Physical Therapy Hiatus

As the title gives away, I’m taking a break from physical therapy; today was my last appointment until the beginning of July. I worked with my usual therapist today and that was his decision. He isn’t sure that continuing to attend will make a difference when I can do a lot of the stuff at home. He told me that most people are talking about running by 4-5 months after surgery, and I can’t even walk properly yet at 6 months. I don’t have a severe limp, but enough that it’s noticeable to strangers because they ask me on a regular basis what I did to myself. I get so much pain and stiffness pushing off my right foot that I can’t move it correctly. At one point my therapist was talking about me coming once a week for a formal session and doing a maintenance program where I could come in and use the equipment one or two other days a week. I don’t understand why we’re going from twice a week to nothing when I can’t do the harder variations of the exercises he’s given me. I need help strengthening my muscles and getting them to stretch better. I don’t think doing the same things for the next month is going to give me what I need. I need someone to guide me and tell me when I can challenge myself and when I should do less.

I feel like everyone I was counting on to help me with my recovery is giving up on me. My doctor always just tells me to give things time to heal when I bring up a concern, and now I don’t have physical therapy to help me unless my therapist decides to have me continue when I go back in a month. Maybe my expectations were too high, but I don’t think it’s asking so much to be able to get normal function back. I assumed I’d be doing physical therapy until I could walk right again, and just beginning to run. I fully understand that I don’t need to attend throughout my whole recovery, but I want my daily life to be easier than it is now.

5 Months Later

It’s been five months since my surgery. It really doesn’t seem like it was that long ago. I think I say that every time I reach a milestone, but it’s true. Looking back, time just slips away so swiftly, but day by day it seems stagnant sometimes. I’m happy that I’ve made progress in my recovery, but it’s been a lot slower than I was expecting.

I had my follow up appointment with my surgeon today. I was hoping to get some answers to some of the issues I wrote about last time, but all he said was that they were all related to the surgery and should get better in time. He didn’t look at my foot very closely; he just tested the strength by having me push my foot against his hand and that was it. I can see how the heel problem would be related, and it’s trying to get better now that I wear shoes with a gel heel cup in them all the time, even around the house. I still can’t walk barefoot without feeling like I’m walking directly on my heel bone. The issue with the swelling over the outside ankle bone, however, was giving me trouble before my surgery, so I’m not even sure it’s related. All I know is that after working on it all day, it’s swollen and painful and holding me back from being able to move my foot normally.

I’m also pretty sure there’s something going on inside my ankle in one of the joints. I still can’t walk properly and I limp if I’m walking for too long. My limp was awful at work last night. At physical therapy yesterday, my therapist pulled on my ankle and got some good pops out of it, so hopefully it will stay loose for at least a little while. I’m so tired of being in pain. I didn’t expect an easy recovery; I knew it would have its challenges, but I didn’t think it would be quite so bad. I definitely didn’t expect to be having new problems. Even my physical therapist was perplexed when he was doing my reevaluation yesterday. I’m going to ask him if he can talk to the doctor about my case and see if there are solutions they can come up with. I guess maybe it might have been advantageous to have him sit in on my appointment. If I’m still doing physical therapy in two months when I see my surgeon again, I might have him do that if these issues persist.

Despite all the frustrations I’m having, I’ve at least been able to bike. It’s been painful at times and I’m trying not to push myself too hard, but being on my bike is my happy place. I want to be outside as much as I possibly can be. I’m on track to have my highest mileage this week since I’ve been recovering, so hopefully I’ll hit it. Another positive thing is that I’ve worked a week without my walking boot. I’m not sure my foot is all the way ready yet, but I’m going to keep trying as long as I can tolerate it. I’m working three hours longer than usual tomorrow, so I’m expecting a little difficulty, but I’m off Sunday so I can recover and get it feeling better.

One day I might be able to go for a walk and actually enjoy it. There are so many metroparks close by that I can’t really enjoy. It’s hard to want to hike wooded trails when I’m having a hard time with flat surfaces, let alone uneven ones. I still can’t even go up and down the stairs properly, so I’m ready for the day I can do something that simple again. Being able to attempt a 5k or play tennis again feels so far away right right now. My surgeon told me that when I can do a single leg calf raise on my right side, it would be fully healed, and that usually happens 6-9 months after surgery. Here’s hoping that I’ll get there soon, but I have a feeling it’s going to be on the later end of that spectrum.

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.


Back in the Saddle

It’s been just a few days shy of four months since surgery. It seems so unreal! I had another post-op followup today and I’m now allowed to transition into regular shoes! I have to wear a special padded lift inside the right shoe for quite a while, but it’s so nice to not have to wear the walking boot all the time. With the amount of difficulty I’ve been having with work, the surgeon told me it would be wise to use the boot at work for extra support if needed until I recover more strength and range of motion. I’ll be bringing it along to each shift just in case I need it; I can already tell it’ll probably still be a few weeks until I can really get rid of it for good. I just keep telling myself it’s a marathon, not a sprint, and I have to pace myself.

It’s amazing the difference a day can bring. I was feeling really low a few days ago, exhausted with being dependent on people for rides and not being able to do the things I wanted to do. I feel so useless at work because I’m only there 19-ish hours a week right now. I’ve been trying to push myself as much as I safely can because I don’t want to risk losing my job, but the amount that I can do is still not up to what I consider full standard. I’ve been praying for the strength to make it through the challenging days.

Then today happened: I GET TO RIDE MY BIKE AGAIN! I stupidly forgot to ask at my appointment this morning, so I had to call and get permission. I waited four long hours for the phone to ring with an answer to the message I left, and it finally did at 1:50 p.m. By 2, I was changed into my gear and pumping up the bike tires. The ride went pretty well, but my speed was awful because I have to ride in a low resistance gear. I still managed to ride 7.27 glorious miles in 41 minutes. It was cold and damp out, but there were a few moments of sun along the way. It felt amazing, like I was finally living again! I didn’t have any pain while I was riding, and I probably could have gone farther if I wasn’t sick with a slight cold. I’m trying not to do too much too soon, and I’ll ask at physical therapy how to judge what’s too much so I don’t hinder my progress.

Now if only the pain I feel with extended weight bearing at work would lessen, I’d feel a whole lot more confident about everything. I’m still ecstatic to be gaining some new freedoms, though. Things will fall into place eventually, and I’ll be ready when they do!

Weary Workdays

It’s been a week since I started back at work. I wish I could say it was easier than the first day, but that would be a lie. Every day I work has been filled with pain. I did get to take the last wedge out of my boot, which helped marginally, but nowhere near enough to increase my comfort levels. Each step is like a slow torture, and by the end of the night I can’t walk anymore.

I scheduled some extra physical therapy to try to calm things down a little. Even the therapist seemed baffled that I was having pain in some of the areas I was. It’s just my luck that I would have to be a special case. We talked about work and its impact on my foot, and I was told that it wouldn’t be wise to work more than just part time hours right now. I was working full time before my surgery, and I was hoping to be back to that by the end of the month, but I don’t see that happening. I got called in for a shift tomorrow, which is supposed to be short since I have an appointment later in the morning. I was really hoping for another day to recover from the weekend and get it back to feeling better, but I should have known that wasn’t going to happen.

To end this very short post on a positive note, today one of the other physical therapy patients brought his dog in from his truck after his appointment was over. It was a five month old King Shepard, and super cute and friendly. It was interesting seeing everyone go into their “animal talk” voice, even the staff. I guess that’s what everyone does when they like animals. I’ll reiterate how much I love my physical therapy clinic. The other patients and the staff are so friendly, and everyone has the weirdest conversations. Today a different patient than the one with the dog was talking about how much one of the staff was “beating him up” with the exercises, and suddenly he said he needed a safe word, like couples use in the bedroom for… ahem… “stuff”. That took my mind off of how much the manual therapy was hurting because I was laughing so hard. I really don’t see why people seem to hate physical therapy. I always feel so much better after a session, even if it hurts during.

First Day Back at Work

I sit in the office with my head down, trying desperately to keep the tears forming in my eyes from spilling out. My foot is throbbing and I’m only about halfway through a short shift. The next three hours seem daunting, a long, dark expanse that has no end.

Photo by Juan Pablo Arenas on Pexels.com

So went my first day back at work yesterday. I knew it was going to be difficult, but it was at least three times more challenging than I thought. I have a job where I’m on my feet all day. If I’m lucky, I can squeeze in a break to eat something at some point during my shift, but it’s not a guarantee that I get break time, which is a serious downside to being in management. The whole work day was a disaster from the moment I walked through the door. None of my applications worked properly, and I couldn’t even use my employee number to clock in. As annoying as those issues were, they were the least of my problems, and I didn’t even work a full shift.

Time: 3:55 p.m.; Pain Level: 0

I finally got the time clock to accept my punch and I was ready to start my day. I was a little apprehensive, but ready to see how things would go.

Time: 4:43 p.m.; Pain Level: 2

I was feeling a little pain at this point, but I was able to ignore it if I didn’t think about it.

Time: 5:36 p.m.; Pain Level: 6

I tried in vain to sit down and prop my foot up for a few minutes. The minute I hit the chair, I got paged. There was no more ignoring the pain. I was limping by this point in the evening.

Time: 7:30 p.m.; Pain Level: 8

I was hungry so I heated up my dinner. I was able to sit for about 15 minutes without being interrupted, which was a welcome break. Severely limping and moving very slowly. At this point, it was more like dragging my leg behind me than limping.

Time: 9:10 p.m.; Pain Level: 8

I couldn’t focus on working any more. Each step was more excruciating than the last. It wasn’t busy, so I took advantage and sat down for another 15 minutes with my head down, desperately trying not to cry from the pain.

Time: 10:29 p.m.; Pain Level: still 8

I was never more grateful to be able to punch out early and get home. I needed a painkiller for the first time since my surgery day. I was so glad I still had a full bottle on the counter at home.

Today I’ve been icing off and on all day, trying to keep some of the pain and swelling down. I was in more pain last night than I was before surgery. If it’s that severe again tomorrow, I’m going to have to call my surgeon’s office and ask their advice. I’m not about to ruin this repair, but I need the cash flow again. It’s not even just my foot that hurts. Most of my lower body is sore from walking with a limp all night, especially my left hip. I know I did a terrible job at work last night, but I’m hoping for some understanding from my boss for the next few weeks. I work hard and I always try my best, and I hope that counts for something, even if I can’t do 100% right now. I’m trying to overcome the extreme frustration I feel at this point because I know it’s only temporary. I’ve been leaning heavily on God lately, and He’ll see me through this.

12 Weeks Post Op!

3 months after surgery!

This week was my last week of medical leave, and I’ll be starting work again on Tuesday; I’m definitely nervous about how it’s going to go. I get a lot of pain and some swelling in my right foot when I’m on my feet for shopping trips, but I’m hoping after a week or two working, my body will be used to it again. Some of the weird swelling from before surgery is starting to come back, so that has me troubled. I really wish I didn’t have such a physical job. I’m afraid I’m going to mess up my Achilles tendon again, and I went through too much to deal with all of this a second time. Luckily my boss was agreeable to just put me on three days next week, and possibly a short week the week after, so it should help ease me in. He told me he’d give me a day off between shifts next week to let my foot rest up. I’m certainly going to miss having unlimited time for reading (and iced coffee)!

Can’t read a good book without delicious iced coffee or tea!

It’s hard to believe it’s been three months since my surgery. It doesn’t seem like it’s been that long at all. Things are going well. Like I said above, I get pain with prolonged weight bearing, but I was able to take one of the one inch lifts out of my boot, so it’s easier to walk now. With my foot lifted only an inch now instead of two inches, it’s in a more natural position, so I’m hoping that will help with the pain as well. I still get sore where the screws in my heel are, but that’s been improving. The scar in that area is still raised, so I’m hoping it won’t rub too much with the increased walking. Both scars still have quite a bit of thickened tissue surrounding them. It’s less than when I first started physical therapy, but it’s unlikely to decrease too much until I can go back in three weeks and continue. It’d be really nice if the health insurance company wasn’t so stingy with benefits. I can’t believe they won’t allow any extensions for physical therapy, even with proper documentation. They pay out only $27 per session; how do they not realize that improper recovery after surgery could potentially lead to another surgery, which would cost them tens of thousands of dollars? I think the tiny extra cost of more therapy sessions would be an obvious choice, but when has anything in the American health care system made sense?  Sorry for the rant, but it’s nice to get it out of my system. I’m hoping that maybe if I need more therapy, I can do cash pay for a reasonable rate. I could need up to a year of therapy, so I’m hoping an arrangement can be worked out.

One of the heel lifts in my boot. There’s no padding on the lift at all, so it’s like walking on cement all day.

I don’t have another follow-up appointment with my surgeon until the end of the month, at which point I’m hoping to be in regular shoes again. The plan is to have a half inch lift fitted into my right shoe, which I’ll be wearing for a long, long time. I think I should be able to start driving next week; I’m going to have someone take me out to a dead parking lot and make sure I can make my foot work properly. I feel like such an inconvenience because I can transport myself anywhere. By the end of the month, I’m hoping to be fully mobile in terms of driving. Most of all, I should get medical clearance to start trying to bike again! I think my surgeon will probably defer it to my physical therapist like he did with driving, but I’m okay with that as long as it will minimize my re-injury risk. Life will soon be so much more exciting! I can’t wait to feel the warmth of the sun on my skin, the breeze through my hair, and that feeling of flying that only biking can give me 🙂

Two Weeks Strong

As my second week of therapy draws to an end, it’s hard to believe the difference in my daily life in just two weeks. No longer being reliant on crutches in most situations is wonderful. I haven’t been using them at home, but I was using them when I went out shopping because I wasn’t used to having my weight on my foot for more than a few minutes. Finally on Tuesday, I was able to go grocery shopping without the help of crutches. It was hard! I was out for about an hour and a half, but I started to get sore after just twenty minutes. My walking boot can be filled with air in the heel area to help splint things a bit, so that helped, as did leaning on the shopping cart. It was challenging, but I made it. It was so much easier to shop with two free hands and push a cart without also having to steer my scooter. So many things are simpler now that I don’t have to treat my foot like it’s glass all the time–cleaning, cooking, and laundry, to name a few. My goals for the next several weeks are driving and showering without using a stool. I can’t drive until my surgical foot can bear 100% of my weight, so it’s still going to be another two weeks or so as an estimate.

One negative effect of my new found freedom is that my whole lower body is sore. I wrote before about how my legs are uneven with the boot on, and while it didn’t bother me too much at first, my body is rebelling now. My left hip, my lower back, and my right knee are sore. If I could get a good stretch or crack the joints, I know it would feel so much better, but I can’t seem to get any lasting relief. I think once the first lift can be removed from my boot next week, it will help things a lot because it will let my legs be more even again. 

Scar healing and some bruising from therapy. 11.5 weeks since surgery.

Today’s session seemed a little more aggressive as far as manual therapy was concerned. It was painful, but I had less stiffness afterward. I’m getting bruised up from the “massages”, but they’re so beneficial. I think the therapist was trying to make sure I left in the best possible shape I could today since I’ll be away from therapy for four weeks. I wrote before that my insurance company is stingy with its rehab benefits, so we’re making use of most of them once the boot is gone. I can do a lot of the stretching and range of motion exercises at home, so it makes sense to do it that way. He told me not to hesitate to call or stop in if something didn’t feel right or if I had questions in the meantime, so at least I’ll still have some support if I need it. He told me again this morning not to overdo things. I still think he doesn’t quite trust me 😉 My session this morning overlapped with my neighbor’s session, so we were chatting, and I think my therapist was a little taken aback when I said I rode 20-30 miles a day, or about 130 miles a week last year. I guess that number sounds high to people who aren’t bike people, but most days I just rode an hour and a half to two hours and however far I got was however far I got. I usually get in the zone when I’m riding and don’t even notice time pass. I just ride until I can’t go any farther. I’ll let my amazing new tea mug sum things up for me below:

Best mug ever, especially when filled with genmaicha.

I’m looking forward to the next phase in my recovery, and I’m starting to get antsy. At least the weather isn’t that great right now, so I’m not missing much in terms of outdoor activities, but a month from now, I’m going to want to be out there trying my best again! I might be cleared to start cycling again in 4-6 more weeks, so here’s hoping that will happen sooner rather than later!

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.