boot chafing

I have noticed after wearing the low tide boot for only a few hours, I cannot wait to get the boot off. The calf and ankle are so sweaty and the ball of my foot so sore, it is a great relief to finally sit down and take the boot off. Also, the boot seems to chafe the ankle/calf when it begins swelling, which is concerning. The doctor was not very clear how long I should wear the boot…Has anybody else had this problem in the summer? Am I supposed to keep the boot on as much as possible to help stretch the tendon?

7 Responses to “boot chafing”

  1. I wore the taller version of that boot from July 27 until early November last year and never had any issues with chafing. Are you wearing a sock inside the boot? Unless you truly enormous feet, you need to wear a sock to take up some of the excess space. It will help the boot fit better and the inside of the boot won’t rub directly on your skin in the ankle area. If needed, the metal uprights can be bent to make it fit better. The purpose of the boot, as explained to me by my ortho surgeon, is to immobilize the ankle so it cannot flex when you walk. This is especially important when you go from NWB to PWB and then FWB. It is also really important if you start to fall while on crutches and instinctively put out your injured foot to catch yourself. DAMHIKT Didn’t your surgeon tell you how much to wear it?

  2. This uncertainty is just one of MANY reasons I LOVE written protocols — I call them “road maps”! — and urge every ATR patient to ask for one, preferably up front! At 6 weeks (in fact, until 8 weeks), I was still in the boot virtually full time, except for sleeping and showering (very carefully!). I was also wearing a thick high ski sock inside the boot.

    At first, just the idea of putting a sock on my “bad” foot was very scary, but after 6 weeks, I think it was pretty straightforward. Many of the “moves” we normally use when putting on a sock are “AT-intensive”, and are not to be done with a healing AT. So adapt, support, be slow and gentle, etc., etc., and try to do it all without either dorsiflexing past your normal position or using your calf-and-AT to force your toe into the sock, or against your hand, etc.

    I used two different boots, and they were both pretty comfy, though my rehab was in the wintertime. (First ATR 8 yrs earlier was also in the wintertime.)

    I’m sure you’re also allowed to use creams or oils or powders on the parts of your leg that are chafing. And you may be able to find ways to cushion or modify parts of the padding or lining in the boot to make it more comfortable. I think you should feel free to be creative about everything that DOESN’T directly affect your ankle and AT and calf!

  3. worst part of being in the full boot was sleeping with it.
    wearing socks was trickier too - I went with very soft socks for that matter.
    The boot defines foot plantar / normal position for the foot.
    Do you have any inserts?
    The boot helps to keep foot in normal position - if you will NOT sleep in the boot you can get very stiff foot at morning and it may take time to get in the boot.
    My Doc told be to be in the boot 24/7 and extreme careful while without boot to avoid re rupture or etc.
    Another thing as Norman wrote - limit or lock your foot in normal position and eliminate any tension for healing tendon.
    Think about your boot as the next cast that you can take off to have bath tub and adjust foot position as needed.

    Ask your doc about boot and inserts and time line and etc.
    As here you can get just opinions ;-)
    while many used those “opinions” as rules …

  4. This gives me another chance to tout the virtues of VacoCast. (no, I’m not being paid for promoting this product!) With this boot, there will be no chafing or irritation of any sort. It is an incredibly comfortable, form fitting device. No “socks” are required, as you can wash the cast lining (if you have two so you can wear the replacement while washing - or after swimming which you can also do!). However, I chose to use the sheer liners the orthos put on before casting, which they gladly supplied. That way, you can wash the liners without having to wash the cast lining.

    Please tell me at least one person has tried this device?

  5. wow, I cannot imagine staying in the boot 24/7…I believe my ankle and leg would be in bad shape from the heat and sweat. I tried longer socks, but they get soaked in sweat after only a few hours…I guess I’m going to have to call my doctor tomorrow to see whether he meant for me to keep the boot on. I probably keep it on about 12-14 hours per day, but I put my splint back on to sleep. I do experience quite a bit of stiffness in the morning, but take about 10 minutes to stretch before putting the boot on. Also, I notice that my ankle feels sore when I try to flex my ankle downwards after wearing the boot for awhile…is that normal?

  6. I don’t understand the sweating, unless you live in Arizona or somewhere pretty close to equator with high temperature and high humidity. I wore my boot every day from July 27 through the summer here in eastern Montana and there were plenty of 90F+ degree days and never had a problem. Unless the boot you have is somehow different.

  7. I understand the sweating. I had my boot for 6 weeks from January to March and I even sweat in it then (and I live in Vancouver… rain city!). I think after a while I just got used to it though. It will obviously be a lot different in the summer though.
    I definitely found the boot rubbed alot so I wore a knee-high sock the whole time and I changed it a couple times a day. I never had any inserts (my boot was hinged), so I put an insole from my shoe into my boot to keep the bottom of my foot a bit more comfotable too.

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