Roller Coaster Week

This week has been a wild ride full of highs and lows. Yesterday was probably the worst day of my life so far. I lost my grandfather to cancer after he fought it for several years. He just celebrated his 85th birthday Monday. My family and I all went to visit him the Saturday before his birthday and brought him a cake–chocolate, his favorite. He was still able to eat at that point, so I’m glad he got to enjoy it. The changes that took place this week were so fast it was hard to believe. I visited him again on Tuesday and he wasn’t awake the whole time we were there. Then yesterday I went down to see him and it was obvious it was going to be one of the last times. He wasn’t very lucid, but he opened his eyes when I spoke to him. I mostly just sat next to him and held his hand, making sure to tell him how much I loved him. He couldn’t respond back, so I just talked about whatever came into my head so he knew he had some company. He passed away just a few hours after I left. I wish I had been able to be there so he didn’t have to go alone, but having to depend on a ride makes it hard to control your own schedule. His passing was something we were all anticipating for a while, but it still hurts deeply.

As far as my first week of physical therapy is concerned, all is going well. My range of motion is already improving noticeably. I can’t work on strength for a few weeks yet, but I can bear my full weight on my right foot now as long as it’s in the boot. I can’t put a lot of weight on it without it, so I’m still going from station to station at therapy with my crutches. The first time I could climb stairs without having to crawl up and down them or use a crutch was amazing. It’s nice to feel more normal now and be able to walk without the extra help of crutches. I can’t walk very fast, but I can walk! I’m trying to celebrate the little victories and take things as they come.

I love my physical therapy clinic. I live in a small town, so a lot of the businesses have that characteristic charm to them. I’ve even done a couple of sessions with my neighbor this week; I didn’t know he was still going there. Everyone at the clinic is so friendly, and you get to know the other patients there in addition to the staff. I was in stitches listening to the conversations this morning. I barely noticed how much the manual therapy was hurting because I spent a lot of that time laughing. It’s not exactly pleasant having my scars, fasciae, and muscles massaged. It’s definitely not relaxing like a spa massage is. When the therapist hits a knot or rubs the scar where the screws in my heel are, it’s very painful. I try to bear with it the best I can because it’s going to be beneficial one day, but the screw area is still incredibly tender. I’m hoping that by the time I start wearing normal shoes in 5 or 6 weeks, it won’t hurt so much to have pressure on it.

I’m so excited at the improvements I’ve made in my first week. I know I still have a long way to go, but seeing improvement this quickly is really motivating. I think I worry my therapist a little bit, though, because he’s told me twice this week to make sure I don’t overdo things and to take things slow so I don’t anger my tendon and ankle. He knows me too well, because I really do need to be reminded of that. I’ve always been someone who tends to go overboard, for better or for worse. I’m not good at seeing that fine line between enough and too much, so I’m even more grateful I’m able to work with someone who knows me and my case well.

Rehab Plan

Today was my first day of physical therapy. After surgery, my mom and my aunt couldn’t wait to tell me how painful it was going to be, but based on today, I think it’ll be just fine. They also complained that it was such a chore when they had to go through it, but I don’t view it that way. Last year, I enjoyed my sessions because I was getting some improvement and some of my leisure activities back. This year, I’m even more thrilled to be going to therapy; if everything goes as planned, I should be a lot better than I was before surgery. I’m excited to start training my body again, and I’m looking forward to signing up for some cycling events this year.

My physical therapy plan is a little unusual in that I’ll be going for two weeks to work directly with someone, then I’ll be doing four weeks by myself at home until the boot comes off. I only get 30 visits per year, so this way I can maximize them and have the majority of my sessions when I can do more. Until I lose the boot, there’s not much sense wasting the visits on stretching and range of motion that I can do at home. By the end of March, I’ll be back there doing more aggressive rehab; it’ll certainly be more worthwhile when I can put my full weight on it.

I’m going to the same physical therapy clinic that I went to last year. I never even considered going anywhere else; they did an amazing job before, plus I like that they know my case. They know where I was a year ago and where I am now. Everyone is really nice there and I feel comfortable being myself, which is something I definitely struggle with since I have an introverted personality. The therapist I’ll be working with knows my passion for cycling from last year’s sessions, plus he lives on my bike route, so we see each other on occasion while I’m out riding, so I know for sure he knows how important cycling is to me. He recommended my surgeon to me; I’m so grateful to be able to work with someone who really seems to care about his patients. Apparently he’ll even attend doctor’s appointments for orthopedic cases as a way to improve continuity of care so that he can speak with the doctor more easily. I’m told it’s a new service they started offering and that it has a really positive response from other patients. However, unless I have an unusual problem or things start going poorly, I would feel bad putting any extra work on his schedule. I can see where it might be a good idea for some people, but as long as everything is going smoothly, I don’t think it’s a necessity for myself.

So what happened on my first day? Nothing too eventful, honestly. I had my initial evaluation and then we started right in with some exercises. I warmed up my foot and ankle in a hot whirlpool, and then my therapist started working on releasing some of the scar tissue so that the area around my incisions won’t be all thick on the sides. After that, I just did some gentle stretching and range of motion exercises before calling it a day. The only pain I had was when my therapist was rubbing the scar tissue and he got to the place where the screws in my heel are located. It was only a temporary pain, and he eased off a little when I told him it was sore. Some pain is expected, of course, but now that seven hours has passed, I have zero pain. Something that was amusing to me was the fact that my therapist was all excited to see that I had the Even Up on my normal shoe. He said he’s never seen anyone with a walking boot come in with one of those before and that it was clever because it keeps the body more in balance. He asked where I got it from and I told him the doctor’s office gave it to me. I guess it’s not really a common device, so I’m even more impressed with my surgeon than before.

I’m hoping the next few weeks go well. I probably won’t have much to report on until I go back to work, but I’ll keep y’all posted if anything changes!