Ecstasy and Agony

Tuesday 17th December 2013

My referal to the new consultant went well apart from the fact that he has larengitis and has lost his voice, so with a bit of mime, a tad of lip-reading and a good bit of scribbling he fitted me to the medi.Rom walker boot.
As speculated by others this boot is a “range of movement” boot which controls the amount of movement allowed by altering the hinge stops.  However it is only really the neoprene wrap that goes up your leg with a pair of splints at the sides. These splint are attached to the neoprene with velco straps going around your calf. The end result is that it seems to allow a slight up and down movement at the heel, something I think the VACOped might not allow with its full ridgid casing.

It was great to get my full length cast off, and I was amased by how stiff my knee was even after 3 weeks, but at least I can now bend my knee making everything from walking to getting into the car easier and less of a hassle.
This is good, it feels like real progress, the consultant tells me that my AT is healing and I sould keep the weight off my left leg for the next two weeks;  “toe-touch balancing only”.
I did notice that night that my leg (calf achilles etc) throbbed and hurt more than in the cast, I think this must be normal and comes with the slight movement it is allowed now. This will be well worth it to get fixed earlier.

Wednesday 18th December 2013

 As I’ve mentioned before in this blog I’m still going to work, getting a lift in and out with colleagues. Comming back home on Wednesday evening the ground was a bit wet and when I was walking through my front porch my left crutch (probably still damp)slipped on the poch tile floor. My instincts kicked in and I put my left foot down with all my weight landing on it. Due to the equine boot position my foot/ankle never straightened but my knee “locked” suddenly straightening my leg while putting weight down through my heal thus streaching the “healing” tendon. This hurt (a lot) and I think my kids learned some new words. My initial though was “I’ve re-ruptured it”. I’m  trying to compair the pain with the pain when it first happened. I’d say this recent event was more painfull, probably, but definately lasted longer (it throbbed all evening and I had to take some pain killers). I think I remember the original rupture not actually hurting that mcuh immediately afterwards. So I’m hoping  this is a good sign, i.e it’s still actually attached. I think the emotional pain of possibly setting myself back by three week is worse than the physical pain in my leg.

My next appointment with the consultant is only on Friday so I resolve not to worry too much until then, and let the proffessional look at it before worrying…………

It’s now Friday morning (20th) and I’m going to my appointmentthis afternoon. My leg has throbbed a lot since then, and my foot seems to have swollen since going into the boot, but I havn’t been keeping it as elevated since getting the boot. Maybe I should start doing that again?
From the feel and (little) foot power I seem to have I’m thinking  the Wednesday incident didn’t re-rupture the tendon (lets hope), but I’ll find out later.

2 Responses to “Ecstasy and Agony”

  1. Swelling is bad, elevation is good. Those Velcro straps should allow you to secure the boot so it’s protective — and later (PWB & FWB), so it will transfer your weight from the ball of your foot to the front of your shin. If you can’t accomplish that, the boot may be a bit too big. Wrapping another Velcro strap (my local dollar stores sell good ones) around the boot might help, or adding a flat footbed under your foot might raise your heel up to a narrow spot on the boot.
    Before you start walking, make a plan to build up your strong foot/shoe so it’s as high as your booted foot. That’s the only reliable way to walk PROPERLY in a boot, and walking badly risks a number of bad outcomes.
    I don’t think pain levels are a good diagnostic of ruptures, based on what I’ve experienced and what I’ve read here. Some people compare initial ATRs to childbirth, and many of us escaped with virtually no initial pain. All over the block, I have no idea why. But it makes me doubt that comparing your initial pain to your recent pain tells the tale, in either direction.

    Get it checked out. And watch out for wet crutch tips on smooth surfaces, they’re the WORST! And follow a good protocol that gets you off the $%^& crutches ASAP, too — they’re SCARY! But stay incremental, even if you’re catching up to a faster protocol.

  2. Thanks Norm,
    The good news is at me check-up the consultant doesn’t think I’ve done any more damage, which is a massive relief, and I agree with you about the pain, I think I had a fairly painless actual rupture, short and sharp with little lingering pain.

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