Winnipeg ATR

6 week visit with ortho

April 25, 2016 · 5 Comments

Today was my 6-week appointment with the orthopaedic surgeon to discuss my progress thus far. As a reminder, we opted for the conservative, non-surgical treatment for my ATR. As the doctor confirmed, he thinks the non-surgical treatment was the best for my situation because my ATR was higher up, closer to my calf muscle. According to him, attempting to surgically repair the rupture when it is higher up like that is much more difficult.

That said, he was happy with my progress thus far. Scar tissue has developed around the rupture and it appears to be healing nicely. While I was disappointed to hear that he didn’t want me to start any rehabbing with an athletic therapist yet, he did say that I could start partial weight bearing on my leg while it remains in the boot with my wedges in. I have tried it since coming home, and am able to walk around with the boot on while supporting myself with only one crutch. While it may not seem like much, it seems like significant freedom.

I just have to remind myself not to push it too much as it appears healing is going well. While I have been able to walk around with the one crutch, I don’t want to set myself back by pushing myself too hard right now. I will continue to use my knee scooter and crutches around the office, and then walk around only at my house.

He asked me to come back in two weeks time to evaluate where I’m at and, if things continue as they have thus far, he said we’d take out one of the wedges from my air cast. Here’s to hoping!

Talk to you all soon.

Categories: atr
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5 responses so far ↓

  • winnipegatr // Apr 25th 2016 at 8:14 pm

    I just read a few other posts about recovery. Most were surgical repairs vs. non-surgical. It appears that may be a significant distinction as those who did that appear to be much more aggressive in their recovery. FWB without crutches or anything at 6 weeks and starting physio. It could also be my doctor, don’t really know. I’m going to start doing some exercises myself here, provided over the next few days I don’t feel particularly sore.

  • Stuart // Apr 26th 2016 at 1:26 pm

    Winnipegatr - what your doc said about no surgery for you is correct. The tendon morphs to muscle like tissue near the muscle and at the other end it is a little bit like bone. Trying to surgically repair a tendon near the muscle is like sewing soggy spaggetti. It does not hold together well. Walking for now is good therapy and it will encourage the good collagen to form. This will also help to reduce your re-rupture risk when you are released from your boot. One good thing about high ruptures is a better blood supply to the area. FWB before you see the doc again is very possible and I am sure you will work out how much and how soon. Doctors vary so much in their treatments. Your’s seems a bit middle of the road. You are bound to feel a bit sore and there will be more swelling so take the time to elevate and ice.

  • Brenna // Apr 27th 2016 at 10:53 am

    Hi Winnipeg , I had the surgery and I am one week behind you. I recently saw my surgeon who indicated NWB for 6 weeks after surgery. His theory is that you can be more aggressive once you start physio as your tendon will be stronger.
    I am good with his direction as I trust him and I want to make sure I don’t rerupture.
    Time has flown but can’t wait to join the walking world.

  • Hank G // Apr 29th 2016 at 2:08 am

    Hi Winnipeg, Stuart, Brenna:
    I really enjoy the comments and helpful ideas in regards to recovery. Today was the 6 week anniversary of my surgery. It was a complete rupture and involved the tendon on my big toe used to repair the tear ( Hallicus longus ). I have had my cast replaced every two weeks. Last appointment the surgeon planned to put me in a boot. As I still am not permitted to weight bare ( bear ) WB I asked for another cast. Stupid? My thinking was the boot is heavier, more cumbersome, larger than the cast, and would be more difficult as I am using a scooter–how right you are in your suggestion. I am extremely, lucky and thankful that I have been able to stay home, and keep my leg elevated almost around the clock. Swelling and pain have been basically nonexistent. My wonderful wife has been a ” God send “. I digress– but my wife had surgery to remove bunions on both feet the third week of January. I took care of the household while she convalesced. Seven weeks after her surgery I had my rupture …… so now the cast is on the other foot ( so to speak ). I feel awful that she has had to endure the last 12 or so weeks. I has been quite a journey for the both of us. We are retired ( pharmacist and teacher ). Our house now resembles a DME store ( durable medical equipment). Wheelchair, wedges, scooters anyone ??
    Tomorrow morning is my appointment with my surgeon and I expect him to give me the boot or a boot. In regards to therapy ( mental and physical ), permission to drive, and WB I will let you know what happens.
    Thanks for giving me the chance to ramble!
    Hank

  • pozaicer // Apr 29th 2016 at 3:46 am

    hi Hank

    thanks for sharing your story. not nice to think of a DME-like home but it is what it is, mine looked like a chemist shop as i spent religious time ensuring my foot didn’t build any moisture to prevent unpleasant odours…

    keep it up!

    suerte

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