Injury
Tendon On His Own Two Feet
Musings & Cruft - Injury
Wednesday, 11 November 2009 06:48

I suppose the fact that it's been six or seven weeks since my last update is proof that the ankle is on the mend. That doesn't mean things are perfect.

Nine months on from the injury, I'm still a way from full fitness. Why? Calf strength. It's very evident my right calf is still bigger and stronger ... an inch diameter bigger in fact, but the progress is being made and walking around Japan for a couple of weeks felt good. I've noticed there's a greater frequency in tweaking the calf muscle on the good leg, which indicates I'm still favouring it over the left leg, so that needs working on too.The current test is to stand on a stair with my heels just off the step and raise myself up on tiptoes while trying to put more of my weight over the left leg, and my word it's trickier than it sounds.

Regular running sessions at the gym haven't given me any major discomfort and it's now possible to lightly jog either a kilometre or for ten minutes straight without pain or twinges. The physiotherapist has given me an almost clean bill of health, and with one more review booked in for early January to check progress is still on course, but that's very likely to be my last session with him.

Overall I'm happy with my progress and looking forward to posting less updates :)

 
Spencer Davis Group
Musings & Cruft - Injury
Monday, 21 September 2009 00:00
I jogged for two minutes. It's not going to win any awards or accolades in a hurry, but that is officially 60 seconds more than my previous best this year and the best part is that there was no pain, discomfort or reactionary swelling. My technique sucks, out of breath after 75 seconds and look like a wounded duck with the shits but it felt pretty good. Life is all about the little victories it grants you.
 
Tendon Goes Running
Musings & Cruft - Injury
Monday, 10 August 2009 00:00
Well perhaps running may be stretching the point, but I have now officially performed a jog for the first time since the tendon snap! It was a mere sixty seconds of my time, but really felt like a lifetime. It was only when my physio said "how do you feel about trying a very, very light jog" and my immediate reply of "sure, no problem" that I realised actually ... I was lying.

It was a light jog that ruptured the tendon in the first place and when approaching the treadmill, my trepidation grew by the footstep. Starting off with a slow walk was okay, no pain, ankle in good condition and feeling reasonably relaxed ... moving up to the lightest of jogs at a mere 5km/h ... but it felt good. Breaking through that mental barrier was more of a relief than I realised, so that's another item chalked off the list of things I need to do.
 
Oddity
Musings & Cruft - Injury
Tuesday, 28 July 2009 00:00
I haven't had to cut the toenails on my left foot since going in for my tendon surgery at the end of February. Curious.
 
New Chauffeur For Tendon
Musings & Cruft - Injury
Wednesday, 15 July 2009 00:00

Whoops. I might have accidentally-on-purpose bought a new car. After the strain, discomfort and pain of clutch hopping on a manual I've taken the leap into the world of driving automatics. Everyone knows considerably more than myself in regard to the mechanics of such automobiles and their various benefits, but the one thing I can now certain with absolute certainty one week after buying it ... my leg feels wonderful. No ache, no pain, my exercise and stretches regime don't result in a swollen ankle or dull throbbing. This was something of a luxury purchase but but totally worthwhile!

With my new gym regime we took a number of physical measures to use as the basis for improvement (more on that in another post), but the one of interest was that my left calf is still an inch thinner than it's right legged counterpart. An inch! While it doesn't sound like a lot it feels significant and of course that doesn't take into account the simple loss of mass on the length of the calf. Jokes regarding the extra inch making all the difference may be performed to the delightful strains of keyboard cat playing you off.

 

This may be my first topical meme reference on the site.

 
Tendon Gets Bitey
Musings & Cruft - Injury
Saturday, 27 June 2009 00:00

Pain for the next four days. While the physio itself wasn't a problem, it appears that coupled with driving a manual gearbox (and the car around it, obviously) that's caused me issues with possibly overstretching the recommended mark at this point in the rehabilitation. The twinges are gone by the next morning but it's a worrying sign. I'm now giving serious thought to changing cars and picking up an automatic as this really can't continue for the year of recovery ahead.

I was reliably informed by my physio that this was definitely a Bad Thing (tm) and at this point in the cycle of the injury I'm at the highest risk of re-ruptuirng. If you read around the subject of a re-rupture while scar tissue is still present in quantity and blood flow isn't back again, it doesn't make for bedtime reading and scares the hell out of me. Consider the patience and effort put in since Feburary to get this far I'd be sad to see that lost, so currently taking the utmost care in all activities

 
Uphill Progress
Musings & Cruft - Injury
Tuesday, 23 June 2009 00:00
Physio again and we've graduated from simply checking my progress to gym work. Table test yielded a large improvement in forward motion and up to nearly 8cm which is good going and I felt chuffed with that. With that progress shown, cue sessions on an exercise bike, treadmill with incline and the fearsome wobble board for some forty minutes. It appears my sense of balance is better than suspected, but my level of fitness has deteriorated to the point where a brisk ten minute walk uphill leaves me short of breath and feels like I've started smoking again. Deary me.
 
At Straws
Musings & Cruft - Injury
Friday, 19 June 2009 00:00

I've been remiss in my updates due to real life and work, so have finally caught up.

After a couple of weeks back in the proverbial saddle I've experienced some swelling and discomfort encountered during driving. A 15 mile drive in heavy traffic involving considerably time spent sitting on the clutch was a distressing experience and by the end of it, I really felt like the ankle was ready to pop again! Sharp stabbing pains are no friend of recovery and won't be doing that again, certainly not in the next few months.

 
Tendon Goes Driving
Musings & Cruft - Injury
Wednesday, 27 May 2009 00:00

Three week review with the physiotherapist to see how the foot has been doing with the blessing of movement. All told it was the most positive session I've had with any specialist since the injury, as the range of movement is almost back to normal. The "table test" was fun, requiring you to stand firstly with your good leg against the leg of a small table on a tiled floor and bend both legs at the knee to push the table back with the good leg. Seems easy enough, and managed 12cm before discomfort in the back of the ankle. Same test again but this time with the bad leg doing the pushing ... 4cm. That's a humbling experience after feeling you've made (pun intended) massive strides.

With that said, the movement is good enough that he gave me the go ahead to resume driving, albeit short distances. So for the first time since February I successfully drove myself to work, and darned good it felt too. It is strange that such a mundane activity can generate so much enjoyment, but you take the little victories whenever they come.

 
Small Step For Mankind, One Giant Step For Tendon
Musings & Cruft - Injury
Thursday, 07 May 2009 00:00
Four days after the Space Boot came off and I was discharged into the care of the physio team, we had the first review session and it was a mixture of both good and bad. The good news being that the foot appears to be healing as expected, and with no sign of pain or tenderness first thing in the morning it's time to get some simple movement back into the leg.

Many people aren't aware that the word physiotherapy is actually Latin for "hurts like hell". The bad news being that this seemingly simple process hurts. In essence the trick to rehabilitation is getting it back into everyday usage but gently to ensure nothing falls off or has the temerity to snap again. This is overextending on the dorsiflexion ... or "walking" as the cool kids refer to it and seems to be a lot tricker than my previously bendy self remembers it.

Every night is met with a reasonable degree of swelling around the ankle and base of the tendon repair, but thankfully each morning it's done down again and ready to repeat the process. In the event it does stiffen, a dose of very warm/hot (but not boiling) water is placed on a flannel and then I just wrap it around the ankle until it relaxes a little. My natural instinct with swelling is to put cold on it, but it's caused by the blood flow thickening and the heat is designed to keep it moving as expected.

Disappoingly, they've said as a rule of thumb that it'll be nine to twelve months before I can play squash again, six months before I'm allowed back onto a cross-trainer machine, at least two months before swimming can commence, and a month before they'll even consider the potential for me to start driving my manual car again. Gutted.

I was given one simple exercise to repeat daily, which is this; sit flat on the floor with the legs stretched out, use a towel to bend my foot toward me (think a 45 degree angle) then use my muscle strength to try and push it back to the default 90 degree position and hold that stretch for 20 seconds. Repeat this for about ten minutes, then do it again but with the knee bent. This execercises all the muscles in the leg that will have suffered the most during two months of incarceration. More painful than it sounds.
 
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