Out of the boot - Conservative Treatment

It’s time for an update.

For those of you who don’t know, I suffered an ATR on March 26, 2009 while trying to use a skate board. Silly me! Anyhow… I walked around with my ATR for about 3 weeks, because I was afraid of the exuberant costs of health care and thought maybe it was just a sprain or that it might heal.

I thought for sure I would need surgery, but couldn’t afford it and was quite worried. After seeing an ortho, he told me that we could try conservative, non-operative treatment.

About 4 days ago, the Ortho allowed me to take off my walking boot and to start walking with two shoes.

All seems to be going well. I walk with a slight limp, but it is getting better each day. The tendon appears to have healed and there is some scar tissue that can be felt as a lump under the skin. A Thompson Test reveals that the tendon has healed.

Right now there is very little strength in the tendon, but I feel hopeful that it will get much better soon. I will keep you informed.

My Boot - Nonoperative Experiment

My Achilles boot has arrived. I will be going to the ortho tomorrow to have him fit me in it. I wouldn’t want him to get upset with me for removing my own cast! Ha!

I’d like to hear from others who have gone the non-operative route. The stuff I read on the internet seems biased. I’d like to know how the healing went and how much strength you have as opposed to before the injury. More specifically, I’d like to hear from anyone who has gone the nonoperative approach at least one or 2 weeks after the injury took place. Thanks to anyone who responds.

Have a good day.

Uninsured, Happier, and 3 Weeks In

So here is an update.

I made an appointment with an Ortho today. He took me same day.

He confirmed the ATR and suggested the two primary methods of healing - non-operative or surgery. I questioned whether I could still do non-operative after 2.5 weeks of leaving it untreated and he said that tendons take a long time to heal, so any healing that has already taken place would be minimal at best and we can still proceed with non-operative.

So we put my foot in a planar flexion and casted it. Hopefully the two ends of my tendon will heal in this position.

I’m scheduled to see him again in 3 weeks. I’ll keep ya’ll posted.

Also, the final good news is that the total cost with cast and visit came to $475.00, but they halfed it because I was selfpay and paid the full amount. So the actual total cost today was $237.50 - not bad if this all works out.

See ya in three weeks.

Uninsured, Depressed, and 3 Weeks In

Yeah, so here is the story. I got it in my head that maybe I could try skate boarding again. Skating a half pipe is actually a rather benign activity, so long as you aren’t trying to do any tricks. I was simply thinking that it might be a better and more fun way to stay in shape, rather than the usual gym fare. If you fall on a half pipe, you fall on soft ply wood and only a foot or two, so no big deal. I remember my wife telling me that I better get insurance first. Ha! Insurance in the US is more than my mortgage. That’s neither here nor there, because I choose to go skating anyhow. I had no idea that my 34 year old body wouldn’t be able to handle the simple exertion of pushing the board for speed.

 

With my left foot on the board, I pushed off with my right foot and felt as if someone just hit me in the back of the leg. I didn’t really hear a “pop”, but that may be because I heard my skateboard crashing against the back of my ankle. I immediately suspected that something bad had happened! I could hear my wife yelling at me in my mind… ugh.

 

I limped off the skate park, embarrassed and ashamed of my poor physical condition. For the record, I’m 6” and 215lbs. Male, obviously, as demonstrated in my sheer stupidity.

 

So… Here is where my story may or may not become unique. I’ve been reading the AchillesBlog for answers to my dilemma, but can’t seem to find any bloggers who are in my situation. Evidently there is a surplus of thousands of dollars in all the bloggers’ pockets, because they all seemed to have opted for surgery and quickly at that.

 

I do not have insurance! I am not rich! Further, I’m in the process of purchasing a home for my wife and son, so I cannot, at present, make any large purchases or withdrawals from my meager account - the underwriters are watching my every move. For those who say I should have had insurance, know that I make 27k per year and insurance is practically half of that. Sure, I’d have insurance, but I’d be a bit skinny from lack of nutrition, as I’d have no extra money for food, and then the insurance carriers would drop me for being malnourished. Insurance in the US is for the rich, plain and simple (or people with government jobs).

 

Ut oh, sorry about the politics. Please let me continue.

 

So, I have not yet been to the doctor and it has now been 2.5 weeks. Without a doubt, I have an Achilles Tendon Rupture. I can feel the gap above my heel and I had my wife do the Thompson’s Test, which proved positive – no planar flexion! I’m scared to death, now, because the Achilles is so vital. I’m an active 30’s male.

 

I’ve researched the issue and see that either surgery or non-operative casting/boot are my options… but is non-operative really an option after 3 weeks of attempted walking? Won’t they have to re-cut the healing that has already begun? I’ve been walking around on it… stretching it out. At this point, I fear that if I try non-operative, then my Achilles will not have any tension and I will be crippled.

 

My other fear is that I will HAVE to get surgery. From my research, it appears that surgery will cost me (for just the surgery) about 5-8 thousand dollars of which I do not have. What is to become of me? What happens to those other people, who like me, cannot afford the surgery and did not get non-operative casting within the first 48 hours?

 

I’d also like to know if any has opted for financing through a hospital. Do hospitals offer financing?

 

Please, friends, I’d like your suggestions. Has anyone else been in a similar situation? I’m tired of reading post after post of people who had surgery within the first week or people who saw a doctor in the first few hours, because that is not my particular situation. I’m sure there must be others, like me, who walked around for a few weeks before realizing the seriousness of the situation. Please respond if you are one of those people.

 

Thanks.

 

I’ll keep you posted.