottom pain is almost universal. It gradually fades,’though the final fade can take “forever”. It seldom becomes PFasciitis and it usually reaponds to squishy gel footbeds (and Crocs when you get i to 2 shoes) and seated rolling over a tennis ball. Many of us were uncomfortable walking barefoot for a while, and could detect tiny dirt specks and texture changes when we did.

    Sharp pains in the AT (etc.) are a but less universal, but not uncommon. Often harmless, but no harm phoning to ask about it.

  • 3 normofthenorth // Jan 13, 2014 at 1:13 pm

    iPod typos, sorry! Adrienne, If you can turn on AJAX Editing, we can clean up after ourselves.

  • 4 adrienne // Jan 13, 2014 at 1:43 pm

    Norm, thanks for the input. Seriously, your presence at this blogsite is so invaluable! From achilles to wordpress help. :D

  • 5 mjpfc // Jan 17, 2014 at 11:19 pm

    Hi - Check with doc about soaking. I was advised to get a pedicure for the soaking just this week, 8 weeks after surgery. It hurt a little but ultimately felt wonderful. I just became fwb last week. PT started this week. Having some concerns as I am unable to get up on my toes on the operative foot. Looking for similar experiences…so far nothing other than indicating re-rupture. Time to stop looking. :-)

  • 6 adrienne // Jan 18, 2014 at 8:49 am

    Hi mjpfc. A pedicure sounds wonderful! My foot and ankle are so much better. I’ve been working on my ROM this past week. And congrats on getting to FWB. Did you experience any heel pain? You should start a blog if you haven’t already done so. Would love to hear your experiences and progress. You’re ahead of me in recovery so unfortunately I can’t offer much. :) Anyway, happy healing!

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