Oct 06 2010

Week 11 post-op, ROM, barefoot heel lift vid.

Published by elsurfer at 1:26 pm under Uncategorized

One more week of PT to go, 2 more sessions and I get the boot from the PTs or is it called graduation?!. My ROM is there and they’ve given me all the exercises they can, now it’s just a matter of building strength. They’re done with me! I meet with the Doc next week (12 weeks post op) and we’ll see where I go from there. Supposedly the tendon should be 100% healed by then and I can probably start really stressing it. My journey with the docs and PTs is almost done and I’ll be on my own.

4 Responses to “Week 11 post-op, ROM, barefoot heel lift vid.”

  1. Larryloveon 06 Oct 2010 at 2:13 pm

    Damn bro, im jealous! Your looking great. Im still weak and could not even come close to those heel lifts……Good for you, keep up the good work!

  2. normofthenorthon 07 Oct 2010 at 2:24 am

    Lovely video! Your 1-leg heel raises at 11 weeks look a lot like mine at almost 10 MONTHS — with “average” somewhere in-between the two of us, I think.

    Your video caption mentions your deficit in plantarflexion, but not your surplus of dorsiflexion, which also seems clear on the 2nd part of the video. It’s not big, but it’s in the “healing long” direction, so (if it were me) I’d back right off the dorsi stretches.

    8 yrs ago, at around 17 weeks post-op, I had a 1-month painful setback (sharp pain right at the back of the heel) from overdoing 1-leg heel raises. So I have a “healthy” (morbid? excessive?) respect for the risks of “really stressing it” at 12-ish weeks. I don’t think my pain came from hurting the actual rupture; I assume it came from overstressing the connection between my AT and my “calcaneus” (heel bone), which had lost strength during my long immobilization. (When I overdid, it wasn’t painful at all, just very strenuous; the pain started hours later, and lasted a full month.)

    So far, you’re a poster child for fast rehab after successful surgery. Keep up the good work, but also keep your eyes open for any signs of overdoing.

  3. elsurferon 08 Oct 2010 at 8:30 pm

    Hey Norm,

    Yes, I’ve been taking it REALLY easy on dorsiflexion stretches. in fact almost none since we started discussing it 1.5 weeks ago. I measured again today with the PT and its pretty even however the toes on my ATR’d right/dominant foot tend to flex back a bit more making it appear uneven. I will check with the doc when I go in next week. 1 more PT session left, I’m getting all… choked.. up…

    Regarding the pain on the back of the heel. I too have that and it seems to happen when I’ve been on my feet too long. The calcaneus starts to ache and I just throttle back and ice. It seems to be getting less frequent.

    BTW, I ran into another ATR patient today that literally had a 12″ incision scar. it was due to 3-4″ of fraying above and below the rupture and they had to do a lot of repair. It seems he was immobilized 12 weeks total (6 cast, 6 boot). He said he was 10 months post injury and about 70% strength.

  4. normofthenorthon 09 Oct 2010 at 1:04 am

    It all sounds good, surfer!

    The surgeon who repaired my first ATR said it was hugely frayed. (Have I told you that before?) But it healed fine, and my incision was fairly short and very neat — the scar now is almost invisible. I was immobilized a long time, but I regained strength pretty quickly once I was “cut loose”, and felt 100% recovered — including 1-leg heel raises and jumping and volleyball — at 10-11 months.

    My surgeon was a bit of a joker, at my expense. When I was still in the hospital, post-op, the assistant surgeon came by to check on me. We started chatting about the operation, and he said my ATR was the messiest one he’d ever seen, like two horses’ tails.

    Later, the chief surgeon came by. I told him what his assistant had said, and asked him about it. His first response was “Remind me to tell that guy to shut up!” Then when I pressed him (Was it the messiest ATR HE’D ever seen?), he thought for a minute, and said “No, it was the SECOND messiest.” Then he waited for a while, and said “Now ask me if the OTHER guy ever WALKED again!” Cute, eh?

    Nobody actually gets to watch the two ends of the tendon heal together, with or without surgery, but it’s not obvious to me that “neat” torn ends would heal faster, or stronger. When you’re gluing pieces of wood together, you go out of your way to make dovetails or scarf angles or SOMETHING to increase the surface area of the join, to make it stronger. Glue two “neat” pieces of wood together, end to end, and the joint will be really weak. Similarly when you’re splicing two pieces of (old-fashioned triple-lay) rope, the strongest splices are pretty long, after you unravel both ends pretty far.

    That’s just blue-sky imagining from me, of course, but it doesn’t surprise me that my AT healed up great, after fraying a lot when it ruptured.

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