Archive for April 13th, 2013


Any advice for getting into two shoes from Vacocast?

I’m really excited to be on post op week seven.  I’ve been FWB for a few days now and its feels great to be off crutches!  My gait still needs a lot of work and I take a lot of small steps but I’m definitely enjoying the freedom.

After surgery, I was in a splint for two weeks and then went into the Vacocast.  I was NWB for six weeks.  Unfortunately, no one here is familiar with the Vacocast so I have been adjusting it on my own.  After starting at fixed 30 degrees PF, I went down by 5 degrees each week until I reached 10 degrees last week.  As I started to wean off the crutches, I opened up the hinge to allow 5-30 degrees PF with the big wedge sole.  I tried the flat sole last night and it was too uncomfortable.  My foot is still not near neutral and is probably around 10 degrees of PF at rest.

Whats the best way to transition to the flat sole and then into two shoes?  Should I keep my foot fixed at 5 degrees or neutral first?  I like keeping it hinged with the ROM because its so much easier to walk but wanted to ask for any helpful guidance.

I’m also wondering when I can try to stand up on two feet barefooted.  It would be really nice to stand up to shower again!

I just got back from an overseas trip so I will be starting more active PT on Monday and I’m hopeful that will help me with the transition.

I hope we all come back stronger…including Kobe Bryant!

ATR Timeline

  • Name: eyechilles
    Location: New Orleans
    Injured during: Football
    Which Leg: R
    Status: 2-Shoes

    420 wks  1 day Post-ATR
    419 wks  6 days
       Since start of treatment

  • eyechilles has completed the grueling 26.2 ATR miles to full recovery!
    Goal: 365 days from the surgery date.
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    Click here for the Group Marathon Tracker

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