to all that responded yesterday just knowing that the pain is normal has made me feel so much better.

Still in shock to be honest.

for clarification I am in England’s being treated by NHs.  I was born in Scotland which is why when i hear Scottish music I feel it is my job to show everyone my Scottish heritage by getting on the dance floor and doing my version of the highland fling..  Now I will need to find another way to show my roots!!!!!

I had my first bad nights sleep woke up several times throughout the night.

Today I had pins and needles u dear earth my toes, still have really I tense calf pain when I stand up Takes about 15 mins for the pain to go when I put my leg back up.

Can’t elevate my leg straight as this causes calf pain need to turn plaster to the side is this normal?

I had thought once a cast went on all pain went …….. But NO


  1. normofthenorth Said,

    August 11, 2014 @ 11:35 am

    1) THIS is the list that needs a title - not where I posted it.
    2) It’s important that your ankle is immobilized at the correct angle. REALLY important! As you can see from Cecilia’s chart (URL on previous post), UWO and Exeter (Sussex??) got excellent results with a “1 size fits all” approach, around 2 or 3 cm of heel wedges, roughly 20-30° toes down from 90°=neutral. AKA equinus or plantarflexed. But Wallace in Belfast did even better within a simple made-to-order (bespoke) system. You’d be very lucky to find a doctor willing to read Wallace’s study, then to chop you out of that cast and gently palpate and manipulate your ankle to find your optimal ankle angle, then to fit you with a boot set up at that angle. Very lucky indeed, but it’s worth trying, IMO.

  2. normofthenorth Said,

    August 11, 2014 @ 11:37 am

    List–>post! (If you turn on AJAX editing, we’ll be able to fix our typos.)

  3. davidk Said,

    August 11, 2014 @ 12:08 pm

    Blondie, as a technical matter regarding your blog, I recommend that you add the following “widgets” to your blog: 1) the ATR Timeline, and 2) the ATR NYC Marathon Tracker. The former will give readers some immediate context about your recovery status and the latter provides a nice visual about how far you’ve come on your recovery journey and how far you’ve yet to go. -David

  4. hillie Said,

    August 11, 2014 @ 1:47 pm


    A friend of ours did the highland fling at a wedding but the biggest risk seemed to be from the crossed swords that she danced over!

    As Norm is well aware (winding me up I think) the other leading UK rehab was developed and well proven/documented at Exeter (i.e. as in Royal Devon & Exeter NHS Foundation Trust).

    I think that you should be a little bold and ask your specialist (?) to give the guys at Exeter a call - their names can be found attached to the abstract of a paper that they published. This and a whole lot of other stuff can be found on Suddsy’s Achillesblog pages - look for the section “End of Wk 2 - Wow, progress!” where you will see a lot of useful posts including from Suddsy (UK, private I think, surgical); me (UK, NHS non-op fast track); and Norm (UWO?).

    At Exeter, they start you weight bearing in a Vaco hingeable boot (see achillesblog home page) after 2 weeks and with foot down at about 30º. Crutches (and sleeping with boot on) mostly dispensed with after week 4 latest. Thereafter the boot technology kicks in (sorry for the pun) and an increasing range of motion is commenced - see YouTube and Oped’s (Vaco manufacturer) videos etc for more info. Exercises (very mild, easy stuff) start at week 3.

    You therefore start mobility early and this is the key it seems to a sustainable recovery with the minimum of strength loss and calf atrophy, and maintenance of ankle flexibility (at least when the swelling dies down).

    Bear in mind that I experienced this protocol 2 years ago and the schedule may have improved still further.

    All the best for your recovery, keep posting!

    ps there is no Hillie blog any more.

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