13 weeks walking in shoes - video

13 weeks videovideo now.
Don’t have much progress from week 11 :-(
No, I don’t do and didn’t even try 1 heel raise.
I’ve waited until I can do 2 heels without any pain / stiffness and so far no progress for this matter, so I’ll wait more …
I keep doing the same exercises as started from week 10.
Overall I feel better, but not as I expected to get by this time.
Yes, it’s so slow process.
How other can be running at 12 weeks already?
My next Doc check up at 6 month. I was recommended to keep inserts in shoes till 6 month to be on safe side.

this is selected in red area get hardened blob.

13 Responses to “13 weeks walking in shoes - video”

  1. normofthenorth Says:

    I don’t think you should vary your treatment from the study-tested protocol “to be on the safe side”. The protocol, moving into ordinary no-heel-lift “2 shoes” at 8 weeks (after removing all heel lifts from the boot at 6 weeks) was PROVEN safe in the study! NOBODY has proven that lingering in heel lifts for another FOUR MONTHS is safe, and certainly not that it’s SAFER!

    If we left it to the instincts of Ortho surgeons, without consulting the scientific studies, we’d probably all stay in a series of NWB casts for YEARS, just “to be on the safe side”! But the studies are pretty clear that those instincts are Just Plain Wrong, so don’t follow them! (Those instincts would also have put you on the Operating table.)

    Meanwhile, I certainly don’t know why you’re experiencing pain with 2-leg heel raises, Mike. Is it back-of-calf pain, or heel pain, or what? And taking a day off completely does NOT relieve it noticeably?

    As you know, when I overdid on heel raises (1-leg ones) after my first ATR, I suffered from serious pain that delayed my rehab by a full month, before I could do, pain-free, what I could do at the beginning of the month. The pain (at the back of my heel, in my case) was constant, whether I did more exercises or not, only gradually fading during the month. So it’s conceivable that you also did “too much too soon”, and just have to be patient now.

    It is a tight-rope balancing act to try to develop strength as fast as possible without undue risk of injury or setbacks. (When I caused my setbacks, it didn’t hurt until later!) Without elaborate tests — or maybe even WITH them — it’s hard to be sure what’s causing your pain. But I think many of us would respond to that pain by taking it easy and trying to be patient — kind of like Frouchie’s “slow and steady wins THIS race”!

    Even Doug and the other “over-achievers” in the rehab “race” didn’t win any prizes, other than the pleasure of getting back to normal a little faster. And I’m 100% convinced that I could have gotten back to normal a MONTH faster last time if I had taken it easy for that dumb 5 minutes during my PT session, instead of pushing too hard!

  2. mikek753 Says:

    yes, taking day off helps with pain.
    When I walk I don’t get much if any pain, but I’m limping and my foot isn’t straight placed on ground.
    The pain in lower heel area and I can’t say that this is tendon pain or not.
    I got some hardening above ruptured area, it’s like a blob that starts above ruptured tendon and goes up to muscle. On normal leg I can squeeze that part while foot is relaxed while on injured leg this feels like a hardened inner tissue 2-3 cm long - this about 10 cm from foot bottom.
    If I do active dorsi flexing this area gets harder and wider on normal leg and kind of the same on injured.
    It’s look like this muscle just doesn’t relax, but it isn’t muscle as above this area all are way soft.
    Added picture for this to the post.

  3. gunner Says:

    Your leg looks a lot better than mine, Mike, and I’m a couple weeks ahead of you. I’m also perplexed about the pain with heel raises. I can feel it in the calf muscle, just like any weight lifting exercise, but nothing I would call pain.

    If I recall correctly, you said you were going to start using a pool. If so, try the lifts in the pool, including one legged. It seems to be helping my progress quite a bit. I’m doing about 60 a day now.

  4. sullypa Says:

    Hi Mike and Gunner

    At my final PT session my PT suggested one legged raises at the kitchen counter, with me taking some of my weight with my arms. Similar to the pool strategy if you’re not at a pool, and builds your arms up also.


  5. mikek753 Says:

    thanks for your comments
    The pool isn’t open yet for another 2 days :-(
    “Kitchen counter”? another exceptional tip I got from you (this site) ;-)
    I’ll start in corner, where I can even get up to 100% support ;-) if needed

    Did anyone got that “hard” blob (in red area) and when it was gone?

  6. normofthenorth Says:

    If taking the day off helps, I’d say take the day off! :-) Like the old joke: “Doctor, it hurts when I do this!” “So stop doing this!”

    I would AVOID getting in the habit of walking with your foot out to the side. I think it’s less damaging to walk with a “dip-limp” or even one shorter stride, but with your alignment correct.

    About the lumps and stuff, I have no idea. PTs often like to focus on these things, maybe “scar tissue”, and then they attack them to break them up. What did your Physiotherapist say about the bumps?

    When you say your pain is “in lower heel area” do you mean at the bottom of your foot, below the heel? Or right behind the heel, at the back of your foot but above the ground? That second spot is where I had my pain for the month of my “setback”. If that’s what you’ve got, I don’t know any “cure” other than time. A month later, I was back on track, and by 9 or 10 months everything was perfect and I was playing competitive volleyball again without holding back or thinking about my AT. (Then I switched from 6-on-6 to mostly 4-on-4 and even some 2-on-2 beach volleyball!!)

    (If your pain is at the bottom of your heel, it sounds like Plantar Fasciitis, which can take a while to stop hurting. It seems unrelated, though most of us have some pain there when we’re getting back toward normal.)

    I would worry more about pain than bumps. When I sight down the back of my lower leg, I can still see a slight bump, slightly higher than where my ATR was (or where my biggest one was, if I really had several partials, as ONE of my Ultrasounds suggested!).

  7. coolkiwi Says:

    Hi Mike - I’ve got a hardened blob in the same area - but I think that’s where I actually ruptured it (coz the Dr said it was quite high). No proof of this of course, as I have never been scanned and didn’t have surgery, but I figured this made sense. You look like you are walking well, and re the heel lifts - my physio says to mix it up - remember most of ‘us girls’ spend a lot of time in heels, and my 1 inch heel lift is actually flatter than most of my shoes with heels.

    And definitely focus on walking ‘properly’ (not with foot out at side) otherwise you will throw your other leg out! My physio is very much focussed on building core strength to avoid rupture recurring…she reckons that many injuries are caused by too much stress on limbs, when it should be the ‘core’ which is working. She also said that it is too early to be doing calf raises - and avoid doing exercises which ‘load’ the achilles - so my stretching exercises are done lying down. Great way to exercise in my books :-)

  8. mikek753 Says:

    I don’t know where my AT was torn - that is the puzzle to me as well.
    I didn’t have any ultrasound or MRI or etc.
    X-ray doesn’t show anything for this matter.

  9. normofthenorth Says:

    Your walking videos look remarkably normal, Mike. If I didn’t know — or couldn’t tell by the skinny calf muscle! — I don’t think I’d notice that you’ve been injured. At 13 weeks and without surgery, that seems OK to me.

  10. gunner Says:

    Mike: My doc was able to locate the tear just be feeling it -the”gap test”. If you don’t have someone with enough familiarity of the AT area to feel it, I’d be a bit worried.

    I’m anxious to hear how the heel lifts progress once you get in the water. There’s little doubt in my mind that my time in the pool has been of great value.

  11. mikek753 Says:

    my doc I think located AT torn area when I came to him the next after ATR day
    he said there is a gap as he can feel it. But, for me that day and that minute was shocking and I was not able think good and I didn’t check by my self where torn was and I didn’t ask for it ether.
    That was about 2-5 min being between splint and cast. And I didn’t know I’ll like to know where torn area was. I didn’t know anything about ATR that time at all.
    To bad I can’t do “FlashForward” or even “FlashBack”…

  12. gunner Says:

    I understand. I was lucky enough to discover this site in the 20 hours before I saw the doc. In any event, the doc should be able to tell you the location and nature of your ATR.

  13. peteco Says:

    You are doing fine if the pic is any indication. My achilles isn’t that defined yet…thicker for sure…doubt a tendon is even visible.

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