Day 6 post op

It’s Day 6 post surgery.

In the few days since the last post, the pain has mostly become minimal. Online literature suggest elevation slight at or above heart level and not placing pressure directly on the AT wound. Occasionally the repaired foot would feel tight or similar to needles poking along the foot where the AT is located and at the heel. Usually shifting the repaired leg to a hovering position would reduce the pain. One apsirin was taken per day to reduce blood clotting, and no additional pain killers (i.e. acetaminophen) was taken or needed since day 1 post surgery.

A couple of times times, sudden calf contractions and tightness at the heel have woken me up. During my 1st post op evaluation, the Orthopedic doctor indicated this symptom was the result of inactivity and indicated stretching the toes should relive this pain. He then proceeded to tell me for the first time of how I should have been moving about much more to prevent blood clotting and flexing my toes (10 sec. increments) to reduce atrophy. Luckily, I have been doing the latter repetitively while cracking up after saying ‘Wiggle your big toe’ for the last two days.

Removal of splint and dressing showed decently healing leg (not swollen and didn’t show signs of infection). Slightly more yellowish skin @ the lower calf, was attributed to bruising. It was very surprising to hear the stitches were to be removed this session, as all previously read literature suggested removal of stitches 10-14 days post op. Luckily the wound did not reopen (mostly a long thin red line along the skin above where the AT is located), and my first cast was constructed with plantar flexion of about 30 deg. He instructed for one additional month of no weight bearing on ATR foot but will have a series of casts with different angles. The next cast/visit is to be during week 3 post op.

From online resource(s), I plan on following these suggestions for strength exercises for the few days post surgery until 2-3 weeks post surgery

Passive and active range of motion from 20 deg plantar flexion to neutral position

toe curles

toe spreads

knee flexion/extension

straight leg raises

4-5 times per day

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Side Note:

Since today was my first post op evaluation, it was the first time I have gone outside since the surgery. This was a big change, since prior the the ATR, I was always out and about, even after staying for 1 full day indoor I would feel ansty and jump at every chance to be outdoors (rain, snow, gloomy or shiny). Even post ATR and prior to surgery, I was still going to work with crutches and moving to everywhere I could.

But now, post op, the risk for rerupture is present. Last night, it was snowing and became rain for a short duration while the temperature was gradually higher than freezing, and luckily the landlord was quick to clear the snow from the sidewalks. It was amazing to be so fearful of the remaining bits of ice/snow scattered along the handful of steps down to reach the street level and sidewalk, to be worried I would slip and rerupture the AT. I thought I would be able to back to my work after 1-2 weeks post op, but I am very worried about slipping/falling during the transit (especially during this no weight bearing (NWB) period. It is slightly reassuring that my manager is open to the option of me working from home during potential slip conditions that are induced by the weather. The next few months will be challenging times to gauge between choices that have reduced risk of slip/fall/AT rerupture but still living a life and contributing for work.

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