Tuesday, November 5, 2013
Week 10 and 11 - Last Doctor Visit and More Physical Therapy
I met with my surgeon for the last time today. He was pleased with the scar and healing of my ankle. I told him that there is some popping towards the front of my ankle with no pain. After he examined it and asked more questions he determined that it is fluid in my ankle from swelling that is creating gas, which is released. He said this is normal and I shouldn't be worried about. He told me to come in if it causes pain, or if I can feel the tendon popping. I don't have to wear the ankle brace anymore, unless I do a lot of walking or running on uneven surfaces. I was also advised against any side to side motion of the ankle (playing soccer, basketball, football, etc.) until at least 6 months post surgery. I think I will avoid playing physical sports until my ankle stop swelling when exercising.
Week 11 (11/4)
I thought today would be my last day of visiting the physical therapist. They measured my flexibility and strength again today. Both areas have improved since last time. They also had me do more balancing exercise and flexing my ankle with a band. They added a new exercise; standing on a balance trainer with one foot for at least 30 seconds. It puts more stress on my ankle, but I can see how it will help improve my balance and strength. My visit was quick and they want me to come back on the 15th of this month to work on running again. I haven't been running since June of this year. Hopefully it goes well.
Wednesday, October 23, 2013
Week 9 - Second Physical Therapy Visit
Tuesday, October 15, 2013
Week 8 - Home Physical Therapy
Monday, October 7, 2013
Week 7 - Physical Therapy
The physical therapist asked a few questions about my injury and how my pain has been since the surgery, and then we got right to work. He started by taking measurements of flexibility and swelling in my left ankle and comparing them to my right ankle. He also measured the amount of pressure my foot could exert in four different directions. This information is used to evaluate my progress in the upcoming weeks and to give us a starting point.
The exercises that I learned today are to improve strength and balance. The first few use a flat exercise band with a loop tied on one end for my foot. The other end is held in my hand. The band provides resistance as I move it up and down, or side to side. It didn't cause any pain, but I could see that my foot was weak from the shaking it did after going through several reps. The physical therapist also had me stand on one foot (the injured foot) and balance. The first few times seemed difficult, but the muscle memory came back quick. He then had me close my eyes and try to balance. I was surprised how much more difficult this was, even with my good foot it was difficult.
The other exercises use a tube shaped exercise band. One end is attached to a fixed object, I will use a closed door at home, and the other end is held in both hands. I am too hold both hands away from my body and write the alphabet in the air while standing on my left foot. When this gets easier I can stand further away from the door to create more resistance in the band. The exercises didn't create any pain in my ankle and they were not difficult to do. I am do to do all these exercise for every day for the next two weeks at home. I will return to the physical therapy office in two weeks for an evaluation. By the end of today I could tell my ankle was swollen more than usual. I was told to expect this as I exercise and use my ankle more.
Monday, September 30, 2013
Week 6 - 2nd Post-Op Visit
During my visit I was also given a soft ankle brace that can be worn inside a shoe. I am to wear it every day until I see the doctor again in four weeks. Even though walking is so much easier when both shoes have soles of equal thickness it feels awkward to walk in shoes. My foot is not used to having arch support and being able to feel so much of the ground surface again. The only painful part of walking is when my left foot is extended behind me. I still walk with a slight limp. That will improve as the tendons get stretched more after a few days of walking and stretching. The doctor told me physical therapy will be mostly done at home. I only have to visit a physical therapist once every two weeks for one month. They will give me exercises to strengthen my tendons to do at home for the first two weeks, and then when I return for the second time they will give me more advanced strengthening exercises to do at home. I'm glad I don't have to visit a physical therapist multiple times a week. This will help to save on time away from work and home, as well as unnecessary co-pays to insurance companies. I still have to schedule my first visit with the physical therapist. That will most likely be next week.
Monday, September 23, 2013
Week 5
Tuesday, September 17, 2013
Week 4 - Improvement
Monday, September 9, 2013
Ankle Time Line (updated for week 10/11)
Left ankle, day before surgery (8/19/13). |
Left ankle, day before surgery (8/19/13). |
Left ankle, day before surgery (8/19/13). |
1 week after surgery (8/26/13). |
2 weeks after surgery (9/3/13). |
4 weeks after surgery (9/16/13).
5 weeks after surgery (9/23/13).
6 weeks after surgery (9/30/13).
7 weeks after surgery (10/7/2013). Feels more
swollen after physical therapy.
8 weeks after surgery (10/14/2013). Swelling almost gone.
Week 9, I took these pictures just after doing
the physical therapy exercises. (10/22/2013).
Week 10/11 (11/5/2013).
Week 3 - Back to Work
This last week has been more enjoyable. I didn't have to lay down all day and keep my foot elevated. The swelling in my foot has reduced and doesn't occur as often. A few days after seeing my doctor I started walking with out crutches. The first time I tried it hurt my heel too much. Now I can get around and carry things with me if I need to. Today I went back to work. Most of the time I work at a desk. Depending on the projects I am working on I will spend some time in a lab. Luckily I don't have to right now. It's nice to be back to work and feeling productive with my day again. I take the boot off a few times throughout the day and stretch my foot enough to hurt but damage the tendons. I feel like it's heeling like it should and now I can't wait for my foot to be back to normal.
Tuesday, September 3, 2013
Week 2 - First Post-Op Visit
Today, I had my first post-op visit. My splint and bandaging were removed by an assistant nurse. It felt awesome to finally be able to scratch areas of my leg covered by the splint. She said the swelling and busing looked normal, and that there was no sign of infection. She also said the scaring looked really good.
I could tell my left thigh had atrophied some these past two weeks. I could see it more clearly in my left calf muscle once the splint was off. After the nurse removed the stitches a physicians assistant came in to check on the healing, pain management, and to explain the next steps in recovery. He moved my foot up and down (dorsiflexion and plantar flexion). He also moved my foot inward (ankle inversion) and said that I am not to invert it outward. This is to prevent the ligaments around the tendons from being damaged and not healing properly. It felt good to stretch my feet and leg muscles. He said I will have a cam boot for the next four weeks, and to slowly start putting more weight on my left foot as tolerable. He expects me to be walking in the cam boot without crutches in the next three days. He didn't want me going back to work full time until next week. I was hoping to be able to go back today. One more week won't be too bad this time. At least I will be able to move around more. My next appointment is in four weeks. Physical therapy will start after that visit. I have been sleeping on the couch in the basement for the past two weeks. I am looking forward to sleeping in my be tonight.
Wednesday, August 28, 2013
Fall Back
Sunday, August 25, 2013
Week 1
Monday, August 19, 2013
Surgery Day, 8-19
Wake up, shower, and get dressed. The kids are already at grandma's house so we don't have to worry about waking them up and getting them ready too. The hospital is only 20 miles away, so we don't have to be up too early. The pre-admission nurse told me to wear loose clothing that will fit over the bandages. A t-shirt and basketball shorts it is.
We arrived at TOSH (The Specialty Orthopedic Hospital) and checked in at the front desk. After a few minutes of waiting, a nurse took me to a small room with a bed, bathroom, and monitoring devices. I was impressed some of the technology the hospital used and how clean and professional everything is. That may be an advantage to a specialized hospital rather than a full hospital. The temperature reading device was a small hand-held type with a sensor in the end. The nurse rolled it over the side of my face and the temperature was appeared on its screen. I'll have to figure out what it was.
The anesthesiologist came back to my room and took me to the OR. With out my contacts or glasses I can't see any detail, just blurred masses of color. I couldn't tell what anything looked like. It was about 15-20ยบ F colder in the OR than the rest of the hospital. I climbed onto the lowered operating bed while the nurse wrapped me in warm blankets. I remember the oxygen mask going over my nose and mouth and being told to take some deep breaths. The ceiling tiles began to swirl and blend together. I was out.
The surgeon found my wife in the waiting room and told her everything went well. He only had to make an incision a few inches long. Luckily, the tear was in a location that did not required the ligament to be cut and sewn back in place too. This is good news for me. I don't want the recovery to be any longer than it has to be. Some time before 9:00 am I regained consciousness.
When I woke up, my eyes opened slowly. I didn't feel tired, groggy, nauseated or have a sore throat. Most importantly, I was not in any pain. The constant sharp stabbing behind my ankle was finally gone! Mostly all the strong meds are to blame, but I'll take it. My sinuses were even clear. I have had a minor cold since Saturday night. Once a child gets a cold in our family it usually gets passed on to everyone at some point. The nurse rolled me into the recovery room were my wife would soon join me.
I will be non-weight bearing on my left foot for the next two weeks. We live in a split level home, so too avoid using the stairs as much as possible I set up my living/sleeping area on the couch downstairs. I have never used crutches before. A physical therapist came by to teach me how to distribute my weight and the best ways to get up and down stairs. He then hooked me up to a harness and had me practice walking up and a hall. I also had to go up and down a step he brought with him. I didn't think it would have been too hard to figure out. I never realized the hands should take most of the weight on the grip and the armpit pads are really just to stabilize and keep the crutch in place while swinging your leg forward.
I'm on my way home. A nurse helped me into a wheelchair while my wife went for the car. My prescriptions were filled at the pharmacy there, so we didn't have to stop on the way home. I was prescribed 800 mg of ibuprofen three times a day to reduce the swelling, baby aspirin once a day to reduce blood clots, and 5 mg oxycontin every three hours as needed for pain.
I thought I would sleep more and be in constant pain. I haven't slept yet and have only take one of the pain pills. It is only 3:00 pm and I don't know how I'm going to make it through theses next two weeks of elevating my foot and being non-weight bearing. I feel like I need to be up doing something around the house or playing with the kids. I am grateful for my sick (head cold) and pregnant wife that is still willing to take care of me and the rest of the family. She is amazing.