Good, bad, and ugly

It’s been a while since I’ve updated my progress — the good, bad, and ugly. 

I went back to the doctor June 1 to get my cast off and the rest of the stitches out.  Good news is, he’s very pleased at the way it’s healing.  I can rotate my foot/ankle in all directions.  The not-so-good news (for me) is that he put me in a boot that’s really an air cast — very bulky — with three heel wedges.  I can put some weight on the foot but no walking.  Every 5 days I take out a wedge which lowers my heel and brings the foot back to its “normal” position.  He said I can drive (since I brake with my left foot–glad that came in handy for something!!), but it’s going to take some practice since the boot’s so bulky with no give on the ankle.  On June 15, the doctor said he’d have me walking so I took my tennis shoes!  I did indeed walk in them and it felt really good!!  I could walk around the house and office with shoes on but otherwise I had to wear this boot — for 8 more weeks.  He said it’s healing fine but it takes that long for the tendon to regain its strength.  Started physical therapy that afternoon — had already made appointment — and the physical therapist was elated at how well my ankle was.  She said the surgeon had done the “Gold Standard” in terms on a Z incision and progressive wedge reduction in boot.  She said my foot was a +4 degrees whereas most are a -20 degrees!!  I was elated.  However, on June 27, I went out to get my newspaper early (without boot) and stumbled on a spacer in the driveway.  You all know that horrible twinge up the back of my leg.  Ended up in ER.  While it looks like I only had a minor tear of the tendon, I did reinjure this “hole” in my ankle caused from the initial accident laceration which had never healed right.  Have to have more surgery tomorrow to try to fix it without a skin graft. 

3 Responses to “Good, bad, and ugly”

  1. Cathy: So sorry to hear about your misfortune and hope you have a successful operation this time.

    If you get a chance, take a look at the VacoCast (VacoPed in Europe) as an alternative to the hard cast and, certainly, to the boot you wore first time. If I ever go through this again, I’ll go into this boot within the first week or so.

  2. Good luck, and good healing! Most of the standard modern protocols introduce weight bearing even before the heel wedges are removed. And hinged boots like Gunner’s VacoCast do seem to produce better results than fixed boots like the AirCast, according to the few studies that have compared them. I think the hinged boot is a great invention, especially if you and your Doc have agreed that you should stay in the boot an unusually long time.

  3. HI Cath,
    So sorry to hear your nightmare! I do hope things go better this time and it’s fantastic that it is only a partial tear. Take care of yourself,

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