Case 25: Non-operative treatment

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I almost reruptured the damn AT

March 27th, 2009 · 5 Comments

Yesterday was the 5 week mark. I have been partial weight bearing (PWB) for nearly a week now. I was walking with one crutch in a very awkward (and dare I say, embarrasing) way. The weather here in London Ontario (Canada) is getting nicer every day. I decided to get out and get a hair cut. So, I walked out of my office and in 10 minutes got to the barber shop here on the university campus. Once I was done, and looked kind of normal again, as I was getting off the barber’s chair my right foot (the normal one) got stuck behind the footrest of the chair and I flew in the air, landed HEAVILY on my left foot, the injured one. OUCH! For hours I thought I had reruptured it, that painful… back to two crutches and NWB for now!

This morning I was contemplating to visit my surgeon again and let him know what happened. Miracelously I ran into him just outside my office. He said in an encouraging way: “Good, I see you’re always wearing your boot.” Immediately I explained to him what had happened and that I was concerned I had reruptured it. He quickly looked at it and told me that… eh… nothing serious! I had just stretched the stiff muscles that had not moved for 5 weeks. But the tendon was not damaged. In fact, he showed me how the “hole” that I had earlier was not being filled in again. My reborn achilles was growing, so sentimental I suppose!

I guess tomorrow morning I’ll try to get back on PWB again. The only thing I liked about NWB was the fact that my boot was kept clean and I could take it in bed with me. Now, every night I have to pull out all sorts of chemicals (cleaning material) and wipe the boot spotless clean - so I can sleep with it. Has anyone else experienced this unease with wearing your boot in bed? I wish there were boot condoms I could wear in bed :)

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5 responses so far ↓

  • 1 Smish // Mar 27, 2009 at 3:12 pm

    Mazmouza: I had to sleep with my boot on forever (it seemed). What I did was kept my injured leg with the boot on outside my regular covers. I then went and got a single heating blanket (as a second set of covers) that went over the top of my leg and the part of my body that was outside the main covers. I also used a body pillow for support and that way I kept my dirty boot outside of my sheets but I still kept warm with the heating blanket. I also put another blanket over the top of all of this. I guess an easier way to explain this is I used two sets of covers.

  • 2 dennis // Mar 27, 2009 at 4:33 pm

    mazmouza - you might be able to get a splint (only if approved by your doctor) just for sleeping in. Glad that you didn’t re-rupture. Be careful!

  • 3 Jim // Mar 29, 2009 at 11:19 pm

    Sleeping with the boot on idea that worked for me. I assume your boot has velcro closures. Get an old pillow case put your boot/foot into it, undo the top velcro closure, slide the pillow case under it then close the velcro strap. Works like charm. Hope this helps.


  • 4 Robby // Mar 30, 2009 at 5:19 am

    I asked my doctor for a removable cast to wear during the night. He said ‘do whatever you want!!’
    I went round to the plaster room and they did one for me - no probs. In the UK (NHS) if you don’t ask, you don’t get.


  • 5 delaneybill // Apr 4, 2009 at 7:24 am

    good morning,
    I have been sleeping without the boot since post-op day 4, a total of four nights now. So far so good.
    Good to find a non-surgical tx up here. I was hoping for same and even asked about ACP, but my big university hospital is not that advanced it seems. My surgeon came down adamantly on the side of surgery, quoting the re-rupture stats for non-surgical, saying my total rupture indicated surgery, etc.

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