Lumps at incision site

Would appreciate some info from those of you in the know.
1. How soon is it safe to use a foam roller on the calf? I just began the transition to 2 shoes and certainly feel some soreness in the calf muscles. I think the foam roller would really help, but wonder if it’s too soon?

2. Tendon feels and looks lumpy. Surgeon said the uneven collagen distribution often evens itself out, but PT can work on it, if not. My PT said it wouldn’t hurt to wait on this. Thoughts and experience on this?

3. There is one really hard, small bump at the incision site - feels tender, is a little more red/pink than the rest, and almost feels like there is something really hard in there. Anyone had this?

Thanks everyone!


  1. normofthenorth Said,

    December 5, 2013 @ 11:36 pm

    Hard to know what’s what remotely, Kim — and _especially_ without medical credentials! But here’s what I know:

    When I was recovering from my more recent ATR, my PT told me to massage it, especially with thumb and forefinger on either side of the AT. He also said I’d get a better “rub” if I moved the tendon in the opposite direction of my hand. So as I rub down toward the heel, I plantarflex, and as I rub up I dorsiflex. No idea if it did any good, but if felt nice. I don’t think I’d bought a foam roller yet, and we didn’t discuss it, but if it feels gentle and doesn’t cause problems. . .

    Re: 3: I’m sure we’ve had lots of people with similar symptoms that went away with more healing, more exercise, more “tincture of time”. But we’ve also had a few post-op folks who’ve had trouble with their internal sutures. GerryR was probably the “worst” of the bunch, and the first stories I read, but we’ve had ~3-4 people here since — maybe 1/year — with similar problems. Some had sutures bubble up through their skin, others had to have reops to take them out. Many surgeons denied that it was possible. Gerry had 4 ops total before they got his sutures out, then he was cured, back to teaching skiing and all.

    Again, your lump may have nothing to do with a “rejected” or “non-dissolving” suture. But if it does get worse, keep in mind that this problem does occasionally happen. Gerry had to fight for his last surgery, and was very glad that he did. (We’re not talking about restarting the whole ATR rehab, more like 6-8 weeks for a nasty cut to heal.)

  2. kimc Said,

    December 6, 2013 @ 7:33 am

    Thanks for the information, Norm.

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