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joyful123 01-11-2013 12:49 PM

10 months after brostrum - seeing an ankle specialist...
 
So, I had surgery on 2/22/12 for a modified Brostrum procedure. I have had trouble with it ever since the surgery. I fell while delivering pizza for Dominos - so it is a workers comp case. It has been a nightmare with workers comp. The doctor that did the surgery was so unclear. When he evaluated me for surgery he said I'd be off my foot for six weeks. After the surgery he changed it to two weeks. I didn't start rehab until 8 weeks after the surgery. I wound up changing doctors because this first doctor wouldn't "listen" to me. My ankle has continually gotten worse, more painful and so uncomfortable. I have been seeing a different doctor and he has recommended that I see an ankle reconstruction specialist in Baltimore. Workers comp has finally approved me to see an ankle specialist in Baltimore at Mercy Hospital next week.

I am beyond frustrated and discouraged. I am limping again, my foot feels like it is on fire and it just throbs/pounds with the pain. Workers comp has given me the run around - it took them 8 weeks to approve this appointment next Tuesday. I know this new doctor will probably want a new MRI, etc. and dread how long it is going to take to get through all the "tests", etc.

My ankle is "rolling" again like it did before the surgery. I "tripped" over it last night cause it just gave out from under me and tried to roll on me again. I feel like this thing is getting worse - not better. The other day I shifted my weight in the shower and it hurt my ankle so badly I had to pick it up and couldn't bear weight on it for about 30 seconds.....sigh.

I have no idea what to expect on Tuesday in Baltimore, but honestly, the pain has gotten so bad - I'm willing to try anything....again.

Who knew that falling off a porch delivering pizza last December would turn into something like this? The people that I delivered the pizza to - never turned on the porch light and to top it off I have fibromyalgia - which I'm sure isn't helping my situation.. I just want the pain to go away.... I want to feel better with this ankle of mine......

So here's to hoping the specialist in Baltimore can figure out what the next step has to be - even if it's more surgery - I want to just get it out of the way so I can have my life back!

Sorry for the rant - just very discouraged and frustrated today.

:confused:

Stupid feet 01-11-2013 01:51 PM

Re: 10 months after brostrum - seeing an ankle specialist ....
 
Are you seeing Dr. Myerson?

joyful123 01-11-2013 01:53 PM

Re: 10 months after brostrum - seeing an ankle specialist ....
 
[QUOTE=Stupid feet;5115759]Are you seeing Dr. Myerson?[/QUOTE]


I am seeing Dr. Jeng - his partner. I have also heard really good things about Dr. Jeng.

Btrfli1 01-11-2013 01:56 PM

Re: 10 months after brostrum - seeing an ankle specialist ....
 
Hi Joy,
I'm really sorry you're having such a rough time. When you fell, what type of injury did you sustain which necessitated the first surgery? I was NWB for just 2 weeks after ,y first surgery. Didn't start PT till 10 weeks post op.

I think you're on the right track with the ankle specialist. Unfortunately, dealing with workman's comp is cumbersome and takes time. Look forward to hearing how your appt goes on Tues. Be sure to write down any questions you have prior to your appt. Good luck and let us know how things go.

joyful123 01-11-2013 08:39 PM

Re: 10 months after brostrum - seeing an ankle specialist ....
 
[QUOTE=Btrfli1;5115762]Hi Joy,
I'm really sorry you're having such a rough time. When you fell, what type of injury did you sustain which necessitated the first surgery? I was NWB for just 2 weeks after ,y first surgery. Didn't start PT till 10 weeks post op.

I think you're on the right track with the ankle specialist. Unfortunately, dealing with workman's comp is cumbersome and takes time. Look forward to hearing how your appt goes on Tues. Be sure to write down any questions you have prior to your appt. Good luck and let us know how things go.[/QUOTE]

Hi Btrfli1

I had surgery on 2/22/12 - I had an arthroscopic debridement, Brostrum procedure and repair of peroneus brevis tendon on the right ankle. I am planning on writing down all of my questions.

Thanks for the encouragement - it has been a rough time for me lately......

Btrfli1 01-12-2013 06:02 AM

Re: 10 months after brostrum - seeing an ankle specialist ....
 
Hi Joy, I had a brostrom and ligament rpr about 8 yrs ago. The ankle had sustained numerous sprains and injuries over a long period of time. Surgery was successful, but ankle has rolled and sprained since. Got to the point that it was basically providing no stability, painful swelling, and was limiting my mobility and quality of life. Injured again in Oct, saw my ortho, (foot/ankle specialist) and had MRI. Recommendation was Chrisman-Snook ankle reconstruction. That was done Dec 11th and I'm progressing well with my recovery.
The new dr will prob order a new MRI, results should return quickly. When I reinsured my ankle in Oct, my dr put me in a short boot, with air chambers, and although e all hate the dreaded "boots", it did provide relief in the form of support when I walked. I was in the boot until surgery. I don't know if some type of support (brace, boot) would help you.
I know you're so frustrated. Sounds like you've got a good dr on Tues who can get to the bottom of your pain. Look forward to hearing from you. Take care!!

joyful123 01-12-2013 02:54 PM

Re: 10 months after brostrum - seeing an ankle specialist ....
 
[QUOTE=Btrfli1;5116096]Hi Joy, I had a brostrom and ligament rpr about 8 yrs ago. The ankle had sustained numerous sprains and injuries over a long period of time. Surgery was successful, but ankle has rolled and sprained since. Got to the point that it was basically providing no stability, painful swelling, and was limiting my mobility and quality of life. Injured again in Oct, saw my ortho, (foot/ankle specialist) and had MRI. Recommendation was Chrisman-Snook ankle reconstruction. That was done Dec 11th and I'm progressing well with my recovery.
The new dr will prob order a new MRI, results should return quickly. When I reinsured my ankle in Oct, my dr put me in a short boot, with air chambers, and although e all hate the dreaded "boots", it did provide relief in the form of support when I walked. I was in the boot until surgery. I don't know if some type of support (brace, boot) would help you.
I know you're so frustrated. Sounds like you've got a good dr on Tues who can get to the bottom of your pain. Look forward to hearing from you. Take care!![/QUOTE]

Thanks for the encouragement! I was glad to read your response that you also struggled after the Brostrum procedure. I have felt like "it's all in my head" or I'm making it up or something - because I haven't gotten any better...and actually am feeling worse in the past couple weeks. I hope you are correct about the MRI being done quickly. Workers comp usually takes about a month to actually "approve" anything, etc. I'm hoping they will move faster - but I've been dealing with them and this issue since 12/3/11 - over a year now.

I do have a lace up boot as well as an aircast. What is strange is that when I wear the lace up boot - my ankle still buckles and rolls - even while I'm in that brace. So the doctor tried an aircast..... isn't nearly as supportive, but it has made my ankle stop buckling and rolling on me while I am wearing it.

My ankle still feels so unstable, so uncertain. The other day I was in the shower and just shifted my weight on it - it hurt so much I had to pick it up and couldn't put weight on it at all for like 30 seconds. And then the next night I was walking to my bedroom and it rolled under me - and I saw stars again because it hurt so much.

Honestly - I wouldn't mind facing another surgery and dealing with the pain - yes, it will hurt.....but if it makes my ankle better - then I'm ready to do it. I cannot walk or be on my foot for more than 20 minutes or so without severe pain. My quality of life has gone down hill - but I am trying to make the best of it, trying to stay positive and continue to do things as possible.

So I'm hoping the surgeon will "see" the issues/pain/etc. I really need to write down what has been happening to me, so that I won't forget. I guess he is one of the best surgeons in the area as far as ankle issues, reconstruction, etc. I have a friend going with me - thankfully. She took care of me last year after the surgery and has been there with me for all these appointments. so that is a very good thing!

I'm glad you are recovering nicely - it gives me hope :)

Btrfli1 01-12-2013 05:26 PM

Re: 10 months after brostrum - seeing an ankle specialist ....
 
Hi Joy,,,,please let me know how you make out on Tues. Sounds like you're going thru the same issues I had and it's definitely NOT in your head. I took pics of how huge my ankle would swell just after about 2 hrs on being on my feet. Very painful.

Poor thing,,,your Brostrom rpr didn't provide any relief, did it? Mine was successful and offered relief for a number of years. I think we've all found that unfortunately, once you tear up for ankle really badly, it's only downhill, until it's properly repaired.

Glad you have someone going with you to your appt. Always in to have moral support!!
Best wishes!

Snowrunner 01-12-2013 07:59 PM

Oh joyful... I'm so sorry. I'm not sure if you remember me - we had surgery around the same time and I have a new screen name. I had the Brostrom on March 22nd and thought I was recovering well. I started having pain again in August and it got continually worse. My doctor at the original surgery, discovered an inch long tear in my peroneal brevis tendon... And that's what caused me new problems.

The Brostrom procedure actually worked - we think - but the tear didn't heal. And after questioning my sanity, I had an MRI which revealed partial healing. So I had a second surgery to merge my two peroneal tendons on November 20th and am recovering slowly.

I'm so sorry to hear you haven't healed as well. And I remember the nightmare of dealing with workman's comp. I'm so sorry again and hope you get answers sooner rather than later.

joyful123 01-12-2013 08:26 PM

Re: 10 months after brostrum - seeing an ankle specialist ....
 
[QUOTE=Snowrunner;5116393]Oh joyful... I'm so sorry. I'm not sure if you remember me - we had surgery around the same time and I have a new screen name. I had the Brostrom on March 22nd and thought I was recovering well. I started having pain again in August and it got continually worse. My doctor at the original surgery, discovered an inch long tear in my peroneal brevis tendon... And that's what caused me new problems.

The Brostrom procedure actually worked - we think - but the tear didn't heal. And after questioning my sanity, I had an MRI which revealed partial healing. So I had a second surgery to merge my two peroneal tendons on November 20th and am recovering slowly.

I'm so sorry to hear you haven't healed as well. And I remember the nightmare of dealing with workman's comp. I'm so sorry again and hope you get answers sooner rather than later.[/QUOTE]

Yes, I DO remember you and have wondered at times how you have been doing. I'm so sorry about the tear and having to face surgery again. I do struggle with feeling like I'm not "tough" enough, etc.....but it really, really HURTS sometimes...and it keeps buckling and rolling on me..... this Dr. Jeng is supposed to be really good. I wish I could just "skip" all the tests as I know workers comp is going to "sit" on it - it took them 8 weeks to approve this visit and then another 4-5 weeks before I could in with this surgeon....so you can imagine my frustration.

I'm sorry rehab is slow for you...... :( I"m glad we were able to touch base and "catch up" some....hang in there!

ginger62 01-13-2013 06:56 PM

Re: 10 months after brostrum - seeing an ankle specialist ....
 
Joyful, I made the 7 hour (one way) trip from NC to MD to have my surgery done at Mercy. In my opinion they were just the best. I was out of there in under an hour for my first consult. They looked at my ankle, knew immediately what was wrong (I knew already too, but they didn't put me through the wringer), took a few X-rays and scheduled my surgery on the spot. I saw Dr. Myerson but I'm pretty sure everyone in the practice is great. They answered all of my questions that I had there and were super patient when I called with more later on. If you schedule your surgery with them, make sure to get their email address for quicker correspondence.
I really was so happy with my decision to go there. I hope they can help you! Good luck. Keep us posted. I read all through this board a year before my surgery so I am familiar with your story. I will keep you in my thoughts and prayers.
Ginger

joyful123 01-13-2013 07:32 PM

Re: 10 months after brostrum - seeing an ankle specialist ....
 
[QUOTE=ginger62;5116806]Joyful, I made the 7 hour (one way) trip from NC to MD to have my surgery done at Mercy. In my opinion they were just the best. I was out of there in under an hour for my first consult. They looked at my ankle, knew immediately what was wrong (I knew already too, but they didn't put me through the wringer), took a few X-rays and scheduled my surgery on the spot. I saw Dr. Myerson but I'm pretty sure everyone in the practice is great. They answered all of my questions that I had there and were super patient when I called with more later on. If you schedule your surgery with them, make sure to get their email address for quicker correspondence.
I really was so happy with my decision to go there. I hope they can help you! Good luck. Keep us posted. I read all through this board a year before my surgery so I am familiar with your story. I will keep you in my thoughts and prayers.
Ginger[/QUOTE]

Ginger - thank you SO much for this response. Honestly I am so hoping and praying he can figure it out and let me schedule the surgery while I'm there on Tuesday. I'm so sick of dealing with this ankle - I just want to get it fixed - even if it means surgery - so I'm hoping they won't require an MRI - I have xrays from my other doctor, but I don't have an MRI for him.

It is a relief to read this post and to feel encouraged. Finally some good news in the midst of all this stuff. Sadly the surgeon that did the surgery - I left him in July and have a different doctor who is also an orthopedic doctor. The first doctor told me that I was making up this pain - that I didn't want to go back to work, etc. I was furious. He made me go back to work - I lasted about 30 minutes - even with sitting down and I was in so much pain the next day I couldn't walk. I had PT that day - and the PT was furious as my ankle was SO swollen and she couldn't do much with it. The first doctor started throwing out all these statistics about why I should be better & how it is all in my head, blah, blah, blah. The second doctor has been very good - but has said he is at his wits end regarding my ankle and sent me to Mercy to the "best" to figure out what is going on inside my ankle.

So, thanks again - for the encouragement - it was much needed!

Snowrunner 01-13-2013 07:45 PM

Re: 10 months after brostrum - seeing an ankle specialist ....
 
What an #%*. I cannot believe that first doctor! :( I am so livid for you. Luckily you've got a new appointment with someone great.

I really like my doctor and even he wasn't sure what to do with me back in August. At first it was.. Well. Less than 5% need a repeat surgery... Try this boot for a month. It took two months for him to do the MRI. I really thought he was just going to tell me it was going to take more time and to just stay off of it... I was shocked when he looked and told me it needed surgery again.

I kind of hyperventilated and had to take a moment to breathe and not cry.

But it was good to have answers. And to know, finally, I wasn't being a wimp, tha the pain I was feeling had a 'legitimate' (1 1/2 inch tear!) cause. I totally understand that feeling. You are right. There is something seriously wrong with your ankle and you need help. I hope you get some good answers soon.

joyful123 01-13-2013 07:57 PM

Re: 10 months after brostrum - seeing an ankle specialist ....
 
[QUOTE=Snowrunner;5116828]What an #%*. I cannot believe that first doctor! :( I am so livid for you. Luckily you've got a new appointment with someone great.

I really like my doctor and even he wasn't sure what to do with me back in August. At first it was.. Well. Less than 5% need a repeat surgery... Try this boot for a month. It took two months for him to do the MRI. I really thought he was just going to tell me it was going to take more time and to just stay off of it... I was shocked when he looked and told me it needed surgery again.

I kind of hyperventilated and had to take a moment to breathe and not cry.

But it was good to have answers. And to know, finally, I wasn't being a wimp, tha the pain I was feeling had a 'legitimate' (1 1/2 inch tear!) cause. I totally understand that feeling. You are right. There is something seriously wrong with your ankle and you need help. I hope you get some good answers soon.[/QUOTE]

I'm so glad you were able to get relief. Yes, the first doctor I had was horrible - even after the surgery - he kept telling me I shouldn't be in so much pain. He sat me down and told me he thought I was manipulating the system since it was a workers comp issue. Now mind you - I have a full time job - I only missed TWO weeks of work after the surgery. It was my p/t job (delivering pizza) that I couldn't and STILL cannot do. He MADE me go back to work - delivering pizzas - even though I told him I couldn't walk up/down stairs, couldn't do hills, etc. I lasted about 30 minutes - and had to go home because I hurt so much. The day after that I had PT - she was furious - it was swollen about twice the size and she couldn't do anything with it. I tried to tell the doctor about it and he would not listen to me. So then he sat me down and told me about statistics and how the only people that EVER have problems with the surgery are the workers comp clients - as they really don't want to go back to work, that I was making it up, blah, blah, blah. It was really bad - so that's when I switched to thew new ortho - he is much better. He always believes me, always makes sure I have pain meds, etc. It is a relief!

It would be really nice if I could set a surgery date when I see him on Tuesday - I am so sick of this pain.

It has been so encouraging to come back on the forums and just receive such support & encouragement......

How are you feeling Snowrunner?

ginger62 01-13-2013 07:58 PM

Re: 10 months after brostrum - seeing an ankle specialist ....
 
Dr #1 sounds like a class act. Like anyone would make this stuff up. Jerk. When I told my local ortho that I was going to Myerson (I had already been to 2 others including a doc at Duke) he said "Great! He wrote the book on this stuff". You'll be in good hands.
Ginger


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