2 shoes / 12 weeks atr post op

Posted on March 10th, 2014 by beardedmurray

I have been doing exercises at PT for a week  in 2 shoes. Ride stationary bike, stretching, balance board, squat and calf raises on machine light resistance, hip strengthening with bands, as well as manual therapy on the tendon.   I also have been walking around the house and office with two shoes but wear the walking boot outside of that.  I am way too slow to go anywhere without the boot, my stride is short plus I don’t have any strength in my leg to keep correct balance and have a decent stride.  It feels ok to walk on it except in the morning it is really stiff and I can barely step with it, more or less shuffle until it warms up.

I feel the strength building in my leg but I still have a very tight tendon according to my PT. The tendon to the touch is feeling loose except right at the base of my heel where it is still tight and fat and they work on that manually.   I am  not looking at this as a negative just yet, it seems like it is better to be tight than loose feeling, meeting with the OS tomorrow for my follow up visit.   I have been able to dorsiflex 4-5 degrees actively and a few more passively.   I am pretty sure the OS didn’t want me to be upright on 2 shoes until the visit but according to my PT I was ready so we started a week early.

PT is pretty enjoyable for the most part, there is a good group of trainers and assistants who enjoy their jobs and keep up with all the happenings on the local teams so it is real easy to have conversation with them plus with my history of sports injuries there is always something to talk about.  I go at the end of the day so I can sneak in an upper body workout a few times a week since I suspended my gym membership, I dont have the time to do both although I would be up for getting back to the gym.  My PT is pretty new and has everything you can imagine but no Alter G treadmill, I asked the PT about this and they said other branches have one but it is something I assumed every new therapy place would have.  Pretty bummed about that as I have read a lot of blogs mentioning their usefulness.

I get pain in my leg only after being upright for too long say an hour plus straight but not too bad, I ice after PT and at night on and off before I go to bed as it swells by the end of the day.  Overall feel much better about this situation, I am still keeping June 14th 5k mud run on my calendar, I may walk it but I am pretty sure I wont have to sit it out.

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8+Weeks Post Op

Posted on February 14th, 2014 by beardedmurray

FWB, no crutches, removed a heel wedge (5 more to go) and starting the resistance band training in PT. Whole lotta action going on here! Not much else to say about it other than I am pretty happy with progress so far.  Measurable increased ROM and now starting with the resistance bands I can actually engage my calf muscle, well whats left of it but it feels good.  

Going crutchless is a great feeling.  I am pretty slow still but know I am getting better with it daily so it is just a matter of time before I am taking full strides consistently. 

I was using a cast sock for the last few weeks under the walking boot and just started wearing a compression sock as I noticed there is a lot more swelling again being on my feet more.  We will see how much that helps.   

I am going to try the stationary bike today I am looking forward to getting some cardio back in my routine.

9 Comments »

Week 7 WBAT, started PT…now how to go crutchless?

Posted on February 6th, 2014 by beardedmurray

I started weight bearing finally after 6 weeks of immobile NWB cast.  It is a freaky feeling to think that I can rerupture with one wrong move. I felt really vulnerable the first few days for sure.   There was a lot of pressure on my ankle joints, tendon, and my heel when I started WB.  I can put full weight on my leg but find it hard to believe I am cleared to walk without crutches.  

PT- went for initial visit  hoping to end up with a pretty female pt who I can look forward to massaging my tendon 3x a week but ended up with a pretty cool dude instead.  He really seems to know his stuff so I can settle for that!  Plus once I saw how up close and personal he got with my feet I think I might  feel bad if it was a chick.  

I have doc orders of active ROM and table stretches only for the next 6 weeks.  The PT is progressing I am on 4th visit and have much better ROM seems to be moving slowly though.  Basic day is heating, massage, ROM, hip exersizes, boot walking with crutches to correct gait, then ice.  Pretty basic boring activities that I can and do at home, all but the massage part.

I am still using 2 crutches for the majority of “walking”.  On one crutch, which I can do but with a lean, I am way too slow to do anything more than 20 feet.   One week after WBAT, the slight strain in the back of my leg tells me not to go 100% WB walking yet.  The pain is better every day but the wedges start coming out next week and feel that if I dont get to crutchless walking soon then removing a wedge might set me back pain wise. 

Is it just a momentum thing how does one walk without an ankle joint?   Walking with 1 crutch is possible right now for me but it is real awkward and slow, but at least I have use of one arm.  Hoping to be crutch free the end of this week with help of my PT.  Can someone ease my mind and get me motivated to go crutchless?  Did you have pain in tendon and still put weight on it or was it pain free transition?

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ATR 4 week follow up visit… not as expected

Posted on January 24th, 2014 by beardedmurray

Coming into the follow up visit wondering how it is going to be with a walking boot, man this was going to be good to be able to clean my leg daily and massage the soreness, even scratch an itch.  My appointment was 1 hour before the office closed on a Friday.  You could sense the urgency in the staff that they just couldn’t wait to get the hell out of there.  That made me nervous that they would rush me along.  Hate that feeling.  I had a list of questions again this time more focused on PT and ROM exercises. 

When the cast was removed I was surprised to see my leg doesn’t appear to have lost much size and felt good and strong when I put my leg on the table.  It was also pretty gross with dead skin buildup and cant see my ankle bones but other than that looks relatively ok.  The doctor came in and took a look and said it is healing good… and that I will need a cast for another 2 weeks, said very nonchalantly.  NO Way. I asked how he made that decision, last visit I was told I would get a walking cast.  His exact words were - “It is not as strong as I would like it.”  That knocked me off my ass and I really didn’t know what to say, so I just said ok that sucks.  How was it supposed to be strong just rotting in that cast, does he mean the tendon itself how can he tell that from just pushing on my foot, I didn’t have any pain when he did that… I didn’t think fast enough to actually ask him these questions directly, I was so caught off guard.

I did eventually ask about PT he said not to contact until after week 6 he wants to protect my tendon still.  I also said that I read a lot about early movement and PWB could be helpful for recovery but he said due to my complete rupture that is not his protocol and said this process has been a proven method and that they are taking care of me and not to worry. 

They were nice in delivering the information and I am not a doctor I have only read this stuff online.  But I cant help feeling like they are doing this just to put me on a shelf for another 2 weeks just to get me out of there for the weekend.   I stressed my concern but I also don’t want something to happen like a re-rupture. 

Since I was going to get a re-cast I asked if I could clean up my leg at least and they gave me a pile of gauze pads soaked in alcohol.  It did the job but it bugged me that they were going to just cast me back up without either cleaning my leg or suggesting this themselves.  It felt good to massage my leg and clean it and I was pretty bummed I wouldn’t be able to do this for another two weeks, on top of the fact that the doctor just told me it “wasn’t as strong as he would like it to be” ‘

So here I am in limbo again, everyone asks how I am doing, it sucks not being able to gauge my progress with some kind of ROM exercises or PT to measure improvement.  I am getting around on the hands free crutch pretty good now but I’m ready to start the next phase. 

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ATR Post op - health and fitness

Posted on January 22nd, 2014 by beardedmurray

One of my first thoughts after the ATR was how am I going to stay in shape and not gain 50 lbs! I dont have a perfect system down and really want to open this up to suggestions and comments as my routine 4 weeks in is getting really stale.  I think the best thing I am doing is weiging myself daily so there is no way 10, let alone 50lbs can sneak up on me.

Diet: minimilize portions as much as possible and cut back on carbs, fats, sweets, sugar in general.
Typical day of meals: 7am protein shake, 10am lowfat greek yogurt, 12pm turkey and cheese sandwich with a fruit side, 3pm apple or almonds, 6pm chicken and vegetable dinner.
Pretty boring and was not easy over the holidays or when we had a mom staying with us to help out around the house making all sorts of baked goods!

Week 1-4 Exersize: Ab ripper workout from p90x mostly leg lifts and core twisting motions for a good 20 minutes every other day and on the alternate days a pushup and pullup routine, 20 minutes.   Also stretch whenever I get a chance on the floor to loosen up my back and hips from sitting so much.

Very simple and covers many of the upper body movements in just these 3 workouts.

Currently on week 5: I have completed one upperbody shoulders and arms P90x workout- about 45 mins long and an ab ripper x to get a full sweat going that I havent had in quite a while.  I plan to work these longer full workouts back into my routine probably once a week while doing the above workout as normal every other day. 

I have a fiberglass cast from toe to knee and dont really want to sweat too much in it but I tend to lean more to my fitness than worrying about a stinky leg.

Any other routines or suggestions on working fitness back in with ATR, or getting back to the gym tips?

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ATR Post Op week 2 follow up visit

Posted on January 22nd, 2014 by beardedmurray

My follow up visit from surgery couldn’t come fast enough. I had to wait 16 days since my son was born at the 13 day mark. I was so curious to see my jacked up foot and ankle expecting it to be all purple and bloody, it felt like a balloon ready to burst out of the splint at least when it wasn’t elevated. Since the intense pain eventually subsided I was pretty confident I was healing up pretty well even though I spent a few days upright in the hospital and had quite a bit of pain towards the end of the day. I have even started a light upper body workout routine to try and keep some shape, doing pushups and pull-ups and core workouts and stretching throughout the day after the first week to relieve my back and hip stiffness.

Well I crutched into the follow up appointment and the nurse removed my cast and boom! Wait, no explosion, no bloody mess, no major bruising, looked just like it did two weeks ago. I was very disappointed in the lack of visual evidence of the major pain I had felt especially early on after surgery. Outside of the yellow iodine staining and the small incision on the back of my leg there wasn’t much to see. I remember sitting on the table and not knowing what to do with my vulnerable leg once the cast was off, can I set it down on the table should I leave it dangling??

The doctor came in and asked about the baby which caught me off guard, very impressed he remembered we were due. Looked at my foot, said ok throw another cast on it, and then see ya, on to the next patient. I was completely caught off guard I didn’t even get to my detailed question list which was on my phone! I was dying to find out how surgery went amongst so many other questions. I was really offended that he is not taking any time to reassure me that things were going well or at least explain how successful surgery was and how its healing and why it needs to be in a hard cast vs walking boot or anything. He was seriously like halfway out the door and I started with questions and he was just poking his head back in to reply to them with short answers, but after like the 5th question he pulled up a chair and started addressing me like the needy patient that I was! He realized I wasn’t going to stop any time soon.

Most of my questions were along the lines of returning to work and restrictions and getting a letter to get off medical leave, I asked if my workout routine would be ok, he laid out my restrictions and even mentioned I could go to the gym and do leg extensions if I wanted while also telling me I was in the protective phase and one fall could cause a re-rupture. I never thought to go that far as going to the gym yet, I don’t feel like crutching around people waiting for a machine. But, I was glad to hear I could be somewhat active.

I also asked his opinion on the hands-free crutch and he said he loves them and wished more people would use them. I still wonder why he never mentioned them before, I believe I first found out about them on a blog through this website. He must be getting paid more by knee scooter companies!

I didn’t have feeling in my toe still it hasn’t returned as he mentioned over the phone. “It will come back in time, was due to the splint cutting off a nerve but couldn’t have been from the surgery since all of the nerves for the toe run along the top of your foot” me – “ok I’ll buy that, but why hasn’t it returned now that the splint is off” OS- “oh it can take a while”

I asked about the timeline and what to expect next visit and even further down the line and he said they will make a decision to get a walking boot or recast after next visit. His original plan for me was 6-8 weeks in a hard cast NWB, then a walking boot for 6 weeks PWB then FWB as tolerated with heel wedges. But a walking boot at 4 weeks no way! that is great news. I have read a lot about early movement and the positives of this in my many online searches and feel like that would be my best approach since I don’t want my ankle joint to be unused for 6 weeks. I felt I made my surgeon decision out of urgency and didnt look into other options such as possible early movement or more active approach to healing which sounds more progrssive to me. So I was glad to hear we might be going to the boot and PT early.

I came home very hopeful of a quick recovery plus heading back to work so I can once again be a contributing member of society!

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Post op- Week 2- house of pain

Posted on January 21st, 2014 by beardedmurray

Fell asleep night one with completely numb leg and everything was great, all drugged up and finally on road to recovery.  I kind of  knew I had it coming so I took a Percocet and went to sleep, around 4am intense pain started creeping in and never let up for 3 days.  It was the most incredible unrelenting pain, I was miserable.  I had my wife call the doctor after about half a day, I was sure that something went wrong with surgery and they left several razor blades or needles in my leg after they stitched me up.  Seriously the only way can describe the pain is it felt like I had stepped onto a bear trap and was hung upside down from a tree by it. 

The doctor called back and upped my meds to Dilaudid which needed to be picked up in person being a controlled narcotic and cant prescribe over the phone.  Sent my out-of-town mom on the errand to run downtown Chicago as my pregnant wife and 2 year old were home but staying far away from me as possible so I wont curse them out.   Started taking this night 1 and nothing, didn’t touch the pain and didn’t make me drowsy enough to sleep through it like the Percocet did. 

Called doc trying to convince them that something was wrong, he said the pain is normal and to double dose and see if that works.  This kind of pain is normal! I wish they left me in the hospital so they can give me another nerve block! Doubling the dose didn’t work… so after 12 hours of experimenting with Dilaudid and overworking my liver I went back to Percocet doubling the dose and at least able to sleep during the peak of the drugged induced grogginess.  This went on literally 3 1/2 days taking 2 doses of Percocet every 4 hours, then it was tolerable and I was able to get up and sit on the couch, with leg propped up.  I iced religiously for the first 2 weeks, even waking my wife at night to refresh the bag. 

The rest of the week went ok with just taking meds at night to help sleep as I could never get comfortable.  Also I lost feeling in my big toe along the top side from knuckle to nail.  I informed the doctor and he said it is most likely the splint pinching something and it should be fine.  I lasted the 2 weeks but looking back I wish I went in right away to have the splint redone, I am certain the amount of pain I had and the numbness in my toe were due to too tight of a splint. 

Day 7 celebrated xmas with family out on the couch but able to enjoy it.

Day 13 Drove wife to hospital to give birth to our son on New Years Eve! The nurses there took care of all 3 of us so we stayed the extra day to get room service and fresh bags of ice.  Also this is where I figured that I need a shower stool and an adjustable showerhead to shower instead of taking a bath which was way inefficient! Had my brother set that up once I returned home.

Also side note- my mother came to town from Michigan to take care of us since my wife was so pregnant and expecting any minute. So Thanks again mom! I relied heavily on my mom and brother to help with everyday items such as shoveling snow and cooking dinner.  Was hard to accept the help but I was virtually useless outside of wearing out the remote. 

As far as the first 3 days go, I haven’t read of any accounts similar to mine.  Other post-ops I have read really either downplay the pain or were less painful can anybody relate to the incredible pain the first 3 days after surgery? 

5 Comments »

ATR Surgery- Minimally invasive

Posted on January 21st, 2014 by beardedmurray

After the eternity of waiting 3 days to even call an OS and spending every waking minute online researching ATR’s I finally made my appointment and met my doctor.  Since I had such a poor experience with the ER, see previous post, I decided to go with a different OS than they recommended one that serves the Chicago Bulls/Blackhawks and was able to see me right away. 

I meet the OS, he literally wrote protocol for diagnosing ATR with no need for costly MRI, that was pretty neat to hear that he is so passionately involved with ATRs, he was almost a little too excited it seemed to have an opportunity to cut me up and stitch my Achilles back together! but he went over 3 options: no surgery, minimally invasive (sexy incision), or old fashioned full incision.  I immediately said full incision but he explained all the possible complications and I started thinking about the mini as he says there were same amount of reruptures in both and really no drawbacks other than possible nerve damage in the mini vs incision complications with the full.  He informed me how NFL players are choosing both repairs depending on their OS and successfully back in the game, truly no one way better than the other.  I begged him for his favorable opinion one way or the other and he was split right down the middle, has performed the same amount of surgery techniques and hasn’t had any complications or reruptures with either. 

I needed to go home and really research for myself which way to go, he had no problem with that and we scheduled the surgery for the next afternoon.   He actually fit me in as my wife was due with our second child in 2 weeks to the day and he said I would need a full 2 weeks to recover from the surgery before I could be upright not elevating my leg. 

I researched and reached out to friends/family who were in the medical field and my dad who actually had the full incision surgery 15 years ago.  Although he hasn’t had any complications his shoes were very uncomfortable and had to modify to wear and he hasn’t been physically active other than golfing since due to knee problems, and I plan on getting back to sports.

Everything I found was either more positive doing the mini vs. the full incision and it just made more sense to go with the smaller incision as long as everything was lined up, otherwise we have the full incision as the fall back plan should he need to open it up more during surgery.  So I informed the OS minutes before surgery my decision to go with the mini.  I was already drugged up and nerve blocked by that point, woke up and leg was in a cast and I was in a different room around totally different people. “Hey how did my surgery go?!”

Nurse- I am sure it went well but I wasn’t there that team has already left for the night”   me: “huh what the….. well I have like 500 questions, first I was told I will need to elevate my leg after surgery and I’m laying here with my leg down on the hospital bed isn’t that what I’m not supposed to do?”

Given my post op instructions and  free to go home… dead leg and all

Anyone have same surgical/repair options given by OS? How did you make your decision on type of surgery?

2 Comments »

ATR - ER Trip

Posted on January 21st, 2014 by beardedmurray

ATR on 12/13/13.   Yup Friday the 13th.  I must have walked under a ladder, crossed path with a black cat, stepped on too many cracks…

Other basketball guys helped me to my car after the injury, by that time I really didn’t have much pain but couldn’t walk or move my foot properly, was hoping for the best still, possibly a sprain or strain… I called my wife (38 weeks pregnant) who just put our 2 year old daughter to bed to have her bring me crutches so I could drive myself to the ER. 

ER doctor confirmed ATR and took X-Ray to check for broken bones, told me I would get a splint and to call the orthopedic surgeon soon as possible.  Really that’s it? no rushing into surgery, no urgency at all, I have a foot that doesn’t work and I am supposed to just call someone else to fix it after the weekend, what do I do in the meantime, just let my tendon flop around??? I had really no clue this would happen.  Can I at least get some pain meds?? She got me a prescription of Norco and sent in a nurse to put on the splint.

Nurse walks in 20 minutes later, looks at my leg and diagnoses without looking at a file or anything, “sprained ankle” I’m here to wrap it up.  Me “You really think I would come to the ER for a sprained ankle?”  Doctor walks by and says “oh no he has ATR, need to put splint in downward position and wrap up until he can go to the surgeon.”  Thank God she walked by… so she gets this cast wet or whatever to set it up to put on my leg to form a splint and calls in two male nurses or really they could have been janitors for all I know and left them in charge of putting on my temporary splint, “ok lay on your stomach and point your toe upwards”  me- ” Owwww that hurts like hell, my leg is cramping up like crazy are you sure I should be doing this???” Janitor “yes hurry the cast is setting” Me “I don’t have a tendon how the hell am I supposed to do this” I flip around in major pain and hold my leg, I literally had to argue with these broom pushers telling them there has to be a better way to do this why couldn’t i just sit on the edge of the table and they put the splint on that way where my foot will naturally fall and “point down” seriously wanted to punch these guys they just looked at me like I was the biggest wimp. 

Somehow they manage to get the splint on and janitor 1 brings me a new set of crutches for my 6′-4” height not the 5”-4” ones I borrowed from my wife and tells me to have a good night.  I’ve got 2 sets of crutches a shoe, Jacket, and bunch of paperwork to carry and this guy gives me crutches, me “dude can I at least get a wheel chair out to my car in the snowy parking lot?”    janitor 1 “oh, sure”  he acts like he was doing me charity service…. $1700 total before insurance

3 Comments »

Leading up to ATR- Why Me!?

Posted on January 19th, 2014 by beardedmurray

Left leg ATR occurred playing basketball at the local rec center. 

History: I am a bit of a competitive guy and tend to go all out no matter the competition.  Being 31 I feel I am still in my prime and even better than in my 20’s playing college football since learning about nutrution and working that into my regiment of workouts including cardio, jump training, and weight resistance training every other day with one day off  per week.  I felt in top condition leading up to the ATR.  I have been doing the P90x 1 and 2 workouts at home and do other weight resistance training at a Gym.  I also recently found a new way to be competitive by doing “Mud Runs” I competed in several in the Chicago and Wisconsin area this last year and absolutely loved them even finishing in top position in one 4.5 mile race and 2nd place in a 5k. 

So back to the competitiveness, I should have been taking it easy and shooting jumpers and laying off on the defense knowing that I have been hurt several times playing basketball, either a sprained ankle, twisted knee, back pain…etc but I just dont have a slow gear when it gets competitive.  We were on the 5-6th game of the night and this one was going to end when they kicked us out so I was making sure to leave it all on the court.   I stole the ball and quickly turned to run upcourt and snap, pow, bang, somebody stomped the hell out of me from behind.  Some idiot just clobbered my leg!  who was this clutsy A-Hole!  turned around as I fell to the floor and nobody behind me.  Instantly remembered the same story as told by my father and co-worker about their ATR’s and knew what happened.  ATR would never cross my mind, I thought I had at least 10 more years before I would even have to think of that possibility, how could this happen to me, I was in great shape, stretch properly and was already warmed up? Still cant figure that one out.   My dad was in his late 40’s and coworker early 40s. 

oh by the way-  Wife 38 weeks pregnant (full term) and 2 year old at home.  Live in Chicago with all family back in Michigan, and I go and get myself seriously injured.   Definitley pissed at this point about all the conditioning and strength I will lose due to this injury, not to mention I was already signed up and paid for at least one race this year and very much looking forward to about 6 of them…

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  • beardedmurray | March 12th, 2014 | 12:20 pm

    Met with the OS last night and given the all clear on pretty much everything based on pain tolerance and no fear of rerupture by regular activity (no basketball!). Said the tendon feels great!
    I was surprised to hear that, as he has been on the conservative side, but it gave me the confidence and must have broken the mental block I had. I’m no longer limping without the boot and taking longer strides today so I shoveled snow in 2 snow boots this morning. I don’t think I will use it at the airport or from now on. Amazing how the mental aspect plays such a big role.
    Also said the discoloration is normal as it will still swell for another 6 months or so with use.
    My PT attended the appointment with me with the OS to give the update in person, I really thought that was pretty incredible to have them discuss the progress made and PT moving forward. Looking forward to PT tonight to try the new exercises.

  • Vicki | March 12th, 2014 | 11:50 am

    My leg sounds like yours in the color department. In fact, I snapped a picture of it this morning to show my PT.

    Good luck in the airport and safe travels.

  • normofthenorth | March 11th, 2014 | 1:19 pm

    Many of us experienced asymmetrical leg colors. I think mine started BEFORE my ATR, and I’m not symmetrical now either, after rupturing BOTH of them! So I choose to believe that this is a trivial, normal, and harmless thing, though based on not much other than (a) that experience and (b) the fact that any MD I’ve mentioned it to responds by saying “Next!” (I.e., next item on my list of concerns.)

    If the boot helps with your discomfort from standing or walking too long, you could certainly wear it. I don’t think my boot helped much with that, so I might take a folding camp stool in a backpack, and sit down on it in the long slow lines.

    Alternatively, airports (like hospitals) are comfortable with people in wheelchairs and people who need lifts in their various electric vehicles. I don’t know if they have loaner wheelchairs like hospitals do, but a phone call should answer that question.

    Don’t forget that long flights AND ATRs (esp. op) are BOTH risk factors for DVT, so drink water and stand and walk during the flight.

  • beardedmurray | March 11th, 2014 | 11:50 am

    My PT has pointed out the adhesions and really works on them for me during therapy, I am meeting with my OS today for the 12 week follow up and racking my brain for any questions for him, I am mainly going to ask about pushing my rehab and warning signs to look out for. I also noticed my ATR leg is quite a few shades darker (almost purpleish) than my other leg some of the time and not sure why the circulation is so poor, want to be sure its nothing serious.

    I am going to travel in the next week and am worried about the airport and walking/standing in line forever as it is always busy at OHARE, wondering if I should just use the walking boot to avoid potential issues…any experience there???

  • normofthenorth | March 10th, 2014 | 10:55 pm

    Not much to add.

    As you know, all the modern protocols (op and non-op) wean off the boot well before 12 weeks. If you’ve got a hinged boot, and it’s free to hinge, I don’t think it’s holding back your progress very much.

    In 2 shoes or barefoot, you can still get a full-length stride on one side, even if you have to shorten it up on the other. That asymmetry is harmless and useful, AFAICT.

    Have you noticed any scar-tissue adhesions? I.e., do you notice your skin moving or puckering when you flex your ankle to its limits? If so, point them out to your PT and challenge him/her to break them up, because they’ll limit your ROM.

  • Vicki | March 10th, 2014 | 8:23 pm

    I had no idea what the Alter G Treadmill was so I Googled it. What a fantastic looking device! I especially like the pants you put on before you climb aboard. I doubt my PT office will have something that fancy. I will let you know if they do.

    Vicki

  • janis | March 10th, 2014 | 6:42 pm

    The progress comes pretty fast where you’re at, at least it did for me. I just noticed today that I’m not really having any of the pains I’d been complaining about along the sides of my heel - tightness is my main calf and achilles complaint these days. (about 16 weeks out)

  • beardedmurray | March 10th, 2014 | 4:10 pm

    Thanks Viki congrats to you as well with your progress!
    rdola I am at Athletico in Oakbrook Terrace Id like to hear how you like the AlterG when you get to that point. Thanks for the advice thats what I really wanted to hear about my part time boot wearing! If anything the nice weather today will ensure there is no ice patches or snow to deal with I think I will carry my walking boot to the car after work!

  • rdola | March 10th, 2014 | 3:40 pm

    Sounds like you are progressing nicely, BM. And it is like reading my timeline. I am 13 wks post op for full ATR tomorrow, in 2 shoes for 3 weeks. Tendon and front of ankle still a bit tight but small improvements every couple of days with the PT. I am going to athletico in niles, IL (see you’re in the Chi-town area), they have an AlterG there but I’m not on it just yet, need a bit more calf strength. I ice every night for swelling as well, but again, every couple days it gets better. You may want to ditch the boot if you can, your gait should come back quicker. But of course, do what your body tells you. Good luck! I’m sure you will hear from n-o-t-n or janis shortly :)

  • Vicki | March 10th, 2014 | 3:36 pm

    Congratulations! Sounds like you are making progress. I just started in 2 shoes on Friday and go to my first PT appointment on Wednesday. Super excited!

    Keep up the good work.

    Vicki

  • beardedmurray | February 24th, 2014 | 1:16 pm

    10 Weeks and walking fine, there was a huge leap in progression from writing this to the end of that week able to walk into a store without crutches and now very comfortably walking long distances on the boot.

  • Janis | February 20th, 2014 | 9:33 am

    Keep up the good work! I can tell you that if you keep working, it gets a little better every week. Sometimes you can notice a leap in progression even over a couple days’ time.

  • normofthenorth | February 14th, 2014 | 10:43 pm

    And make sure you build up your uninjured foot so it’s as high off the ground as your booted one. That may be tough with 5 heel wedges, but it’s important.

    And install the ATR Timeline Widget if you can, please.

  • Ron | February 14th, 2014 | 9:50 pm

    Hi BM,

    Biking at 8 weeks is good (I started at 7). The one thing that is a bit strange to me is still having 5 wedges while FWB. By the time I was FWB (week 6), my PF was at 0 (no wedges).

    That said, you should be moving faster and faster as each day goes by, as long as you keep up your PT.

    While ROM is great for general PT, it takes muscle and tendon strength for gait\walking, etc. So be sure to step it up regarding PT, and not just ROM work.

    Either way, keep us posted and good luck.
    Ron

  • beardedmurray | February 7th, 2014 | 3:39 pm

    I just started using the Even Up shoe leveler it is a world of a difference it feels way more natural now and minutes ago i was able to go without crutches for a short distance, it is not smooth yet but it is pain free. Progress.

  • normofthenorth | February 7th, 2014 | 2:35 am

    If your boot is snug enough and stiff enough, you should be able to walk fine and fast with no pain — at least none close to the ATR. Some of us were super-sensitive on the bottom of our foot after weeks of NWB, tho that’s usually worse in 2 shoes or barefoot than in the boot. The trick to boot-walking is to use the curved boot sole to roll from heel to toe, pushing your knee forward as you do. The boot should transfer the force a normal AT applies, from the ball of your foot to the front of your shin — i.e., from the front of the boot’s sole to the top-front of its cuff.
    I think RyanB has a good video, and I’m sure YouTube has more. When I was used to my boot, I could walk faster than all of my friends! (Then you slow WAY down when you “graduate” to 2 shoes! ;-( )

    BTW, I consider using 1 crutch to be the Work of the Devil, and I avoided it. Tried a cane for a day or two, then blissfully started forgetting where I’d left it. With 2 crutches, it’s possible to walk completely normally except for your weight being shared between your healing leg and your arms/crutches. With 1, you’re always lopsided.

    A propos: As you approac

    [...]
  • beardedmurray | February 6th, 2014 | 3:50 pm

    …also OS doesnt want me to use a stationary bike, and the PT said he wont go against doctors orders and stated that i would be firing on my calf muscle which might disrupt the surgical repair. I have read others accounts of stationary biking once boot is on and was hoping to do so for cardio. Did you just do it or was OS/PT supportive of it????

  • kellygirl | January 29th, 2014 | 7:35 pm

    @Bearded: I was a nervous Nelly when I first got in the boot. I think that is totally normal and to be expected. I think the best thing to do is just gradually start putting more and more weight on the boot–you can use two crutches at first and then drop down to one. (I skipped the one but I think you are suppose to use the crutch on your good side.) Make sure that your foot is securely fastened into the boot–that’s my best suggestion. Once you relax and get the hang of it, you won’t be looking back. Hope that PT helps you sort it out. Good luck!

  • beardedmurray | January 29th, 2014 | 5:18 pm

    6 Week visit yesterday and received a walking boot finally… it is really heavy and bulky but so glad to be able to start washing the layers of dead skin off!
    It is stationary with heel wedges. I am to leave the wedges in place for 2 weeks then remove one every 3 days. I am WBAT and have not been able to T yet. Feels very awkward trying to put weight on the foot with a boot on, a lot of tightness in the tendon area along with pain in heel/foot/calf. Very timid to try it so far. Seeing PT for first time tonight as well so hope they can help me thorough it. Any advice on first few days WBAT with a walking boot?

  • deeleft | January 25th, 2014 | 6:54 am

    Hi beardedmurray, it really is disappointing when you don’t progress as you expect to isn’t it? Especially when it seems to be a very quick decision by the doctor and they don’t explain what it’s based on. And of course since he mentioned you’d be in the boot last time he saw you, it’s a real knock when you have to wait longer than you expected.

    Hopefully these two weeks will pass quickly for you anyway and your tendon will feel strong once it comes to putting weight through it in the boot. Good luck for your next appointment!

  • anne | January 24th, 2014 | 8:27 pm

    Ohhh I’ve been where you are and I felt the same way you do. I agree with Stuart 100%.

    I am a rerupture, so I didn’t really have a leg to stand on (pardon my pun) when I balked at having to be in a cast for 6 weeks post op. So 6 weeks in a cast, and 5 weeks in a boot. I don’t think any of this impacted my recovery. I’m 6 months post op now, I’m running at 62% of my bodyweight (I’m up to 6 miles & 7.5 mph) and can do a single heel lift. In many aspects I am much better off than before my injury.

    Everyone heals differently, but I found the most important thing about this recovery (for me) is grit and attitude.

    I think they don’t wash the leg when they change casts, is because it was sterilized from surgery. I finally asked if i could wash my leg when I went for my 2nd cast change, and the nurse wouldn’t touch it, she gave me a towel and a bucket with water.

    My defiance was walking in my cast.

    Sometimes it takes a huge storm to clear the sky and then the sun comes out. Your sunny day will come soon.

    Take care!!!!

  • janis | January 24th, 2014 | 7:35 pm

    That is disappointing! For what it’s worth, even though I was in a boot from day of surgery, I wasn’t supposed to WB for much of that.

  • kellygirl | January 24th, 2014 | 4:40 pm

    Your post brings back memories. I remember feeling anxious about getting out of the cast and into a walking boot. My queries fell on deaf ears too. Sounds like you are keeping in shape and making the best of the situation. Two more weeks and you can start WB–while not optimal compared to some of the people around here, I have a feeling you will make up time on the other end. Hang in there.

  • Stuart | January 24th, 2014 | 1:47 pm

    Murray - I know it suks when you read about so many others who have got into shoes quick or out of the casts but I really would encourage you not to worry. I have trouble with casts and convinced my doc to let me get a boot after one week. The evidence is there for early weight bearing and motion but from what I have read, given good PT you will still have a good result. One study I read (linked to my page under further reading - Xplora) said the real difference was in quality of life in the early stage and there was little difference in results after 2 years. I know this early stage is on your mind at the moment but in real terms this is the shortest phase of recovery. Try to be patient and think of the end game. The hard work will be starting soon. The anit spam word was optimism. Sometimes it is very appropriate.

  • Ron | January 22nd, 2014 | 11:30 pm

    Hi BM,

    If you can move to a boot, do so. My splint also caused all types of issues and I had no feeling in my big toe for a week or so, but it came around. I am not sure the extent of your rupture, but the quicker\more you can move your toes and feet, the better.

    I’m sure Norm and others will also have better advice, but hang in there and be a little pushy because Ortho’s don’t offer a lot regarding recovery\rehab, just surgery.

    Good luck and keep us posted.
    Ron

  • beardedmurray | January 22nd, 2014 | 10:42 am

    I asked my father with the knee problems and he noted that it was his opposite knee of the ATR that is bone on bone. I imagine this might be more common as you heavily overuse the healthy leg during the 6 month period or so. Personally my healthy leg hip joint is killing me every morning now for about a week from one leg standing/squatting to sit and get up, hope that isn’t a sign of more joint pain to come.. but I dont know anything about shortening of the tendon that sounds like it could throw off body mechanics though.

  • normofthenorth | January 22nd, 2014 | 12:28 am

    FWIW, I’ve had two hernia surgeries and one open-heart surgery, and my one ATR repair was the most painful, IIRC. (The big one was probably the LEAST painful. I turned down all the morphine, just regular Tylenols for a day or two until one of the surgeons said I didn’t have to take them! Shocking!)

    Anyway, anybody who pooh-poohs the pain that ATR surgery CAN cause, has never had a painful one. OTOH, I’m sure lots of surgeons would rather ignore your pain until “tincture of time” cures it. So be your own Patient Advocate to make sure you don’t have a problem that’s being ignored.

  • normofthenorth | January 22nd, 2014 | 12:21 am

    My only ATR op (ATR #1) was about 10 yrs ago, so I’ve forgotten a lot. But I do remember staying in bed and moaning and groaning — and peeing into a cider jug — for close to a week. I was in a plaster cast-splint for that time, and then some. (Then a cast, then another cast. . . eventually a boot. . . conservative surgeon, not interested in any research I’d done.)

    I don’t remember the kind of intense pain you describe. More like the feeling that my leg would explode every time I lowered my foot.

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