6 weeks post op…to quick?

6 weeks post op and had my meeting with the surgeon on Friday. He wants me out of the Aircast within a week! Had my first PT appointment today and he stated the same thing. Seems a bit early compared to other protocols I have read (more like 8 weeks into two shoes not at 7). Anyways I had a scare a couple weeks ago but it appears it was only scar tissue I ripped. Who knows…my doctor told me to go full steam ahead as planned regardless.

My PT gave me some exercises, one was a slight stretching of the calf/tendon by putting my hands on the wall and good toe forward touching wall while bad leg back. The typical wall type stretch, there was that and balancing on one foot…which I sure as hell couldn’t do very well! I also checked out my exercise bike I had dropped off at my place, 5 minutes of light cruising.

I also was told to walk without the Aircast at home for short distances…everything is going pretty fast and I am going to slow it down a notch just to be safe. Definitely read all the articles about healing long so I’m going to take it light on the stretches for a bit.

6 Responses to “6 weeks post op…to quick?”

  1. I’m with you, Boris! And remember that most of the transitions from boot to shoe say “WEAN off boot”, so there’s no shame in keeping the boot handy for scary outings or when your leg feels tired or sore.
    You’re at the stage where I love a hinged boot, but the AirCast produced great results in a number of studies, so just use your head and Watch Your Step!

  2. Unusual to see the medical community being so aggressive on the rehab. As you can see from most postings here, most victims feel things move too slowly. It’s refreshing to see the opposite though my experience tells me that 6-7 weeks is a bit early to be out of boot except for exercise and ROM. Use your head and stay informed.

  3. Boris - it is quick to be in shoes but I wouldn’t say it was too quick. I was there in 7 weeks and I know many others here the same. Like Norm said, the boot can go with you even if you don’t wear it. I didn’t go barefoot around the house, prefering to wear shoes with wedges to take the strain off the tendon. It means you can walk without a limp easier. You will need to be more careful and aware of your surroundings. In particular you will have to watch out for others around you as you are not carrying your obvious signs of a disability like crutches or the boot.

  4. Thanks for the wisdom guys.

    I’ve been doing the wall stretches for two days now, taking extra care on the dorsiflexion portion where you slightly bend the knee. Upon reading all the healing long info I’ve decided to stop them altogether, perhaps until 8 weeks.

    Does the calf wall stretch also stretch the AT or can I do this one safely at this point?

    I wasn’t satisfied with my PT’s answer.

    My main question is: when can I start these dorsiflexion stretches safely? 8 weeks, 12 weeks?

  5. Boris, all the DF stretches pull on the AT, which pulls on the calf muscles: mostly the soleus if your knee is bent, mostly the Gastroc if it’s straight. It’s kind of an AT-calf system, hard to isolate the parts.

  6. I think it’s probably easier to be moderate anc controlled with DF stretches if you use a towel or such in both hands. That eliminates the FWB part, which could lead to overdoing. You can still use the wall to measure your progress (ROM).

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