adrienne’s AchillesBlog

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FWB and 1st PT session

January 29th, 2014 · 6 Comments

Since my last post I was PWB for only 4 days and then transitioned to FWB. The heel was VERY sore initially, but has since gotten better. It’s still a little tender, but easily tolerated. The gel heel insert definitely helps. My ortho told me to work on my ROM as much as possible before my first PT appointment. So any time I was at my desk, take the boot off and move my foot. I was also told that I didn’t need to wear the boot to bed.

So I have a confession. I’ve basically been in two crocs at home since transitioning fully to FWB. I just found it a bother to strap the boot on every time I had to get up from my desk (working from home). I have a small apartment, crocs, and gel inserts - i was basically peg-legging it around. Another reason for not wearing the boot much is that my foot and ankle joints have a history of freezing and lock up when immobilized. I did wear the boot anytime I went outside of my apartment. If my ortho read this, I’m sure I’d get a proper scolding. :(

I also had a little accident yesterday. Well more like a misstep. I was changing my bedsheets (had the boot on) and tripped over my crocs. Quite ironic, I know. (And yes I know that’s not the proper use of the word ironic) Nothing bad happened, but I did jolt the achilles. It was quite sore afterwards and I was worried that I did something. Reading all the different stories on this blog has made me somewhat of a hypochondriac - either ‘I think that’s what I have’ or ‘why am I not doing as well’. But it’s feeling fine now. Disaster averted!

My PT session was pretty much a non-event. She took some measurements and showed me a few exercises to do at home. No soft tissue work, no working on loosening the joints. She did a little massaging of the incision (for like 10 seconds), but it didn’t hurt at all. I guess I was expecting a more aggressive approach. My last PT was very aggressive - to the point where I would break out in a sweat. I’ll see what happens at the next session.

Below is what my scar looks like today (excuse the sock imprint). There’s just a bit of scabbing near the bottom, but looking good I think. The scar feels a bit lumpy and I’m hoping that will even out with some self-massage. On either side of the scar there’s a bit of swelling still and it’s here that I still feel some pain. I’m not sure what it’s from. Would the anchors hurt? Or is it just the tightness of the achilles? Has anyone with Haglund’s had any post-op pain in this area? I’m hoping it’s normal.

Incision 1-29-14

Next week, 2 more PT sessions and a visit with the ortho…

Tags: Uncategorized

6 responses so far ↓

  • 1 janis // Jan 29, 2014 at 7:00 pm

    I thought I’d get in trouble when I confessed to my OS, but his reply was “Great! You’re done with the boot!”

    I don’t know what it is, but I get occasional little sharp pains on the inside of my foot, pretty much between my heel and ankle. From what I have read on others’ blogs, it seems to be normal. First couple days in two shoes, the bottom of my heel on my haglund’s foot was very sore. At the end of the day after first PT, extremely tender. I am happy to tell you it has gotten about 50% better over the last couple of days, and I felt about twice as strong at PT today than I did on the first day.

    It gets better!

  • 2 normofthenorth // Jan 30, 2014 at 2:39 am

    Sounds — & looks — good to me. Don’t stop!

  • 3 adrienne // Jan 30, 2014 at 8:13 am

    Thanks Janis and Norm. I’ll try to stay positive and do my exercises. :)

  • 4 kimc // Jan 30, 2014 at 8:17 pm

    Congratulations, Adrienne! I was walking around at home in my moccasin-like shoes before I got out of the boot (carefully, though). I think it helped when I officially moved to 2 shoes. Keep up all the ROM work - because it certainly helps recovery.

    I think your scar looks awesome. Mine was fairly lumpy, too, early on, but has mostly worked itself out as my activity level increased. The areas around the scar and especially where they bone was shoved down were certainly tender for several weeks. That has lessened with time, and so has the swelling.

  • 5 adrienne // Jan 30, 2014 at 9:27 pm

    Hey kimc,
    Thanks for sharing your experience with the scars and bone tenderness. Does it still bother you today? Any problems with the shoe rubbing against the scar? I can’t wait to get back to running. It’s been two and a half years! Actually, right now I’d be happy to just walk without pain. :)

  • 6 kimc // Jan 31, 2014 at 7:24 am

    Adrienne
    The scar area was tender in shoes until about week 10. Until then I just wanted to wear a shoe with a soft heel back. Now, just about anything works, but I don’t really have any uncomfortable shoes. As you probably experienced, the Haglund’s deformity is (was) an issue in shoes, so I was more limited before the surgery.

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