Oct 17 2013

Das Boot! First Impressions!

Published by hopalong at 9:32 am under Uncategorized

Hi all

First thanks to those who have replied to various queries. Its been useful to bounce ideas around.

Quick Recap:  Im non op and on the slow slow windy road - just finished 9 weeks in casts and have migrated to The Boot (VACOcast)! First Milestone! However Im still at 20 degrees equinous with the VACOcast achilles big heel and doc doesnt recommend PT for a month! Infact doc was quite noncommittal - go at your own pace! Concious from this forum, that I am now behind on the rehab front, but thought I would give some of the first impressions of this momentous week!

First off, the Boot is great! 9 weeks in casts was a long haul! Bathing the ankle was heaven and hell! Heaven to get water on it and scratch that inaccessible itch, but hell to see the state of the ankle and tendon and a psychological hell to have a floppy foot that feels extremely vulnerable outside the protection of the cast/boot.

Plusses for the boot include being able to rest/stand for extended periods with little swelling, and when there is, being able to elevate and release the bindings and let air get to the ankle! Bliss!

Each day ones confidence grows as to what the ankle can withstand, and 3 days into the boot I found myself successfully walking albeit extremely slowly with one crutch. Walking is subjective, more like half a step with gammy foot, stick out, and then move good foot into posn - repeat! No pain, but ankle noticeably throbbing this evening.

With no PT on the immediate horizon, I use swimming to get cardio and a bit of work on the ankle. There is a pool on the complex, so its easily accessible - Swim session (with the VACOcast) is:

4 lenghts crawl no legs – warm up

4 lenghts very slow breaststroke – really have to concentrate on what gammy leg is doing, as it tends to float with the boot!

4 lengths breast stroke kick only with board

4 lengths crawl with v slow leg kick - can feel some slight ROM - no pain.

5-6 widths walking at chest height, concentrating on full weight onto the gammy leg.

Although the boot has a tendency to act as a dragnet - with implications to the “to be protected at all costs tendon”, this can be mitigated with a tight rubber seal over the top of the boot. (The BLOCC cast protector cut in half does the job!).

Doc has also agreed to weening off the anti DVT injections - at last. 9 weeks of needles was more than this junkie could stand!

So trust you are all mending well and keep blogging - it beats the history channel!

Hoppy

5 Responses to “Das Boot! First Impressions!”

  1. Ronon 17 Oct 2013 at 4:27 pm

    Hey Hoppy,

    I did not know you were non-op. That does change things slightly. I had the stomach shots for over a month as well for DVT. I am not on Wafarin instead - thankfully.

    I also bought the Vacocast, which was the best investment I ever made.

    Good luck.
    Ron

  2. normofthenorthon 18 Oct 2013 at 1:41 am

    Take a good look at bit.ly/UWOProtocol, which is one of the most successful rehab schedules published (i.e., with the best results, -op and non-op). But you are quite a few weeks behind, so you have to adjust the schedule. The idea is to start where YOU are, but GRADUALLY try to catch up with where THEY are. E.g., you could do 2 or 3 weeks-worth of exercises each week, provided it feels OK.

    Your growing confidence is normal and positive, but it is a double-edged sword, because most re-ruptures happen to people who feel confident — that’s why they walk without watching their step, or drink too much, or try exercises their leg isn’t read for. Don’t Go There!

    And if you can, please install the ATR Timeline Widget, so we can all keep track of your answers to our FAQs. (Link is near the top of the Main Page.)

  3. hopalongon 18 Oct 2013 at 8:36 am

    Norm, Ron
    Thanks for the responses.
    Yep had a butchers at the UWO protocol and using that and a London clinic’s programme (found on this site) as the basis for a “catch up” non op programme.
    As for a drink or 2, always found it helps with ankle flexibility but its drawback is the stumble to the bathroom when nature calls in the middle of the night!

    cheers Hoppy

  4. Ronon 18 Oct 2013 at 5:24 pm

    LOL about the late night detours after a few drinks…

    Good luck
    Ron

  5. io gameson 04 Jan 2022 at 6:09 am

    This is good

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