Foot_Fault

My achilles tendon repture & recovery blog.

Doc Visit & Pic - 10 wks, 4 days

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http://achillesblog.com/dennis/2008/08/08/have-you-heard-of-the-members-project/

10wks, 4 days

7 weeks ago I’d visited my doctor in an effort to get my foot out of a cast (and his 3 month cast plan) and into a boot.  He said no, but when I went back a week later, he put me in the boot and said I was basically on my own since this isn’t his protocol and come back in 6 weeks. In the 6 weeks that followed, I regularly did my exercises, kept the foot in the boot unless sitting or taking a bath (which of course still involved sitting! :) ).  I did the ROM excercises, but nothing that forced or pulled on the foot.  And before I stood, the boot went back on.  I started sleeping with the boot off after 3 wks, and only the last 2 weeks or so have I started taking the boot off at home, but still put it on before walking out the door.   And last week, I began “water therapy” with a friend.  I got a walker and used it to help balance myself in the pool and concentrated on walking heel-toe, heel-toe.  She’s also helping me learn to swim, something I had not done before.

So this morning was the big day - the 6 wk follow-up after getting what I thought I wanted.  :0  The foot has felt great, minimal soreness (basically only when I press firmly on the scar), good ROM,  minimal swelling, and even the scar tissue had thinned out (maybe in part due to the massages?).  But, i didn’t know what was happening inside, so I had no idea what to expect from the doc. I wore the boot, but took no crutches with me.  When they called me into the back, the tech said, “WOW! You look great!” as I walked (with a short stride, I can walk almost normally, even in the boot).  I took the boot off, she saw the foot and was impressed.  She said she understood why I wanted it as he is very conservative. They had to move me to another room,  so she asked if I needed help carrying anything, but I picked my backpack and the boot up and walked barefoot down to the other room.

My doctor came in and immediately said, “OK, you were right, I was wrong!”.  I appreciated the comment, but I told him I didn’t see it that way - I was determined to be cautious in large part because i didn’t want to have to limp back into his office with a re-rupture!  So, we came to an understanding and appreciation for one another’s position.  He said the it look exceptional and asked if i was doing PT.  I told him about my stretches and the work in the pool and he said those were great. He said he wanted to put me in a brace that would limit the movement of the foot up, but allow full range down, and then he hesitated and said unless you want to argue with me about that.  :)  I told him no, I was good with that.  :)   I took the scrip for the brace over with a shoe and was fitted and will pick that up on Weds.  I started PT Tuesday afternoon.

So, all in all, I feel great about where things are for me.  The foot looks and feels great and my progress has now been approved by my surgeon.  I owe a huge thanks to so many of you here for sharing your treatment experiences and protocols to help me create a plan that worked for me, and of course the priceless emotional support this site provides.  Thank you all!!

5 Comments »

annieh wrote @ August 18th, 2008 at 3:46 pm

Well done, everything sounds great.

Your wound looks fantastic, wish mine was as neat, it is getting better but not that good yet.

Great idea to have the link for Dennis on site as well. Must keep plugging him.

Sent an email to Manchester City Football Club today, one of our players ruptured his achilles yesterday, sent a link to this site so he could see how we are growing in a community.

Annie

marianne wrote @ August 18th, 2008 at 5:28 pm

Wow Shiela!!!!! Your incision looks awesome. Even though we are at the same time-frame, my incision is very thick, red and angry-looking (feeling too). I still can’t get my heel to touch the ground without a great deal of pushing and pain at PT. I am wearing tennis shoes and using crutches, but not putting much weight on bad leg.
Good for you…..you are sooooooo on the road!!
Marianne

sheila wrote @ August 19th, 2008 at 8:03 am

@ Annie - Very thoughtful of you to send the link to the injured player. I hope he follows it to us. Could be a great resource for moral support for him and maybe another way to help get the word out for this place. My friends make fun of me for how much I talk about a ATR blog, but they also appreciate how much support and information I have been able to find here, too. :) Have you been massaging your scar? I keep hearing how that helps break up the scar tissue so I’ve been trying to do that regularly. I wonder how much that has helped with the way it looks?

@ Marianne - My scar area was tender to the touch when I first got into the boot. Part of why I started massaging it was to 1) break up scar tissue (I’d read the PT was going to do this anyway) and 2) prepare myself for when the PT was rubbing on it!. :) It isn’t nearly as tender now as it was when I started. I was also rubbing Vitamin E on the scar the first 2 weeks, too, although I have not been doing that of late. I bought the little gel capsules and would poke it with a pin and squeeze it out onto the scar. One small capsule was just the right size for a dose of gel. :)

annieh wrote @ August 19th, 2008 at 8:09 am

Hi Sheila,

I did use vaseline on the scar at first but must admit to not doing it recently. I will try the vitamin E suggestion. Got plenty in my cupboard so will start it tonight.

Thanks
Annie

damacar wrote @ August 19th, 2008 at 9:57 am

Cocoa butter works really well also and its really cheap. I’ve been using it just because I happened to have some. But after telling my PT, she said that was really good to use. I put it on my scar before I go to bed and give myself a nice massage at the same time.
Oh….it smells like chocolate. =)

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