Monday 2nd December 2014
Having spend a full weekend in the house watching TV & surfing the web, I have been convinced that I need to something about trying to get onto an “early weight bearing” protocol. I tried phoning my consultant and managed to speak to his secretary. At first she was a bit stand-offish about the idea of me suggesting a different treatment for my ATR, but once I’d explained that I’m not pushing for surgery but an accelerated non-op protocol she seemed to be a bit more co-operative. I get the idea most people with this injury must try pushing for the surgery. She said she’d speak to my consyultant and get back to me. Which is exactly what she did.
The message from my consultant is that he uses the protocol I’m on as he’s “had good results from it in the past”, however he would be “willing to speak to me about it”. So I have booked another appointment (9th Dec) to see him. Co-incidentally that will be exactly 2 weeks since I went into a cast, so even following the accelerated early weight bearing protocol I’d still be doing the same up until that point anyway, albeit probably not in a full leg cast.
I am wondering to myself if he’s also “willing to listen” to me as well as “willing to talk to me” but that’s where I am at the moment, going back to my consultant to try and get him to change my protocol. I consider this a small step in the right direction.
To help me I’m trying to collect some of the evidence and protocals found in this website along with the articles I’ve been led to and some others I’ve found from the ‘Bone & Joint Journal’. I’ve even contacted the distributers of the VACOped boot in the UK http://www.oped-uk.co.uk/oped-products/oped-vacoped.html to get a cost and delivery time ( £247 inc postage and VAT, next day delivery).
One week in and I’m starting to get used to my elbow crutches, easily managing to climb steps two at a time, sometime three if I’m feeling energetic. They still hurt the balls of my hands slightly after extended use, but that’s getting better as well.
One issue I have that may not apply to lots of you is reaching my toes, due to the full leg cast, which makes dressing a bit of a problem. My wife has solved this by buying me a “litter-picker”, basically a grab device on a stick. This make getting dressed a lot easier, same for my “limbo” (see earlier blog) pre shower.
As fo showering a simple plastic stool (designed to let kids reach the bathroom sink and toilet bowl) in the shower has allowed me to continue using the shower, lucky we have a 1200mmX800mm tray as I wouldn’t get my non-bendible leg in a smaller one.
I’ve taken a thermos flask an a rucksac into work which means I can carry coffee back to my desk, and I’ve started heating soup in the microwave for lunch instead of running out to the sandwich van.
So with a few basic modifications I’m still managing to go bout my life adequately (thank goodness for the lifts to work from colleagues) Although I’m obviously not doing any of the physical activities I used to do.
I did manage to hobble out for a meal with my wife and friends on Friday night, mainly by changing the venue to the hotel at the end of my road. This was fine but I did get a bit uncomfortable sitting with my leg down, and my toes were feeling rather swollen by the time I got home.
ACHES & PAINS
Apart from the initial rupture and the medical staff prodding and manipulating the first week has been relativley painless, I get a bit of numbness in my posterior and tingling in my leg but I’m putting that down to the immobility of the full cast. However Just recently (+ 1 week) especially in the evening I get a sustained throbbing in my calf which increases when I stand up. It’s almost like my calf is trying to swell and the cast is preventing it, and if I’m vertical in the evening for too long the pain starts to bother me. To this end I’ve started taking a couple of ibuprofen in the evening and this seems to came it down to allow me to sleep.
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