Should I be walking?

I have now been booted for the last 11days. I have been sleeping wearing the boot as advised but I have to remove it to put my sock on and off in the boot. Today I had the boot removed as usual and needed to get some items from the drawers at the other side of the room. I thought I would try to hop over without the boot and tenderly stepped out on my bad leg unsupported. To my amazement I could walk without pain although with a slight restrictive gait. I have been doing physio with the boot off at times by stretching and rotating my foot but I have not ventured forth without the boot before. Should I continue to exercise walking without the boot or is this too early to go unsupported at 6wks 2days.

9 Responses to “Should I be walking?”

  1. Sounds way too early to me. At 6 weeks non-op your tendon still has a lot of strength missing. The protocols all wait to 8 weeks so thats is what I would be doing!

  2. I’ve been in the boot for almost four weeks now (6 post-op), fingers crossed I will get rid off the boot on Friday and move to two shoes. I was given the ok to “walk” the short distances at home without the boot at four weeks, as long as I do it carefully and keep the weight on the heel, i.e. not rolling on to toes. Actually I was encouraged to spend as much time as possible without the boot at home (also when at my desk in the office), when in “safe” environments. Rationale being that without the boot I will naturally move the foot around a bit all the time, helping the recovery and nerve functions… So based on the advise I’ve received, I’ll have to disagree with herewegoagain. Having said that, I’m on an aggressive protocol, and each progress step is based on the evaluation of my individual progress by the surgeon and the physio. Doing the above definitely requires that you’re smart about it, e.g. I would think that carefully stepping on the foot is certainly safer than hoppin on one foot without the boot and ending up slamming the injured foot down…

  3. gravity I think you have had a surgical repair and lad is non-op- if that is the case then the transition out of a boot for walking/weight bearing would be very different. In my opinion removing it for exercises etc is a great thing but hopping around the place without a boot is plain craziness. There is lots of things that are possible at 6 weeks non-op that would keep the rehab “aggressive” , risk free and be functional, but I think cutting a couple of weeks off the accepted protocols is risky.

  4. You may well be right, for some reason I thought he was surgical and didn’t check the older posts unfortunately. By reason it certainly makes sense that very early on you’re somewhat safer with a stitched vs non-op.

  5. Yorkie

    Play the game right - wear that boot and you will be ok. Do something silly and pay the price, Being stitched may make little difference as previous re-ruptures have shown in this blog.

    Buffie

  6. Buffie, I fully agree with you, I think if there is one thing that I believe is important for people to take from the various stories on this site, it is that there is actually fairly little to gain from doing something a week earlier or later (as long as one is following some of the modern protocols), it’ll even out in the long run (which is what this injury is all about). People that have the same treatment seem to have drastically different experiences with regards to e.g. pain, swelling, strength retention and recovery, but most people tend to end up in roughly the same place in the long run. Having said that (and again not bothering to dig as someone probably knows), what are the stats on the re reruptures in terms of the highest risk period? I know that the risk doesn’t significantly drop until 10-12 weeks, but when do most of those happen?

  7. I’m at 8 weeks post ATR non-op & just went to 2 shoes; I did cheat and do it a couple of days early but that’s all. However I really wouldn’t rush if I were you, it’s not as if going to 2 shoes is some miracle cure! I can’t walk any faster in 2 shoes than I could in the boot. In fact I think it’s slower…. Now realising how slow the journey back to just walking normally will be.

  8. Take it from someone who was wearing the boot fell and put pressure down on my bad foot while in the boot causing a minor rerupture and a whole Lotta pain. Beak careful.

  9. I like to follow the evidence. If a study got excellent results using protocol X, I see little to gain from going a week or two faster, and absolutely nothing to gain by going slower.

    I think the stats suggest that rerupture risks rise toward maybe ~10-ish weeks post-whatever, and drop fast at ~12 weeks. Not that the tendon is weaker or more vulnerable at 10 weeks than at 5, but we’re more active and more confident, probably less protected (shoes not cast or boot), so we’re more likely to test it to failure, either on purpose or by falling.

    In terms of lifestyle, I’d be tempted to rush FWB, but not 2 shoes, since it usually means walking slower and feeling more nervous — i.e., a negative lifestyle change. It’s got to be done to return to normal, of course, but most of us didn’t find it a joyful milestone.

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