My Photo

Blog powered by Typepad

Widgets



  • I hope to see you at the 2008 Second Life Community Convention


  • Locations of visitors to this page

  • www.flickr.com
    This is a Flickr badge showing photos in a set called SLRFL. Make your own badge here.

  • Creative Commons License
    This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 2.5 License.

« Social Netowrk Analysis and Acting White | Main | Virtual World Economics - John Jacobs and Project Entropia »

Comments

dneff

ewwwwwwwww!

Cecelia

Thank you for posting this information. I am scheduled for this surgery August 1, and have been told I have an advanced case. I know my foot hurts, and I know I am beginning to feel limited while walking.....even hurting in my hip, but would never have had it checked had it not been for two large knots appearing on the right side of my foot and past my ankle. I understand I have lots of tears. I guess I'll find out next week. Thank you again for the information.

Lauren Goodman

I just had surgery 3 days ago on my pernous brevis tendon. The tendon was so badly torn that the surgeon had to remove part of that tendon and attach the good part of the tendons together. I also had extreme swelling and alot of rotten material had to be removed around the tendon. I have a cast and was in alot of pain for the first 2 nights. I wanted to cry. Feeling better now, but I can't stand crutches and get easily depressed. By the way I never knew what caused this. I always walked alot and once sprained my ankle years ago very badly. Perhaps that was the start of the whole process.

Lauren Goodman

How is your wife feeling today? Does she still have pain. I was wondering how long it takes to heal. I had my surgery Aug 16, 2006

Randy

Hey Lauren my wife is doing real well. I will tell you it is a long recovery so be patient. Ieven was inspired to post an update after your comment. Thanks!

Jenny

Hello,
my father-in-law works in the coal mines for over 20 years and he recently got hurt at his job, and has to have surgery on his peroneus brevis tendon and I was wondering if you could tell me more about this?

Diana

hello Randall, thank you for starting this site as it seems most blogs are concerned with achilles tendons..Lauren must be dancing by now? I hope so. what a good husband to show your concern in this way. I had my PB surgery 9 days ago. It was split. my muscle had started trying to compensate for it and was in the tendon sheath, this was extracted and there was also some debriment...what I am wondering about is the pain I am having now. I had the cast off at 6 days and this boot which feels like I am cast in cement, put on. this has increased my discomfort exceedingly and I am to wear it another 4-6 days, the sutures come out and I get a cast again. I wonder why (in the heck!)he removed my cast so soon and applied the torture device. It seems it is more about the medical industry probably CYA rather then the best route for the patient. I wonder how this post-op tx will affect my recovery in the long run. Any ideas out there? I have burning in my heel, at the site of incision and stabbing pain on the other side of the heel. sometimes it is excruciating and I am weeping, I have tried to stick it out without percoset but if I want to get any real relief I need it. I am still confined to bed with short trips to the john. wah wah wah!! I like the rest of your site-it is good to remember the true world problems and suffering so great that my situation looks like a cakewalk. this is short term and I will come out on the otherside-I guess I just need reassurance of that..it is true right? thank you Diana

Diana

Randy, about your fa in law- it seems the sooner the surgery is done the better from what i have experienced and read..otherwise the muscle may also become a problem. other advice, get a good othopedic surgeon with a specialty in podiatryand a good track record. tlc will help for at least a week, I used a cold therapy machine for the first 4 days which was a miracle worker. I miss it now can feel through the boot. ask about keeping the cast with cold therapy built in for at least 2 weeks...the plaster cast is lighter. good luck and I hope to hear how it went. Diana

Randy

Hey Diana I am so glad that you found the site and that you are posting updates. Send your family and friends here to keep up to date with your progress. Your surgery is way different from what my wife went through but I think you will do fine in time. I would certainly ask your Dr. about the muscle atrophy as well as the stiffness from being in a cast - may contribute to your pain. The cold therapy is a great idea and keep up the relaxing in bed!

Diana

Hi Randy, Thank you for the response and for the invite to family and friends. I appreciate that you started this blog and hope that one day someone like me will be out there googling for others with PBT surgery and come upon this site. It has now been 18 days since surgery. I am still wearing the boot as I am waiting to get my sutures out and now realize that the doctor has to be able to examine the wound weekly and the boot provides a convenient way to do that. I expect that I will have muscle atrophy, I dont think there will be a way to avoid it but I will ask! I have been encouraged about it though as I found a blog for Achilles tendon (Simon Barratt) and have heard there that it is possible to rebuild the calf to normal but it takes work. What I am wondering about now is the nerve damage. It seems that this is what is causing the crawling sensation, pins and needles, and burning. from what I have read it is almost impossible to avoid disruption of the nerves with ankle surgery. I think that basically they will recover but that the recovery time varies. I would love to hear others experience with it. Especially those whose ankle has been cut on the side as mine and Laurens. I have learned a lot from the AT site and can relate to their pain but I wonder what the differences are for us PBT folks. I am still off work and keeping the foot propped up. cheers, Diana

Randy

The muscle will return in time. Be prepared for about 3 months of rehab before you can do ANY lifting of weights or real exercise. The tingling will fade in time. My wife had a similar sensation for a few weeks after she got out of her final cast and into the boot. Anti-inflammatory drugs may help take the swelling down around the nerves. Good luck.

Diana

Wow, 3 mos rehab before real exercise!! Its a long haul but worth it in the end. Otherwise my ankle was giving way and I would find myself on the sidewalk in excruciating pain. So, I just have to remember that. I will keep up the anti-inflammatory, thanks for distinguishing that it is good for the "swelling around the nerves" I kept thinking that my ankle doesnt look that swollen..! Can you tell me what kind of shoe or boot your wife wore after the cast. My doc says hiking boots..I have tried to find a hiking boot on line that is to be worn after this type surgery and I cant find anything. I will see him Friday so I will ask again but since it is so far down the line, he wants me to wait till I get there..but I like to know these things..there are all kinds of recovery shoes.. (I have some pics I could post, is it okay to link from flickr? looks like the one you are on too.)thx Randy! hello to Lauren and I hope you two have a great Valentines Day!

Diana

Hello all,
I finally got out of the boot. What a relief, if I had it to do again I would plead to keep the plaster cast on for the first 3 wks. as it was I had plaster the first week then the boot for 2 wks and now I have the fiberglass cast. I guess because my doc wanted to check the sutures wkly I had to wear the boot until they came out..but sleeping in that heavy boot was killing me! wah! so the fiberglass is nice! its blue. The nerves are still settling down, they are much better now..I am able to get around better now just because it is lighter. cheers, Diana

Diana

hopefully in 4 days I will be out of the cast and into the walking boot to start bearing weight at 10-20 % and gradually back to walking. I have actually been feeling envy when I see other people walking, jogging, dancing but know I will be back to it one day soon and think of the people that can never walk. this experience certainly helps you gain perspective and be more grateful about what you can do. I cant wait to walk around my house and do normal household stuff and walk on the beach etc! good health and goodspeed to you! D

Diana

I am a couple days short of 7 wks out from surgery. Still on crutches but back in the boot. I started range of motion exercises. Foot bends toward me but is more difficult to bend down. It has improved in just the 4 days since I started the exercises though. I can see a little definition coming back. My injured leg seems to be about half the size of my none injured leg from the knee down and even the thigh is smaller. I can wash it now, and the scar seems to be getting better although I cant get the ink out of it..think the doc drew a line. I am trying to put 25% of my weight on my injured foot. That is interesting. Hopefully the next time I post I will be almost walking! cheers, Diana

Kathy

I had surgery to clear bone particles out of my ankle joint from a badly smashed fibula and they repaired a tear to my peroneus brevis tendon at the same time. The ankle joint feels fine but the scar from the tendon tear incision is tight and burns. Any suggestions on how to relieve the tightness and pain. I am walking on the foot now but find I limp because the tight pulling feeling at the incision site is annoying.

Randy

Hooray Diana - keep up the good work. I told you it would take 3 months before you were back to 100%. Keep up the stretching.

Kathy - STRETCH!!!! I know that you are tight and that is fine but you have to stretch slow, long, and often. If you have a good friend, boyfriend, husband (whoever) go for a walk with them. Have them watch your heels / legs / butt from behind to let you know how your gate is. If say say you are limping try to correct it. Being aware of posture and gate is a big deal in re-learning how to walk. Good luck.

Kathy

Thanks for the advice. I actually started physical therapy recently and you are right on - stretching, stretching, stretching. After only one week I see such improvement. My standard poodle appreciates your "going for walks" advice. The going is slow, but at least I'm going! God bless you! Thanks.

Alison

I am Randal's wife Diana, the subject of his blog. It has been over a year now since the surgery and I still have a weird feeling when I press on the scar. You are going to have a feeling for a while that your ankle and foot are stiff and it is almost a pulling sensation when you flex your foot or raise onto your toes on the foot where your tendon was repaired. One of the things I noticed once I was off crutches was that my gait was off. I began to favor my left leg without knowing it which caused me to have pain in my back. The back pain was easily remedied by going to a chiropractor and on occasion I still have the back issue. The problem is that after a long period of time of being on crutches and limping around in the boot the muscles are not working the same in both legs. It really takes wearing supportive shoes, no heels and having someone walk behind you to make sure you adjust to walking normally. Randy and I would go on walks in the park and he would walk behind me after a while to be sure that once I was walking for longer than 20 minutes that I would not limp unknowingly. The heel pain that some people are reporting hasn't happened to me although I do know that there are alot of nerves near the brevus tendon and if a nerve was damaged then that could explain the pain in the heel. Be sure you get orthotics and pay attention to the way you are walking. The scar will always be sensitive but no unbearable. The streches will never be pain-free. You just have to keep doing them. My ankle rarely swells anymore even after vigorous exercise, but I still feel a strain when i flex my foot really hard or stand on my toes. Any other questions let me know.

Alison

One other thing Kathy which will help you to have more mobility is to massage your scar. Once the scab has healed massage the scar which will loosen the scar tissue. It will hurt but it helps to breakup the scar tissue and give you less tension at the site of the incision and better mobility.

Tara Brooks

Okay, now I'm nervous. I have just been told that I have to have this surgery done. I have no idea what I've done to my ankle, I just now it's been bothering me for about a year and getting worse. Throbbing, swollen and sharp pains up my leg. I had an MRI done a week ago...now I'm going for a second opinion. Can someone walk me through the process of recovery from beginning to end? Thank you!

Alison Moss

It depends on the type of surgery that you have. I injured my ankle in a soccer game and it has never been the same since After 5 orthopaedic surgeons opinions, two MRI's, a bone scan, two rounds of casts, crutches, and mobility restrictions, I had enough and went in for exploratory surgery.

My physician who is now retired, took my case to Duke University to a national conference of foot surgeons to develop a treatment plan for me. The surgery that I had was a product of the smartest foot surgeons in the US. The doctor trimmed back my perenous brevis tendon so that it was not occupying the area where the muscle connected. Before the muscle and tendon were sharing the groove and my tendon would frequently dislocate which caused sharp pain and swelling.

I wasn't sure what to expect with the surgery, but it was worse than I thought it would be in terms of the recovery time. I was on crutches in a surgical bandage and plaster cast with no weight bearing at all for 20 days. Then I was in a fiberglass cast for about 2 weeks then they recasted my foot for 2-3 more weeks. I began to put minimal weight on my foot at about the 7 week mark. When I got the fiberglass cast off, I was in a boot for another month to six weeks. I was still using the crutches at first but eventually I was walking with the boot. Total recovery 12 weeks until I was in a shoe walking without crutches. It then took about 2-3 more months of riding the bike and walking until I could do start to do cardio exercise (elliptical,power walking). It has been a year and a half and I still feel a little bit of a strain but no more aching and no more swelling. I can run now and do pretty much everything I was doing before. It was well worth it, but my ankle still doesn't feel the way it was prior to my injury.

Tara Brooks

That's sounds brutal. I am going for my second opinion on Thursday. The MRI shows a partial rupture and split to my tendon and I was told they may have to do a possible bone deepening. My ankle is uncomfortable, I do limp and I am swollen, however, I don't feel in that much pain...but don't really want to continue down this path either. I've favored my ankle for so long, the rest of me is hurting.

Barbara Knight

I am having this surgery a week from today and I'm terrified. How long would you say you need someone to care for you 24/7? Has anyone found a walker more helpful than crutches? Any other helpful tips/info for preparation would be greatly appreciated.

Alison Moss

Tara,

I am happy I went through with the procedure. Just be sure you are going to the best foot surgeon in your area. I can always call my surgeon here and ask who he would recommend in your area. He is on the national board of foot and ankle surgery.

Let me know.

The comments to this entry are closed.