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	<title>Comments for Achilles woes</title>
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	<link>http://achillesblog.com/ithappened2me</link>
	<description>Just another Achillesblog.com weblog</description>
	<pubDate>Mon, 01 Dec 2008 17:07:44 +0000</pubDate>
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		<title>Comment on 1st day after surgery by mlouie</title>
		<link>http://achillesblog.com/ithappened2me/2008/07/25/1st-day-after-surgery/#comment-23</link>
		<dc:creator>mlouie</dc:creator>
		<pubDate>Tue, 29 Jul 2008 00:08:46 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/ithappened2me/?p=6#comment-23</guid>
		<description>For me, I was off the serious pain meds after the 3rd day and was just taking Ibuprofen to take the edge off and keep the swelling down.

I did get the claustrophobia/restless leg feelings once in a while. This typically happened when my toes were feeling cramped or hadn't been moved in a while. I would understand what "triggers" that feeling since it seems different from person to person.

I agree with Marianne about the pain pills. I was only on them for three days and had mild withdrawal symptoms as I eased off of them.

- mike</description>
		<content:encoded><![CDATA[<p>For me, I was off the serious pain meds after the 3rd day and was just taking Ibuprofen to take the edge off and keep the swelling down.</p>
<p>I did get the claustrophobia/restless leg feelings once in a while. This typically happened when my toes were feeling cramped or hadn&#8217;t been moved in a while. I would understand what &#8220;triggers&#8221; that feeling since it seems different from person to person.</p>
<p>I agree with Marianne about the pain pills. I was only on them for three days and had mild withdrawal symptoms as I eased off of them.</p>
<p>- mike</p>
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		<title>Comment on 1st day after surgery by marianne</title>
		<link>http://achillesblog.com/ithappened2me/2008/07/25/1st-day-after-surgery/#comment-22</link>
		<dc:creator>marianne</dc:creator>
		<pubDate>Sat, 26 Jul 2008 15:20:17 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/ithappened2me/?p=6#comment-22</guid>
		<description>Be very careful with perscription pain pills!  I had a horrible experience -- took Darvocet for one month and then doc told me to stop "cold turkey" and had the most horrific withdrawls and had to be hospitalized on top of the ATR situation....was no fun...so I learned the hard way that after 2 weeks, you are addicted ....learn something new everyday :(  
Just a word of warning....</description>
		<content:encoded><![CDATA[<p>Be very careful with perscription pain pills!  I had a horrible experience &#8212; took Darvocet for one month and then doc told me to stop &#8220;cold turkey&#8221; and had the most horrific withdrawls and had to be hospitalized on top of the ATR situation&#8230;.was no fun&#8230;so I learned the hard way that after 2 weeks, you are addicted &#8230;.learn something new everyday <img src='http://achillesblog.com/ithappened2me/wp-includes/images/smilies/icon_sad.gif' alt=':(' class='wp-smiley' /><br />
Just a word of warning&#8230;.</p>
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		<title>Comment on 1st day after surgery by trider23</title>
		<link>http://achillesblog.com/ithappened2me/2008/07/25/1st-day-after-surgery/#comment-21</link>
		<dc:creator>trider23</dc:creator>
		<pubDate>Sat, 26 Jul 2008 14:23:54 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/ithappened2me/?p=6#comment-21</guid>
		<description>take a couple of pain pills before you go to bed.  I woke up several times at 3am in severe pain!!!</description>
		<content:encoded><![CDATA[<p>take a couple of pain pills before you go to bed.  I woke up several times at 3am in severe pain!!!</p>
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		<title>Comment on 1st day after surgery by tennisjunkie</title>
		<link>http://achillesblog.com/ithappened2me/2008/07/25/1st-day-after-surgery/#comment-20</link>
		<dc:creator>tennisjunkie</dc:creator>
		<pubDate>Sat, 26 Jul 2008 11:52:19 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/ithappened2me/?p=6#comment-20</guid>
		<description>The ED gave me vicodin and I never took it during that first week pre-surgery. The Surgicenter gave me Percoset -- I did need a few of those in the first couple of days, but pain subsided by day 3 or 4 as I recall.

I did feel the claustrophobia that you mention. Others have commented as well - so a normal reaction!  Elevation, deep breathing helped. I was in a splint post op for 3 weeks, then a cast for about 3-4 weeks. I did use a big ice pack that I strapped around the splint or cast. It made the leg cooler and gave me mental relief when I was feeling that clautrophobia.

I think you will get used to it, so hang in there.  Good luck with pain, the first couple days are the worst, so it should only get better.</description>
		<content:encoded><![CDATA[<p>The ED gave me vicodin and I never took it during that first week pre-surgery. The Surgicenter gave me Percoset &#8212; I did need a few of those in the first couple of days, but pain subsided by day 3 or 4 as I recall.</p>
<p>I did feel the claustrophobia that you mention. Others have commented as well - so a normal reaction!  Elevation, deep breathing helped. I was in a splint post op for 3 weeks, then a cast for about 3-4 weeks. I did use a big ice pack that I strapped around the splint or cast. It made the leg cooler and gave me mental relief when I was feeling that clautrophobia.</p>
<p>I think you will get used to it, so hang in there.  Good luck with pain, the first couple days are the worst, so it should only get better.</p>
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		<title>Comment on 1st day after surgery by hobblit</title>
		<link>http://achillesblog.com/ithappened2me/2008/07/25/1st-day-after-surgery/#comment-19</link>
		<dc:creator>hobblit</dc:creator>
		<pubDate>Sat, 26 Jul 2008 10:44:02 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/ithappened2me/?p=6#comment-19</guid>
		<description>Congrats on coming home. They sure push you out of the hospital quickly! If you're in pain, take something, I was warned it doesn't help the healing process to suffer through pain. Ideally if you don't need the stronger Vicodin then stick with Ibuprofen. The Ibuprofen being a NSAID helps reduce the inflammation and associated swelling. I had almost no pain after the 2nd day but the constant aching lasted for a few more days. I took an Ibuprofen every day for a week, especially at night to help with the inflammation.</description>
		<content:encoded><![CDATA[<p>Congrats on coming home. They sure push you out of the hospital quickly! If you&#8217;re in pain, take something, I was warned it doesn&#8217;t help the healing process to suffer through pain. Ideally if you don&#8217;t need the stronger Vicodin then stick with Ibuprofen. The Ibuprofen being a NSAID helps reduce the inflammation and associated swelling. I had almost no pain after the 2nd day but the constant aching lasted for a few more days. I took an Ibuprofen every day for a week, especially at night to help with the inflammation.</p>
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		<title>Comment on It&#8217;s official by hilary13</title>
		<link>http://achillesblog.com/ithappened2me/2008/07/21/its-official/#comment-18</link>
		<dc:creator>hilary13</dc:creator>
		<pubDate>Fri, 25 Jul 2008 22:30:14 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/ithappened2me/?p=5#comment-18</guid>
		<description>hi. i am 7 days out from surgery, and i have two young kids, so here is what helped me. elevate elevate elevate. it helps with general swelling and related issues as well as the pain. take your pain meds on schedule (don't mess with it because you are feeling better, i did, and i regretted it on day 3). really take it easy that first week, and hopefully it will get you good results...i just came back from my first post-op appointment with a boot instead of a cast (yay, appreciate the little things), and my general outllook is good: low swelling, good movement, still nwb but at least i can watch the incision with the boot, and it is not as constricting. oh, and get a knee walker (or knee racer as my kids call it). they rock (and roll). sorry, couldn't resist. good luck with the surgery!</description>
		<content:encoded><![CDATA[<p>hi. i am 7 days out from surgery, and i have two young kids, so here is what helped me. elevate elevate elevate. it helps with general swelling and related issues as well as the pain. take your pain meds on schedule (don&#8217;t mess with it because you are feeling better, i did, and i regretted it on day 3). really take it easy that first week, and hopefully it will get you good results&#8230;i just came back from my first post-op appointment with a boot instead of a cast (yay, appreciate the little things), and my general outllook is good: low swelling, good movement, still nwb but at least i can watch the incision with the boot, and it is not as constricting. oh, and get a knee walker (or knee racer as my kids call it). they rock (and roll). sorry, couldn&#8217;t resist. good luck with the surgery!</p>
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		<title>Comment on It&#8217;s official by Sheila</title>
		<link>http://achillesblog.com/ithappened2me/2008/07/21/its-official/#comment-17</link>
		<dc:creator>Sheila</dc:creator>
		<pubDate>Wed, 23 Jul 2008 18:12:30 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/ithappened2me/?p=5#comment-17</guid>
		<description>Rich - interesting about the time frame.  i was out of town playing in a tennis tournament when i heard the pop and fell.  Another player who happened to be a doctor came and checked me out but never said anything about the tendon.  i think he was more concerned with a break or twist in the ankle.  since i still had range of motion, just couldn't put weight on the toes, he suggested icing it down, stay off of it for a few days and keep it elevated.  When i asked about going to the ER and would they be able to do anything, he said no, just needs time. Anyway, after 9 days of hobbling on it and having it throb unmercifully on the 4 hr flight home, I went to the doctor the next day and was diagnosed.  Surgery came 12 days after the rupture, but maybe delay wasn't much of an issue - other than the whole still walking on it thing.  Well, limping.  :)</description>
		<content:encoded><![CDATA[<p>Rich - interesting about the time frame.  i was out of town playing in a tennis tournament when i heard the pop and fell.  Another player who happened to be a doctor came and checked me out but never said anything about the tendon.  i think he was more concerned with a break or twist in the ankle.  since i still had range of motion, just couldn&#8217;t put weight on the toes, he suggested icing it down, stay off of it for a few days and keep it elevated.  When i asked about going to the ER and would they be able to do anything, he said no, just needs time. Anyway, after 9 days of hobbling on it and having it throb unmercifully on the 4 hr flight home, I went to the doctor the next day and was diagnosed.  Surgery came 12 days after the rupture, but maybe delay wasn&#8217;t much of an issue - other than the whole still walking on it thing.  Well, limping.  <img src='http://achillesblog.com/ithappened2me/wp-includes/images/smilies/icon_smile.gif' alt=':)' class='wp-smiley' /></p>
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		<title>Comment on It&#8217;s official by Mary Mekko</title>
		<link>http://achillesblog.com/ithappened2me/2008/07/21/its-official/#comment-16</link>
		<dc:creator>Mary Mekko</dc:creator>
		<pubDate>Wed, 23 Jul 2008 15:55:17 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/ithappened2me/?p=5#comment-16</guid>
		<description>My own reaction to your idea of Legoland?  People pushing!  Kids running!  Junk on the ground to slip on!  And above all, unconscious behaviors that could lead to your getting further injured.  

I am 3.5 weeks post-op, and limped with friends downtown here in San Francisco yesterday, one block total.  The crush of tourists at Union Square scared me.  So even if I were in a wheelchair, I would not feel secure; people are not looking, and they're hurrying.  If you should get further injured, imagine the hassles!

Mary</description>
		<content:encoded><![CDATA[<p>My own reaction to your idea of Legoland?  People pushing!  Kids running!  Junk on the ground to slip on!  And above all, unconscious behaviors that could lead to your getting further injured.  </p>
<p>I am 3.5 weeks post-op, and limped with friends downtown here in San Francisco yesterday, one block total.  The crush of tourists at Union Square scared me.  So even if I were in a wheelchair, I would not feel secure; people are not looking, and they&#8217;re hurrying.  If you should get further injured, imagine the hassles!</p>
<p>Mary</p>
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		<title>Comment on It&#8217;s official by rich</title>
		<link>http://achillesblog.com/ithappened2me/2008/07/21/its-official/#comment-15</link>
		<dc:creator>rich</dc:creator>
		<pubDate>Tue, 22 Jul 2008 21:25:19 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/ithappened2me/?p=5#comment-15</guid>
		<description>One other thing on the time from ATR to surgery . . . 

I have read several articles on this and it seems that 7-10 days from injury is a good time because the surgeon will deal with less debridement (trimming the loose tendon fibers and slough).  

After a week or so, your body will have started healing some of the frayed ends of the tendon, making it easier to stitch up the tendon.  After 10 days or so, the tendon can start to curl up and make for a higher tension suture.

Anyway, that is my non-doctor interpretation of some of the articles I've read on the subject.

Again, good luck with your upcoming surgery.</description>
		<content:encoded><![CDATA[<p>One other thing on the time from ATR to surgery . . . </p>
<p>I have read several articles on this and it seems that 7-10 days from injury is a good time because the surgeon will deal with less debridement (trimming the loose tendon fibers and slough).  </p>
<p>After a week or so, your body will have started healing some of the frayed ends of the tendon, making it easier to stitch up the tendon.  After 10 days or so, the tendon can start to curl up and make for a higher tension suture.</p>
<p>Anyway, that is my non-doctor interpretation of some of the articles I&#8217;ve read on the subject.</p>
<p>Again, good luck with your upcoming surgery.</p>
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		<title>Comment on It&#8217;s official by rich</title>
		<link>http://achillesblog.com/ithappened2me/2008/07/21/its-official/#comment-14</link>
		<dc:creator>rich</dc:creator>
		<pubDate>Tue, 22 Jul 2008 21:06:57 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/ithappened2me/?p=5#comment-14</guid>
		<description>If your surgery is anything like mine was, I wouldn't plan anything for at least 3-5 days following surgery.

I had general anesthesia and a nerve block at the knee.  I checked in for the surgery at 8:45am, had my surgery at about 9:45-10:45 and was out the door before noon.  The nerve block freaked me out a litte because, not only could I not feel anything below the knee, I couldn't move anything (wiggle my toes).  It completely paralyzes the lower leg.  At about 1am, I started getting the tingling sensation back in my toes and I could wiggle them, but I was so concerned about feeling and moving my toes that the pain already set in and I was too uncomfortable to sleep (strong, dull pain).  I doubled up on my percocet 3.5 mg scrip and took them about every 4 hours for the first 2 days . . . very comfortable.  After 2 days, the percocet was making me feel strange and I stopped taking it.  I wasn't in any pain after that.  From what I understand, the general aneshesia irritates the nerves and the first day or two of pain is at least partially due to that.

I would suggest you take your pain meds shortly after you return home from the surgery and you'll avoid the pain altogether.

I had a half cast and an ace bandage for the first few days following surgery.  Then I had a full cast.  For the first week or so with the cast, I couldn't stand up for more than a minute or so without feeling very uncomfortable.  The ankle area swells with pooling fliud at the surgery site and the cast doesn't give so I was feeling a lot of pressure there.  As soon as you raise your casted area above your heart, the fluid drains out . . . instant relief.  Keep your cast elevated for at least the first week and you'll feel much more comfortable.

I'd be carefull trying to go to an amusement park anytime soon.  If you do, I'd suggest a wheel chair, especially since the crutches are giving you  problems.  I am about 5'10" and I set my crutches for 5'9."  You should have at least an inch under your pits and shouldn't be resting your body weight on your pits.

After a few weeks, your good leg and your upper body will get much stronger and you'll fell more comfortable crutching around.

Take it slow and be a little selfish with your recovery.  You gotta take care of yourself first.  

Good luck!</description>
		<content:encoded><![CDATA[<p>If your surgery is anything like mine was, I wouldn&#8217;t plan anything for at least 3-5 days following surgery.</p>
<p>I had general anesthesia and a nerve block at the knee.  I checked in for the surgery at 8:45am, had my surgery at about 9:45-10:45 and was out the door before noon.  The nerve block freaked me out a litte because, not only could I not feel anything below the knee, I couldn&#8217;t move anything (wiggle my toes).  It completely paralyzes the lower leg.  At about 1am, I started getting the tingling sensation back in my toes and I could wiggle them, but I was so concerned about feeling and moving my toes that the pain already set in and I was too uncomfortable to sleep (strong, dull pain).  I doubled up on my percocet 3.5 mg scrip and took them about every 4 hours for the first 2 days . . . very comfortable.  After 2 days, the percocet was making me feel strange and I stopped taking it.  I wasn&#8217;t in any pain after that.  From what I understand, the general aneshesia irritates the nerves and the first day or two of pain is at least partially due to that.</p>
<p>I would suggest you take your pain meds shortly after you return home from the surgery and you&#8217;ll avoid the pain altogether.</p>
<p>I had a half cast and an ace bandage for the first few days following surgery.  Then I had a full cast.  For the first week or so with the cast, I couldn&#8217;t stand up for more than a minute or so without feeling very uncomfortable.  The ankle area swells with pooling fliud at the surgery site and the cast doesn&#8217;t give so I was feeling a lot of pressure there.  As soon as you raise your casted area above your heart, the fluid drains out . . . instant relief.  Keep your cast elevated for at least the first week and you&#8217;ll feel much more comfortable.</p>
<p>I&#8217;d be carefull trying to go to an amusement park anytime soon.  If you do, I&#8217;d suggest a wheel chair, especially since the crutches are giving you  problems.  I am about 5&#8242;10&#8243; and I set my crutches for 5&#8242;9.&#8221;  You should have at least an inch under your pits and shouldn&#8217;t be resting your body weight on your pits.</p>
<p>After a few weeks, your good leg and your upper body will get much stronger and you&#8217;ll fell more comfortable crutching around.</p>
<p>Take it slow and be a little selfish with your recovery.  You gotta take care of yourself first.  </p>
<p>Good luck!</p>
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