Okay, so 9wk review with the OS today and after a less than delightful 2hrs and 44minute wait I got just over 7minutes of my OS’s time….the outlook for the next two ( possibly 4) weeks is gloomy.
So the Ortho Doctor I got today, was just reading notes left by the Ortho director, move boot to 7.5degrees and come back in 2 weeks to set at neutral - but I adjusted the boot to 7.5degs myself 9days ago and was confident they’d be pleased and just go to neutral in the boot (neutral in the boot is actually past neutral in reality)…. he just stuck to the notes - leave at 7.5degrees for two more weeks….the guy never even looked at my ankle
During our brief discussion, I mentioned UWO, the reply I got was that a more recent study in Belfast showed that the protocol they are following (using the hinged boot and adjusting RoM every two weeks) was as effective.
I asked to review the ultrasound scans, where he mentioned that that my ‘rupture’ being right where the calf muscle meets the tendon ‘could not be any higher’ - I do get the distinct impression that the rupture being in a position that, should a re-rupture occur, surgery would be complicated/nasty……. if I can say anything about these doctors, they do have this calmness about them that does install confidence in how they want you to proceed…. were it not for what I have read here about being more agressive in the recovery protocols, I don’t think I’d feel bad about what they suggest.
I am confused/conflicted now - because I am not wearing the boot around the house (when they say I should), I am doing light physio (when they won’t book me in or recommend it), I can walk up and down stairs reasonably comfortably, my dorsiflex is improving every day and I am compelled but confused about manually adjusting the boot…. I’ve been at this setting for over 9 days and again the leg dorsi flex beyond the boot setting.
It just goes to show how little I know and how broad the ideas are on rehab protocols, forget globally, even in the UK alone.
I’d love to hear what you guys and gals think