Well, after many months of PT and trying to let my body heal itself, I resorted to surgery 4 weeks ago. I had loose cartilage removed (described to me as a "significant cartilage injury), microfracture of talus for 2 ocd's, ATFL repair (which I didn't expect to happen prior to surgery) and both of my peroneal tendons "defrayed".. I had an excellent surgeon and I totally trusted him.
I was NWB first 2 weeks post op in a splint/crutches and then he wanted to put me in a cast for 4 weeks. I HATE casts...have anxiety,claustrophobic problems with them. I know it sounds silly but it is true. So, my surgeon agreed to let me wear a boot for 4 weeks but I have to wear it as if it were a cast...no taking it off for baths, not for changing clothes,etc. He doesn't want me to evert, invert, twist. I thought the nwb cast was because he didn't want me to bear weight. But I actually am allowed to bear weight in the boot. It's the ATFL tendon that apparently needs to be stabilized. So, two more weeks in the boot and then I can start PT hopefully.
I left the hospital with two catheters in the back of my knee that were almost like epidurals for two nerves. The catheters were attached to medicine balls (like iv's) and my leg from the knee down was totally numb for 3 days. It was wonderful.
The biggest problem I am having now is the incision site for the ATFL/peroneal procedures. So, I did indeed have to take the boot off and am keeping a watchful eye on the healing. If I were in a cast, I don't know how all of that would have been handled. The incision isn't healing as quickly as I'd like, but it's not infected. It just split open in a few places about a week after suture removal. They wouldn't put steristrips on after the suture removal bc I am "sensitive" to adhesive... and I have been told that walking in the boot puts stress on that incision just because of the location of the incision.
So, my injury (stepping off a curb and totally missing my heal and stepping onto my lateral ankle as if it were my heal and hearing pop,pop,crack,crack) on Feb 1st was indeed an experience for me. I do believe the body can heal itself to a point but when there are structural repairs that need to be made, for me it was a quality of life issue and a much thought about decision.
I wanted to run again...not marathons. I just wanted to be able to run with my kids as I played with them. I wanted to walk without pain. I wanted to take my kids back to Disney and walk with them for more than 5 minutes without pain.
For most of 2010, I toughed it out. But it got to a point where I knew I had to go forward with the surgery.
So, that's what's happened with me. I hope everyone else is continuing to heal and having some success and pain relief and function improvement.