Archive for December, 2009

Pics from weeks 4 & 5

First mini PT session

Was back at the rehab center again today. Met with my physio, was asked the routine questions, any pain? Not related to my tendon, [a few days ago I was dealing with the ball off my foot and my heel being saturated in sweat (been moving around a lot) and had pruned up, gone white and was tender at times. Easily treated with a daily powdering and hiking dry sock], any slips or falls? No, have you been doing your isometric exercises? Yes.

She took off my boot did the routine tests and then said she wanted to use a magnetic pulse machine to help with the circulation and reduce the swelling. I’ve read that ultrasounds is commonly used by this was new to me. After that treatment was finished she then asked me to do some outward hip extensions and knee raises, I was a little surprised my this and wasn’t really expecting to do any PT, nor was I dressed for the part, I planned to go straight to work after my appointment. Was walked to the machines and did what I was told, I did have a bit of trouble in the beginning separating my gym mindset to my PT mindset and asked to put more and more weight on. I was shot down immediately and was reminded that I was not the to workout but there to sort my leg out. She said I have been making good progress and am on schedule, I’m just thankful my calf hasn’t shrunk anymore.

Next appointment on the 28th to remove a wedge from my boot and go from 20 down to 10 degrees, looking forward to it.

My story till now

I’m a little late coming to this forum. Short story, I’m 5 weeks Post-Op, PWB in a boot.

Long story, I’m a 25y/o prop forward and completely tore my Achilles during a scrum playing rugby 6 weeks ago. It came completely out of the blue, as I hadn’t felt any discomfort at all during the game. Like everyone else I felt like I had been hit by something on the back of my ankle, not wanting to collapse the scrum and cause further injuries to other players I shouted “May-day!” to the ref who broke the scrum up safely and I was taken off. At the time I thought I had broken my ankle, however our team physio did the Thompson test and told me that I had most likely ruptured my Achilles.

I checked myself in to hospital a couple of days after the initial incident; they confirmed what the physio told me on the side of the pitch. After an ultrasound they told me that there was a 2cm gap between the 2 torn pieces and that surgery was pretty much my only option. 4 days after I checked myself in to hospital I had the surgery and 2 days after that was sent home in a plaster cast NWB.

The first couple of weeks was fairly routine, kept my leg raised as much as possible and didn’t move around too much. My first visit back to the hospital I met my surgeon who I saw for all of 5 mins. Asked if everything was OK and if I had fallen over at any point after my discharge. After playing 20 questions, I had my cast removed and the stitches taken out. At this point I thought I was going to be put in a boot, but no luck, they took the two halves of the cast they just took off and bandaged it back on to my foot. Thinking this was surely unsafe I was told that it was only for a couple of day while they scheduled me an appointment with the rehabilitation center.

My first appointment at the rehab center went well, they took off the cast and said I’d be put in a boot; they also stretched the tendon from 40 to 20 degrees, which was a tad painful.

Had my 2nd appointment with my surgeon last week (week 4). This was a bit of a low point for me, after all the swelling had subsided I realized that my calf had shrunk so much and was nearly 30% smaller than my other. I knew that this was going to happen, I just didn’t realize that it would be fast. I spoke to my doctor about this and he reassured me that this was normal for people who are active and play high impact sports. We also spoke about my recovery timeline and my own personal targets. I told him about wanting to be ready for the start of next season in September 2010, this is where I got my second dip in confidence of the day, he told me that realistically I shouldn’t be looking to play again for at least a year. At the end of the appointment he gave me the all clear to start PWB, which gave me a bit of a pick me up, it just made getting around that much easier. (I didn’t mention before, I live in Hong Kong, and is not the easiest place to get around on crutches).

As for now, I know I’ve got a target to get back on the rugby pitch in a year, but I’m keeping focused on my short term goals and taking it one step at a time.

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