supports and spasms

Looking for peoples opinions:

What is helpful to reduce muscle spasms and soreness?

I think when I see my doctor next week he is going to tell me that I can start wearing 2 shoes again, but to be hones I am scared of not having the protection of the boot, so would you reccomend a brace or a tensor bandage to ease the transition.

6 Responses to “supports and spasms”

  1. My first question is what do you mean by muscle spasms? After my last surgery, I had some spasms that were excruciatingly painful, probably as painful as what I experienced when I first ruptured my Achilles. They lasted probably no more than 15-20 seconds but were really intense. I called and got a prescription for Valium, 6 total pills I think and I still have 2 left. Valium is an impressive muscle relaxant but it can also be very addictive so a lot of doctors are reluctant to prescribe it, except in pretty small quantities.

    Is the soreness around the incision? Do you get sore after PT or have you started PT yet? If you’re ready for 2 shoes, you should have started PT. “Soreness” is really too vague to say much, but in general ice and elevation worked for me.

    Two shoes is a great thing. Try walking around at home barefoot. I was most comfortable barefoot for quite a while after I was FWB and told I could ditch the boot. I wouldn’t recommend anything like a brace or elastic bandage. For one thing you won’t get your foot in a shoe with either one of those on it. Just don’t try to do too much at once.

  2. I’d echo the advice about trying without shoes. My physio recommends it as a warm up. I start in chair, progress to standing, and then carry out balancing and streching, then walking, all in socks; my feet are not broad enough for barefoot. I take it slow and then put shoes on. It makes sense, brain gets info straight from feet not confused by shoes and you can feel everything. But haven’t quite ditched the compression sock yet, but its a light one, very thin, I’ve been told to massage the area too. This morning did some FWB, no sticks, but easy does it, won’t do that straight from sitting!

  3. rosamundi,

    What do you mean when you say “my feet are not broad enough for barefoot”?

  4. I have started PT no strength exercises yet just range of motion. I get little spasms in my calf (not excruciating by any means) like a quick sharp pain and then it is gone, perhaps it because I am starting to use my calf muscle again. I have tried to walk barefoot with a crutch for suppport at home and it just felt very awkward, so I tried with my crocs and that seemed to feel a little better. Perhaps I am just being inpatient and hoping it will start to feel normal soon

  5. I recommend talking to your doctor and/or PT about it. Here a couple of definitions:

    “A muscle spasm or cramp is an involuntary contraction of a muscle. Muscle spasms occur suddenly, usually resolve quickly, and are often painful.

    A muscle spasm is different than a muscle twitch. A muscle twitch or fasciculation is uncontrolled fine movement of a small segment of a larger muscle that can be seen under the skin. ”

    It’s hard to tell if what you’re experiencing is a spasm or a twitch but your doctor or PT should be able to help.

  6. I tore my left AT about a month after yours, Diane, and my non-surgical (but quick) protocol says that after 8 weeks (= now) I’m supposed to “wean off boot” into two shoes. I’m hesitant, like you. I’m nowhere near strong enough to be able to walk NORMALLY in shoes, or barefoot, though I’m hoping to be there in a week or two the way I’ve been going — which has been great, much faster than 8 years ago, when I tore the other one and had it operated on.
    I have the unusual advantage of being a terrible pack-rat, so I kept my hinged “MC Walker” boot since my first ATR! I moved into it (from a semi-rigid “AirCast” boot) about a week ago, with the hinges stopping me from dorsiflexing past neutral, but allowing about as much plantar flexion as I can do.
    I LOVE the combo of safety and freedom to push down on the ball of my foot, while walking, and have it MOVE!
    Last time, I stayed in the boot until I could walk normally. (Then my physio re-injured me a bit, and I went back into the boot again until I could walk normally!) That seems safe and sensible to me.
    On the other hand, the protocol I’m following (from a study that was partly sponsored by the AirCast company!) says “wean off boot” and “return to crutches as necessary”, which sounds nuts to me.
    My “surgeon” (I didn’t get surgery) keeps saying we’re doing great with the protocol, so let’s keep following it. (Yes, but. . .) And my physio doesn’t like braces or boots or supports. . . (Yes, but. . .)
    So far, I’m going with ME, and I’m going to continue to pad around in the hinged boot for a while.
    I’ve heard that most reruptures happen in the first 12 weeks, so I think I have an excuse to be timid for another 4. . .


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