1st Day of the boot

Hello All,

Just wanted to report in with my progress. I’m 4 weeks after surgery and was put into a boot by my doctor last night.  It sure felt good to ditch the cast.  My doc told me to not put weight on it, but to shower and take care of my scar and foot. Once out of his office, I immediately touched the boot down and had no pain whatsoever.  I then tried bearing all weight and still everything felt fine.  I’m wondering if my doc is being too conservative with his advice.

At work today, I’ve been mixing it up with crutches and the boot with no real problems.  I’m felling a slight soreness in the foot, and twice today I felt an elevated pain in the Achilles from walking in the boot.  Not much, lets say a 2 out of 10.  Any thoughts on whether I’m an idiot for not staying on crutches?

13 Responses to “1st Day of the boot”

  1. A bit swollen after the first day. Ice and NWB for the  rest of the
    night. Don’t know if this is normal, since the cast has been on it.
    Not too worried, but will be seeking suggestions at my sisters
    graduation tomorrow. What timing!

  2. What type of boot are you using? Norm referred me to the VacoCast, which we tracked down in Mass., and ordered. It allowed full weight bearing with no pain from day one, though the 3 inch elevation in the heel makes walking difficult without crutches or cane and requires replicating the elevation in the good leg with heel lifts, which I did.

    I have had swelling off and on since getting into the boot, but have never had any real pain. I did not have surgery, so that may account for the lack of pain.

    You might want to experiment with a cane when you need support. Good luck

  3. I am on a boot called “Equalizer Air Walker” (I have a pic on my profile).. I have Not had surgery my MRI results are still pending.. I have been in this boot 3 weeks now and I like gunner realized I needed elevation on my good leg to level it with my Boot so that I was able to walk better. It was difficult to walk on it at first and I needed crutches to help me out but after a while I got the hang of it, now I don’t use my crutches as much. So I guess it depends on how you feel.. Do you have a good shoe with a good heal level to your boot? If not if my cause you some uncomfort in your back.

  4. There’s a picture of your boot on your profile? It’s not on your “About” page. Any idea how we get to see it?

    Dennis?

  5. I have a CAM walker which looks like this one, ttp://www.dme-direct.com/donjoy-maxtrax-air-walker. The doctor’s office mentioned it would cost ~$250 but this one is half the price.

    the PWB is working well for me. Still feeling some slight reminders that my Achilles has been sewn together, but no intense pains.

    Range of motion is good. Strength is bad. Foot is slightly swollen, especially when out of the boot for a while. Can stand up to take a shower without any problems, which is very nice.

    No back problems, but my left knee started to ache when crutching back from the graduation. No pain the next morning so let’s hope I don’t become a super gimp.

  6. I had the hinged version of that boot (with “MC” for “Motion Control” in its name) for the end of my first ATR rehab, and I dug it out of the basement for this one, as a transition between a fixed boot (AirCast) and 2 shoes. The hinge-able boots have the ability to limit your ankle’s (scary) dorsiflexion, while permitting its (helpful) plantarflexion. At first, your weak calf and AT will just make little imitation pushes at the end of each stride, then they’ll do more and more as you recover. And the whole time, your ankle is secure against virtually all accidental injury.

    With a fixed/unhinge-able boot, it’s a bit of a scary leap from the boot to a shoe. There are work-arounds — like wearing shoes at home and in other safe places, and wearing the boot when you go out or bicycle, etc. — but I think the hinge really adds some benefit to the “cure”. OTOH, having to cope with 2 shoes earlier gets all the other muscles and tendons in your ankle working sooner than if you stay in any boot. . .

    Standing up to take a shower at 4 weeks sounds close to the local record, if you’re talking about barefoot, out of the boot. If you mean IN the boot, then “not so much”. I think I was around 5 weeks when my PT said I should start showering OUT of the boot, but I did all of it sitting or kneeling or VERY NERVOUSLY switching from one to the other!

  7. Thanks Norm, good points about the boot, it sounds like a good investment. I hope theses aren’t my famous last words, but I’m showering without the boot and don’t feel uncomfortable. I’m being very careful, and it sure helps washing the leg. All weight is on my
    heel, no toes and I’m keeping the knee scooter close by for an swift escape. I think weight on the leg is good. I’ve had minor pain but nothing intense. Swelling is minimal. No symptoms to concern me from not showering or following the 4 week protocol from Boston on this site.

    My wife wanted me to ad a gripe to the blog. That California DMV has taken over 4 weeks to get the placard, and we still haven’t gotten it yet. We’re making due, but it sure will be nice to have one. VIP parking will be nice.

    I’m thinking about renting the knee scooter for 1 more month. It enables me to do things without getting tired. It gives me a needed break in the evenings, and I really enjoy racing around the house. Anyone on the fence about getting one should really consider giving it
    a try. For me, it may be the most effective rehab tool.

  8. In Ontario (Canada), the handicapped-parking permit is issued instantly, once you present the form, signed by your health professional. My gripe with that system is that you HAVE to show up IN PERSON to get it! If you want to register your 4-axle truck, or your car, or renew any license, you can do that all online or by fax. But if you have trouble getting around town. . . (!!!)

  9. I got my temp (red) disability permit at local SJ,CA DMV in about 30 min +$6.00 just brought paper from my Doc.
    May be you asked for permanent license plate with imprinted symbol?
    I don’t use this permit much as I don’t go much out for a while.
    And whole disabled parking for PT building are taken anyway 99% time when I come for PT session.

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