Moving on to Aircast boot

Yesterday (February 24th) I had the hard cast removed and took delivery of an Aircast boot.  I was told it would feel like a move backwards for a few days, and with 3 wedges in the boot for the first week it certainly felt like it.  As I’d had my cast for over three weeks I’d become quite adept at walking with it, but I do remember how hard I found it at first so maybe I need to be similarly philosophical now.  I imagined the boot would be a great improvement right away, so somewhat crestfallen.

My foot and ankle look quite swollen and the leg muscles somewhat withered.  I enjoyed a bath and cleared off a lot of dry skin, although my leg still appears to have a severe case of dandruff!!

First night for over 5 weeks sleeping with an open ankle was a strange experience.  I had the irrational feeling that the bedding by my foot was damp and almost turned on the light to check there wasn’t blood everywhere. The wound is very dry but our minds play tricks on us.

I woke completely drained and discovered what appears like a small blood blister on the sole of my bad foot right over the heavy heel wedges.  Maybe it was there before but very uncomfortable, feels like a small stone in my shoe.  A compeed blister plaster from my walking days has alleviated some of the discomfort.   Anyway, decided to work from home - my job makes this possible - a mixed blessing as there is no respite but as earlier in my recovery from the operation the job can be a positive by taking my mind off physical discomfort :-)

Found walking in the boot this afternoon more comfortable and expect things will get easier in time.  As ever, patience is necessary!

3 Responses to “Moving on to Aircast boot”

  1. Ya, things should improve with time and practice. Did the boot with 3 wedges seem to put you FARTHER into equinus (toe-down, plantar-flexed) than the cast?? That’s not the direction rehab protocols usually take (on purpose), but setting a cast angle is more art than science. The idea is to progress from deep equinus to neutral, either in many gradual steps or later and more abruptly.

    I think I also had some irritation from the front edge of my heel wedges (and also in an AirCast, as luck would have it), and I added some Duct Tape in front of the wedges to cover the edge. (Or I may be thinking of my ski boots, which also have heel wedges in them!!)

    At any rate, if any part of your boot is “nailing” any part of your foot or leg, it’s very important to fix it. Many people dying of miserable diseases are so bothered by bed-sores that they hardly notice the miserable disease that’s killing them, and an ATR patient with a blood blister from a pressure point in a boot may not be able to progress through a good ATR rehab because of the stupid blood blister. Keep the little things little!

  2. Day 16 Post Op
    Still doing ROM exercises twice a day. FWB walking around in the boot with no discomfort at all. My ROM has improved dramatically since my first post op appt.
    I started to incorporate elastic band exercises in my PT but still not doing much DF exercises. The guidlines really caution on not doing DF past neutral until 6 weeks even in aggressive rehab.
    Incision site is looking good but still not getting it wet for another week.
    Gonna sleep without the boot tonight!

  3. In my experience the boot definitely gets better - I had a tough couple of days with it at first this time around. I was so keen to get back on my feet but found that I had to rest and give the skin and muscles in my foot a break while I got used to the boot. Two weeks later and it all feels a whole lot better and I can walk around pretty comfortably. I hope things keep feeling easier for you as the days go on.

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