I haven’t been writing much but have been checking in on this site often to see how others are doing in their recovery. It’s been encouraging to see others progressing along and going through all the same things as I have.
I just had an appointment with my doctor at about 9.5 weeks and it was all good news. I was okayed to move into two shoes and given a small brace to wear on my injured foot (the Achillotrain - which seems to be made by a German company). I’m supposed to wear my boot any time I feel uncomfortable, but can’t see myself wearing it too often going forward as I’ve found it to be really uncomfortable since I started walking in it.
A little update on the last few weeks:
Weeks 2-4 post op were pretty uneventful. I was in a cast until the middle of the fourth week at which I point I moved into a CAM boot. I was NWB for weeks 4-6 in the boot, only allowed to rest of my injured foot on the ground but was not supposed to walk. I didn’t push it much, but definitely tried a little partial weight bearing on my crutches toward the end of that time.
At six weeks I was given the okay to start FWB as much as possible with the boot still on. It definitely took me a few days of PWB with the crutches to convince myself to put my full weight on my bad foot. But I was eventually able to do it. I haven’t found walking in the boot to be comfortable at all and feel pretty confident that I should have been given a smaller sized boot. I was right on the cusp of two different sizes and having the larger boot has really limited my ability to roll my foot completely. I’ve gotten by with it, but haven’t really been able to walk for a sustained period of time, which has been frustrating. By about eight weeks post surgery, I started walking around my apartment in bare feet. Mostly an awkward duck walk not really pushing off with my toes, but more comfortable than boot walking at home.
I started PT at week 6 when I was allowed to start FWB. My PT has been good and started with a number of range of motion exercises (ankle alphabet, toe clenching, seated stretches). It has since progressed to stretching with resistance bands, balancing on my bad foot, and for the last few sessions riding the stationary bike. Last session (yesterday) I biked 1.4 miles with the resistance at 4 of 10. I’ve also been using a balancing board/disk to stretch my ankle.
My PT has been astonished that I have almost no swelling after our hour long sessions. He hasn’t even felt the need to give me ice after most sessions. My range of motion has certainly improved since the start of therapy and I’m starting to regain a little bit of strength.
I’ve spent this weekend walking around my apartment in two shoes. I started with a significant limp but it has improved all weekend to the point where now it is just a minor limp. My PT said we’d work on that this week though.
My doctor said I could start driving again when I feel ready for it. I think I’ll feel comfortable after another week or two of PT. I’m not in a huge rush, and frankly the ability to walk is generally more useful for me, but I look forward to driving again when I’m ready.
I spent last week graduating from showers that started seated and ended standing to just standing showers all the time. Between having two shoes on and the standing showers, it’s been a nice mental boost after a few frustrating weeks trying to walk in the boot.
My incision has healed very nicely for the most part and just has a little bit of scabbing near the bottom, but I figure that has to do with the PT exercises pulling on the scab. My doctor said it looked really good when he saw it on Friday. I’ve been using regular skin lotion on the rest of my foot and haven’t put anything on the scab yet. I might invest in some Vitamin E or a specific scab treatment from the drug store when I get around to going later this week.