21 Days Post ATR
I ruptured my achilles playing squash on Tuesday 7th July. I had no incling it would go that night. The only thing I could say is that I didn’t warm up as I should have or as I normally would. It was a cold night and I just wanted to get on the court and get into it. I thought I’d take a bit extra time just hitting the ball and warm up gently that way. Well 5/2 in the first set and I could have sworn my opponent had stood on the back of my calf. I looked up and said “Did she stand on me?” Unfortunately she was on the other side of the court! It wasn’t immediately clear the extent of the injury. All I knew is that I felt like my foot had had a stroke as it sort of flopped and although I could weight bear it was difficult to walk on it. I went to A & E the following day as it wasn’t at all painful except when I tried to walk . That’s when everything kind of goes pear-shaped. I think doctor’s in emergency are all for a quick fix and after 4 hours in the waiting room I was taken in for a consult. The doctor admitted he wasn’t a trained ultrasound technician but said he would do a quick scan to see what the diagnosis was and then book me in for a proper ultrasound. I’d had several fellow squash players tell me that I should really push to have the operation if it was my achilles because they don’t like to offer it as an option when you go to A & E. They were right. I wasn’t given a proper ultrasound and put in a cast and told I’d be reviewed at the fracture clinic in 7 days time. I didn’t have the opportunity to talk to the orthopaedic surgeon and I came away not even knowing the severity of the rupture.
I had loads of people texting me asking well what’s the verdict? and all I could say is I think I’ve done my achilles. The next day after stewing on it overnight and thinking I didn’t really receive an adequate diagnosis or treatment I re-presented myself at A & E and said I need to know exactly the extent of the injury and if it is a complete rupture then I want surgery. 5 hours later I got the ultrasound that confirmed a complete rupture and my surgery was scheduled for the next day. I was so relieved! In NZ it isn’t common practice to operate (or so I was told by a nurse) so you really do have to demand surgery. Lucky for me I had good advice from people who had been in the same situation otherwise I would never have known that I had any other option than letting it heal naturally.
I had my operation on the 11th July. The surgeon said it was a little more complex than the standard surgery as I had also partially torn my calf muscle so he had had to stitch that up as well.
I went for my first post-op appointment on the 22nd July expecting to be put in a moon boot (as would normally happen), however he has put me back in cast for another 2 weeks as a precaution due to the slightly more sever surgery and didn’t want me weight bearing. Ho hum…. Oh, well 2 more weeks of reading and relaxing isn’t going to make too much difference in the scheme of things. What I am worried about is the length of time I will be in a moon boot as I am getting married in Fiji at the end of October so I really don’t want to be walking up the beach in my wedding dress and a moon boot!!! I totally forgot to ask the surgeon exactly how long I would be in one of those contraptions. I guess I will find out on 5th Aug when I go for my next check-up.
July 27th, 2009 at 11:13 am
Sorry you’ve joined the club. So it’s not just UK A&E that make mistakes….
Had my surgery a few days before you (July 3rd ) and have been told I’ll be in a cst for 9 weeks - beyond that I don’t yet know so can’t help with your date - boot prob not a good wedding look!
Best wishes for a speedy recovery.
July 27th, 2009 at 4:41 pm
Thanks for your message. Very frustrating isn’t it! Mind you I’m getting very good at hopping I can tell you! My three year old thinks it’s great fun mimicking me hopping everywhere….. (hate those crutches!) Have you managed to drive anywhere yet? I’m thinking I might give it a go as I my foot is getting much much better when I put it down for longer periods of time. My toes look a bit like sausages but no pain or throbbing so worth a try I feel. Best of luck with your recovery too and will keep in touch. Cheers Nikki
July 27th, 2009 at 8:07 pm
B2B,
Be careful doing all that hopping on one foot! Wouldn’t want anything to happen to the good one. Hate the crutches, but USE them to keep yourself safe
July 28th, 2009 at 3:54 am
Mine is my right leg so no chance even trying to drive an automatic.
Crutches ok to a point - right shoulder getting achey from the extra stress that side.
I second trisportgirl - take care hopping, all the extra strain/weight on the one ankle….
My two have had fun trying my crutches and the wheelchair.
Best wishes.
July 30th, 2009 at 10:34 pm
Hello there - your story sounds very familiar. I did mine playing squash on 1st July. Have just been fitted with moon boot today - and it is not pretty!! So I really hope you should be clear of yours by your wedding - you should be. Apparently I should only need it for 4 weeks. I didn’t have the operation but also didn’t fully rupture so will be interesting to compare stories. I don’t think I will be playing squash for a while now.
Take care,
Sharon
August 2nd, 2009 at 2:09 am
Seems to be a recurring theme here of southern hemisphere squash players…
I’ve been in my boot since my surgery exactly a month ago, and only have 2 more weeks to go before I’m allowed to walk without it. I’ll still keep it a while longer for riding the bike, or when I need to walk quickly.
If your recovery path is anything like mine, even allowing for a month NWB you should be fine without the boot for your wedding (but maybe keep the boot handy for kava-induced staggering after the reception!).
And if your wedding is anything like mine, the last thing your husband will care about is the boot or the dress, it’s the person inside that’s important.
You shouldn’t feel too bad about your A&E experience; an ATR is an accident, but ISN’T an emergency, and review at the fracture clinic in 7 days is perfectly reasonable. It may be disappointing not to know the plan immediately, but from a medical standpoint there’s nothing that needs doing right away, so it’s not a “mistake”. Personally I prefer they keep things that way - means they have more time to deal with real emergencies like asthma attacks and car crashes.