suthrnman’s AchillesBlog

June 1st, 2011

Pop and then Pain

Posted by suthrnman in Journal

I have had two occasions while trying to hurry  where something popped and then there was pain on the lateral side of my tendon.  I wonder if this is a nerve that is still damaged or maybe scar tissue that is breaking up.

The first time this pop happened was about a week and a half ago.  There was new swelling and bruising which caused me to limp badly again.  I wore the boot for a day and took it easy.  Everything seemed pretty good a week later and then while walking up a hill it popped again.  This time there was not the bruising and swelling, but the pain was back.

Does anyone know what is going on?

4 Responses to ' Pop and then Pain '

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  1. normofthenorth said,

    on June 1st, 2011 at 3:55 pm

    No, sorry. No advice, either, except the obvious: (1) Ask a real expert (if you can find one) and (2) If it hurts when you do “that”, then DON’T do “that”!

    It does seem to happen, that post-ATR ankles have new idiosyncracies that they didn’t have pre-ATR, with and without surgery. My first one has always had a post-OP “click” when I planterflex it for the first time in a while. And I can also see a slight “catch” (adhesion) right at the top of the almost invisible scar, when I PF hard.

    My second one, non-op, is still a bit strength challenged, though I don’t notice it when I walk or run or bike, only when I do wimpy 1-leg heel raises. I’ve also noticed some new ankle instabilities that occasionally make me nervous. Like mini-twists or micro-sprains — mostly just hints that it’s not absolutely solid. Not related to the calf or AT, more side-to-side. I’ve no idea whether it has anything to do with the ATR-related immobilization, or with me turning 67, or something else. Also no idea if it’s going to turn out to be important as I become more athletic again (recovering from a heart-valve replacement 2010/12/01).

    Yesterday, at Cardio Rehab, they started my “class” on resistance (free-weights) training. In one of the exercises (maybe lying on my back and lifting weights with my biceps?) I got a consistent “crack” from one of my elbows. News to me, I had no idea. . .

    With luck, you’re just breaking up some scar tissue, and it’s a short-cut back to normal. OTOH, we non-op folks don’t usually build up as much unwanted internal scar tissue or adhesions as the post-op folks, for obvious reasons. . .

  2. suthrnman said,

    on June 1st, 2011 at 6:39 pm

    Thanks Norm,
    There is a slight divot on the Achilles where the pain is located (top lateral). Do you know how a partial rupture works? Could this be something of this nature?

    I really am not able to ask the doctor easily since I am so far away; however, I may need to make a trip if I can’t get past this ordeal.

  3. normofthenorth said,

    on June 3rd, 2011 at 12:30 am

    SM, I don’t even know if my 2nd ATR was complete, partial, or partial-but-multiple! I got all 3 of those diagnoses, in 3 Ultrasound exams (to guide PRP injections) at 1-week intervals!

    Sorry I really can’t help. Hope it resolves OK. Taking it easy sounds sensible.

  4. sanfrantourguide said,

    on July 29th, 2011 at 3:13 pm

    As normofthenorth says, the ankle (or both ankles) just don’t seem to perform the same after an ATR. It is like a microsprain, alarming as one walks. Norm is 67, I am 51, yet I am already much more careful how I place my feet, so that no wobblie-sprains can happen. It may make me look older, to be more careful, but three months of ATR baloney is enough to teach anyone a lesson.

    Thank heavens that these injuries can be fixed. I doubt in the third world, or in human history generally, that such injuries ever were properly dealt with. That person was limping the rest of his life. Slaves in ancient Greece had their Achilles’ tendon cut by their masters (was it both?) to make sure they couldn’t run away!

    Another tidbit: the name Sequoia, those giant redwoods of California, means in Cherokee “pigfoot”, literally translated. But pigfoot is the same as “clubfoot”, which is a foot with a shortened Achilles’ from birth. The fact that this half-Cherokee, half=English baby was born a “pigfoot” meant that his mother’s tribe had no use for him as a hunter, so that the English father decided to have him educated. He became famous as the first (part) Indian of North America to develop a written language for his people, the Cherokee syllabary.

    The moral? An injury is horrible, but it can lead to other talents developing, out of necessity, or the sheer boredom of lying about unable to walk well.

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