Having spent the last 7 weeks addicted to this site, I felt the need to contribute and to say thank you to everyone that blogs.
As the time frame is so long, I have been eager to know how I will recover and by reading everyone’s stories seem to have some sort of picture of how the next 6 months might pan out.
My story began like many of the ones I have read. I seem to be in the main cohort : Middle aged, recreational sport. In the second quarter of a netball match, whistle blew and I was really angry that the goal shooter had thrown a stone at my heal with such force? Like many others, I looked around and noticed that I was on my own and had a pretty good idea what had happened.
The experienced nurse that applied my cast told me that after a few days I may feel like I need some diazepam. I ask if that was for muscle spasms but she said it would about the time I might start going nuts! Yup, quite correct.
I choose the non-operative option (hope you are proud normofthenorth!) partly because my consultant thought that may be the better option for me. I have an unstable knee on the other side without an anterior cruciate ligament, achilles bursitis on the other side and probably the time has come for me to take up a less aggressive sport in the future (knitting?). Also as a surgeon myself (although not orthopaedic) I have seen the consequences of surgical complications.
My first request from my patient better half was for a pair of cycling gloves (I have been on crutches before and have suffered with the blisters). Then I put my foot up took my heparin injections and said a prayer to the god of DVT and re-rupture.
( A bit about DVT: In the first 2 weeks (and when you can within reason after) keep your leg up! preferably above the level of your heart (this reduces the risk of DVT and encourages blood supply to the bits that need to heal). Getting a DVT is a right pain the the backside. Risk of life threatening PE, Warfarin for 6 months and DVT’s stop the delicate valves in the veins from working properly forever. The risk of a DVT with this injury was 34% in one of the articles I read.)
Next step: I took to the internet. There seemed to be a consistent theme:
Isolation, frustration, tupperare and flasks, bags, upper body and abs strength, listen to your body, patience, time, humour and normofthenorth.
The protocol that I am on is 6 weeks in a cast or boot NWB altered degrees of angle, I am currently PWB at 10 degrees for a further 2 weeks and will move to 0 degrees on wednesday (8 weeks) and FWB.
Moving to PWB was a bit of a disappointment. I had been waiting so long for the day to come but when I did put my foot to the ground, it felt so tight. This has improved alot over the past week and a half but it has reset my mental recovery to realise that the FWB will be a gradual process in a similar way. One of the blogs here described building up the height on a shoe to match the height of the hinged boot. I found that very helpful. I am also trying my hardest to walk in the most natural way.
My confessions include:
1. I have not managed to sleep every night in the boot. With my injury occurring at the start of the first British heatwave for 7 years the heat and feeling of entrapment was unbearable.
2. I have been doing some gentle range of movement exercises out of the boot. This seemed sensible to me.
Questions to bloggers
I have been told that I can go back to all aspects of work when I can stand pain free for 4 hours. I know you are all different but anyone have an idea when that might be?
Also, having had the injury at the end of June does anyone think I may be able to ski next February?
Does anyone else have dreams that they can walk again without crutches and wake up disappointed?
Is anyone else really jealous of the people who have updated their status to "2 shoes"?
I have been asked by a few friends what good has come out of this? I have struggled to answer this. But so far I think it is always a good reminder to doctors to know what it is like to be a patient. I have caught up with paperwork. That friends are amazing. That I realise that I do too much for my kids. Now they are used to tidying, washing, picking up their towels!! and making me tea, it WILL continue.