Sunday, January 8, 2012

So I had a look around and saw a few people blogging their experiences regarding their Achilles tendon ruptures. Thing is, there's so few on people who went the non surgical/conservative route.

So, I figure I should add in something, should someone really need to compare/look.
Weeks 1 and 2:
plaster of paris cast (to allow for swelling). Foot in equinus. Have Asian mother who has insisted that I eat deer tendons. No harm except they taste like arse.

Weeks 3 and 4:
Fibreglass cast. Also in equinus.
Pain: minimal. Some swelling, which was more noticeable in the first 2 weeks post injury, especially if I had been standing on my crutches for long periods of time.
Frivolous detail: arms were not used to supporting weight, but got more used to it in weeks 3 and 4. Being in a fibreglass cast helped the most because it's way lighter than a gypsum (plaster of paris) cast. Also something to note is "cyclist's palsy". This occurred (and still does) when I've been crutching for long periods of time. Essentially the tip of my fourth finger on the side that has the affected foot goes numb. This is most likely from inflammation (as a result of me support body weight on to my hand) impinging the nerve that runs along that finger. It disappears after a few hours although I have noticed that the longer I crutch, the longer it takes for the numbness to subside.

Week 5:
In moonboot/CAM walker. Foot in 20 degrees. Also started doing some plantarflexion and dorsiflexion at the physio.
Pain: minimal (maybe 2/10) when I've pulled it too much up. It's more of an odd stretching feeling as if my tendon is reaaaaally stiff and I'm forcing it to move.
Frivolous details: tendon is as thick as ass. Some bruising and swelling is quite bad to the point that my toes stick together. Oh, and dead skin peeling when you finally get to shower is disgusting. And if you don't wash your socks often, your feet will smell bad.

Week 6:
Foot now in 10 degrees. Dorsiflexion and plantarflexion is coming easily now. Still limited ROM (range of motion) compared to my uninjured left foot. Also have started to put some weight on it when I use my crutches. Physio has added some isometric calf exercises to try and decrease muscle wasting.
Pain: same as above.
Frivolous details: foot goes blue when I stand for too long out of the CAM walker (e.g. when showering). Have started using wheat bag to increase circulation. Still swollen to the point where I can't see my ankles.

Week 7:
Foot now in neutral. Still limited ROM... not much change. Noticing less blueness when standing. Not sure if this is related to the wheat bag use. Swelling (edema) has decreased slightly, with the top of my foot looking less swollen. Have also started with some quadriceps exercise to try and improve strength as recommended by my physio friend. Tried walking without aid of crutches (whilst still in the CAM walker) today at the 7 week mark and can manage a few steps. Will stop because I don't want to re-rupture it. Physio has added a stretching exercise - where I put a length of material around my foot and push against it.

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