Lovely New Issues

Excuse the sarcasm of the title. What I am writing about today is far from lovely. I’ve been in pain pretty much all the time walking, some of it due to my Achilles tendon still recovering, but some new things have come up. I’ve already written about the plantar fibroma I mysteriously acquired, and trust me, I wish that was all.

Problem number two: I’ve had problems with swelling and pain on the outside of my ankle. You know how the ankle bone sticks out on the outside? Well, I have so much swelling there that it blends right in with the rest of my right leg and foot. It’s not normal swelling, though– it’s harder than you would expect, but still squishy. So far I don’t have an answer to what that is. I’m hoping that my surgeon will be able to help me out with it when I go back to see him in two weeks.

Problem number 3: I apparently now have fat pad atrophy in my heel. I’ve been trying to do some research about it, and I guess some unlucky people get it after prolonged non weight bearing (greater than six weeks), and I was on crutches for ten weeks. From what I’ve been able to read about it, it should toughen back up again after walking on it for a few weeks, but mine doesn’t seem to want to. I don’t know if it’s just going to take longer than average, or if it will stay that way. My physical therapist told me “hopefully” it will get better eventually, so I’m trying to be patient. All I know is that when I stand, my right heel squishes out to the side and the back and my left heel doesn’t. I have gel heel cups in my shoes to try to alleviate some of the pain. I can definitely feel my heel bone when I walk barefoot, and it’s really uncomfortable. I think that’s probably the biggest source of my pain as of late. At my last physical therapy session, my therapist tried to tape my heel so that all the fat is pushed back to directly underneath it. It seemed to help some, and I think it’s worth trying one more time to see for sure if it’s a viable option in the short term. Here’s what it looked like. you can even see the fibroma in the middle of my foot in the picture.

I’m trying not to get discouraged, but it is rather frustrating. I was hoping to have most of the pain behind me. I knew it was going to be a slow process, but if I could just walk without pain for more than a quarter of a mile, I’d be thrilled. I’d be even more thrilled if I could work a whole shift without feeling the need to sit and rest it every hour. I almost never get breaks at work, so having to just power through all that pain probably isn’t helping matters. I don’t know what I’m going to do when my boss goes on vacation in a couple of weeks because we’re still short a member of management, which means if he doesn’t get coverage from outside of my workplace for a couple days a week, I’m in big trouble. I absolutely cannot be working fourteen days straight with no days off when I’m barely managing my four days a week as it is. I worked five days last week and it almost killed me. I could probably manage full time hours while he’s gone and see how it goes again, but to be expected to work a 55 hour week when 30 is difficult is unreasonable. I’m going to have to get a note from my surgeon to help back me up if he’s going to give me a hard time about it. I would love the overtime money to help with the costs of physical therapy, but I can’t set my recovery back. I’m really pretty frustrated my boss hasn’t hired someone in the six weeks since the last full time assistant manager transferred. I’m doing my best, but I’m genuinely struggling. I want to be able to do more, but I still have so many physical limitations.

First Week of Freedom

It’s been a week since I’ve gained some small freedoms, and it’s been going pretty well overall–not perfect by any means, but not too bad. I still have quite a bit of difficulty with going up and down the stairs and a little bit of difficulty with walking. I just don’t have the strength or balance yet to move normally, and I still get pain with those activities.

As far ask biking goes, I can do that mostly pain free. I’ve kept the resistance easier than I usually would, but yesterday I allowed myself to do a sprint at the end of my ride just to see how it would go. I got to 17 mph, which isn’t the best I’ve done, but it felt great flying down the road at that speed with the wind rushing past me. People who were outside last night turned to look at me. No, I’m not narcissistic; I know they just looked because that’s what people do when they see someone outside.

In terms of work, that’s still very challenging. I’m working an extra day next week–four days instead of three. I’m nervous about it, not because of the number, but because one of them is nine hours. I’ve been working 6.5 hours since I got back, so it’s not a huge increase, but I struggle with the shorter shifts. I know I’m going to have a hard time with the longer one. It’s still too hard physically. I’ll see how it goes, but I’m going to have to tell my boss he needs to let me work shorter days for a while yet. He didn’t ask me if I was ready. I probably would have told him no, but I’m not going to complain to him after he’s inconvenienced himself to accommodate me. As long as he doesn’t suddenly decide to schedule me 40 hours without checking first, I’ll try to deal with it. I can’t work without the boot yet. When it’s comfortable to do so, then I’ll go back up to full time. I’ve also been considering the possibility that I’ll need a less physically demanding job in the future. I can’t risk re-injuring myself. However, until physical therapy is done, I can’t go anywhere. I need the insurance coverage to pay for the visits and the followups with the surgeon.

Speaking of physical therapy, I started working on some new exercises this week now that I don’t have to keep it still all the time. My usual therapist has been out of the office this week, so Monday I worked with the assistant I’ve seen a few times before. She’s nice and I feel like she does a good job. She had me working on pushing off with my toes so walking will become easier. Today, though, I worked with a therapist that floats to different clinics when they need her. She was a nice person, but not the therapist for me. She was too gentle with the manual therapy. I didn’t feel like I got any real benefit out of it. When my usual therapist or the assistant does it, I can move more easily afterward, but today it felt like it wasn’t even done even though she worked on it for ten minutes. The float therapist had me working on some of the new stuff I started this week, but made me feel bad for holding on to the bar to keep my balance while I was trying to stand on one leg. I did the best I could without holding on, but it was too difficult. Then, when I was leaving, she told me I should really be working more on my limp because it’s a bad habit to have. I felt so confused, because isn’t it her job to help me learn how to move my muscles and joints the right way again? The more pain and stiffness I have, the more I limp. I left in more pain today than when I started. I was just thrilled to be moving as well as I was. I’m certainly limping less than I was last week right after the boot came off. My session ended ten minutes early today; if she was that concerned about my limp, she should have helped me with it a little. There was only one other patient in there at the time. I just didn’t appreciate the way it was brought up as I was leaving. I’m glad next week I can work with my usual therapist. Today felt like a waste of time to me, and usually I feel like I’ve at least made a little progress.