Day 25 Post surgery
Hi All,
25 Days in and I placed my foot on the ground for the first time.
http://AchillesBlog.com/pauls/files/2012/07/25-day-scar-picture.jpg
As you can see from the picture a fair bit of swelling but the scar is looking great.
I have been told by the Dr. that I can load my foot on the ground but no walking on it as of yet and still with crutches.
Reading peoples comment and looking at others blogs, there is a minefield of information out there and if I am honest i don’t know which way to turn as far as pushing my recovery?????
I have always been one to push it and do my own thing… but I have never had surgery of any kind and or an injury like this so it is a bit of a smack in the face for me.
I will be at 4 weeks post surgery tomorrow 27th July. As all of you know that has had this it is so fustrating NOT being able to do the things we want to do especially if many of you are like me that just can’t sit still.
I even got my mate to take me to Muay Thai last night just so I could get out of the house and watch even though I couldn’t do anything. I really feel for my wife putting up with me at the moment as I am like a bear with a sore head. I am so going to send her away for the weekend once I can at least drive and be off crutches, she deserves it!!!!
At what point is anyone driving, (this is my right leg) comments appreciated!!!
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Feels great getting that foot on the ground don’t it?
Flat footed at 25days…. this is the type of thing the surgeons/specialists allow after surgery, whereas no-op patients might need to beg for such luxuries
I am assuming you read the link about how tendons heal? The only thing holding your tendon together right now are the stiches and low qualiity cologen, at 6wks post op the collagen will ’start’ to be replaced by the stronger permanent stuff.
You look to be recovering really well, I keep myself aware and mindful that we need to demonstrate a really high level of restraint with this injury, if you trip or fall while ‘out the boot’ we might not have the strength or the control to prevent the tendon being ‘loaded’ potentially a re-rupture could occur and it’s back to square 1…..
I’ve read the re-rupture ‘danger zone’ is up until anywhere between 12 and 16weeks.
I chose to listen to your body AND your doctor (sue this site as a resource for asking questions though) - I feel certain you will be ahead of the curve in recovery……patience, this injury certainly taught me patience
Back to driving date varies, it’s anywhere between 8-12 weeks, importantly - you need to be able control the accelerator and have enough strength to perform an emergency stop (hard brakiing to avoid a collision) without blowing your tendon… I practised this in my car without the engine running for a good 30mins or so before I felt happy/confident that I could react to avoid an accident without injuring myself.
EDIT: I’ve read the re-rupture ‘danger zone’ is up until anywhere between 12 and 16weeks….. I should add there’s always a risk, this is just the peak risk period.
Hey Andrew, Thanks for the comments. I spoke to my Dr. this morning and he will now let me sleep without my boot. Which will be great as that thing is such a pain in the butt! I seem to have struck up a good relationship with him and i feel I can ask him what I want even if I am pushing it. But hey why not I just want the answers and to heal as fast as possible!!!
I was scared to put my foot down first time but yes it felt good to do this! I did read the link and it is very interesting. While I want to push my recovery. I am also very scared of the fact I could re-rupture if I am not careful.
Since being on this site you start to question everything as there is so much information out there and some of it is conflicting. I find if amazing that people with full ruptures like mine can and do heal without surgery!!!!
I feel for my wife as she is having to drive me everywhere and I feel like a kid that can’t drive!
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My missus can’t drive but she’s been an absolute star for coping with the house, kids and me.
Online shopping - I’ve used it and it’s the future of grocery shopping
I’ve been relying on friends and family for lifts at least once a week, which has been important to allow me continue to see my son from a previous relationship - I can’t imagine not seeing him and if this injury does provide a whole new perspective on how lucky we are.
Hang in there. Im at about 6.5 weeks right now but at 4 my ortho told me that i probably COULD drive it I had to be advised me not to and wait until about 8 weeks once i start getting that strenth back. The concern was an emergency stop.
I was also told at 4 weeks I could sleep without the boot, but i feel like im the only one on this site who still chooses to sleep with it ON, i know its redicilious (i feel like its 6 more hours a day that im working on stretching the achilles as my foot relaxes without the boot on)
Something else my doc told me at 4 weeks was takeing a few steps is not going to harm the achilles.. as you can probably tell, I didnt even try it but it was reassuring to know that it was possible.
Hang in there and be patient!
Thanks Adam, it is nice to hear other people’s progress.
Andrew, where’d you get your “Flat footed at 25days…. this is the type of thing the surgeons/specialists allow after surgery, whereas no-op patients might need to beg for such luxuries”? My non-op rehab (ATR #2) was about a month FASTER than my post-op rehab (ATR #1), because my second surgeon was following the UWO protocol, and my first one was a scared rabbit who hadn’t read enough studies to know that going reasonably fast seems to DEcrease the risk of rerupture.
If you read the huge range of schedules and protocols here, you’ll see that most of the variation is random, based on the peculiarities of each doctor. Some have read some studies, lots haven’t; some have been exposed to faster protocols with boots, some are still into slower protocols with casts; and many sub-variations and mixtures, too.
The only surgical protocol I’ve seen that’s substantially faster than the UWO study used (with AND without surgery) is one followed by two Japanese surgeons who used a super-strong suture technique that actually provided some reasonable AT strength in the early stages of healing, rather than merely holding the torn (and trimmed) edges together to heal “otherwise naturally”. I have a link to, and commentary about, the article by those two Japanese surgeons, on my blog page. (If you can’t find it and want to, give me a shout.)
Pauls,
How you getting on? Sounds like you’re winning our race/ bet at the moment. I have my 4 week consultancy yesterday (just written my blog). It is definitely a marathon rather than a sprint!!!
Ross
At Ross,
Doing very well, which scares me at bit on how well I feel. I have been swimming, which I hate but seems to be great so far. Especially with the 34+ degree weather here. The main aid to my recovery is the nerological muscle therapy I have been having. I have already lost 1/2 inch of muscle accross my whole leg. Trying to build this back and or just slow the loss down. I will take a look at your blog!
@ Norm, I don’t think the UK is as fast as engaging in such protocols.
By begging, to clarify, the UK non-op patients may have to discuss the protocols and barter for more progressive treatmentl rather than feel the OS is already on the UWO team so to speak
Swimming - seems I should be covered in bubble wrap, walking into a wet room, traversing wet floors and getting in/out the pool itself - to me I’d just be too frightened to try it, fearing the worst on every step.
Kudos to those that can and do get to swim early into their treatment.
Happy healing all
Pauls,
Thanks for your comment on my blog. I’m feeling sore, but a little more positive tonight. Can we email as you can’t private message on herr which is very frustrating?
Pauls- the scar is looking fantastic and sounds like you are recovering quickly. congrats!
I can totally relate to the Muay Thai visit too– I took my splinted leg to Taekwondo class the day after the injury. Just feels better to be DOING something rather than just waiting. This whole recovery process is like the ultra endurance in patience event.. keep going, finish line is around the corner!
Thanks for the comments, I got a bit pissed off with myself yesterday as I should have been testing for my next level at Muay Thai and all I did was watch. It will be a while getting back to that level of training, but I am determined to get back as fast as possible! Patience is not my strong point! I at least should be able to get back to my Wing Chun as soon as I can start load bearing! I have been doing martial arts long enough now that I is killing me not learning and training.
Hi Andrew, saw my OS yesterday and since my last visit ( 7 days ago) and another scan, he has decided that my gap of only half cm will heal without surgery; this after nearly four weeks up in the air ! I arrived fitted with my new Vacoped boot which he seemed to be very impressed with. This guy is a specialist lower leg man and it was the first Vacoped he had seen; strange but true. So after 4 weeks in various casts he has decided that I can have another 3 weeks in the boot before fwb at 30 degrees; see him again 6 weeks from now when he will reduce to 15 degrees/neutral with change from wedge sole to flat sole. He insists no physio until boot is off. Insists that I sleep in boot, but says that I can drive an auto car (Left ATR RHD car)): any thoughts from anyone ?
RogerG.
Great that you don’t need surgery. I would have loved that option. Slower recovery in the first place as far as what the Dr. will allow. But from what I have read you should be up and running about the same time as me?
Hope you revover well. Driving I suppose is up to you? If It was me and my left foot I would be driving, as I have an auto. No chance in my wifes manual! LOL
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