round 2…

Feeling somewhat back to normal, i continued my work in outside sales. It was a Friday shortly after the Feb. Blizzard here in Chicago and there was a ton of snow. I walked out of an account, a gym no less, and my foot sunk in on the packed snow. Snap! louder then the first time….i knew it re-ruptured. Got in my car and drove once again home. The pain wasn’t as bad as the first tear, i learned later it is because scar tissue has less nerve endings. I took the boot out again and strapped it on and scheduled an appointment once again with my orthopedic surgeon. He couldn’t see me until the following Tues. After a short evaluation, he pushed through and order for a MRI with my insurance. Got the results back days later and went back in to discuss. He told me i needed to go in for surgery as the tear was 2x worse than the first. I got a referral to another surgeon and went in to schedule the operation. Key learning here…push for the MRI the first time around, trust your doctors, but if something feels a miss in the gut, there is no shame in getting a second opinion. When pondering surgery vs conservative casting…weigh out the pros and cons. Each situation is unique and depending on age, activity and time, the choice really varies. In looking back, for me, i could have saved time, money and some arm pit sores by pushing my Doc further to undergo surgery. Anger and frustration are time wasters…put the energy into something worth while, in this case it was me getting better, quickly.

3 Responses to “round 2…”

  1. Hey thisdogcan….
    Your story breaks my heart. Absolutely.
    I’m at 15 weeks 4 days, and can’t even comprehend the thought of a re-rupture, but obviously, that is naive of me!
    Don’t get me wrong…I’m really glad you posted this. It’s a good dose of reality for ALL of us.
    But, heartbreaking all the same.
    We’re here for ya, and we’ll work through this with ya! Wishing you all the power and patience in the World! Hang in there, my friend.

  2. wow, i’m truly sorry about that man. i too am 34 and ruptured playing flag football. i was playing corner, backpedaling and tried to break on an out route in front of me and heard the pop. i knew right away. i’m at 16 weeks post surgery and need to remind myself to slow down and progress with moderation.

    at least you know some of the small tricks and routines of being NWB. those little things will come in handy again and hopefully the inconvenience won’t be as hard on you as the first time. i know the statistics of surgery vs. non-op are very similar, but for some reason, i psychologically feel better knowing that strong sutures are holding my tendon together.

    good luck and hang in there.

  3. Guy, you’ve got a tough enough situation without beating yourself up over your past decisions. I doubt that an MRI after your initial ATR would have changed things, though neither of us knows for sure.

    Unfortunately, with your surgeon’s ultra-slow non-surgical protocol (18 weeks to 2 shoes FWB), your re-rupture risk really was much higher than with surgery, just like the old days of “conservative care” for ATRs. I’m a big fan of skipping the surgery, but it’s only been proven to work very well (on average) with a fast modern protocol, like . And even then, or with surgery, the risk of re-rupture still isn’t zero, though it’s pretty low.

    All the older studies — including a 2005 metastudy — used SLOW protocols for the “conservative” non-op cure, and showed re-rupture rates around 15%, vs. around 4% for surgery. Almost everybody assumes (logically) that going slower is safer, but the evidence shows the opposite.

    It’s possible that your surgeon will also discover some other interesting things about your AT while he’s “inside”. Keep us posted. The last 1 or 2 re-ruptures who posted here did themselves in after surgery, so Watch Your Step, all over again.

    Good luck, you’re due for some!

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