Wrong Diagnosis
Posted in Uncategorized on February 24, 2010 by uliganOn January 23rd I was playing soccer in one of our local league matches. I had just scored a goal, we were up by two and things were going great. It was a couple of minutes before halftime. I remember blocking a shot on goal with my ankles and getting a sense that something wasn’t right. I recovered a few seconds later, and got the ball on a break away. I was running at full speed looking up field when I felt my left leg snap followed by an electric jolt and the sensation that my lower leg had detached. The immediate pain was intense and I crumpled to the ground.
The initial pain subsided quickly , but my team mates and the ref had me stay on the pitch covered in jackets until an ambulance showed up. The paramedics cut me out of my sock and shin guard and did a preliminary examination. The swelling wasn’t too bad and I wasn’t in much pain so I declined the offer for morphine. I asked them about the “snap” and the mentioned that sometimes you roll over your ankle and dislocate it. I was dubious.
I was taken to an ER in Manhattan and rolled into triage. Eventually a doctor came to see me and asked me if I was the soccer player with the twisted ankle. She was nice, but I got the sense that she wasn’t really taking this seriously. She had me wiggle my toes and tilt my foot. I told her That I specifically felt some pain along the Achilles/calf. she poked me with her fingers in said region, said she didn’t feel anything and told me to wait for the X-rays.
Eventually, I had my X-Rays taken, then I waited for them to be read. The first doctor I saw had gone home, so another doctor came to give me the good news that nothing was fractured, I had just sprained my ankle. I told her that I felt like some thing was up with my tendon, and asked if she could examine it.
She had me roll over and poked around my calf inconclusively. She claimed that there was no rupture as she felt no lump. She proceeded to wrap my ankle in an ace bandage, gave me some crutches and stretches to do, and told me that I would be playing soccer again in two weeks.
This happened on a Saturday, so it was a couple of days before I could make an appointment with an orthopedist. The hospital gave me the card for one, but I decided to call a surgeon that came highly recommended by a friend and teammate. His earliest availability was a week later.
The week waiting for my orthopedic visit, was emotional to say the least. I still didn’t really know what was wrong with me. I researched sprained ankles, and surmised that I probably had a “grade 2″ sprain. A season ender, six weeks of no soccer or Muay Thai! I hoped for the best, but deep inside I knew something was seriously off. I kept telling my girlfriend “something is up with my Achilles” I would stand on my bad leg, as advised by my ER doc and feel a sensation best described as rice crispies.
The much anticipated visit to the orthopedic surgeon arrived. His PA examined me, they took some more X-rays. Then the doctor came in and in thirty seconds flat said “you have ruptured your Achilles”. He looked to his PA and said “let’s book him for surgery tomorrow.” I could tell by his demeanor that he wanted to operate immediately. I asked about other options and recovery time and he delivered the final crushing blow.
Dazed, I returned home where I discovered the amazing Achilles Blog.