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when were you fitted to the walker boot?

I was wondering when you guys were fitted to the walker boot.  I know there is a whole myriad of protocols out there but still interested in a little poll.  Could 4 weeks in cast mean sufficient healing before changed to walker?  Also, did anyone start PT around 4 weeks post-op?  My therapist seems very agressive with [...]

I was wondering when you guys were fitted to the walker boot.  I know there is a whole myriad of protocols out there but still interested in a little poll.  Could 4 weeks in cast mean sufficient healing before changed to walker?  Also, did anyone start PT around 4 weeks post-op?  My therapist seems very agressive with lots of stuff planned: magnet, laser, ultrasound, electro stimulation, etc beside massage and exercises.  It does sound a bit too much, especially as she plans it every day.  I keep wondering if it is all necessary or she is just working on her cashflow…

Any experience is highly welcome.  Have a great week, all of you.

Judit

8 Responses

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Hi, Judit. I got in a walker boot on Day 8 but NWB. I went to PWB on Day 22. I was in PT on Day 16 with electro, ultrasound, etc. I think I’m starting FWB this week (Day 30 or so). My PT protocol was 2-3 times a week for 6 weeks and I’ve done two weeks so far.

Personally, I really like that my doctor has an aggressive protocol. It makes me feel like I’m part of the healing process. Also, I can totally feel the increase in ROM. If he and the PT aren’t worried about anything, then I’m not either.

Btw, had my first proper shower in a month yesterday. It felt so freaking good.

Good luck with your rehab.

1 daveleft June 02, 2008 2:00 am

Thanks Dave, this is really promising. I am really looking forward to being more active in this healing process… Shower? Ohhh, how I envy you…
Take care,
J.

2 judit June 02, 2008 2:37 am

Once again you will find that every doctor seems to have their favorite protocol. I was told at 19 days that I could walk in my cast! I was told PWB then to FWB as tolerated. Several others responded that they started PWB around the same time.

So even though I am in cast - not a boot, I have been walking on it for over 2 weeks. I am 5 1/2 weeks post op.

3 tennisjunkie June 02, 2008 5:33 am

I will go to the boot today at Day 26 and then PWB with PT starting at week 5, I think he wants me to go three times a week. I think that is pretty common to go to the boot at week 4 with PT. I have been reading alot of studies of the benefits of early weight bearing, I think that we just have to think long term so I am taking it easy and doing whatever the doctor tells me. There have been so many studies on how long it takes to get back to normal. It will take me longer to get back to work then people with a desk job because my job requires explosive movements. Ok that was long winded for I think you will be fine but make sure that you listen to your body, even at PT when your Achilles Tendon is telling you to slow down, I would listen to it. Good Luck in your recovery!

4 matts June 02, 2008 6:05 am

I am 7 1/2 weeks post op. I was complete NWB for first 6 weeks and then allowed PWB (approx 50 lbs of pressure). At 8 weeks I am allowed to do 75 lbs of pressure.I don’t get to take off my boot, wuit using crutches and start PT util at 12 weeks.

It seems my dr is being very conservative with rehab compared to most of you guys. I know I had a bad tear of the achilles and had to have part of the calf muscle grafted over it. I assumed this was standard surgery. Did any body else have this same procedure?

5 jauer June 02, 2008 7:58 am

jauer,

My tear was very simple. Textbook. So no grafting needed for me. I know that such things are done, though, and I gotta figure your doctor as advising you in your best interests. Just ask him when you see him next–”I’ve read about people walking in two shoes by this point… is my case more complicated than average?” Good luck to you. I’m at nearly 8 wks, and shoe walking now, except in “unpredictable” situations, when I wear the boot (ie, around drunks). Good luck in your recovery!

6 eriedutchgirl June 02, 2008 8:55 am

Thanks, everyone, for sharing your protocols. Even though I know that each case is different, reading your stories helps me put mine into perspective.
Good luck to all of you.

7 judit June 02, 2008 1:34 pm

I was fitted at 2 weeks. Wil be NWB for 4 weeks at least. ITs actually great just being able to take the foot out every now and again for a scratch or to change socks. Good luck!

8 withnail June 03, 2008 6:01 am

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