Random Thoughts

I don’t have any real reason to be writing today other than just wanting to get some thoughts out of my head. I’ve been feeling kind of “blah” lately; there’s no one reason, but things just kind of add up after a while.

My recovery is moving along, albeit more slowly than I was hoping. I’m grateful that I’m at least making some progress, but I’m really frustrated at the same time. Physical therapy has been going fine, but I feel like I need to be challenged more. I finally got something new to work on yesterday after a couple of weeks of doing the same things every session. He seems to be trying to get me ready to just do stuff alone at home, and as thrilled as I would be for that to happen, I’m not ready for it. He told me that I’m back to daily activities because I worked one week full time, but just because I did it, doesn’t mean it went well or that I wasn’t in excruciating pain every day. I can’t just call off work because I’m in pain, and especially when my boss is out of town like he has been. Simple things are still so hard. I can’t walk without a limp because I can’t push off on my right foot and because of the pain, and I can’t go up and down the stairs easily for the same reason. I have no strength in my right lower leg, and it hurts even if I walk too fast or bend my foot too far. I’m even getting pain when I’m riding my bike, and that never even happened before my surgery. I can’t even begin to think about running or playing tennis when the second I step out of bed, I hurt. So like I said, I’d be thrilled to be at the point of being done with therapy, but I don’t feel like I’m there if I can’t even walk properly. I already feel like my doctor isn’t really listening to me, and for the first time, I felt like my physical therapist wasn’t either. I don’t mind committing the time or money to physical therapy as long as I’m still getting benefits from it. I don’t want to be abandoned part way through my recovery just because I can do some exercises at home. I need to be challenged every week so I can get better faster. I’m still so stiff that I can’t even feel a stretch in my calf muscles because all the pain and swelling and stiffness at the heel keep me from being able to get the stretch up the rest of my leg.

It’s not just the recovery that is making me feel the way I have been. I just thought things would different than they are now. I lost almost 70 pounds, and I’m still overweight, but things were supposed to get easier afterward. Instead I’ve dealt with my Achilles tendinosis for about two years. Sometimes I feel like I shouldn’t have even bothered, but then I wouldn’t have discovered my love of biking. I’ve also been trying to find a new job, one that pays more and is more physically easy on my body, but I haven’t had any luck yet. And if all that wasn’t enough, I’ve just felt really lonely. I don’t mind doing things alone, but sometimes it would be nice to be able to do things with some friends. There’s only one person who regularly makes time for us to hang out together, and I’m so grateful to at least have her. Most of my other friends barely respond to a text or IM, and when they do it’s like playing twenty questions to carry on a conversation. I feel like everyone’s moving on with their lives and I’m stuck where I am. I was always told how much potential I had because I made high grades and worked hard, but that’s sometimes not enough after school. I don’t need a prestigious job or a lot of money, but I do want to do something I enjoy. I’m good at my current job, but it’s not the least bit fulfilling and I’m tired of having worked 99% of weekends and holidays for the last five years. I’m just craving some changes, I suppose.

I didn’t mean for this to turn into complaining, but I’m just a normal person. I’m not perfect, and I don’t try to pretend to be. I know I’m not the only one that feels this way, and it will go away eventually. Just being able to get these thoughts out of my head is already helping. I know almost no one reads this blog, and that’s okay. It’s here to be of help to anyone who might come across it and for me to remember everything about my surgery and recovery experience, and maybe even beyond. So, until next time, take care!

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 🙂