There wasn’t much to post last week, so didn’t do my weekly update (which is mostly for my own benefit in marking progress!) The slow progress is discouraging sometimes, but at least it’s a continuous forward crawl - no backwards movement.
I am now walking pretty easily during the day - when I focus on using the ball of my foot. It’s easy to slump back into limping when I haven’t stretched the tendon after sitting or I’m just not thinking. When I first get out of bed in the morning, my AT is tight and I need to stand and stretch a few moments before walking normally. It warms up before I get to the door of my bedroom and I can walk fairly well. Ditto after sitting for long periods. I’ve found that walking more brings progress faster - even more than PT and biking. I can do two legged calf raises, but am putting very little injured leg into the lift.
My DF is about +6 active, and +14 passive. I still have to get it there with a lot of stretching. Here’s pics of the improvement:
The atrophy looks bad - but it is MUCH better and calf muscle is coming back quickly. It looked like a 100 year old leg last month. :) This is a pic of the scar and swelling mid- afternoon after PT and biking:
And here is my eversion/inverson:
For those who are struggling with ROM like I did. I’m getting there - slowly but surely. Last but not least, my straight leg DF is better but still WAY away from my good leg’s ability:
And this is with a fairly good inclined walker shoe. Not so great, and it’s what’s causing my biggest problem with normal gait. My AT is TIGHT - and really only feels loose after a good hour of biking and PT. Once I cool down, I’m really not very flexible again, and have to purposely get it warmed up by walking and stretching. Sooo…I’m not where many are at this stage (which drives my sick, competitive nature nuts ), but life is getting back to normal and I’m able to do everything I need to, albeit slowly. I’m still unwilling (not unable) to get back on my road bike as I don’t want to chance a bad hop off before 16 weeks. I’ll stick to stationary as I only have TWO MORE WEEKS for that magic number…!! I know, ryanb and eastcoastrunner - I’m a wimp - but I’m just so close and my AT is so tight, that I feel like a hop onto my injured heel would re-rupture at this point. I just don’t have the DF to compensate for any sudden load applied.
I still have significant adhesions and the swelling gets a little worse at the back in the evenings - but not much more than you see above. I shopped for back to school, visited a friend in the hospital, and walked over a mile easily with 4 wild kids during a 6 hour outing in shoes the other day. I had swelling - but nothing noticeable by others. I wore dress shoes to Church with no physical repercussions- and that made me happy.
So I’m thankful to be where I am - and learning patience about getting to where I want to be. I can take care of my family again, drive the cars, and clean the house. I can move quickly if needed, but can’t run yet. I’m in really good shape despite the limitations and my calf gets stronger everyday!! I can really feel it when I walk. Sorry for such a boring update - but "life as usual" is what I’ve been craving for these last few months - and that part is back. :) I’m feeling good about my progress, and seeing a light at the end of the tunnel - PTL. Praying for those of you just beginning this journey and thanking God for the little things I can do that I used to take for granted. Blessings, Kim
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