Physio + Slip up at 11 weeks

Had my first physio session on Monday of this week. Everything was good, massage + the electrical thingy + ultrasound, and I was to work on my ROM for the rest of the week. Things were going smoothly so far, and I thought I was nearing the end of this phase of my life.

Unfortunately yesterday, after a long journey to work (massive snowing in Toronto), the first thing I did when I walked out the elevator was slip on the super shiny marble flooring. (If you’re ever at the Manulife Centre in Toronto, they’ve gotta have the shiniest flooring you’ll ever see.) My left crutch slipped because of snow and water residue left on the floor and on the crutches. My injured left foot hit the floor toes first, followed by some intense pain (I had slipped before, but the pain wasn’t this intense) for a couple of minutes. (I was in the boot, but I didn’t fasten it as tight as I could have.) The first thing that I thought of was to take off the boot and hope that it didn’t rerupture. Anyhow, that ended my day, and I ended up going right back home. Performed the Thompson test at home, and the tendon seems intact, but there’s a huge purple/black bruise right above the heel just below the incision area.

I went to see the doctor today, and she similar did the Thompson test and concluded that it was still attached, but couldn’t tell if any damage was done. She says the bruising could be because alot of the scar tissue was stretched.. She said to wait and proceed as before (to WB as tolerated) and see if anything was hindering the healing process, if not, then there shouldn’t have been much damage.

One crazy week. Going to see the physio again on Monday, wondering if she’ll have some insights.. What do you think? Do you have any ideas as to the bruising or whether this slip will slow down the recovery?

Thanks,

Mike

foot with bruise

5 Comments »

  1. 2ndtimer Said,

    December 10, 2009 @ 5:22 pm

    Mike, I am afraid how many more stories shall we hear of slipping crutches with the winter weather. They are the most dangerous things ever, and if you have to commute to work it is a nightmare. I do not know any solution. I was lucky I am a homemaker - so I spent the 3 months at home.
    And it is the 2nd time you slipped… the purple bruise is certainly unnerving. I can not say anything more useful than your surgeon did. I really wonder why you still have to be with crutches… it would be safer (for slipping) if you could go FWB at 11 weeks. Hope indeed it was just the scar tissue that got stretched. Lets hope your PT will massage it and reassure you on Monday. it seems OHIP can not ever afford MRIs to check on these things… You can move your ankle around still?

  2. Mary Keeney Said,

    December 10, 2009 @ 6:41 pm

    So sorry to hear of your fall. They are so demoralizing. But the biggest fear is re-rupture, and the doctor reassured you on that score, at least. I bet you will get a good report on Monday. I had a fall this week (rain) and it scared me silly. I starting looking around on the internet, I found some things called “neva slip” crutch tips. Maybe they are worth a try? http://www.qualitymedicalinc.com/crutch_tips.htm

  3. michael784 Said,

    December 10, 2009 @ 8:32 pm

    Hi 2ndtimer, thanks for the reply. I guess my doc was being very conservative. I was actually on track to start weight bearing next week, which you’re right, would probably be safer with the current weather but will now probably wait a few more days to see if there was any affect from the slip. It was actually surprising how late it snowed this year, but yes unfortunately for people with crutches, life has just gotten so much more dangerous.. I actually asked about getting an MRI a while back, but apparently the doctor says that it’ll take about 6 weeks before they give you results or something. (or maybe the line-up to take the picture was 6 weeks?) but yea it would be nice if all these services are available.. but then again I don’t have full insurance coverage, so OHIP is actually quite nice already after seeing some of the fees that some people have paid for surgery.. (apparently it doesn’t cover private physio anymore though..!)

    Thanks Mary. Sorry about yoru fall as well, I hope it wasn’t serious. Someone really needs to invent a better way of crutching! Water + slippery flooring seems to be our biggest enemy. I’ll take a look at those tips, I’m hoping to be FWB or atleast PWB in 2 to 3 weeks (if everything goes well) so I hope I won’t need to use them again!

  4. Sanfrantourguide Said,

    December 11, 2009 @ 3:57 pm

    I slipped in the bathroom on the first week, since the floor was wet. I became paranoid after that. I managed to avoid working for 10 weeks and get disability because I am a busdriver and tourguide - walking impossible. Naturally it was a lot less income, but to me there was no way to even consider crutching to work by public transport, and risking rerupture. If you could possibly work from home or take a leave of absence until you are FWB, it might be worth it. 11 weeks, come on!

    That’s my very conservative point of view here in San Francisco.

    Mary

  5. mari Said,

    December 12, 2009 @ 12:39 am

    I too have spent at least 9 weeks being very conservative.
    I went to work but because the hallways are pure slate and KILLER on my foot I went back to staying at home.

    I’d say, it’s the weekend. Baby it, rest, ice and elevate.
    Buy some Arnica cream and massage the heel with it.

    Good luck.

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