I received the joyful news that I will be needing surgery to repair my OCD on my ankle. Mine is 5x7 mm and the doctor told me the chance of success is 85%. he will be drilling into the ankle, removing the OCD..I will then be in a surgical dressing and NWB for 2 weeks. I will then get a boot and be NWB an additional 2 weeks. I will be using crutches, but was offered the knee scooter..not for me..
I can then walk at the 4 week mark, PT at 6 weeks. I have a pretty decent pain tolerance, and have continued to workout 6 days a week. For anyone that has had this surgery..how long until you were able to run and jump at 100%?
I also have to buy a cold therapy unit and like the Breg Polar Care Glacier Cold Therapy Unit..has anyone used it?
I leave for Cancun 12 weeks after my surgery and my doctor promises that I will not be in a boot..
I was just hoping to see what joy I am in for..
Any insight would be greatly appreciated
Last edited by angel79202; 07-06-2012 at 08:19 PM.
Hi! Just thought I'd comment. I haven't actually had your surgery. I've had 2 ankle reconstructions and this most recent one involved drilling and breaking the bone but not for OCD. I've had several friends who've had microfracture and there are several people on here who have had it. Most do them have been NWB longer than what you've been quoted. I hope they will come on and comment because it seems to be a surgery that takes longer than quoted to heal. Not saying yours will be that way as every case is different and everyone heals differently and a different rates. Just wanted you to be aware!
I also just found out that I would need arthroscopic surgery (with microfracture) for OCD of my right ankle. My doctor's protocol is 6 weeks of non-weight bearing (in a cast) then transition to a boot. It is surprising that with drilling you will not be non-weight bearing longer.
I had drilling for a medial OCD in my right ankle on February 2, 2012. My lesion was also small (not sure of the size) and the doctor told me 85% success rate too!
After surgery, I was in the surgical dressing and a boot. I had the stiches taken out 11 days post op. and then just wore the boot. I was no weight bearing for 8 weeks! After my 8 weeks of no weight bearing, I was allowed to put any weight my foot as pain allowed. I started physically therapy immediatly after the 8 weeks of NWB. I was still in the boot for another 2 weeks full time then got "weaned" out of it for 1 1/2-2 weeks. (I was able to go without it at home but if I was in a crowed place, uneven ground, walking a lot, I was supposed to wear it).
So in summary : I was 8 weeks NWB and did not completly do away with the boot until 12 weeks post op.
At 16 weeks post op, I was able to do a TINY bit of jogging, in a straight line, on even ground. By tiny bit, I mean like a quarter of a mile. I am now about 21 weeks post op and am able to jog about 1 1/2 miles (with walk breaks) 3X a week. I tell you this to let you know that it is very slow recovery. Before the surgery I was a competitive distance runner, winning my age group at half marathons so I still have a long way to go!
Don't rush the healing process. I am following my doctor's orders to a T because it's taken me 3 years and many MRIs and physical therapy sessions to finally get the OCD diagnosis and find a competant foot and ankle specialist. I feel like this is finally my chance to have a pain free ankle!
Good luck with your surgery! Keep us posted on your progress
Thanks for the replies..My doctor is pretty aggressive..he said 2 weeks NWB in the surgical dressing, 2 weeks NWB in the boot..then at 4 weeks I can walk in the boot..I am very hopeful that I recover quickly..because I hate being down..any other help is always appreciated!
the biggest thing is do not force the recovery. the dr that did my drilling for my ocd that was 5x5 also told me and followed the same schedule as your dr is telling you! I now have to have oatsbecause my ocd is now 7x9 and its just 15 months since my drilling because the dr was to aggresive at getting me weight bearing again. My new dr said i should have been NWB for at least 6-8 weeks after drilling to give the ankle time to heal properly. I would definately ask again because you don't the drilling to fail.
As others have said - don't rush your recovery. Many times we want to get back to some semblance of "normal" - but if we truly want to be close to normal - we have to take it easy for a while.
I had my microfracture/debridement 4/10. No boot or cast, just surgical dressing for 2-4 weeks. Started gentle PT at 4 weeks and continued for a total of 5 months. Was NWB for about 8-10 weeks. Was at close to full weight bearing by August with only a cane. My OCD was quite large, and continued to "chip" as he tried to clean it out - so there was a lot going on in the ankle.
Each of our doctors has their own protocols for treatment and recovery. But when something doesn't seem to ring true for you - it's important you advocate for yourself and ask questions. You are never a "fool" when you question your health care provider. We pay them for a service - and they are responsible for helping us understand how to get the best out of what they are doing for us.
Good luck with your upcoming surgeries - and hang in there - it does get better.
Your words are so true. Every doctor does have their own protocols for patients to follow and it is important to follow them. Although we all want to have our life back to what it once was, it is not worth it to rush it and possible cause more damage.
Well I had my surgery yesterday..he nurse poked me twice on my IV and I still feel my nerve blocker working..The biggest thing i that I'm tired and queasy. this surgical dressing is huge but it comes off on 07/20, then I get a boot. The doctor said it worked well..I hate sitting around at home though, I miss my workout classes!!!! I do go back to work next week
Last edited by angel79202; 08-10-2012 at 04:45 PM.
Well it's been 6 weeks since my surgery and honestly I've had more problems with nausea than the actual surgery itself..I was 10 days in the surgical dressing, 12 total days on crutches..then on to the boot, started weaning out of it at the 4 week mark, was totally done with it at about 4.5 weeks..I am currently using a soft brace and am hoping to be out of it soon..I leave for vacation in 27 days!
My first OCD surgery (microfracture/debridement) was April of 2010. I thought things were pretty good from that, but within about a year, I was having some of the same issues, that just seemed to spiral. I liked the doctor I had, but I was on different insurance at that time and he was the only OS in the plan. (Thankfully he was good!)
Now, with different coverage, I was able to visit an OS highly recommended by my primary (who is a sports med doc) and a friend who is a physical therapist.
At first, he felt the location and size of my OCD was problematic and would not support another microfracture/debridement and seriously considered sending me to a colleague in a neighboring state who could consider an allograft. After a new MRI though, he felt he could successfully do another microfracture/debridement and get to the source of my pain and locking. (And as he said, if that didn't work, the allograft was still a possibility.)
There are a few things this doc will do differently. Last time I was in surgical dressing after the surgery - this time I will be in something like a plaster cast. Last time I started gentle PT (at an office) less than a month after surgery - this time they are thinking no PT. I will be 8 weeks (at least) NWB and then start working on adding weight to the ankle without any boot or support.
I'm trying to schedule this to best fit my schedule. With a beach-side wedding at the beginning of September, I have decided to hold off until after that. Then my youngest marches with the university band (in color guard - and is captain) - and September is filled with three home games and an exhibition in a neighboring state. Which brings me to October for the surgery. I'm also running for political office - and October-November will be the toughest time of the campaign - but that same daughter marches in an independent winter guard and their season begins solidly in November (with competitions starting in January) and so I have to be fairly mobile for that. I figure October surgery puts me starting weight bearing in December and with luck - I'll be off crutches by competition season.
These OCD's are nasty. They don't like to go away it seems.
Take your time and heal properly. None of us likes to be side-lined - but sometimes we can't help it. Look at your side-line time as a challenge of what you CAN do while on crutches.
Last time around - I worked on dancing with one leg and a crutch. It can be done - and its good exercise. Find what you love and modify it to what you can do.