Case 25: Non-operative treatment

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Almost 5 months and still limping!!

July 11th, 2009 · 2 Comments

OK. I need some advice!

Roughly five months ago I had my injury. My “progressive” university hospital chose to put me through a non-operative treatment. I’ve been out of the cast for 2 months now. But I am still limping! And certain times I have pain. On top of all that, when I look at my left leg I get depressed. The div is still there (not AS visible, but still is). I’m slowly gaining strength in my left calf but quite honestly, my calf muscle is more of a jello than those found in the dairy buffet.

I need some advice, please.
Those who have gone through this process, can you help me understand whether this is normal? Do I need to intensify my physiotherapy? Do I need to get checked out by other surgeons?

Tags: Uncategorized

2 responses so far ↓

  • 1 doug53 // Jul 11, 2009 at 11:44 am

    I had surgery, so I haven’t had your experience, but I’ll try to help if I can.

    First, is your limp due to limited range of motion, or is it just that the calf needs more strength? Toward the end of my long 4/29 note on my blog, there is a discussion of this issue.

    Whether it is flexibility or strength you need, the fundamental question is how much stress your tendon can currently take for either stretching or strength work. If it is stretching you need more, I dare not offer advice, as nonsurgical/PRP therapy is fairly new, so all I can say is talk about it with your physical therapist.

    If it is strength work you need more, what might help is to come up with an exercise that is safely under your maximum (but not too easy, either) that can also be done while sitting around or lying around. Push your toes against the toes of your other foot, while you lift the toes of the other foot to provide resistance? While sitting, just lift the weight of your leg with your calf? If that’s too easy, cross your legs, to add more resistance? Whatever seems to work, try to do lots of it, whenever you think to do it.

    Good luck,


  • 2 2ndtimer // Jul 24, 2009 at 1:45 pm

    I was very interested reading about the study going on in London, Ontario because I am closeby… I got conservative treatment, too, but I got out of the boot at week 11.
    After 6 weeks of physio and walking I was still limping because of the muscle atrophy. I think it is normal.
    Many say without surgery the tendon stays weaker.
    But my surgeons, PT told me full recovery may take a whole year!!!
    I reruptured it at week 18 so I had surgery. We will see if that is better?

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