upstate2519’s AchillesBlog

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I’d love to hear more about the rental of the left foot accelerator. Where did you get it from and approximately how much does it cost?

About time-keeping by tapping your foot: When I was trained to perform in public (mostly as a singer, but also in a few brass bands), we were all taught to lose the foot-tapping and just tap our toes inside our shoes. It didn’t take long to make the switch (though we were young ‘uns!). Most of the good protocols include toe-wiggling as an early exercise (some folks do it even in a CAST!), so that should be pretty risk-free. Should be good for your pro music career too, unless you’re trying to become the next Stompin’ Tom Connors!

Hi upstate!

Good to hear things are going better this week. I am following your journey closely, as we had the same surgery, and am taking heed to proceed carefully. I, too, am worried about the Haglund’s growth and/or spurs coming back. The back of my heel is most tender where the large bump was removed (lateral side) and where the spurs were removed (medial side). I’m 5.5 weeks from surgery now and scheduled to move into shoes a week from today.
Good luck switching your “time-keeping” foot! I’m a piano player and play for three services at church every Sunday. I’ve always kept time with my left foot, but can’t use it, now. Doesn’t work to keep time with my right foot because it’s busy pedaling….what to do?

Hi Upstate,

Sorry you had to take a step backwards, but I hope that things go more smoothly this time around.

Good luck and keep us posted.
Ron

Sorry, meant to type set back. Good luck.

Hi Upstate,

Sorry to hear about your setup, and am wishing you the best.

Good luck at your appointment, and please update us.
Ron

Thanks, Norm!

Good luck, Upstate. Otherwise, I got nothin’.

I agree with norm, I found standing worse than walking also, or sitting with my leg down not moving, it always swelled more that way.

I second the wedge - I used one too and it was a little too hard with no give to it, so I put a pillow on top of it and it worked like a charm.

Great stuff! I also found standing worse than walking — but shopping with a cart was the worst of all.

Very good to hear that you can drive and be as active driving as you are! I’m so jealous haha. Keep up the great progress!

Congrats Upstate,

It must be nice! I hope you are having fun out there (I feel as if I am in jail at times at 4 weeks - LOL). Be careful and ride on my ATR buddy.

I wish you a quick recovery.
Ron

Nicky, are you back at work yet? If so, how long was there between going into two shoes and being able to stay on your feet long enough to work? I pace constantly when I teach, and sitting down for most, if not all, of a class is driving me nuts!

Steve, I first saw mention of the left foot accelerator somewhere on this site, and started looking. It’s a device that has a pedal on the left side of the foot well, attached to the gas pedal, so that you step on the gas (and brake) with your left foot instead of your right. It only works if you have automatic transmission, but seemed to me to be safer that trying to reach across the brake and my boot to the accelerator. It takes a little getting used to, but if you live by yourself, like I do, and don’t have access to public transportation, it’s really helpful. I rented mine for $100/month; I started using it when I was about 4 weeks post op, and sent it back 4 weeks later.

I would recommend checking the laws in your state (country?) to see if you need a special license, etc. I didn’t, but wouldn’t assume that all states are as anti-regulation as SC is.

Shoes and driving, Brilliant!
Your progression to shoes sounds exactly like mine. I do think about pushing off every step correctly rather than flat foot walking and it goes horribly wrong when I pick up the speed.
I did find driving good physio ( I think the fatigue is good?) and so good to get independence back.

Upstate,

I’m new to this forum (two weeks post-op on right achilles) and have not heard of a left foot accelerator. Can you tell me more about it?

Steve

Thanks, Grimfoot. The pain is going away and does seem to be a function of fatigue — probably a sign that I’ve done enough for a while and need to take a break. The achilles rehab was put on hold most of last week because of the shoulder surgery, but starting Monday, I’m rehabbing both limbs and looking for life to get back to normal. I went out yesterday in two shoes and walked down several steps, completely forgetting that I don’t really “do” stairs yet.. No harm done, but I definitely felt it. I can see how people rerupture or reinjure at this point; unless I’m reminding myself of what I should and should not do, it’s too easy to act as if everything were normal. “Mindfulness” needs to be my motto for the next few weeks.

Good luck with your rehab!

Go you! Its great to have a goal like your walk, don’t beat yourself up if it doesn’t work out however! Sounds like you’re recovering well but that pain doesn’t sound good - does it go away with rest? I know from running that if a pain doesn’t go away something isn’t right - its your body saying “leave me alone!”

As to length of time, I’m resigned to it being next summer before I’m back to where I was (20 to 25 miles per week). Having accepted that, any fast progress then becomes a great joy.

Good luck with the shoulder surgery and the walk!!

Steve, many successful ATR protocols — including bit.ly/UWOProtocol — prescribe FWB boot-walking before the ankle angle reaches neutral. And many of us walked comfortably and FAST in a boot while still plantar-flexed. The only challenge is to build up the height (and maybe angle) of your other foot to match, so your hips are straight. Otherwise you risk damaging a number of other body parts, as well as learning to walk off-kilter in ways that will have to be UNlearned — sometimes way harder than it sounds.

Hi There,

Thanks for the quick reply. My surgeon was basically the same. At my week 4 appointment post op, he said to schedule PT the next week and he would not see me for another 4 weeks.

I know I have 5 screws (4 for the achilles and 1 for the transfer) I’m not sure what he used though. I guess the goal at this point is to get my foot to neutral because until then, walking is a moot point. Hopefully in the next few weeks!

Good luck with your rehab!

Steve, I wrote a fairly long reply on my phone, but it doesn’t seem to be posted here. I think my OS is on the more aggressive side of the spectrum, based on a very unscientific sampling of posts on this site. I was PWB in a boot at 12-days post op (though very P early on!). At my second post-op appointment, I was told I could go FWB as tolerated; five days later I had ditched the crutches. I have my third appointment on Friday. It will be just over 7 weeks, and I expect my OS to tell me I can start transitioning to two shoes. The Exeter protocol, which seems to be the fastest one anyone here really talks about, has people moving to two shoes at week 9. My OS seems to be treating my rehab and progression as if I were an ATR instead of a chronic insertional tendinosis with Haglunds’, etc. — or rather, he seems to be treating them the same.

One of the few things my doctor was adamant about was no PT until he’d seen me at week 4. I know he used bioabsorbable suture anchors instead of the metal screws that some surgeons use; I’m inferring from the no-PT period that he is confident enough that the anchors and the sutures at

Hi Carol,
We had basically the same surgery although I did not have any bone spurs. I completely tore my Achilles off my heel bone on August 2nd. I has surgery to reattach on 8/14. So here I am 5 weeks out with a completely healed incision and a stubborn tendon that I am trying to stretch out. My surgeon keeps telling me to take it easy…that he’s concerned about the sutures holding the tendon to the bone. I have two PT sessions under my belt and the OS finally said I can partially WB. He doesn’t know that I have been walking in the boot full WB yet. Not all the time, but I can do it. How quickly did your OS allow full WB? Was he ever concerned about your sutures? Mine told me that the protocol rehab for surgeries like ours is that there really isn’t one. I know my surgeon is one of the best here in SoCal, however he is a bit conservative. Norm? Any input?