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Comments

Tara Brooks

Well I'm going in for my surgery in about a week. The pain is actually been pretty bad for the past couple of days. Some days it hardly bothers me, others...ouch. My heal really hurts too. I don't remember injuring mine either Teresa...I have the longitudinal splits and tenosyvitis. sp? Anyway, I'm not sure if I'm ready for this...I was told two weeks soft cast, three hard cast, then physical therapy....

sj

i have tried non surgical effots, such as ultrasound and elctrical muscle stimulas with no avail. immobilization had not been productive, although i have heard of a zinc filled wrap similar to an ace bandage called an "Unna Boot. Have yet to try but am going to opt for surgery very soon. have read good acrticles in Podiarty Today regarding the instaces of surgery and positive post op recoveries going so smotth. good luck all, questions looms for me about this surgery.

Barbara Knight

Hi all,

I am at 5 1/2 weeks post-op and starting to feel really good. I can put a little weight on my foot. It doesn't seem to swell as easily. I even went out to a movie and dinner last night with my roll-about (http://www.roll-a-bout.com) and when I got home I was still pretty comfortable. I am really looking forward to getting this fiberglass cast off. I just want to take a shower without wrapping my foot in plastic!

Amber

Hi all,

I'm six weeks post op tomorrow and FINALLY starting to feel like a normal human being again. My "soft" cast was removed one week ago yesterday and I was put in the walking boot, but still used crutches for half on my body weight. As of Monday, I do not even use the crutches anymore! Went to my first physical therapy appt. yesterday and he said that even though I still have a lot of swelling, my range of motion is pretty good and worked with me on the bands and stretches. I can finally stand up on both feet at the same time and even take a shower. My Dr. even advised me to put on my tennis shoe (today) and try to walk around for a while, which I did for about 2 hours (including a 30 minute free weight workout at home). I'm a personal trainer, so for me to NOT workout for the past six weeks has been torture. My Dr. said weight training is o.k. to start doing again, but NO cario for at least 4-6 months! It was difficult to get my swollen ankle into my shoe and when I took it off, it looked like I had two big balls on the sides of my ankle b/c it swelled up even more! After icing for half an hour, it came back down and felt pretty good. I'll try my shoe on again tomorrow maybe for 3 hours and work my way up to a full day. I'm so relieved that my foot will soon have normal function again b/c for a while there, I was beginning to loose hope b/c the pain was so bad. I think my body just couldn't tolerate the "soft" cast b/c once it came off, my pain went away and I've made incredible progress in just one week.

Jeannie, my heel pain magically disappeared with the removal of that soft cast. I've started to ice daily now, and it seems to be making a difference. I've been elevating continually the whole time (except when I need to do "stuff" around the house for my two children which is pretty often)!

Barbara, it seems like we had surgery around the same time, but have had totally different recoveries. I think this confirms each doctor has their own way, but I'm so happy that you're feeling good too!

JT

This site has been interesting to me. I am serving in the US Army in Hawaii. About a year and a half ago; I had torn two ligaments in the same place in my foot and recovered from it (so I thought). I had an MRI done two weeks ago and the doctor told me that I have a Longitudinal Split (tear) of the Peroneus Brevis Tendon on my right foot.

She said that Longitudinal Peroneal tendon tears are uncommon: the normal tear of this type of tendon is usually laterally; however, I have somehow managed to tear it up and down. I have an Orthopedic Surgery appointment on the 22 Jun 07 and lately my ankle, calf, knee and hip pain. What can I expect from surgery and how long will I not be able to walk? How long on crutches? The Army usually gives patients convelscent leave and I need to advise my chain of command as soon as the ortho people tell me I need surgery. I am pretty sure that I will need it, I can't run anymore unless I drug up on Oxycodone, Naproxen and or Ibuprofen (and yes I have all of these right now). Please advise...Thanks

Tara Brooks

Hi everyone. Well I just had my surgery on the 13th of June 07. Day two for me now. Yes the pain comes and goes. Mainly when I get up and a lot during the night. I was told two weeks w/the soft cast and then four weeks w/a fiberglass cast. Six weeks of PT after that. I'm looking at around 12 weeks and I still won't be completely recovered after that...but at least hopefully walking. I had three pins put permanently into my bones to attach the tendon and my tear was up and down. That was sutured together w/disolvable stitches and my leg was stapled. I guess I won't have the staples removed for six weeks when I have the fiberglass cast removed. Getting around is slowly getting better, but I find I'm much more comfortable just laying in bed. Matter of fact, right now my foot is throbbing because I don't have it up. It almost feels like it is going to explode in my cast right now. So on that note, back to bed I go...will keep in touch. Good luck to all of you w/whatever you make for decisions...

Barbara Knight

I am in the 8th week now. Just had fiberglass cast removed yesterday and now I'm in a removable boot. Yesterday I actually took a bath! Today I'm at work and able to walk with the boot and one crutch. I've been told to gradually ease off the crutches, ice every night and do PT 2x a week. When I have the boot off it feels very tender. My heel hurts a lot. Had a hard time sleeping last night.

Tara good luck in your recovery and let me know if you have any questions. Note to JT: I would not try running if I were you. You can definitely make the tear worse and it will be more difficult to repair.

JT

Barbara -

How long were you off of your feet? How could you not walk or move?

Thanks

JT

Oops I meant How long could you not walk or move?

denise bryant

Hi, had my surgery 6wks ago, and am still waiting to walk! Very frustrating, although my DR.has reminded me several times that my surgery ended up more invasive than expected. I seem to have had a tendon that looked like an octopus and was difficult to repair. I have been in therapy 3 days a week for the past 3 weeks, and have now discovered when I try to place my foot flat on the ground that it feels as though I am stepping on a large rock. After going back to my foot Dr. and having xrays done, it was found that I have an extremely large bone spur in my heel. Dont know anything about these, and was wondering if any of you all have had this happen after your pb surgery. If it werent for that I would probably be ready to walk. It is very painfull! Thanks, hope everyone else is doing well! I hate crutches! Denise

JT

Last time I checked in I was told that I tore my Peroneus Bravis Tendon (Longitudinal) about 3-4 cm. I had my Orthopedic Surgeon appointment last Friday, 22 June 2007. My next course of action is to undergo intensive Physical Therapy for the next 6 weeks while wearing two stability boots, one for my ankle (wrap) and one for immobilizing my foot and ankle (boot). I am going to start my PT with elliptical, swimming and biking after are normal warm ups for PT sessions. I also have to schedule another MRI for my right foot tomorrow, 26 1915 June 2007, (I have one for my ankle right now) in order for the Orthopedic Surgeon to properly determine my next course of action (Surgery or reconstruction).

Basically, I have a torn my Peroneus Bravis Tendon (Longitudinal). The doctor thinks I might have multiple problems: 1) fallen arches, 2) overpronation issues, 3) multiple ligaments torn or damaged 4) possible tendon torn on the Peroneus Longus, 5) weak muscle and nerve damage, and 6) an issue with my bone structure in my right foot. This is all something, that if continued neglect to my injury could cause some issues in walking and standing. He did mention that regardless if I take time to heal or not, I would continue to damage my foot stability. He hopes that I come back in 6 weeks to say it has gotten better and that I know the areas where it hurts the most, so he can recommend the next course of action.

I am considered non-deployable at this point until determined if surgery or to the extent of reconstruction of my right foot is needed. The doctor says that he cannot determine the pin-pointed issues in my foot due to the amount and variable pain in my foot. He did say that surgery is more than likely going to happen in order to repair my torn tendon. I will keep you all posted on updates and appointments in the next 6 weeks.

If anyone would like to comment on this post; please do – I don’t know what to expect in the next 6 weeks. Physical starts next this Friday.

JT

Last line - Physical Therapy starts Friday...

Tara Brooks

Well I'm at about two weeks post op. First I was told plaster cast for two weeks and then switch to a fiberglass cast for 4-6 weeks. I've been so depressed. In bed everyday and my kids are on summer break...It's so hard. Anyway, followed Dr.'s orders and went back a couple of days ago. Instead of the fiberglass cast, they are trying something different. I'm using an air cast. It's large and a bit heavy, but I can take it off to sleep at night...yeah. Even though, I must say I'm a nervous wreck that I'll get up in the middle of the night and forget and step down. I have minimal movement in my foot. I'll go back in three weeks and I'd love to hear time for physical therapy. It seems everyone is so different. I just hope it's well worth it in the end. JT, I wish I could give you some input...it sounds like you have a lot going on. It seems to be a bit of a recovery process....any questions, let me know. I hope everyone is doing well...

DP

Hi there: I incidentally discovered this blog - I need help! Two years ago, I strained my achilles tendon on both sides on an elliptical I purchased for chronic low back pain. Part of the treatment was to wear "heal lifts" After one week, I developed pain on both sides of my feet. MRI showed peroneus longus involvment on the right, brevis on the left (no tears). I lost 30 lbs and still have pain. I can't do much aside from walking. My achilles have healed over time (with a boot). Here I am two years later, only about 40-50% better. NSAIDS are the only thing that help. I'm looking for specific stretches for these problem areas - any ideas? Any input is appreciated- it's hard to live like this! Thank you.

Diana

Wow, this site really took off! I went back to work and got heavy into physical therapy and haven't checked in. I will have to catch up on my reading- thanks for checking in Lauren and Randy it is really good to hear how the recovery is a year out or so. I did take to heart what you are saying about gait-mine is definitely off. I thought that it would just continue to improve as I get stronger? but I am trying to watch my posture. I just hit my 5 mos out mark and I still have pain with every step I take. Sometimes my knee hurts and I have to do back exercises every day to keep the back pain in check. But hey, I am really grateful to have come as far as this..I am walking without crutches or canes etc! I sure hope it is all worth it, I think it is. My doctor asked me if my ankle is stable and I said that I thought so yes, and he was happy to hear it. That made me nervous. But I guess it is an extra tricky bit of the body with no guarantees? I am glad I didn't know that going in. And maybe I shouldn't even mention for those that are considering surgery but I guess it is best to know -make sure you have the best ankle surgeon you can find. Mine is a Stanford doctor, seems one of the best, yet even he was concerned.. Does it sound normal to still have pain in the foot with every step? What orthotics? My doctor just wants me to wear tennis shoes all summer and an ASO if I need it. The water therapy seems to help the most and I have a stationary bike that I try to ride every day. My PT uses ultrasound and electrodes which also seems to help. If I had access to a pool I would go every day. Thinking about searching something out. It has really helped. Well- happy healing to you all. Remember to have a goal, one of mine is to be well enough by Sept. to go to Disney, Ca. and be able to get around like a normal person. TC, Diana

Diana

Alison,
Sorry I had it in my head your name was Lauren from an earlier post- just read it wrong- back then I was on drugs what can I say.
So, that said if you do see my recent post- I posed a couple of questions..but I will write them here with a little brevity! you mentioned orthotics? like inserts for the shoe? or special shoes or both? Did you have pain in the foot with each step at 5 mos out? does it seem normal, it is not so bad that I need meds it just hurts. thx Diana

Diana

hello JT and Tara-
heres the thing- I started my pt at about 10 weeks out. doctors orders. I just went past my 5 mos mark...so 20 wks. I have gone from crutches and basically 0 range of motion to walking pretty well and amazingly today walking without pain or swelling. Just a few days ago I was complaining about pain in foot with every step. Saturday I worked in garden and forced myself to do all- wearing tennis shoes. sat. night was not so good but Sunday it was like the pain was a gain. when I first started pt I always wanted to know how much pain was a good thing and where was the limit to possibly doing more damage. they dont tell you much. just sharp pain is not good. the pool has helped A LOT!! a creme that I am using I think is doing a great job it is arnica/comfrey and rosemary you can get it at a health food store - called tendon rescue gel by peaceful mt. I was using arnica and still am but the combo seems to be doing a better job- designed to help repair ligaments and tendons. so JT you are just getting started on a great adventure- this is where push comes to shove- the upside is I have gotten into an exercise routine so that is a bonus for me and the thrill is every gain that you make. so look at the positive and know that you will walk normally again. Tara- you are 2 wks post opt. Dont try to move it, just relax and hang in with hobbies for many more weeks unless your doctor says differently you have a long haul- it is normal. I will check this site more often, the feedback I got at this site and from other "sufferers" really eased my mind and helped me through it. Now it seems I am more aware of others on crutches or they are following me around! suddenly they are everywhere, I have had quite a few healing conversations, bonus - building empathy towards others in pain and being more grateful for good health. you will learn a lot about yourself and humanity...the good list just doesnt end but you know it is true. Take Care, Diana

Diana

correction-
thanks to this site I have a diary of the events that is even better than my home calendar! I posted that I was about 7 wks out and started range of motion exercise and 25% weight bearing - so there you are -I think my recovery may be a little slower than some- that makes it about 13 wks of PT and I am still going. as I read through the site I see we all have a different experience. but similar in some crucial ways! d

Alison

This is proof of success. Of course the picture on the top of this blog is my foot. My husband created this blog for me when I had the surgery two years ago. I am playing soccer every week and I went to a bootcamp class last night and had absolutely no swelling at all today. If you take it slow and be patient all of the physical therapy will pay off.

Alison

Tara,

Once your incision heals be sure to massage the area. This will break up the scar tissue. It will hurt quite a bit but it will avoid you having a big knot where your incision was. Also it will loosen up that feeling of feeling that your tendon is being pulled like a string every time you move it. If you wait too long to massage the scar you will end up with alot shorter range of motion. That is what my surgeon and physical therpist told me.

Tara

Hi everyone. It amazes me how far I've come. Four weeks today and having the aircast instead of a regular cast these past two weeks have been wonderful! I can take it off to sleep at night and stretch my toes around. I can't get up and go anywhere w/o putting it on, but at least if I'm laying down I take it off. I have an appointment on Tuesday and I'm so hoping I can move to the next step...my scar is healing really well, but if I touch anywhere near that area ouch! It feels like nerves shooting through my foot and almost numb in other areas. I've gotten rid of that pins and needles feeling too have just the aircast. I can't keep my leg in a sitting position w/o it though because my foot feels sharp pins feeling and turns purple.

Alison, thanks for the info, I'm not sure how much stretching or rubbing I will do yet until I get the okay from the Dr., I'm thinking it may still be a little early. Although, I to flex my foot forward and back a lot and wiggle my toes. My scar wasn't as long as yours either. It may be a total of 4" and healing well.

Don't get me wrong, this hasn't been all fun and games, but I feel lucky not to have a permanent cast. Anyone else have any questions, I can certainly try to help to the best of my knowledge.

Tara

Alison,

When do you think it a good starting point for me to massage the area? How long did you do physical therapy? I haven't started that yet either....I'm glad your doing well. It gives me hope :)

Alison

Tara,

I was in the surgical cast for 4 weeks, a fiberglass cast for 4-5 weeks, and then started to put weight in the walking boot which I had on for another 6 weeks. So I started physical therapy as soon as I got the walking boot. At first I could barely put any pressure on it. I was in physical therapy for 3-4 months. Definitely wait for your doctor's approval before you do anything because you want to be sure that your internal and external stiches have healed first. You will have to take baby steps because some people heal faster than others. You won't know until you start your PT. Once you have done the exercises remember to push yourself a little bit. It will hurt to try to walk again and to do the stretches but if you don't push yourself it will be months until you get better. I did my rehab and this other woman with the same surgery was even walking when I finished and she started before me. Let me know if you have any questions.

Alison

Diana,

I just realized I never answered your questions. I had orthotics made to fit my running shoe so that my foot is stepping down right while working out. Your insurance company will pay for them if the doctor prescribes it. They are about $400 so you won't want to pay out of pocket.

My ankle hurt while walking and working out up through the first 10-12 months. This surgery was an extremely long recovery for me. I was able to walk after about 3-4 months but the high impact cardio still caused strain for at least 8-10 months post op. I still get achy sometimes on the elliptical if I ride it for longer than 35-40 minutes. Also be sure you aren't limping if you run. One of the worst things for me after being on crutches and in a cast for so long is when your muscle is no longer stretched out like the muscle in your other leg. My left leg which was not operated on was physically longer for a while than my right leg. I had all kinds of back problems from limping without even noticing I was doing it. I used to have people stand behind me when I walked long distances to be sure that I wasn't inadvertently limping. I spent weeks going to a chiropractor.

I guess my opinion with alot of doctors is that they do this and other surgeries all of the time and they don't give people the facts of how long it really takes to recover. I feel that it is important to be prepared so that you can set up a support network and make arrangements based on a realistic time frame.

Tara

Alison,

It's wonderful that you've been supporting us all so much. I thank you for that. I go in the morning for my 5 week check. As I said before, I was casted the first two weeks and have been in a removable air cast for the past three. I don't sleep w/it at night. My incision area looks really good. I still swell a lot. Maybe I'm being too optimistic, but I feel maybe tomorrow I can start physical therapy and walking again. It's only been five weeks but I feel like my right leg is shorter (the one I had surgery on). I've been limping for over five months before surgery and now being on crutches. When I sit on the edge of the bed and try and rest my feet flat...it doesn't seem to touch the floor like my left leg. Maybe it's in my head. But I hurt all over...my hips, back and knees! Wish me luck and I'll let you know how tomorrow turns out!

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