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Old 05-31-2012, 08:07 AM   #1
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2 weeks plus 1 day post pttd surgery

H All,

Made it to the two week mark yesterday. Feeling a bit better each day! Yesterday and today I was able to "shower" (sitting on shower chair with leg propped on chair outside the tub) by myself - it felt great to be able to do it independently. I also did a little light cleaning in the bathroom (while seated, of course) which also made me feel a small sense of accomplishment. It feels so great to be able to do something, anything, to contribute to the household. My partner and kids have been amazingly helpful but even I know it's getting old.

I am also working on going without pain meds as much as I can. I am down to no more than about 4 pills (percocet) a day, and today I have yet to take any. I am always much more comfortable in the early part of the day. I find that my heel really starts to bother me in the evening.

I am a little concerned about my other (right) foot, I do need surgery on it but not for pttd; there are some bone spurs from an old fracture and I need my achilles lengthened. My concern now is that it is starting to feel a little "pttd-ish" with all the weight on it. I changed from a medium support shoe with the orthotic to a new balance sneaker with the orthotic this morning and it feels better. Last thing I need or want is to go through this again. Not an option. I am also taking Advil to try to keep the inflammation to a minimum.

Next Wednesday is my big day, off comes the surgical splint and I will go into a boot. I already have one that I am hoping they will use again so I don't have to buy another one. Still NWB for five more weeks, but I know just the difference in weight with the boot compared to this splint will be a huge relief. That and being able to wash my foot! As much as I dread the pain that will accompany the appointment, it's the odor of the foot I fear most!

I am also starting to think about work - I think I will try to start up again once I am out of the splint. I could probably begin telecommuting sooner, but I figure a little more time focused on healing might be a good idea. It's a tough call because I am off the payroll until I go back! I know from an earlier experience this year though that it's important not to push it.

 
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Old 06-03-2012, 07:19 PM   #2
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Re: 2 weeks plus 1 day post pttd surgery

Congrats on the 2 week mark. I had PTTD surgery May 18. I just got my splint off and am now in a hard cast for 4 weeks and then I will get a boot but will still be non weight bearing for like 4 weeks. During those weeks I will be doing some therapy just to strengthen.
Its been a difficult road so far but I keep looking forward to the mile markers set in place by the doctor.
Good luck in your healing. I look forward to sharing our stories through this process

 
Old 06-03-2012, 07:20 PM   #3
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Re: 2 weeks plus 1 day post pttd surgery

Congrats on the 2 week mark. I had PTTD surgery May 18. I just got my splint off and am now in a hard cast for 4 weeks and then I will get a boot but will still be non weight bearing for like 4 weeks. During those weeks I will be doing some therapy just to strengthen.
Its been a difficult road so far but I keep looking forward to the mile markers set in place by the doctor.
Good luck in your healing. I look forward to sharing our stories through this process

 
Old 06-03-2012, 10:47 PM   #4
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Re: 2 weeks plus 1 day post pttd surgery

Yes congrats on the 2 week mark and being able to cut back on meds and do a little more. Hopefully you won't have any foot odor. I didn't. Now hairy and loss of muscle, yes! Be sure to take care of your other foot as much as possible! I know that's hard, but it may require you staying off your feet more thn the average person would because you need surgery on that foot and you have a history now of PTTD in the other foot. This may be another good reason to stay back from work a while longer. I know thats SO easier said than done when you aren't getting paid, believe me. I just went back too early after my first surgery and had complications and prolonged pain and I don't want that for you! I've taken my recovery much more slowly and it's been better. I will admit I'm in a position to do that. Had I not been, I still would've taken more time off than last time to heal well! Hang in there! It all does get better!!
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Brostrom-Gould, repair retinaculum, peroneus longus tendon repair, fibular groove deepening for peroneal tendon subluxation- 2/22/12
-Modified Brostrom (failed)- 8/15/01"]

 
Old 06-04-2012, 07:10 AM   #5
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Re: 2 weeks plus 1 day post pttd surgery

Thanks for the replies! I actually started working from home today - and will do that as long as necessary. My employer is good with it, I am really lucky that way. I'll take my time with going into the office and can do meetings by phone for now. Most of the time my job is not physically demanding but if it seems like I need to stagger days or flex my schedule I have the go ahead from them. The joys of technology!!

I am so excited to get my splint off on Wednesday, though I do plan to take some meds before the appointment! I expect it will be a bit painful to get the stitches out and adjust to the boot. Honestly after three weeks in this splint I am just want to feel air on the foot again, even if it sort of hurts. I remember the sensation from the surgery I had on the other ankle years ago. You almost fear the lack of protection!

Well I should get back to work, this is a nice diversion though!

 
Old 06-04-2012, 09:14 PM   #6
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Re: 2 weeks plus 1 day post pttd surgery

Wow that's awesome that you have such a great flexible job and boss! You should do just fine then with transitioning back to work! Yeah that wasn't my situation. There's not light duty with my job as an SICU RN so it's all or nothing. So I went back to 13 hour days 3-4 days a week on week 5 after surgery! Had been off crutches 1 week and still in boot. My doctor released me after I asked and I was bored so I went. Not my brightest moment. Then 9/11 happened 2nd day back and our trauma center was supposed to get burn victims (before we found out the true devastation) so we were scurrying around trying to move patients around or out in between times of being glued to the TV so I had to even move faster than usual. But what I went through was NOTHING compared to that day obviously! Yes you will definitely want to take pain meds before your appt on Wed! It will feel great to get it off and feel air on it, but at the same time, it will hurt to have it taken off, get the stitches out, and not have anything on it and to have it pushed into the boot. They have to get you into 90 and it's pretty uncomfortable. So excited for you! Let us know how it goes when you get back!!
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Brostrom-Gould, repair retinaculum, peroneus longus tendon repair, fibular groove deepening for peroneal tendon subluxation- 2/22/12
-Modified Brostrom (failed)- 8/15/01"]

 
Old 06-05-2012, 06:30 AM   #7
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Re: 2 weeks plus 1 day post pttd surgery

Omg! You went back to work early! I could not imagine that demanding job on your feet all those hours. What a trooper you are! Did you deal with alot of swelling? I am 2 1/2 weeks in and have just been put in a cast out of a splint. I am getting swelling which I didnt have (or noticed) with the splint. Just one of many challenges I am sure to face.

 
Old 06-05-2012, 07:27 AM   #8
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Re: 2 weeks plus 1 day post pttd surgery

I am definitely not on my feet like you at work, Hollywood. So awful to hear your second day back was 9/11...I imagine it was a horrible day to say the least.

My work is at a child welfare agency, I manage their training program. It's a new position which in a way has helped as I go through this surgery and the Chiari surgery I had in January. I am building the program and so far there's been a lot of patience and understanding of my plight. I will be postponing the surgery on my right foot (not pttd, fortunately) as long as I can!

 
Old 06-05-2012, 09:12 PM   #9
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Re: 2 weeks plus 1 day post pttd surgery

RD2RECOVERY--I did deal with a lot of swelling which is very common after this surgery. I'm dealing with it now after the 2nd one too, but the first was so much worse with going back to work early and being on my feet so much. I also had a lot of abnormal pain from going back too early. So yes you will be dealing with a lot of swelling especially now that you are in the cast. It will go down though and you will start to notice the cast becoming loose. I'm 14 weeks out I think and in the last few weeks of therapy and my doctor said that it will be on average another 6 months before I'm pain and swelling free. LJTURNER--It wasn't an easy comeback under normal conditions, but that really made it difficult, but you know what? Made it seem like a dream compared to what 3,300 people and their families went through the day. Sounds like you have a great, understanding job which is fabulous! I keep forgetting you just had Chiari surgery! What grade did you have again? Chiari 1 or 2? I have one also (I think I told you, but not bad enough for surgery. About 25% of the population has one and doesn't know it. Mine was found incidentally). I was an outpatient neurosurgery RN after leaving the SICU!
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Brostrom-Gould, repair retinaculum, peroneus longus tendon repair, fibular groove deepening for peroneal tendon subluxation- 2/22/12
-Modified Brostrom (failed)- 8/15/01"]

 
Old 06-06-2012, 06:05 AM   #10
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Re: 2 weeks plus 1 day post pttd surgery

Hollywood, have Chiari 1. I was diagnosed in 2007 but it was brushed aside at the time because I was also diagnosed as b12 deficient, and my neurologist chalked all my symptoms up to that. So I started supplementing and some of the symptoms got better but the headaches, facial and neck pain, etc never did. My primary kept giving me antibiotics for sinus infections that I never had (had a ct scan on my sinuses and there was no issues). So at my physical last year I brought it up again and she ordered another MRI, also showing Chiari. She didn't know what it really was so I started doing research and realized that it might explain my symptoms. She didn't want to send me to a neurosurgeon, so I took the reins and sent a local Chiari specialist my MRI report and was seen right away. My herniation was between 13-16mm and my CFS was blocked. I had very successful decompression surgery (without duraplasty) and have been 95% symptom free since.

It's a funny thing, everyone in my family and my friends were all freaked out about me having "brain surgery". Honestly, the pttd surgery has been much more involved, and now the Chiari surgery seems like it was nothing...

 
Old 06-06-2012, 08:46 PM   #11
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Re: 2 weeks plus 1 day post pttd surgery

Yes Chiaris go in diagnosed for a while a lot of times because their symptoms can be from so many different things. I figured you were Chiari I as its most common. I'm so glad you are 95% symptom free! That's awesome! I have symptoms, but not bad enough or often enough for surgery. I do get headaches occasionally, but more so I have muscle spasms/tension, dizziness. The neurosurgeon I was working for said I would probably never need the surgery, but if symptoms worsened after forced pressure like sneezes (I sneeze hard), to come see him. I bet the PTTD surgery has been worse! I know you are just ready to be surgery free too! Bless your heart!
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Brostrom-Gould, repair retinaculum, peroneus longus tendon repair, fibular groove deepening for peroneal tendon subluxation- 2/22/12
-Modified Brostrom (failed)- 8/15/01"]

 
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