pete0609’s AchillesBlog

         Just another AchillesBlog

June 4, 2014

11 week update - Fatty inclusion

Filed under: Uncategorized — pete0609 @ 9:17 pm

So i am in week 11 now and in my last post i mentioned that ultrasound imaging has discovered something that could be fatty tissue in my tendon. My doctor was concerned about it (a fat pad could inhibit tendon healing in that section) and sent me to have MRI and x-rays done. Diagnosis was confirmed and there seems to be a fat inclusion in my tendon (0.4cm x 1.6cm). It remains unclear where that fatty tissue came from, but in the course of tendon degeneration it is not totally uncommon that something like this would develop, my doctor says. It probably was already there before i ruptured my AT. He discussed the problem with a sports surgeon, who recommended to just keep doing what we’re doing and see if the tendon heals fine anyway (they seem to think there’s a pretty good chance). After 6-8 weeks we could consider surgery depending on how well i healed. Depending on the healing progress until then, the surgeon would either just remove the fat pad, or repair the tendon, which would probably put me back to day 1.

The MRI also confirmed i only had a partial rupture (40-50% of the initial tendon still intact), and old partial tears of the PTFL and ATFL, two smaller tendons in the foot. I don’t know what to think about that. I’m not sure i wanted to know how messed up my foot really was.

I kinda wish no imaging would have been done (i’m right there with you, Norm). Everything will be fine and I probably never would have known the difference.

Anyways, i try to keep calm and carry on. I got myself the most expensive socks i’ve ever bought - compression socks (1 pair of Bauerfeind - i paid $125). They do an amazing job, worth every cent. My leg swells up a lot during the day, and the compression socks help to keep this within certain limits, they do it amazingly well. I wear them during the day, not at night. When i take the sock off in the evening, my leg looks almost the same as it did in the morning when i put it on.

Swelling in general hasn’t been a problem for me at all while i was still in the boot. But it really started once i was out of the boot. I got myself some big ice packs that i can wrap around my leg (my PT says to not apply for longer than 20 minutes at a time, but it feels so good).

My fitbit (sporti, i got myself the flex) helps me counting my steps per day. After gaining some experience i lowered my daily target to 8000. The initial 10,000 were too much, together with the heel raise exercises and 45 minutes on the spin bike with some resistance (pedaling basically only with the bad foot), i was more sore and for longer than i wanted to be. I guess i’ll increase the target again after some time, can’t say when, though.

My heel raise exercise - i stand on my bad foot, the other one in the air and both hands on the counter. I push myself up with my hands (while trying to help with my foot) and then lower myself back down slowly, while trying to put at least some of the bodyweight on the bad foot. I do 15 reps, 3-4 times per day.

I still have physio twice per week. It helps to keep pushing myself, but also refraining from things i shouldn’t do.

One other thing i wanted to mention was kinesio tape. When i saw my doctor today he asked me to walk for him and said i walk funny (I ┬ádid and still do, that hip drop…). Obviously my fibula bone (in the good leg!) started pushing out to the side, i felt the bump in the skin, probably from walking in the boot for so long. So he put some kinesio tape over that bone to push it back in and instantly my walking was better, more straight. Thought that was pretty cool.

So in general my rehab is going okay, my leg/calf/tendon still feels fairly tight most of the time, i get next to no push off in my bad foot (maybe a little micro push off), but it’s all still within what could and should be expected according to uwoprotocol, which i am following.

And well, I am in 2 shoes completely now. No more boot.

I am looking forward to reading your comments.