Walking Boot

Doc recommended PT to start next week.  My AT is so sore after a month in the cast, but the boot is great because I can remove it to shower.  Can barely put any weight on my left leg in the boot, but looking forward to PT at least for a few sessions.  ROM is very limited, but already feels better one day out of the cast.

9 Responses to “Walking Boot”

  1. Fortunately, I think, I was never in a cast. I got a boot, the black Donjoy monstrosity, the day I ruptured and that was all I ever had. But, I did go into a cast after my fourth surgery, which was just to remove the internal sutures that had caused an abscess. I only had it on for a week and was free to walk in it. Maybe I was lucky but I actually found it more comfortable at night than the boot was, but the boot was definitely better for walking. At five weeks post-op, you should be able to put a fair amount of weight on your bad foot. What I, and others, have found helpful is to make sure your bad foot stays in front on your good foot for a while and make sure any weight is transmitted through your heel. It feels odd but I only used this around the house and relied on my crutches if I had to go very far. Until I got to the point where I could actually flex my ankle some. Also, it is really important to wear a shoe that puts the soles of both feet the same or nearly the same distance off the floor. You can give yourself back and hip problems otherwise.
    I’m curious why you say you are looking forward to PT for a “few” sessions. A “few” sessions of PT for a ruptured Achilles is not really enough, even your therapist is really good. Also, shop around for a therapist. I’m on my third one and this guy is finally actually doing something that helps. The first two times I just sort of settled for whoever was available at that clinic. After the fourth surgery I was given a list of 7 possible rehab clinics. I intended to visit four that were convenient to where I work but at the third one I was convinced the therapist I talked with was the right guy to put me back into running and triathlons. Know what you want to accomplish and ask specifically if they are knowledgeable about that. If you want to play basketball again, you don’t want someone who doesn’t know anything about the sport.

  2. What keeps you from putting more than “barely any” weight on your foot, in the boot? If it’s soreness at the bottom of your foot (esp. heel), “welcome to the club”. Squishy insoles inside the boot help, but then you have to raise up your other foot even higher to stay aligned. I don’t think anything else SHOULD bother you about weight-bearing in the boot, or even walking in the boot, once your foot gets used to the weight.

    When that happens, the boot should give you enough support that you can walk (”clomp”?) at full speed, striking the heel then rolling straight forward over the toe. It’s almost like normal walking, except that your shin (and the top of the boot) bear the load that your AT would normally take, and there’s no “push-off” at the end of the stride.

    If you had a hinged boot, you could extend your toes (plantarflex) at the end of the stride, at least after your other foot takes up your weight. And as your strength increases, you can push off sooner and sooner and more and more — until you can do 1-leg heel raises inside the hinged boot, all while being totally protected against dorsiflexing your ankle! Nifty gizmos, hinged boots, IMHO!

  3. I can put some weight on my foot, however the month it was in the cast, my foot was at an obtuse angle rather than a 90 degree, the way my OS set it. Now my foot still points down but ROM is already improving. Therefore, I’m obviously not ready to stand on my toes. As for PT, I’m going to try this one and see how they’re doing. Six weeks is the recommendation from my doc, but I may shop around if needed (i.e. perhaps someone better suited to endurance sports).

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

  4. So your foot is at a less obtuse angle now than it was in the casts? If the upper part of your boot is snug to your upper calf, and the sole of your foot isn’t tender, I still don’t understand what hurts, or what is uncomfortable, when you shift weight to that foot. There should be virtually no strain on your ankle and AT, unless I’m missing (or forgetting) something.

    The “I’m obviously not ready to stand on my toes” confuses me. Walking in an orthotic boot with heel lifts is nothing like standing on your toes, though it’s a bit like walking in shoes with (high) heels, except that you’ve got the shank of the boot nailed to your upper calf to do the job of your AT and ankle.

    If your other shoe doesn’t match, it’s way awkward, but the solution is to adapt your other shoe to match.

  5. Sometimes people confuse the pain originating from the stitches or wound stretching rather than the achilles itself. Movement upwards from plantar to dorsiflex and stretch the repairing would - causing it to weep.

  6. Who said anything about the wound weeping?

    And I’m with Norm, I don’t understand what hurts. I had some tenderness in the heel of my injured foot when I went from NWB to PWB, but that went away in just a few days.

  7. The main problem is that my tendon will not flex far enough to where I can stand flat on my foot. The angle of my ankle/foot was at -45 degrees for a month in the cast. This walking boot is almost at 90 degrees minus the four “cushions” in the heel which do little to prop my foot. Therefore, until I get more ROM in my foot/tendon, it’s not able to support more than partial weight. PT is helping a lot, but very painful.

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

  8. If your heel lifts are collapsing under your weight, even part-way, that’s just wrong!! Heel lifts are supposed to be made of firm rubber, to change and hold your ankle angle. (Mine have always been blue, but I’ve never seen a good study on that! ;-) )

    Go back to the people who gave you the wrong ones, or go to somebody else. E.g., every ski shop in the world carries the right kind, and I doubt you’d pay $10 for a nice set of them — especially after you tell them your story!!

  9. Nice publish. I just wanted to level out that this is one of the finest deals within the net. Really nice.

Leave a Reply

To prove you're a person (not a spam script), type the security word shown in the picture.
Anti-Spam Image

Powered by WP Hashcash