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    Old 08-19-2015, 10:56 AM   #1
    willoween
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    Peroneal Tendon Repair and Recovery Support

    I had surgery to repair torn peroneal tendons and torn ligaments. Also had the groove in the bone deepened.

    I spent the first two weeks in a splint. Once the stitches were out, I went into a cast for the next 4 weeks. I am 9 days away from going back to get the cast off.

    At the start of this process, my doctor said I would be 6 weeks NWB and then 4 weeks in a boot. I am so concerned about what will happen next Friday when I get the cast off. Will I be able to start walking as tolerated? What can I expect?

    This is my right foot and I really would like to get back to driving as soon as possible. I have really lost my freedom and want it back.

    So over the whole NWB thing.

     
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    Old 08-20-2015, 12:33 AM   #2
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    Re: Peroneal Tendon Repair and Recovery Support

    i had a jones fracture, brostrum and peroneal and its cover repair. i did not have groove deepening though and not sure why? i had all my damage from on accident.

    i never got casted after the splint. i went into a boot type of thing and took it off to clean things up and let it breathe.

    i was actually on my feet around the house in under a month post op and this absolutely freaked me out to think about because of the pain with my foot down, etc. but i went from using crutches to the boot with all my weight! the boot with air bladders felt like a safehouse for my foot to stop swelling and i was very surprised that i could walk around without pain. i guess the doc knew best

    i was told 6 weeks for the foot to be in neutral position to basically let things heal.

    rehab started for me early with massage and very simple things. i couldn't do the side to side stuff and they had me doing other things to keep whole body strong, etc.

    i was back into my shoe with a brace at just under 2 months post op. felt funny for a week but i managed. this didn't hurt! i was hobbling around though and didn't have the range of motion, etc. therapy shifted gears and i went from 5 minute walks that wore me out, to a month later doing over an hour each day plus my other exercises.

    they worked in stairs and advanced stuff as time went on, i went to a few months of therapy and was still progressing with lots of aches and pains and breaks along the way.



    so long story short you need to make sure you follow your doctors advice and therapy in stages, don't do risky things.

    one of the scariest things for me was to put trust in my team during my injury. one of the eeriest things was having my peroneal pop out and send shockwaves up my leg. i thought i would never walk again. thank goodness i had surgery april 2014 and have never had it pop out since and i exercise a ton. still not 100% but am doing lots of old activities in different ways. i get aches and pains all the time and can't do extreme activities but its hard to complain considering i couldn't function or work without the surgery.

     
    Old 08-20-2015, 04:58 AM   #3
    willoween
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    Re: Peroneal Tendon Repair and Recovery Support

    Thanks for your reply Damac2004. I think my issues have been coming on over years. I have always had weak ankles. Add in that I ride horses and coming off numerous times over the years. I think in April when I rolled my ankle jumping my horse was the start of the end. My doctor originally thought it was just a bad sprain. After a month, I was walking just fine. But when I tried to ride, I couldn't stand to have my foot in the stirrup (lots of pain). I started PT at that point. After about 2.5 weeks, I was starting to sit the trot with my foot in the stirrup and something popped. Well, that was the end. Two weeks later I was in to see the Ortho and he said if I wanted to get back to my active life style, I needed surgery.

    I read alot of blogs and was scared. They all reported having alot of pain after surgery. I had no real pain. Just an ache, which I'm wondering if that was were he deepened the groove. The doctor said 6 weeks non-weight bearing and then 4 weeks in a boot. I'm just scared that he will say I have to be no weight for a longer period. I am totally depressed and frustrated now with the non weight bearing.

    I plan on doing whatever the doctor says, just looking for some support and experiences.

     
    Old 08-20-2015, 09:04 AM   #4
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    Re: Peroneal Tendon Repair and Recovery Support

    good luck, based on everything i went through i would think you will enter the next phase.

    i also went nuts rather quickly. i didn't set myself up with projects or a support system and quickly started going insane bouncing between computer and watching tv. i felt sickly rather quickly after surgery and wanted to go do things. i felt fatigued for months and had to force myself to do all my exercises, etc.

    i have read and talked to my own docs that do not like the idea of locking a foot down without movement for long periods of time. i was suprised i could put weight on mine so soon and started physical therapy. i was so scared for them to touch my foot but luckily they were gentle and things went ok.

    i was surprised at how quickly i became week and how it took me months for all the other parts of my foot and ankle to catch up. i was lightly jogging at around 4 months i think and a few months after that i was hardcore hiking for months in a row and lost 40+ lbs that i gained before surgery.

    its a long road for sure, for me it may have been more stressfull because i used to do tons of activities and have a physical job i couldn't do. had it been all my time for example i could have went back to an office job by the first month post op.

    when i got into my shoe with a brace i just took my time and could have got around without crutches, etc. no problem and walk around. the first couple weeks i went from lasting 5 minutes to being able to go allot further and just take breaks.

    i just did what docs told me and took it day by day although for months i did fear being able to be active like before ever again. it was hard for me to constantly compare my limitations to my past life.

    even now i get around very well but i have wierd limitations that i kind of naturally get around now. just wierd angles and the pressure it puts on certain areas i like to avoid.

    i progressed each week, it was 2 steps forward 1 step back on a pain level for me for months.

     
    Old 08-20-2015, 09:32 PM   #5
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    Re: Peroneal Tendon Repair and Recovery Support

    My recovery was from the opposite extreme. My dr was very conservative. I was in a hard cast on day 5 and NWBing and on bedrest/elevation at all times for 6 weeks. I got a walking cast then until 10 weeks when I got a boot for 6 weeks then a brace for 3 months (that stretched to 5 b/c of the bad winter).

    When I started walking in the boot it took a few days to feel stable. At first it felt like something was under my heel. But that got better quickly and I was done with crutches by 2 weeks.

    I did not have much pain. I came home with a nerve block but was done with it on day 3 and was weaning off pain meds by day 5. I was off them long before expected.

    So it really varies but once you are ready to walk it usually goes pretty well.
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    Old 08-25-2015, 12:43 PM   #6
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    Re: Peroneal Tendon Repair and Recovery Support

    I think I have injured the tendon on the inside of my foot. 4 weeks ago, on vacation, out in the water, I fell. I felt a pop in my foot and then a burning in the arch. I could not stand on it or move my big toe for a few days. It seemed to slowly get better though. I just laid around the pool. Now I am back home. Went back to work and things started to hurt worse again. Went to the "doc in the box". He said it might be a stress fracture and gave me boot. That was 2 weeks ago. The boot seems to be making it worse. I have an appt with an ortho tomorrow. Could I have ruptured a tendon? If so, is surgery my best, quickest option? I don't want to spend any more time in this boot. It hurts!

     
    Old 08-25-2015, 03:45 PM   #7
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    Re: Peroneal Tendon Repair and Recovery Support

    just a warning that it is possible for you to be tough enough to hobble around, etc. with a serious injury. it happened to me and i felt no pop, except when my peroneal would jump out of its track and send shockwaves up my foot.

    my deepest aching pain that made me not want to put on a show due to swelling and not walking on it due to pain was my jones fracture.

    i ripped all the stuff up on outside of ankle and would get various burning and tugging sensations with different pain. and of course my function is what was really screwed up.

    i originally got a boot just to protect things and rested with my leg in the air and that would have been the smart bet right away after the injury vs. walking on it and putting all the weight on it. the boot won't magically help if you are injured. the pain probably means its serious or you didn't rest it right away long enough with rice, etc.

    for me i could not function normally. things would pop out, instability, pain, etc. so surgery was a must for me.

    like many on this forum i have found time and time again its better to go to a specialist ortho in the foot field the deals with atheletes, etc. over podiatrists.

    hate to make a blanket statement but i believe orthos work on more stuff and have privelages for surgery and deal with athletes. i have visited podiatrists that had terribly little knowledge and didn't even do anything but office visit types of surgery.

    last podiatrist i went to had tons of great reviews on yelp in the bay area, ca. to my horror i went there because it was local vs. my surgeon to see another opinion and i started to talk about my situation brostrum, etc. and before he looked at my records started stating how he didn't think i could have that work with my incision. yet go online and you can find the surgery info in minutes, something this guy should know! he also didn't do various hands on tests to see if things were stable and suggested i try to keep exercising and standing with my eyes close to balance. i had to cut it short and get out of there refusing to do imagery, it would have been a waste of time and money.

     
    Old 08-25-2015, 04:13 PM   #8
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    Re: Peroneal Tendon Repair and Recovery Support

    Thank you. I have an MRI schedule for the 28th now. I Go back to the ortho on the 4th of September for the results. I just want to know what it is I am dealing with. The worst pain is first thing in the morning, or really anytime I have been off of it for a while. Those first few steps, with searing pain and the sharp popping feelings are aweful. Oddly enough, walking barefoot is probably the least painful.

     
    Old 09-01-2015, 09:21 AM   #9
    willoween
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    Re: Peroneal Tendon Repair and Recovery Support

    Wanted to post an update. I got the cast removed last Friday (4 days ago) and was put into a boot and given the ok to weight bear as tolerated. I have been pleasantly surprised at how well I have been doing. Everyday, I am a little more comfortable walking in the boot and get a little more stamina. The doctor said I could drive (it is my right foot) once I am walking normal in the boot. Not sure exactly what he meant by this. Because, as far as I'm concerned, I'm walking normal now. But, I start PT this Thursday, so am going to wait and see what happens then and I also don't feel like I have enough strength and stamina yet. Hopefully will try a short trip this weekend and see how it goes.

    I am currently struggling with swelling on both sides of the ankle. This is the way it was when it came out of the cast and the doctor didn't seem to be concerned, but I am icing throughout the day. The tendons and up my leg are starting to get less and less tender to the touch.

    I must say, up to this point, this experience has not been as bad as I had anticipated after reading others experiences. Maybe it is because of what I had done (just repair for peroneal tendons, ligaments and deepen the groove they sit in). I'm hoping that I don't have any setbacks along this next phase.

     
    Old 09-01-2015, 09:45 AM   #10
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    Re: Peroneal Tendon Repair and Recovery Support

    it hasn't been that bad for me either looking back. aches and pains for life is no fun and my foot is different but i guess thats what happens when you get hurt and have surgery.

    i was a very active person with my job as well so i was stressing out at every step of the way fearing i would never walk again, etc. so the structure and pt was great in that i just did what i was told.

    whats interesting to me is i find that using my foot and ankle allot is when i feel best, when its warmed up. i was able to handle pt well. i think a couple visits i went backwards and backed off but otherwise it was always progress and mostly just stamina as my limitation at working hard and progressing.

    if i had a life and a desk job it would have taken my mind of so many things. just living life and being active and doing what i could vs. obsessing over the bad in my cave

    i started to go shopping on short trips a week after i got into the boot. be carefull in that if you do too much and it loosens up you might tweak your foot and i payed the price later with swelling and my incision started to ooze a month+ into it. too strong for my own good i guess

    once i was able to take a step like you a weight was lifted, but it took me a few months of pt before i started to think i had a shot at ever being me again.


    the peroneal specifically is what worried me most because of the burning shooting pains and popping out of its track. what an eery feeling that would send me falling down with no notice. i was so useless before surgery and that is what scared me most.

    i remember being scared of the boot and feeling that again. i remember going to pt and being scared of them touching me but they were gentle and it was ok.

    i remember some range of motion exercises and it all freaked me out but i attacked it!

    then going into my shoe was a big one, then within weeks starting stairs, etc. i couldn't believe it wasn't popping out anymore and thank goodness it hasn't happen since!

     
    Old 11-05-2015, 08:23 AM   #11
    willoween
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    Re: Peroneal Tendon Repair and Recovery Support

    Wanted to post an update for anyone else going through this process.

    Went back to the OS yesterday. This is week 16 from surgery. I have been doing physical therapy for 10 weeks and feel that everything is getting stronger and feeling great. Doctor agreed. I am released to go back to all normal activities slowly and as tolerated. This is great news for me. When I started this journey in late July, I was being hopeful that I would be able to get back on my horse and walk by Christmas. To think that it is the first week of November and I am able to get back on is thrilling for me. I plan to take it slow and gradually build back up to riding (hunter/jumper) and have no time table to get back to where I was. Just going to enjoy being able to go back to normal activities. Already have planned therapy for at home so that I can continue to strengthen and keep strong everything in the ankle/foot. Do not want to go through this process again.

     
    Old 11-05-2015, 08:34 AM   #12
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    Re: Peroneal Tendon Repair and Recovery Support

    Congratulations and thank you for the update! Enjoy your freedom.
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