thelifechangingpop’s AchillesBlog

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I’m never gonna dance again

Filed under: Uncategorized — thelifechangingpop at 5:14 am on Wednesday, November 13, 2013

Aaaaaaaaaarrrrrrggggggggghhhhhhhhh such a frustrating morning.

Justin Rix, the orthotist that I saw this morning for my Vacoped boot was brilliant. He’s a fan of the Vacoped having worked with ATR patients with Vacopeds in the UK. He fitted the boot for me at 15′ as this was the angle that the wedges in my moonboot were giving me (thought it was meant to be at 30′ for plantar equinus, not sure that’s the correct term) showed me how it all worked and gave me an article with a rehab protocol. Really thought I’d found the right place for my achilles as there’s a complete physio team, biokinetisists, all the rehab equipment and a swimming pool however,  the physios there follow the resident surgeon’s protocol which is no physio and no weight bearing for 6 to 8 weeks. So now I start the search for a physio and a facility that will let me start early weight bearing and start with massage and active movement of my ankle?

Love my Vacoped, damm expensive R4995 which is about $500 or £310 and my medical aid won’t pay for it but know that this is the right boot for me……..this boot is made for walking, and walkings what it’ll do…….

9 Comments

9

Comment by Stuart

November 13, 2013 @ 1:36 pm

You are at 3 weeks now and my doc started me on basic active ROM exercises. Elevate your foot and without the boot write the ABC’s. I started physio week 4 and she got stuck into massaging the tendon. Much of my early PT was getting other muscles ready for me to walk again. Glutes in particular. Early weight bearing does make a difference but you should moderate it with your pain and get plenty of rest and elevation (ice too) to reduce the swelling. Compressions socks are also good for that. Walking in a boot provides challenges as well and you will find compensatory pain in other places. It is good if you can even up the other side as much as you can. Hope you find a good clinic. You should put a time line widget on your page to help people keep track.

10

Comment by Ron

November 13, 2013 @ 7:05 pm

Hi LifeChangingpop,

I would not worry about it too much. Most of us on here had\have a conservative PT. So, we started our own protocol and when we finally did start PT, we were ahead of the curve.

While the Exeter Protocol is aggressive, you can carve your own path (Between Conservative and Aggressive). Keep in mind that wherever you are when you start PT, the PT will go from there (It’d difficult to undo ROM work).

I would start now with foot ROM (like Stuart mentioned), and move to ankle ROM by week 4. I also started PWB by week 4.5 with 2 crutches, then moved to 1 in week 5 with my Vacocast.

Regarding PF, I started at 15 as well, but it worked out great because I was at 0 by week 6.

Here is a link to my protocol along with exercise tips and a lot more stuff. (This is only a concept).

LINK: http://achillesblog.com/pgat2013/files/2013/11/rons-atr-protocol-template.pdf

BTW, you will dance again! LOL. It is imperative that you stay positive right now, and remember that you are just a week or two away from seeing the light at the end of the tunnel. Going to PWB and later FWB is a god send.

Check out my PDF (bottom of linked pdf)on what I went through between weeks 1-5. At week 4-5, when I went PWB, my life changed completely.

I am also sure that others will chime in with tips as well.

Good luck and keep us posted - but start your own ROM work and DO NOT wait on a PT.
Ron

11

Comment by thelifechangingpop

November 14, 2013 @ 3:12 am

Hi Stuart
Thank you, have been doing the alphabet, not easy but can see how good it would be to improve ROM. Seeing my surgeon today, not sure how well he’s going to handle my boot change. Will try and add the timeline.
Hope all going well with your recovery.

12

Comment by Stuart

November 14, 2013 @ 2:12 pm

I am done and dusted. Been around here for a while (xplora) but visit and comment less these days. You are actually only 2 weeks from repair (thanks for the timeline) so go easy on the ROM exercies. It is important for the first lot of collagen to lay down and that is usually done by 3 weeks. It is also important not to use any artificial force to move your foot. Whatever your foot can do on its own is good for now. I have some links to further reading if you want to get into some technical/scientific stuff.

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