4 week checkup and advice for Ryan Howard

October 28, 2011

Had my 4 week post-op checkup today.  Good news is I’m healing nicely, stiches finally removed, did not look too gnarly.  And I am out of the hard cast and into a snappy hightech, adjustable “soft” cast.  Sadly I’m going to be in it for a while yet, still NWB and that won’t change until Nov 21 at the earliest.

Discussed my conservative treatment with the surgeon.  His reasons are my repair was more extensive than most and, there is a higher probability of healing long when starting weight bearing and PT too early.  Of course exactly when it’s too early in the treatment timeline is a matter of conjecture.  He’s very clear though a longer recovery minimizing the possibility of healing long is preferable to accelerating the process and possibly having less use and strength of the injured leg.

I’m taking the long view, my physical condition is more important a year from now then next month.  Although that does not mean I’m not frustrated and impatient.

For whatever it’s worth Dan Marino (A great NFL quarterback from the 80’s and 90’s) suffered an ATR, came back quickly but was never the same.  He said later he rushed his recovery, healed long and did not have the push off his back leg to be the quarterback he was pre-injury.  Ryan Howard of the Phillies (Baseball for you non yanks) heed Marino’s advice and don’t rush your recovery!

Entry Filed under: ATR recovery, Uncategorized. Tags: , , .

2 Comments Add your own

  • 1. ryanb  |  October 28th, 2011 at 9:04 pm

    To me, it seems clear that an accelerated rehab schedule puts you at higher risk for re-rupture. It’s less clear to me how various rehab schedules relate to “healing long” (especially after the first month or so). I have no doubt that Marino healed long, or that he rushed his recovery. But, I haven’t yet been convinced that the causation exists between those two.

    Even treatments for those who have healed long seem to span a full spectrum: from extended immobilization in a plantar flexed position (hoping it shrinks), to aggressive PT, trying to rehab the calf to improve range of motion and tighten up the connective tissue by strengthening it.

    In the absence of good hard evidence, we all have to do what we believe will lead to the best result. For some that answer is “whatever my doctor says”. For some it’s an ultra conservative rehab. And, for some it will be a more aggressive approach. There have been good and bad results achieved with all approaches.

  • 2. Mccayde  |  November 26th, 2011 at 12:55 pm

    How neat! Is it rellay this simple? You make it look easy.

    [WORDPRESS HASHCASH] The poster sent us ‘0 which is not a hashcash value.

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