Vacation, work, and calf raises…

Yesterday marked 9 weeks post-op and everything is creeping forward.  I’ve been in 2 shoes for 2 weeks and have seen a lot of improvement.  I’ve lost my limp but still have a pause in my gait.  The PT said this is normal.  I can stand in the shower comfortably and my swelling is controllable.  Last week I travelled with my family to Sedona, AZ to visit my dad.  Although I couldn’t participate in the hiking and biking I would have if not injured, I was able to go on short walks, visit the zoo, shop, go out to eat, etc.  I finally felt “part of things” again.  This week I’ve started back teaching part time and will return to full time next week.  Mentally this was so important for me.  I tell you it was a looooong 2 months being stuck at home, not working or driving.  I threw away all my “comfy” clothes I wore while at my worst and I refuse to sit on the part of the couch where I spent so much of my time.  You can actually see a big indentation from where I would lay!  PT is going great.  She had me start calf raises, weights, and the wobble board.  I’m up to a whopping 2 mph on the treadmill! :))  So…things are slowly and surely improving.

3 Comments so far

  1. normofthenorth on April 27th, 2010

    Frustratingly slow, but much quicker than average, I’d say!

    Those moves back toward “normal life” are remarkably important to most of us — and one of the best reasons to follow the quickest rehab protocol that’s been shown to produce good results. (Too bad most of the docs don’t share that view.)

  2. sara on April 28th, 2010

    I am cautious and happily surprised at my progress since I was NWB for 6 weeks. I feel like I read somewhere that after 6 months it is hard to tell which protocol people followed but in the early months the quality of life is much improved with earlier wb. When I think back to my nwb time I am stunned at how hard it was for me mentally. It is weird it was only 3 weeks ago. Feels much longer than that!

  3. normofthenorth on April 28th, 2010

    Sara, that’s great! And “happily surprised” also describes most of my attitude toward my second ATR recovery. And for sure, that attitude helps pass the time and ease the frustration.

    My late Daddy (a businessman for almost all his 98-odd years) used to use the phrase “for the same price” a lot when describing the possibility of “reframing” a glass-half-empty situation in a positive light. It doesn’t cost any more to notice (and focus on) the parts of this journey that lead us in the right direction, often from natural healing, with little or no effort from us. And There are lots of them to notice!

    As for the lasting effects of the various protocols, my impression (and that of the American Ortho Association, or some such group) is that the studies that compared protocols found better longish-term results for post-op patients with faster protocols, and less difference for post-NON-op patients.

    That suggests that the tortoise and the hare don’t EXACTLY meet at 6 months, though it’s certainly a lot closer than it is at 2 or 3 months, when the tortoise is still on crutches and the hare is walking in two shoes!

    I find those results (that quick rehab matters less for those of us who didn’t get surgery) a bit surprising, since I’m still trying to figure out how the myth that “surgery produces better results” spread so far and lasted so long, among otherwise intelligent and well-informed people. For sure, the non-random “streaming” of the patient pool — with the “jocks” getting surgery and the “crocks” getting immobilized — LARGELY explains why the results LOOKED like they showed clear benefits from the surgery. But I have trouble beliving that selection bias is the whole story. And I know that the traditional “conservative” protocol was Very Slow, so I’ve assumed that was a big piece of the puzzle. But the official meta-review I read recently doesn’t think it’s a powerful factor, so I’m still puzzled about that.

    Anyhoo, none of that has much to do with you after your surgery! And I’d expect your ankle to be doing a lot of “catch-up” now that it’s free to advance. Just stay cautious, because you’re not out of the high-risk woods yet! This is no time to be doing 3 things at once while walking down stairs!!

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