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Old 02-17-2013, 05:08 PM   #31
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Re: Triple Athrodesis for a young athlete

[QUOTE=Usmcdave0331;5134211]Hello everyone,

I hope everything went swimmingly with you (new) and getting your staples out. I got mine out on my appointment on the 5th. It really wasn't bad at all. The corpsman who did it was pretty skilled. They put me in ANOTHER cast as well, UGH! I feel you about having an itch you can't scratch. My wife is constantly catching me sticking bent up coat hangers in there to scratch and giving me the "busted" look. I also want to get it off so I can CLEAN IT!

[/QUOTE]

Glad you got a corpsman who knew what he was doing; I had a cast replaced when I was underway and it was not pretty.

Not sure how your doctors would like it, but LT I worked for back then broke his arm when he was a young MM2. He &/ his machinist buddies put a stop on a drill bit and just drilled a hole in the cast where ever he itched. He still couldn't move his arm/hand so the structural integrity was maintained. Apparently the engineering justification didn't fly with the docs (but he healed fine)

 
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Old 02-27-2013, 03:03 PM   #32
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Re: Triple Athrodesis for a young athlete

Wilk, I think I am going to keep the drill away from the cast! Hahahahaha! Though one of the corpsman told me a Marine cut off his cast and put a zipper on it so he could take it on and off as he wanted.

New, I think we're kindred or at least very much in the same boat.

Everyone,

I had an appointment yesterday. I am almost 5 weeks out as of today. They actually did a DOUBLE ATHRODESIS! I feel like I've cheated everyone. I guess they got in there and decided they wanted to leave me a little more movement with all the same benefits. I looked at the x-rays and there are four screws entered in through two separate parts of my foot. My big toe is higher than the rest of my foot and she said ideally she would like to do another surgery but she thinks proper bracing and shoes will keep me off the operating table for a while. She said "you have a very complicated foot."

I head back to work in about two weeks. I'm in the infantry so work will be significantly different. I can't stay in the infantry, so I don't want to be in the Marine Corps anymore. I got back from Afghanistan in September. I don't need to go again as far as I'm concerned. For anyone who is interested I find out within a week whether they are going to separate me right away or put me on Limited Duty (a six month period to heal and try to return to full duty). As far as I am concerned they can separate me. I have less than a year on my contract and I am getting out anyway.

I get my knee roller today and they are going to give me a wheelchair too. I am glad I am getting the roller. My left foot (the good one) is certainly taking a beating.

They put me in a hard cast for three more weeks! The doctor, who I like very much, has got my "number" according to my wife! She knows I will not wear the cast and leave it out and let it breathe. She's right, realistically. I was out a couple of days ago on my crutches cutting down some palm throngs and doing some minor yard work. It was hard but I don't want my neighbors thinking we are pigs.

A bit of good news, the person who cast my leg this time did a WAAAAAAY better job than the last guy. It's a longer, more restrictive cast but is MUCH MUCH MUCH more comfortable.

Anyway, life is good. Ready to start running stat. I feel frumpy. I normally get a haircut every week, haven't got one in almost six weeks. I grew out a beard for a little while for fun, made me feel even more frumpy.

I hope you are all well!

 
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Old 02-27-2013, 04:04 PM   #33
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Re: Triple Athrodesis for a young athlete

hi dave,

thanks for the update, and yes, we do seem to be kindreds. :-)

glad to hear u are doing better. i guess its ok that they did a double instead of a triple? mine was a triple and movement of the bones. im due for a haircut myself. im going to a black tie event for my fiances work next week and im just letting it go until that thursday so i can look great the next day haha.

that sucks that u still have a regular cast! ive been in an air one, and yesterday had my 6 week. i had to get a bigger sized air cast cuz they have me one that was too small. my dr gave me the go ahead to start crutch walking, as hes very pleased with how its fusing. by next month he wants to see me again, and be off the crutches. i can stand on it no problem, and the alignment of the foot is waaaaaaaaay better than before the surgery. im in the same boat i was in when i had my first surgery. im afraid of hurting it by walking on it, for it does feel weird when i put pressure on it and walk. he wants me to go the gym and do exercise bike to loosen up the ankle/foot area. im not going to push it too much, but by two weeks from now id like to try and be crutch free. im wearing a compression stocking now and they are a pain to put on. i know for me to get better im going to have to go for it and walk on it and not baby it, which im doing now, but will give it two weeks. im making sure i do walk with crutches to get the foot used to it. it stinks because the air cast is higher than my left foot now, so its just awkward.

glad to hear u are out doing things. ive been the same way-wheeling myself around the house in chairs to do things haha. glad u got ur knee walker. go to the store and cruise! they are a blast!
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Triple Arthrodesis Achilles lengthening and tendon transfer 1/11/13.

External fixator and achilles lengthening around 12/14/10.

 
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Old 02-27-2013, 10:07 PM   #34
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Re: Triple Athrodesis for a young athlete

Man oh man!

I'm shocked that at six weeks you are standing on it. I don't have another appointment till my 8 week appointment. It bums me out. Your doctor is a bit more liberal than mine. What I wouldn't give to hop on a bike! How's it feel? Does it hurt at all?

I'm glad I got the double. She (my doctor) said it basically does the same thing but will give me a bit more movement in my ankle. Not much. But a bit.

Black tie event? That will be fun. I missed out on the Marine Corps Ball by two days when they moved my surgery up a week. That was the wife and my last opportunity to get dressed up for a little while. I was in Afghan during the normal ball so my battalion had one on January 25th. Oh well.

Have fun! Get a hair cut ya' bum!
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Old 02-28-2013, 03:02 AM   #35
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Re: Triple Athrodesis for a young athlete

Haha Dave! I feel like a bum! Yeah I'm shocked too. I needed a triple because of how messed up my foot was. And having mild cerebral palsy complicated it too. I never really had much side to side after the accident anyway. As far as how it feels....its weird man. Really weird. I get tingling on the bottom of my heal and the sides of my foot. Its swollen around there. Its fine to stand on but walking feels strange and unstable. I know from past experience that babying it does no gud 4 it but I'm trying to find a balance rt now. I walk fine w some pressure but no pressure hurts. I haven't dared to let go of the crutches yet. Well I have but I'll hold on to somethg else. I'm happy w the way its positioned though because 4 the first time in almost 3 yes I'm not walking or standing on the outside part of my foot. Haircut one week from 2day
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Triple Arthrodesis Achilles lengthening and tendon transfer 1/11/13.

External fixator and achilles lengthening around 12/14/10.

 
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Old 02-28-2013, 03:34 PM   #36
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Re: Triple Athrodesis for a young athlete

Dave, you are technically 2 weeks behind New, so his posts should give you some hope!! But I know how guys are, so dont start competing when you are not ready. Hope the separation orders come out however you want them to.
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Old 02-28-2013, 04:57 PM   #37
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Re: Triple Athrodesis for a young athlete

Haha never thought of competition w Dave. Could be fun! I got 2 walking on one crutch only up and down the drive way and the pain wasn't to bad once I told myself there was no pain. I sat down then and tried it again later and it was a no go. I'm in a lot of pain w swelling now. I sure hope it gets better!
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External fixator and achilles lengthening around 12/14/10.

 
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Old 02-28-2013, 09:21 PM   #38
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Wow! I'm at the six week point and probably four more until my doc let's me walk. Mine was a revision for my broken subtalar arthrodesis. Got a new cast today to wear for two more weeks. He made this one different and gave me some motion inside it by putting it on a tad looser. I'm in no pain for the most part. Occasionally it gets achy. He did a little test on it today that before surgery was painful and it didn't Hurt at all. You have a brave doc Trip.

Sounds like you two are both doing well! Take it easy!
~Kimberly
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Achilles Tendon Lengthening
January 2013
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Talonavicular Fusion Hardware Removal

December 2013
Screw Removal

 
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Old 03-01-2013, 09:36 AM   #39
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Re: Triple Athrodesis for a young athlete

thanks! yeah getting there! went to the gym today and did the exercise bike. after it loosening up, i was able to walk without my crutches! first 10 steps, then 26. im calling it a day on that. i know generally ur supposed to wait longer to weight bare, but he was happy with the way it was fusing, so told me to start crutch walking, by next month, wants to see me walking without them. im not sure how all this will end up turning out, if im doing too much too, but it didnt feel that bad. i went from one crutch, then just went for it. let me tell u-DON'T BABY IT! i was doing that w my last surgery, and remembered that with this one. babying it for me hurts worse. just stand up straight, have confidence that it will work, and next thing u know, ull be walking. im gonna go put it up and take some pain pills now, but it felt great to be able to do this.
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External fixator and achilles lengthening around 12/14/10.

 
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Old 03-01-2013, 09:48 AM   #40
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Re: Triple Athrodesis for a young athlete

[QUOTE=newtotriparthro;5140240]thanks! yeah getting there! went to the gym today and did the exercise bike. after it loosening up, i was able to walk without my crutches! first 10 steps, then 26. im calling it a day on that. i know generally ur supposed to wait longer to weight bare, but he was happy with the way it was fusing, so told me to start crutch walking, by next month, wants to see me walking without them. im not sure how all this will end up turning out, if im doing too much too, but it didnt feel that bad. i went from one crutch, then just went for it. let me tell u-DON'T BABY IT! i was doing that w my last surgery, and remembered that with this one. babying it for me hurts worse. just stand up straight, have confidence that it will work, and next thing u know, ull be walking. im gonna go put it up and take some pain pills now, but it felt great to be able to do this.[/QUOTE]

Every doctor is different and some like mine are more conservative. I asked him why 10 weeks before weight bearing and he said " I tend to go more conservative" and he was right as far as I am concerned. What will happen is that you won't be in the walking boot for long so perhaps some doctors let you go into the walking boot earlier and then make you stay in it longer. I am now 22 weeks as of today and have been walking just fine in sneakers and shoes for 9 weeks. Still have a slight limp which is coming from a little soreness at the part where the foot and ankle bone meet ( I guess the instep) and still have some numbness on side of foot. Overall, I am pleased and much better off than before surgery. From what I have read it takes almost a year for full recovery.
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Old 03-01-2013, 09:53 AM   #41
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Re: Triple Athrodesis for a young athlete

yeah there does seem to be some differences in doctors. im not going to overdo it, but it was nice to be able to push past the pain. he has me doing the exercise bike, and that helped a lot. i wasnt in as much pain afterwards, so that gave me the confidence to go for it. he was happy with the way ive been fusing, which is why he gave me the go ahead. the last thing i want to do is overdo it and have to go through all this again. it feels really weird when u first start to walk. ive had pins and needles along with the pain of when i push and walk. standing on it is no problem.
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External fixator and achilles lengthening around 12/14/10.

 
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Old 03-01-2013, 12:28 PM   #42
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Re: Triple Athrodesis for a young athlete

Dave -
If they decide to separate vs limdu - before you accept anything, check how it will affect your doctor & PT. You may have to continue with VA vice the naval hospital & there may be a gap.

I know what's its like to just be done with it, but VA can be a bigger pain to deal with than the Navy docs. Long time ago they threw me out with my c-spine screwed up. I was pretty much SOL for a while with no doc, no insurance & no job. Eventually it all worked out, but just something else to think about.

 
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Old 04-07-2013, 04:42 PM   #43
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Re: Triple Athrodesis for a young athlete

Hello everyone,

Sorry it has been a while! Being back at work has cut down a bit on my free time. I had a friend driving me into work for a couple of weeks while waiting to get my hard cast off.

I had an appointment on March 20th (about two months post op) my doctor had me start weight bearing at 75% with two crutches on the way out. Thank God! I was more than ready. The main benefit was getting in the shower. That first shower all the dried blood came off and the soft skin all started coming off. It was a bit gross. She told me to increase my weight bearing by 25% a week. The first week was a bit painful at time and the swelling was terrible! It was a bit shocking taking my foot out of the boot and seeing it so swollen.

I increased to 50% the next week and with more regular use the swelling has not been as bad.

This week I am at 75% and am supposed to be using one crutch at all times. I rarely use a crutch at home and have been progressively started walking a little outside of my boot just out of impatience. Walking barefoot on hard surface is definitely painful, so I suggest getting some slippers or something. I am supposed to start weight bearing at 100% with the boot (cam walker) on Wednesday.

Quite honestly it is very achy. I would not say it is painful at all times. But it is so sore it is ridiculous at times. I want to start working out like YOU NEW!!! But my doctor won't let me bike, or swim, or anything else for that matter and I am feeling like a chunky monkey every time I get to the top of the stairs out of breath! My fusion is a bit crooked and I feel like I am walking on the outside of my foot, which bums me out. She mentioned doing another surgery to fuse down my first metatarsal so I can walk on my whole foot or she is going to brace it so that I am less affected. I can't imagine getting another surgery right now.

Under my big toe and my heel are still swollen and I am beginning to wonder if they will go down by themselves or if it needs to get drained.

I went into this determined to be able to run afterwards and this week with all the pain, and with my foot being so weird I am feeling a tad discouraged. I will figure it out. My wife, who has never been a runner, is starting to run to encourage me. She says that we can run together as I get better. It's nice to have that kind of support.

Wilk,

I really appreciate the advice. My doctor actually waited till after my surgery to even put me on limdu so I would have the time to recoup before getting out. They approved my limdu (which I was hoping they would not honestly) I want to get out now. I am a machine gunner and have already been to Afghanistan and did the whole deal. My battalion is not deploying again for another two years so there's no reason to be here. My company first sergeant and CO have been really cool with me and are letting me just check in for half days when there isn't anything going on. Oh, Wilk, did you have a case manager? Do you suggest one?

I have another appointment in a week and a half. I will keep you guys updated.

How's yours going NEW?
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Old 04-07-2013, 06:43 PM   #44
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Re: Triple Athrodesis for a young athlete

Dave! Great to hear from you! I haven't been on here much lately, and as of 4/11/13, will be my 3 month post op. Glad to hear you are walking, albeit painfully. That sucks that you are walking on the outside of your foot. I've heard about that happening to others. About my update-

Been walking for probably a month now, and had been going without crutches for about a few weeks now. When I started, my foot also was really swollen under the big toe and heel. I pushed myself and within two days of being given the ok to do weight-bearing with crutches, I tried walking without them for a few steps, and it was ok. I was also given the ok to start exercise biking. I had to do it bare footed, as I had no shoe I could fit in, so I was at the gym taking off the air cast and biking with one sock. It felt weird, but great to bike.

One day went to an outlet mall and I one crutched the whole time, which was very painful. My heal was killing me. I went to the doctor that week, and he told me to get a gel insert, which only helped a little. I went back the next week and said it wasn't working, so they gave me the go ahead to start wearing shoes with a fiberglass brace. I took my Dr. Scholls that I wore before the surgery (new ones) and got it fitted. It was really tight in there. When I wore the brace, it dug into my foot on the outside. The doctor's office said to get custom shoes. I went to the brace guy, and he said to try New Balance, which are wide at the front (someone else on here said that too). I got skate shoes, but was told I need a heal, so got the New Balance (great and comfy), but with the brace, still hurt. So, this week, I go back to the brace guy to try and adjust it. It may not work. I've been walking without it, and walking has actually reduced swelling on some areas, but also increased it in others.

I can get into my crocs now (the first ones I was able to get into), and wear them sometimes and my sneakers others. I get a lot swelling in the front of my foot, on the inside and outside where the foot bends. Pain is mostly in the back near the achillese and subtalor joint. I can walk barefooted, and have just a slight pull toward the outside, whereas before it was completely to the outside. Barefooted is sometimes the most comfortable. The most my foot does is wobble back and forth slightly side to side when I walk. I was told at the doctor's office that everything looked great before. It wobbles to the side, but then ends up in the front, right after the other. Icing helps. My metatarsals got moved, so I hear a lot of popping sounds as they seem to shift a little. If I walk too much, I get pain on either side of my foot where it bends. I think thats just from not walking right for a few years, and now walking a lot better. For the first time in my life, my foot doesnt pull to the inside. I seem to have holes or gaps on either side of my foot where it bends, so not sure what that means. I can go up and down the stairs one after the other, though I still have a tendency to hobble.

I'm a long ways from healed, but better than I was 3 months ago. I have questions still, but I hope things are ok. The heal still hurts when I walk, but the foot in general just gets sore if I'm on it for too long.
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External fixator and achilles lengthening around 12/14/10.

 
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Old 04-08-2013, 01:11 PM   #45
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Re: Triple Athrodesis for a young athlete

New,

Good to hear from you buddy! Glad to hear that for the most part the healing is going well. I've actually has a VERY similar experience with my heel. My heel bothers me more and is swollen more than any other part of my foot. Barefoot walking feels terrible on anything other than carpet. But I can walk in the boot for a good part of the day (and a crutch) with little swelling and pain at all. If, however, I overdo it it feels very stiff and painful and there is a thin line between fine and overdoing it.

How do the crocs feel? I've been thinking about getting some for around the house.
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