Skip to main content

They Gave Me the Boot!

I think I am going to bedazzle my boot!
(found on "Blinged Out Boot Ideas" on Pinterest)

Today was a great day!  I went for my post-op appointment, and they gave ne the boot: off came the cast, bandages for the two incisions, and a boot for day and a boot for night.

It took both my aide, Jennifer, and my good friend Judy to get me to the doctor's office where they took me into the cast room.  I finally learned what the band-aid was covering: in order to keep the ankle replacement straight, they insert something to align the implant before closing up the wound.  The band-aid covered a single stitch which was unceremoniously removed.

With the oscillating cast saw in hand, the tech cut down both sides and under the foot in order to remove the cast.  Judy was curious how the saw cuts the fiberglass without cutting through the fiberglass, let along the skin.  Since the sawblade only vibrates, and does not spin, skin can withstand contact without being cut, but the inflexible cast material offers a lot of resistance, and the blade can do its job.

Once the cast was off the incisions were revealed: not a pretty sight!


Don't look at the hairy leg, but this shows the stitch  that was under the bandage that was used to align the ankle.
It also shows the incision for the ankle replacement


By the way, my leg wasn't that hairy!  I think it's just some discoloration from the surgery and the cast.  After I took this photo the technician gave it a good alcohol rub and cleansing.  The next picture shows the two incisions: the front is the ankle replacement and the side is the ankle fusion.


Although it is pretty ugly ( a friend of mine told me I look like Frankenstein), the doctor and the technician said they look great!  The next step after cleaning all three incisions was covering the two wih a medicated adhesive that I would need to wear and change over the next five weeks.  They gave me two of each size and told me I could order the rest that I would need.  It turns out that medicated bandages aren't inexpensive -- $45 for 12 of the larger ones and $35 for the smaller ones.  



After applying the bandages, the doctor gave me a few exercises to do.  He explained that some of the pain I was having as well as the pins and needles and stiffness came mostly from not using the nerves and the muscles.  I need to gently tap my foot on the ground and move my toes back and forth to get the blood stimulated and the foot working again.  I still cannot bear any weight, although he told me that I could stand to brush my teeth and prepare a meal for short times as the pain allows over the next few weeks.  By May 2nd I should be able to start weight-bearing, which is perfect because that is when the meals and the dog-walking trains stop.

I was given two boots -- one of the day and one for sleeping.  However, when I tried the light one last night, I had some pain, so I put the big boot back on.  I'll keep trying until I am comfortable.  The boot seems like heaven after the cast; it probably weighs about half and gives me a lot more flexibility to move my foot inside of it.  I can also open it and scratch!  Taking a shower is also going to be much easier since I can take off the boot, cover the bandages, and shimmy somehow into the shower seat.  I am so glad that they gave me the boot!
















Comments

Popular posts from this blog

Physical Therapy: It Comes with a Crush

The first couple of times I asked my surgeon about physical therapy, he said it wasn't necessary.  He was quite definitive: "You don't need physical therapy."  At my three month follow-up, after telling him I was frustrated with my inability to walk correctly, he finally gave me a prescription for PT in order to improve my gait.  My first appointment was today, and by the first five minutes I developed a crush on my therapist. It isn't a romantic crush (although he is very cute): it is a crush on someone who listened to me and responded to my concerns, hopes, and questions.  Here he is in an introductory video on YouTube. ( Click on the name below the photo. ) Stephen Mills, PT, DPT After brief introductions, it was clear that he read my chart.  He asked me if I walked my daughter down the aisle at her wedding (one of my goals before surgery).  He told me how great it is that I travel.  He was talking to me face-to-face without a comp...

Three-Month Follow-Up: My Big Toe Works!

I was going to begin this post with a cliche such as "I can't believe it's already been three months," but that isn't exactly true.  In some ways it seems like the ankle replacement was so long ago that I am surprised it has only been three months.  I've been complaining about my lack of progress, but my doctor and his teaching fellow both said that "I've come a long way, baby!" The appointment started with x-rays in a variety of stances, including the one above that shows the ankle replacement as well as the arthroplasty or fusion of the heel.  When the fellow (I regret that I do not remember her name; she was also present at the operation, but I slept through our introductions) listened to my concern about my progress, she was the first to tell me that the fusion would prolong the recovery time.  The swelling of the ankle is evident in the x-ray, but she also said that the inflammation was as expected, and, in fact, it was relative...

Three Steps Backwards and Five Steps Forward

I haven't posted in three weeks, even though a great deal has happened since I started physical therapy.  Having taken a turn for the worse and being back on my recliner, I started to write a travel memoir and writing two pieces seemed overwhelming.  Also, and even more importantly, I was in so much pain that I didn't want to put down my thoughts until I knew my recovery took a turn for the better. My physical therapist, Stephen, gave me four exercises to do that were not challenging.  He observed that I was walking with my right foot out, so he suggested that I concentrate on keeping it  straight.  I was given the green light for water aerobics, and was walking Zora twice a day. I was very happy.  Walking was not without pain, but I was walking and the last time I did water aerobics I actually was able to walk and push off of the wall rather than doing the dog paddle, like I did the first few times. Then it all went bad. The pain came suddenly...