Sunday, August 22, 2010

Here we go again


So, I am terrible at keeping up with my blog and thus a lot has happened since my last post. I managed to get through 6 weeks in the boot and started walking in a regular shoe in addition to going to physical therapy. I was having a lot of issues with my ankle and swelling so I wore an additional ankle brace for 3 weeks. The swelling wouldn't stop even though I tried compression socks and tried to keep it up as much as possible. Unfortunately, my office is not set up to where I can work with with leg elevated in addition I had ben tasked with attending many more meetings so I was walking all over post. I had also started driving my car (5 spd) two weeks ago)

That catches us up a bit. I was getting ready to go to my 6th physical therapy appointment (Mon, Aug 16) when I stepped on the zipper of the dog bed with my bad leg, instinctually jump off of it and heard an incredibly loud pop. My husband was downstairs and heard the pop too. It immediately started to swell but didn't get huge. I decided I would still go to PT and ask the dr. what she thought so I drove to the clinic and was absolutely devastated when she said she thought I had torn my achilles again. I laid there and cried while they iced and applied electro stim to calm the area down a bit. My husband drove over and picked me up and we were off to the hospital.

At the ER I saw the Dr. that saw me the first time. Herr Dr. Stenz studied English Lit in England and is a Trauma Dr. I told him a brief synopsis of the story and his response was simply - no problem we will do it again. Great - I almost burst into tears again with the though of surgery. During the exam Dr. Stenz called in the surgeon who did the surgery the first time and Dr. Hoffmann wasn't sure it was a rupture so they ordered an MRI. The MRI experience was much more like a three stooges act. The nurse and tech were very nice but what it boiled down to was that the machine was new and they didn't know how to set it up. So they crammed me in, handed me the emergency button, giggled as they said they hoped I didn't need it, shoved the ear muffs on my head and slammed the door. Um, great...30+ minutes of trying not to move my leg that was NOT in a position that was particularly pain free.

MRI done, we are told that there was in fact another rupture closer to my calf and that they would do a more invasive surgery this time. I would have to stay at least one night. So we started the process of getting set up for surgery on Wed, Aug 18. They re-cast my leg and 6 hrs later were on our way home.

Wed, Aug 18th - We arrive at the hospital to check in at 0730. They are doing expansions to the hospital so all you hear are jack hammers and drilling all day. Nice. I get checked in and then go to our ward where I'll be staying at least one night. I am shown my room, which is fine. I shared a room with another german lady who had surgery for a separated shoulder. She was very nice and spoke more english than she let on initially. So, I went in to surgery and all seemed fine. I wasn't nearly as sick this time from the anesthesia as I was the first time. It was quite painful a couple of hours after surgery and they gave me a paracetamol drip that really didn't do much. I essentially spent the rest of the day sleeping on and off.

The next morning Dr. Hoffmann came and said that the damage was more extensive than they thought so the cut the tendon from the calf and doubled it back on itself. They stitched it together and then reattached it to the calf. I am still waiting for the write-up to be sent to us since we are still a little confused on the procedure. A bit difficult with the language difference.

So, I ended up staying two nights in the hospital. I am home now and 4 days post op. It's not nearly as painful as the first surgery, however, I am to be in the cast and non-weight bearing for two weeks before starting in the boot. Amazingly there is very little to no swelling which makes me at least feel that things might be fixed better than the first time. I go back next Thursday for a check-up.

Thursday, June 24, 2010

A couple weeks later...Week 4 post op

Well, I took out one insert from the boot last Wednesday and have been experiencing a new pain along the outside side of my heal. I tried to get an appointment with the physical therapy office on post and was told they couldn't see me for a month so I should just go in town...that would be fine if someone from the Tri-care office would actually answer the phone to give out the phone numbers. So, I decided to make a follow-up appointment with the Orthopedic Clinic at the hospital where I had surgery. I will go next Friday to see what's the what and how things are going.

I have had a a little trouble with the internal stitches that are supposed to dissolve. The external knot was catching and rubbing in the boot and caused a bit of irritation. We cut the threads down today but it seems a bit irritated. It might be slightly infected but it's not big and the irritation is not deep so I will watch it for a few days.

I have been able to work out at the gym for the last two weeks. I manage to ride the bike for about 20 minutes and then a good bit of upper body or single leg exercises and abs. I figure it's not worth sitting around since my left leg (ATR leg) is already noticeably smaller than my right after 4 weeks and I can walk in the boot. Since I needed my legs to get smaller for physique competitions I am trying to see the silver lining here.

I will take another insert out next Wednesday but considering the weird pain I am experiencing I may wait until we return from Madrid the following Sunday and after the Drs. appointment.

Thursday, June 10, 2010

On the road to recovery

So, on May 25th I went to practice for the first time with the ladies volleyball team here in Stuttgart to prepare for the IMCOM Volleyball Tournament Jun 11-13. As luck would have it, with 2 minutes left to practice I felt a strange pain in the back of my left leg and fell to the floor. It would seem that the jumping action while going for a spike had partially ruptured my achilles.

For someone who has never seriously been injured - meaning, hospitalization or surgery, this was pretty scary. I decided I would document my recovery since most of the reading I have done of others has been from those in the US and I had noticed that the recovery and recommendations are very different than what I am experiencing here in Germany.

Timeline:
5/25/2010 - sustained injury
5/26/2010 - proceed to the ER for diagnosis
5/27/2010 - surgery
6/2/2010 - start with Achilleswalker - walking boot with 3 heel lifts (The Drs actually wanted me to have the boot on 5/29 but we had to order it)
6/6/2010 - remove butterfly stitches

workouts
6/8/2010 - ride bike for 15 min (boot on), TRX (chest, back, arms - 1 set each)
6/10/2010 - bike for 15 minutes, TRX (chest, back, arms - 1 set each), abs


As of today, I have had the boot for one week and it is getting easier to walk without the crutches. My foot still swells if I spend a lot of time up and about. I try to moderate how much I walk with out the crutches to short periods. I am also doing some massage in the evening although, I managed to sprain my ankle at the same time as the rupture so everything is still pretty sore.

The Drs did not advise any physical therapy after the 6 weeks in the boot, which I found strange so I enlisted the help of some friends and will be going to see a physical therapist on post next week. In the mean time, this is the second day this week that I have ridden the recumbent bike (boot on) and done a short workout on my TRX suspension trainer.