Here I am at 4 months post surgery. I saw the doctor last week who assured me that my toe is moving fine for this stage and that what I'm experiencing is normal. He said I was at 50 degrees of movement which is what you need for running. Probably not enough for downward dog in yoga although he said it was fine to try.
So my last three yoga sessions I've been doing plank and flowing into downward dog. I can do it although not so flowing and gracefully. The discomfort I was experiencing two weeks ago seems to be resolving. I'm back to having moments of not noticing my foot for a while. Or maybe I'm just getting more acclimated to the discomfort. At any rate, yes, I still notice my foot although it isn't limiting me right now.
I'm still glad I had the surgery. I think my foot is in better position (I'm not rolling outward) while I'm walking and that burning sensation that I used to get is gone. The discomfort that I feel now is much easier to deal with.
Holding onto the back of a chair I can get up on my toes which I couldn't do before although my left foot isn't quite so steady. I can get my foot into a shoe with a 2" heel but haven't tried walking in them or wearing for any length of time.
The incision is fully healed. A faint scar with a little redness around it at times but not tender at all. I can push hard on the top of my toe joint with no pain. In fact the only discomfort I feel is on the bottom of my foot, not on the top.
So all and all, I'm happy with where I'm at. Looking forward to going for days or even weeks without noticing my toe at all.
Thursday, December 10, 2015
Monday, November 30, 2015
Weeks 10-14 post surgery-more ups and downs
It's been a while since I've written. It's been a month of ups and downs. Perhaps more downs than I was expecting at this point. My foot felt pretty good on vacation, weeks 10 and 11. I did a couple hours of hiking per day during one of those weeks. Had my lightweight hiking boots on and did pretty good. As usual, my toe seemed to loosen up after about 20 minutes of hiking. My toe would stiffen up while riding in the car for a few hours but seemed to easily get back to normal once I started walking.
Once we got home, the weather turned cold and wet and things seemed to south. In spite of continuing my twice a day toe exercises, things seemed to have moved backward. My toe has ached bad enough at night to wake me up, has started hurting out of the blue while just sitting in the car. Walking is uncomfortable most of the time. Is this the weather? The fact that I'm not walking as much as before? Not sure why the progress seems to have slipped backward. I do seem to have a bit more movement in my toe but the discomfort has gotten worse, not better. Most of the pain occurs on the bottom of my foot either between my big toe and the next toe or in the ball of my foot just below the big toe. Much of the pain has an electrical jolt feeling.
I'm pretty much able to do anything and wear most of my shoes; still not able to do downward dog although I did get up in plank position in yoga today. So I have more function--it's just the discomfort that is bothering me.
My three month follow up with the doc is Wednesday so will be interested in hearing what he has to say.
Once we got home, the weather turned cold and wet and things seemed to south. In spite of continuing my twice a day toe exercises, things seemed to have moved backward. My toe has ached bad enough at night to wake me up, has started hurting out of the blue while just sitting in the car. Walking is uncomfortable most of the time. Is this the weather? The fact that I'm not walking as much as before? Not sure why the progress seems to have slipped backward. I do seem to have a bit more movement in my toe but the discomfort has gotten worse, not better. Most of the pain occurs on the bottom of my foot either between my big toe and the next toe or in the ball of my foot just below the big toe. Much of the pain has an electrical jolt feeling.
I'm pretty much able to do anything and wear most of my shoes; still not able to do downward dog although I did get up in plank position in yoga today. So I have more function--it's just the discomfort that is bothering me.
My three month follow up with the doc is Wednesday so will be interested in hearing what he has to say.
Sunday, October 25, 2015
Weeks 8 and 9 post surgery--ups and downs
It's been a couple of weeks since I've posted. No really big news to report. My toes are definitely bending down much better and without pain but moving them up (the direction that was originally the issue) continues to be an up and down process. I really haven't seen much change in that this last two weeks. Have been walking 3 miles almost every day. I can walk fine and my pace is almost back to where it was before but it's consistently uncomfortable. Sometimes it just feels stiff, other times achy, other times like I have a 220 volt line attached to the bottom of my foot. And yes, there are times where I barely notice it. This really is the tough part because I'm not really noticing progress like I did the first 6 weeks after surgery. I continue to religiously do two rounds of my toe exercises every day. Sometimes both rounds are in the evening only a few hours apart but I do get them in. I've been trying to push myself through the discomfort when I walk.
I've been trying to get up on my toes with the full weight of my body at least 5 times a day. Sometime more luck with that than others. Trying to hold that for 10 seconds is tough. So I'm still a ways off from downward dog in yoga.
Off on vacation tomorrow. Will be doing some hiking. First test of my toes on hillier territory.
I've been trying to get up on my toes with the full weight of my body at least 5 times a day. Sometime more luck with that than others. Trying to hold that for 10 seconds is tough. So I'm still a ways off from downward dog in yoga.
Off on vacation tomorrow. Will be doing some hiking. First test of my toes on hillier territory.
Wednesday, October 14, 2015
End of week 7 post surgery
First plane trip post surgery. No big issues. A little stiff after the 4 hour flight but walking slowly and deliberately rolling my foot to bend my toes loosened it up fairly quickly.
The other piece of progress is that the top of my foot no longer hurts or pulls when I push my toe down. It still feels a little stiff when I try to curl my toes but I can do so without using my hands. The incision is also noticeably less tender.
Was still getting sporadic pulling and the electrical charge sensation on the bottom of the joint both while walking and pushing toe upward. Sometimes it just comes out of nowhere.
Can get in most shoes at this point.
Although was diligent about the toe exercises, I didn't get nearly as much walking in as when I'm at home.
So all in all, it's coming along. I feel I can easily handle the hiking that will be coming up on the trip in two weeks.
If there is a disappointment it's that my toe isn't bending much more than it did right after surgery no matter how hard I push on it. But the doctor did say full return of motion could take a year. It just seems like I should be seeing more change.
.
The other piece of progress is that the top of my foot no longer hurts or pulls when I push my toe down. It still feels a little stiff when I try to curl my toes but I can do so without using my hands. The incision is also noticeably less tender.
Was still getting sporadic pulling and the electrical charge sensation on the bottom of the joint both while walking and pushing toe upward. Sometimes it just comes out of nowhere.
Can get in most shoes at this point.
Although was diligent about the toe exercises, I didn't get nearly as much walking in as when I'm at home.
So all in all, it's coming along. I feel I can easily handle the hiking that will be coming up on the trip in two weeks.
If there is a disappointment it's that my toe isn't bending much more than it did right after surgery no matter how hard I push on it. But the doctor did say full return of motion could take a year. It just seems like I should be seeing more change.
.
Friday, October 2, 2015
End of week 6 post surgery
More progress this week. I'm pretty much now able to wear all the shoes I was wearing pre-surgery. Can't say I could walk distances in all of them but they do comfortably go on my feet which is an improvement from last week.
Continuing with my 3 mile daily walks. I'm usually a little stiff when I start and sometimes get the little "electrical jolt jab" on the bottom of the joint but both generally go away after about 20 minutes of mindful walking making sure I roll my foot straight through the step.
I've also had hours where I've been moving around or walking where I don't even think about my foot. So that makes me optimistic.
Have been religiously doing the toe exercises twice a day (sometimes only a few hours apart in the evening but I'm determined to get both sets in.) Have been using a first aide cream with comfrey in it as well as a comfrey oil that my yoga teacher mixed up and who everyone in class raves about. She says comfrey promotes healing. I figure it can't hurt.
The scar occasionally looks a little puffy and red. Not sure what that's all about. It doesn't really present a problem but just looks more visible at times.
Have not yet tried downward dog in yoga although have been doing some things that require getting up on my toes a bit. Have been practicing getting up on my toes while holding on to a chair. When I feel I can do that without noticeable pain, will try downward dog again. (I probably could do it, just a little scared to try.)
At 6 weeks out, I'd say I'm back to 97% function with a little discomfort. I definitely have more toe movement and haven't noticed the burning sensation I used to get when I'd walk. My toe doesn't bend 90 degrees but it's pretty close to my right toe which I've never had a problem with. Very satisfied with how things are progressing.
Continuing with my 3 mile daily walks. I'm usually a little stiff when I start and sometimes get the little "electrical jolt jab" on the bottom of the joint but both generally go away after about 20 minutes of mindful walking making sure I roll my foot straight through the step.
I've also had hours where I've been moving around or walking where I don't even think about my foot. So that makes me optimistic.
Have been religiously doing the toe exercises twice a day (sometimes only a few hours apart in the evening but I'm determined to get both sets in.) Have been using a first aide cream with comfrey in it as well as a comfrey oil that my yoga teacher mixed up and who everyone in class raves about. She says comfrey promotes healing. I figure it can't hurt.
The scar occasionally looks a little puffy and red. Not sure what that's all about. It doesn't really present a problem but just looks more visible at times.
Have not yet tried downward dog in yoga although have been doing some things that require getting up on my toes a bit. Have been practicing getting up on my toes while holding on to a chair. When I feel I can do that without noticeable pain, will try downward dog again. (I probably could do it, just a little scared to try.)
At 6 weeks out, I'd say I'm back to 97% function with a little discomfort. I definitely have more toe movement and haven't noticed the burning sensation I used to get when I'd walk. My toe doesn't bend 90 degrees but it's pretty close to my right toe which I've never had a problem with. Very satisfied with how things are progressing.
Thursday, September 24, 2015
End of week 5 post surgery
The first four weeks after surgery went so well that this week kind of surprised me. The beginning of the week my foot was hurting the worst it had since the stitches came out. Had trouble getting into the shoes that were not a problem last week. The incision looked red and puffy and more noticeable. Hmm. What was up with that? The colder weather perhaps?
But then the last two days of the week my foot felt much better. I discovered that my hiking shoes are pretty cushy and yet have a fairly flexible sole. The extra bottom padding seemed to really help on my longer walks and enabled me to roll through my step bending and stretching my toe as I walked. My 3 mile walk was much better in these. My gait was fine and was able to get my pace up considerably. Yesterday was even able to do a short sprint.
Have been religious about doing my stretching exercises. Also have been massaging my foot with vitamin E oil. Don't know if it really helps but it sure feels good.
So as of tonight, good progress. But lesson of this week is that this is very much an up and down process.
But then the last two days of the week my foot felt much better. I discovered that my hiking shoes are pretty cushy and yet have a fairly flexible sole. The extra bottom padding seemed to really help on my longer walks and enabled me to roll through my step bending and stretching my toe as I walked. My 3 mile walk was much better in these. My gait was fine and was able to get my pace up considerably. Yesterday was even able to do a short sprint.
Have been religious about doing my stretching exercises. Also have been massaging my foot with vitamin E oil. Don't know if it really helps but it sure feels good.
So as of tonight, good progress. But lesson of this week is that this is very much an up and down process.
Friday, September 18, 2015
Day 27--The pain returns
Maybe it's the colder, wetter weather. Maybe I pushed a little too far on my toes in yoga or while I was out walking. But today was not a great day for my foot recovery. Was stiff and achy almost all day (other than for about an hour after swimming). The affected joint throbbed even sitting down.
But I guess the ups and downs are to be expected.
So a month post surgery, here's what I can sum up:
I'll be writing more the end of next week.
But I guess the ups and downs are to be expected.
So a month post surgery, here's what I can sum up:
- The exercise and movement in general are really important. Even sitting for an hour or two can allow the joint to stiffen up.
- It's important to walk through the stiffness and pain. It definitely gets better after about 20 minutes.
- A pair of soft, flexible shoes that are very easy to slide your foot into will likely be needed in the few weeks following surgery. A month post surgery, I'm still very limited in what shoes I can get on my foot.
- Expect ups and downs. Some days are good and then you seem to take a step backward. But in a day or two, things generally start making progress again.
- At one month I'm getting around pretty well although probably not quite yet to where I was before surgery. I can definitely move my toe more but the discomfort level is still a bit higher most of the time.
I'll be writing more the end of next week.
Wednesday, September 16, 2015
Day 26--3 mile walk
Feeling a little stiffer today than the past couple of days. Did my standard 3 mile walk. Was definitely feeling a pull for the first 20 minutes which made my gait feel a little off. Fine for the rest of the walk although could feel some pull for the last 10 minutes or so. Concentrated hard on keeping my foot straight and just walking into the pull to keep working the tendons out. I know I tend to pick up the pace toward the end so maybe that's what was going on.
Still only in soft tie shoes.
Since progress is pretty incremental at this point, I figure I'll write tomorrow and then move to a weekly update.
Still only in soft tie shoes.
Since progress is pretty incremental at this point, I figure I'll write tomorrow and then move to a weekly update.
Tuesday, September 15, 2015
Day 25--Into another pair of shoes
Incremental progress today. I was a little stiff after the treadmill walk last night but loosened up as the day wore on. Swam for the first time since surgery. The incision is fully healed and barely noticeable although I could definitely feel it the first couple of laps of scissor kicks. But like with walking, as I kept swimming the discomfort went away.
Got into my Superga sneakers tonight. Still can't get into dressier shoes or any non-tie shoes other than my slippers. But at least I have three pairs of enclosed shoes I can wear now that the weather is getting cooler. Am really hoping that I'll be able to wear all my shoes at some point--even the ones that were too uncomfortable over the toe joint prior to surgery.
Got into my Superga sneakers tonight. Still can't get into dressier shoes or any non-tie shoes other than my slippers. But at least I have three pairs of enclosed shoes I can wear now that the weather is getting cooler. Am really hoping that I'll be able to wear all my shoes at some point--even the ones that were too uncomfortable over the toe joint prior to surgery.
Monday, September 14, 2015
Day 24--Back in my walking shoes
Foot a little stiff but this seems typical when I first wake up. Did my exercises right after breakfast and headed out to yoga. Did fine in yoga but found my foot was stiff and sore during errands afterward. Could it be the colder weather? I was in sandals and my foot was cold.
I was able to get into my Mephisto oxfords tonight which have been my favorite walking shoes prior to the surgery. They felt good. Started our walk tonight but got rained out after a mile. Again felt a little stiff and like something was pulling on the bottom of my foot under the toe joint. But by the time we got back to the car, it was definitely feeling better. So when we got home, I got on the treadmill. Did 35 minutes getting up to 3.5 miles/hour for the last 10 minutes. That was definitely pushing it for my toe but it wasn't painful. I've found that I definitely need to push through some discomfort--my foot feels better the longer I walk.
I was able to get into my Mephisto oxfords tonight which have been my favorite walking shoes prior to the surgery. They felt good. Started our walk tonight but got rained out after a mile. Again felt a little stiff and like something was pulling on the bottom of my foot under the toe joint. But by the time we got back to the car, it was definitely feeling better. So when we got home, I got on the treadmill. Did 35 minutes getting up to 3.5 miles/hour for the last 10 minutes. That was definitely pushing it for my toe but it wasn't painful. I've found that I definitely need to push through some discomfort--my foot feels better the longer I walk.
Sunday, September 13, 2015
Day 23--Back to full 3 mile walk!
Foot feeling better this morning. I was able to get my foot into my orthoheel flip flops and they felt fine. A first. Enclosed shoes still problematic.
Did my toe exercises before I headed out today. Was able to walk around our little town's car show this morning without a problem.
The incision looks better than I had expected at this point. The area around the incision is a little red and rough looking but the scar itself is not really visible.
Probably the first day that I went about my day without thinking about my foot. Was able to get into my old ratty slippers to do a little painting in our hallway. After dinner, I was able to get my foot into my regular walking/running shoes. I got out to the car and to the start of our walk but then they will still feeling a little too uncomfortable to walk in. So traded back to the New Balance slide ons which feel pretty good by comparison. But the real news is that I was able to do the whole 3 mile walk that my husband and I had been doing every evening before my surgery. My pace was a little slower than normal but not bad and my gait was about 90% normal. I was so excited. So this week with a little luck should be back to my normal exercise schedule.
Did my toe exercises before I headed out today. Was able to walk around our little town's car show this morning without a problem.
The incision looks better than I had expected at this point. The area around the incision is a little red and rough looking but the scar itself is not really visible.
 |
| Incision 23 days after surgery. The mark across my foot is from the sandals I was walking in this morning. |
Probably the first day that I went about my day without thinking about my foot. Was able to get into my old ratty slippers to do a little painting in our hallway. After dinner, I was able to get my foot into my regular walking/running shoes. I got out to the car and to the start of our walk but then they will still feeling a little too uncomfortable to walk in. So traded back to the New Balance slide ons which feel pretty good by comparison. But the real news is that I was able to do the whole 3 mile walk that my husband and I had been doing every evening before my surgery. My pace was a little slower than normal but not bad and my gait was about 90% normal. I was so excited. So this week with a little luck should be back to my normal exercise schedule.
Day 20--Yoga
Coming up on three weeks since my surgery. I'm moving around fine although still feeling a little limited. Main issues are stiffness in the joint (this usually eases up after some use), high sensitivity to anything pushing on the top of my foot and the ever present frustration of not being able to get into my regular shoes. Luckily, it's been warm here so my two pairs of sandals that I can tolerate are serving me well.
I went to yoga this morning. It's a gentle, hatha yoga class, not a power yoga kind of thing. I was pretty much able to do everything I could do before the surgery. Not willing to try downward dog just yet or anything requiring me to get up on my toes supporting the weight of my body but I wasn't doing that leading up to the surgery either. It helped that I didn't need to wear shoes for this. It felt good to be back into normal activity.
Did get a mile walk in last night. I pretty much have to be able to get into the New Balance shoes for that. I did although the top of my foot was sore throughout the walk. It seems a lot more sensitive since I removed the original steri strips after the stitches came out. I've replaced with new steri strips. Better than without them but still very tender everywhere--not just over the incision.
I went to yoga this morning. It's a gentle, hatha yoga class, not a power yoga kind of thing. I was pretty much able to do everything I could do before the surgery. Not willing to try downward dog just yet or anything requiring me to get up on my toes supporting the weight of my body but I wasn't doing that leading up to the surgery either. It helped that I didn't need to wear shoes for this. It felt good to be back into normal activity.
Did get a mile walk in last night. I pretty much have to be able to get into the New Balance shoes for that. I did although the top of my foot was sore throughout the walk. It seems a lot more sensitive since I removed the original steri strips after the stitches came out. I've replaced with new steri strips. Better than without them but still very tender everywhere--not just over the incision.
Saturday, September 12, 2015
Day 22--Half step back
My foot seemed more swollen around the incision this morning. My usual New Balance slide ons were not that comfortable and I really hobbled around the farmers' market this morning. Luckily, I got a near by parking place since walking seemed even more difficult carrying a heavy basket filled with produce.
By the time I got back from the market and the grocery store, my foot couldn't wait to get out of the shoe. And although the top of my foot felt better, my toes felt stiff. I didn't do my toe exercises until after lunch today and I think I paid for that this morning. Will try more diligently to do the exercises before I head out any place in the morning. Iced my foot and propped it up for a while although can't say that it felt any better.
The incision was quite sore tonight so kept the walk to just a mile tonight. My toe felt stiff tonight when I did the toe exercises. Foot propped up again tonight although I'm forgoing the ice. Guess this is just part of the ups and downs of recovery.
By the time I got back from the market and the grocery store, my foot couldn't wait to get out of the shoe. And although the top of my foot felt better, my toes felt stiff. I didn't do my toe exercises until after lunch today and I think I paid for that this morning. Will try more diligently to do the exercises before I head out any place in the morning. Iced my foot and propped it up for a while although can't say that it felt any better.
The incision was quite sore tonight so kept the walk to just a mile tonight. My toe felt stiff tonight when I did the toe exercises. Foot propped up again tonight although I'm forgoing the ice. Guess this is just part of the ups and downs of recovery.
Day 21--Able to walk a little further
My foot seemed noticeably better today. I could get it into my slippers and topsiders although the pressure over the incision was still too uncomfortable to actually walk in them.
Was able to do about half of my normal 3 mile evening walk and probably could have done the whole thing but didn't want to push it too far and then pay for it tomorrow.
Took off the steri strips that I had put on Tuesday. The incision really doesn't look too bad. The skin is a little rough looking and slightly red around the incision but the scar itself doesn't jump out. It looks pretty well heeled so will definitely be back to swimming next Tuesday.
Started putting Mederma over the incision to hopefully minimize it even further.
Was able to do about half of my normal 3 mile evening walk and probably could have done the whole thing but didn't want to push it too far and then pay for it tomorrow.
Took off the steri strips that I had put on Tuesday. The incision really doesn't look too bad. The skin is a little rough looking and slightly red around the incision but the scar itself doesn't jump out. It looks pretty well heeled so will definitely be back to swimming next Tuesday.
Started putting Mederma over the incision to hopefully minimize it even further.
Wednesday, September 9, 2015
Day 19--Almost normal gait, shoes still an issue
I took the steri strips off last night and slept without anything covering the incision. It was not a restful night. Although it wasn't painful getting the strips off, the top of my foot was extremely tender. Even the sheet touching it made it sore enough to wake me up.
I redressed the incision with the narrower strips I was able to get at the drug store. I was able to tolerate my fitflops this morning and headed out looking for the wider 1/2" strips that were originally on my foot. I did finally find them at a surgical supply store. Not inexpensive.
My gait was more normal today as long as I didn't move too fast. Tonight I was able to get into the New Balance slide on shoes. Got in a 30 minute walk tonight. The joint is doing pretty well--it's the top of my foot around the incision that's sore today. Still can't get into any kind of lace up shoes.
I redressed the incision with the narrower strips I was able to get at the drug store. I was able to tolerate my fitflops this morning and headed out looking for the wider 1/2" strips that were originally on my foot. I did finally find them at a surgical supply store. Not inexpensive.
My gait was more normal today as long as I didn't move too fast. Tonight I was able to get into the New Balance slide on shoes. Got in a 30 minute walk tonight. The joint is doing pretty well--it's the top of my foot around the incision that's sore today. Still can't get into any kind of lace up shoes.
Tuesday, September 8, 2015
Day 18-- A Little More Progress
A little more progress today. My feet were freezing this morning and since I was just hanging around the house I really didn't feel like putting on shoes and my Minnetonka moccasin slippers still won't go on. I remembered a had a pair of down booties that I had gotten as a gift years ago. Slipped those on and my toes were nice and toasty while I got into a good book.
I had scheduled swim time this afternoon and my doctor said it would be okay to swim as long as the incision looked healed up. So that meant I had to take the steri strips off to check things out. They came off easier than expected. The incision didn't look too bad but my gut told me that a public pool with little ones in the lane next to me probably was jumping the gun a bit. I decided to wait a couple more days. After 2 1/2 weeks, don't want to jeopardize progress with an infection. Things have been going pretty well so far.
Probably didn't walk as much as I should have today although I did walk around the house in the down booties which was like walking barefoot-- no cushion under my feet. I hadn't been able to do so far but today it felt okay. I worked my toe back and forth a lot while I was reading. Will be heading out tonight. I may see what other shoes I might be able to get on my foot tonight.
I had scheduled swim time this afternoon and my doctor said it would be okay to swim as long as the incision looked healed up. So that meant I had to take the steri strips off to check things out. They came off easier than expected. The incision didn't look too bad but my gut told me that a public pool with little ones in the lane next to me probably was jumping the gun a bit. I decided to wait a couple more days. After 2 1/2 weeks, don't want to jeopardize progress with an infection. Things have been going pretty well so far.
Probably didn't walk as much as I should have today although I did walk around the house in the down booties which was like walking barefoot-- no cushion under my feet. I hadn't been able to do so far but today it felt okay. I worked my toe back and forth a lot while I was reading. Will be heading out tonight. I may see what other shoes I might be able to get on my foot tonight.
Monday, September 7, 2015
Day 17--A Little Better than Yesterday
Yesterday was not a good day for my foot. I strongly suspect I way overdid it the first two days and then paid for it yesterday. By late in the evening my whole foot and ankle was hurting. I had to have been walking funny because of the pain in the toe and then messed everything else up.
This morning has been a bit better. I was able to get the New Balance shoes on and walk around the house and out to the road to get the paper with them on. The top of my foot still feels sore but I haven't got the really sharp pain on the side of my foot like yesterday.
My husband tells me that it's good that I pushed so hard. But not sure it's good to push so hard that you're off your feet for the next couple of days or walking funny because you're in agony. I think the key is finding that sweet spot to push hard enough to move the needle but not so hard as to set yourself back. Unfortunately, that line is hard to find. Maybe as time goes on it will be more discernible.
My foot is craving the warm, moist towels and the ultrasound treatment that I got at my physical therapist's for the torn tendon in my ankle. But my doctor didn't recommend PT. But it seems like the gentle, restorative PT like heat, ultrasound, massage, etc. would be good for healing. Elevating, ice and tylenol didn't do anything yesterday (although maybe that's why I'm feeling better today?)
Was able to work in the garden for an hour or so later in the afternoon. The top of my foot was still sore again the New Balance shoe but not intolerable. Got the velcro sandals on to wear to dinner although my gait felt very stiff and unnatural. Once I got home shifted back into the fitflops and felt much better.
This morning has been a bit better. I was able to get the New Balance shoes on and walk around the house and out to the road to get the paper with them on. The top of my foot still feels sore but I haven't got the really sharp pain on the side of my foot like yesterday.
My husband tells me that it's good that I pushed so hard. But not sure it's good to push so hard that you're off your feet for the next couple of days or walking funny because you're in agony. I think the key is finding that sweet spot to push hard enough to move the needle but not so hard as to set yourself back. Unfortunately, that line is hard to find. Maybe as time goes on it will be more discernible.
My foot is craving the warm, moist towels and the ultrasound treatment that I got at my physical therapist's for the torn tendon in my ankle. But my doctor didn't recommend PT. But it seems like the gentle, restorative PT like heat, ultrasound, massage, etc. would be good for healing. Elevating, ice and tylenol didn't do anything yesterday (although maybe that's why I'm feeling better today?)
Was able to work in the garden for an hour or so later in the afternoon. The top of my foot was still sore again the New Balance shoe but not intolerable. Got the velcro sandals on to wear to dinner although my gait felt very stiff and unnatural. Once I got home shifted back into the fitflops and felt much better.
Sunday, September 6, 2015
Day 16--Ups and Downs
I may have overdone it yesterday. My foot was fine during the night but once I got up was definitely not as flexible as yesterday. It was cold and rainy this morning so that might have had something to do with it. I've been in my fitflops all morning since the top of my foot was feeling tender and I wasn't in the mood for something pushing on it.
I've noticed that I'm getting a lot of snapping in my joint as I do my exercises. Especially when I switch from pulling up to pushing down. At first my toe didn't want to go down at all but with just a little pressure, I felt a snap and then it moved. The snapping isn't so much painful as it is a little disconcerting. I suppose that's all part of the recovery but I'll write to the doctor tomorrow night (tomorrow's a holiday) just to check and be sure. He told me when he took the bandages off to keep it moving and that there was nothing I could do to hurt it but I still tend to associate pain and snapping with something destructive.
The new waterproof flexible tape I had put on two days ago to keep the steri strips from peeling off starting peeling off last night after my shower. It was quite loose on the ends this morning so decided to peel it off so it doesn't stick to shoe or sock. I may try putting more steri strips over the edges and see if that helps or just let them go as is and hope they stay on until Tuesday. They said if they came off, I could replace with a large bandage or gauze and paper tape. But those would add a lot more bulk and make getting in a shoe even harder. (I ended up replacing the waterproof stretchy tape with longer steri strips that I wrapped under my foot to get more grip.)
I can tell this is going to be an up and down process. I went to head out to the mall with my husband and slipped on the New Balance shoes which were so comfy yesterday. I took 3 steps and knew today wasn't like yesterday. They were pushing tightly in one spot on the side of my foot just behind the affected joint and it hurt like crazy. I couldn't even walk down the hallway. Then tried my velcro strap sandals with the opaque socks underneath. Not much better. The strap went over the same sore spot. This place on my foot hasn't hurt in the last 3 days. What's going on now? Didn't want to just sit at home so I ended up just going barefoot with the fitflops. They worked fine but my foot was not up to par with yesterday. If I walked slow, I could almost keep a normal gait but the minute I picked up the pace even just a little, my gait went out of whack. My husband claimed I wasn't bending my foot when I walked although I was consciously making an effort to. We did cover almost the whole mall. And then cruised around Target. I was hoping I could find some inexpensive moccasins or something enclosed over the toes that I could get my foot into. They had some nice furry lined moccasins but even stepping up a size, the pain was too bad to slide my foot in.
I'm now home with my foot iced and propped up. Hopefully, tomorrow will be better. We're going out to dinner, so it would really be nice to get back into the slide on shoes.
I've noticed that I'm getting a lot of snapping in my joint as I do my exercises. Especially when I switch from pulling up to pushing down. At first my toe didn't want to go down at all but with just a little pressure, I felt a snap and then it moved. The snapping isn't so much painful as it is a little disconcerting. I suppose that's all part of the recovery but I'll write to the doctor tomorrow night (tomorrow's a holiday) just to check and be sure. He told me when he took the bandages off to keep it moving and that there was nothing I could do to hurt it but I still tend to associate pain and snapping with something destructive.
The new waterproof flexible tape I had put on two days ago to keep the steri strips from peeling off starting peeling off last night after my shower. It was quite loose on the ends this morning so decided to peel it off so it doesn't stick to shoe or sock. I may try putting more steri strips over the edges and see if that helps or just let them go as is and hope they stay on until Tuesday. They said if they came off, I could replace with a large bandage or gauze and paper tape. But those would add a lot more bulk and make getting in a shoe even harder. (I ended up replacing the waterproof stretchy tape with longer steri strips that I wrapped under my foot to get more grip.)
I can tell this is going to be an up and down process. I went to head out to the mall with my husband and slipped on the New Balance shoes which were so comfy yesterday. I took 3 steps and knew today wasn't like yesterday. They were pushing tightly in one spot on the side of my foot just behind the affected joint and it hurt like crazy. I couldn't even walk down the hallway. Then tried my velcro strap sandals with the opaque socks underneath. Not much better. The strap went over the same sore spot. This place on my foot hasn't hurt in the last 3 days. What's going on now? Didn't want to just sit at home so I ended up just going barefoot with the fitflops. They worked fine but my foot was not up to par with yesterday. If I walked slow, I could almost keep a normal gait but the minute I picked up the pace even just a little, my gait went out of whack. My husband claimed I wasn't bending my foot when I walked although I was consciously making an effort to. We did cover almost the whole mall. And then cruised around Target. I was hoping I could find some inexpensive moccasins or something enclosed over the toes that I could get my foot into. They had some nice furry lined moccasins but even stepping up a size, the pain was too bad to slide my foot in.
I'm now home with my foot iced and propped up. Hopefully, tomorrow will be better. We're going out to dinner, so it would really be nice to get back into the slide on shoes.
Saturday, September 5, 2015
Day 15-Out and About
My foot was a little stiff and sore this morning and although I did my ten reps of gentle, non-assisted, stretching in bed, I was running late when I got up and didn't get a chance to do the more thorough stretching before we left. Not my ideal situation but my husband had a deadline and we needed to get going.
It was cold this morning so I really wanted to get a pair of socks on in the New Balance slip ons. The first pair I tried, a very lightweight cashmere made the fit too tight. I was quite uncomfortable before I even stood up. So I switched to some light weight knee high opaque socks and that was better although still not as comfortable as the shoe was yesterday with no socks. Not sure if my foot is swollen or just that little room taken up by the sock makes that big of a difference.
Managed to walk several blocks from the car to the farmers' market and navigate another 4 blocks or so through the market and then back to the car. Luckily, it was early and not too crowded so I wasn't so paranoid about someone stepping on my foot. I wasn't walking at my normal clip but I wasn't shuffling either. By the time we got to the car the top of my foot was pretty sore. Kind of feeling like the skin was being pulled off. Maybe it's the waterproof tape I added to the edge of the steri strips before I took a shower last night. The joint was a little achy as well. But then again probably nothing much worse than when the joint flared up before the surgery.
First shower without my foot wrapped up was uneventful. Felt good to scrub my foot thoroughly after two weeks of not being washed. The incision didn't burn like some do when water hits them. The warm water felt good. I'm finding cold feet tend to aggravate the achiness.
On a different note, I don't think I talked about how I chose my surgeon. I'm a big chicken about surgery but also a big believer that if I have to do it, I want someone who has done thousands of exactly what I'm having done. I also looked for someone who does a lot of work on people whose livelihoods depend on their feet getting fixed right--like professional sports players and dancers. So instead of going with my local podiatrist, who I happen to like and who first diagnosed the condition, or a surgeon at our local hospital, I decided to go to a major orthopedic center at a major medical center in the city. The orthopedic surgeon I chose specializes in foot and ankle surgery--in fact, I think that's all he does. He's been in the business for some time so I figure he's seen it all. So far, I've been quite satisfied. I didn't really expect to be walking as far as I did today just two weeks after my surgery. I'm hoping that's a good sign.
Went to the garden center this afternoon. I find walking behind a shopping cart easier than walking unaided. My gait seems almost normal. I think it's because I know if I get a shot of pain I have something to hang on to and won't end up going down.
Worked for a couple of hours in the garden, planting and weeding. My foot did pretty good. Really didn't think about it too much. Then right as I was ready to head in I stepped down and got a real intense jolt of pain through the joint. Hobbled in and up the stairs pretty much walking on my heel since it hurt to put any pressure on the joint. I got the ice pack out and iced the top of my foot and put it up for about 20 minutes. It took about 10 minutes for the pain to subside but I got occasional throbs for the next hour.
Although a little concerned about that little episode, after dinner my foot was feeling better so decided to try to do part of the usual 3 mile walk my husband and I had been doing prior to my surgery. It was a nice evening so out we headed. I decided my goal was to do the entire distance and back along one of the streets on our walk. It is fairly level with a good walking surface. Probably about a mile. My gait wasn't perfect and I wasn't moving at my usual speed but I was able to do it! Set a goal for doing the whole three mile walk by next week at this time.
It was cold this morning so I really wanted to get a pair of socks on in the New Balance slip ons. The first pair I tried, a very lightweight cashmere made the fit too tight. I was quite uncomfortable before I even stood up. So I switched to some light weight knee high opaque socks and that was better although still not as comfortable as the shoe was yesterday with no socks. Not sure if my foot is swollen or just that little room taken up by the sock makes that big of a difference.
Managed to walk several blocks from the car to the farmers' market and navigate another 4 blocks or so through the market and then back to the car. Luckily, it was early and not too crowded so I wasn't so paranoid about someone stepping on my foot. I wasn't walking at my normal clip but I wasn't shuffling either. By the time we got to the car the top of my foot was pretty sore. Kind of feeling like the skin was being pulled off. Maybe it's the waterproof tape I added to the edge of the steri strips before I took a shower last night. The joint was a little achy as well. But then again probably nothing much worse than when the joint flared up before the surgery.
First shower without my foot wrapped up was uneventful. Felt good to scrub my foot thoroughly after two weeks of not being washed. The incision didn't burn like some do when water hits them. The warm water felt good. I'm finding cold feet tend to aggravate the achiness.
On a different note, I don't think I talked about how I chose my surgeon. I'm a big chicken about surgery but also a big believer that if I have to do it, I want someone who has done thousands of exactly what I'm having done. I also looked for someone who does a lot of work on people whose livelihoods depend on their feet getting fixed right--like professional sports players and dancers. So instead of going with my local podiatrist, who I happen to like and who first diagnosed the condition, or a surgeon at our local hospital, I decided to go to a major orthopedic center at a major medical center in the city. The orthopedic surgeon I chose specializes in foot and ankle surgery--in fact, I think that's all he does. He's been in the business for some time so I figure he's seen it all. So far, I've been quite satisfied. I didn't really expect to be walking as far as I did today just two weeks after my surgery. I'm hoping that's a good sign.
Went to the garden center this afternoon. I find walking behind a shopping cart easier than walking unaided. My gait seems almost normal. I think it's because I know if I get a shot of pain I have something to hang on to and won't end up going down.
Worked for a couple of hours in the garden, planting and weeding. My foot did pretty good. Really didn't think about it too much. Then right as I was ready to head in I stepped down and got a real intense jolt of pain through the joint. Hobbled in and up the stairs pretty much walking on my heel since it hurt to put any pressure on the joint. I got the ice pack out and iced the top of my foot and put it up for about 20 minutes. It took about 10 minutes for the pain to subside but I got occasional throbs for the next hour.
Although a little concerned about that little episode, after dinner my foot was feeling better so decided to try to do part of the usual 3 mile walk my husband and I had been doing prior to my surgery. It was a nice evening so out we headed. I decided my goal was to do the entire distance and back along one of the streets on our walk. It is fairly level with a good walking surface. Probably about a mile. My gait wasn't perfect and I wasn't moving at my usual speed but I was able to do it! Set a goal for doing the whole three mile walk by next week at this time.
Friday, September 4, 2015
Day 14--Much better than yesterday
Yesterday was a bit of a set back after I got the stitches out. My foot was tender and achy and I was very hesitant in my walking. It was a nauseous kind of pain that just made my whole body feel off. Last night I was doing my toe bending exercises and in the middle of a good but not overly ambitious upward stretch, a pain so sharp that it brought tears to my eyes shot through my toes and foot. It took a good 10 minutes for me to get re-centered and for the intense pain to subside. I took a couple of tylenols and went to bed more than a little apprehensive about what I would be met with in the morning.
I slept through the night, unaware of anything going on with my foot. When I woke up it felt stiff but not sore. I did my 10 reps each of up and down stretches laying in bed and using my other foot to help apply a little pressure. I could feel a pull but it wasn't painful. Got up and carefully slid on my fitflops since I was too tired to mess with the velcro on my other sandals. The fitflops worked fine and provided a nice cushion under my foot. They have a high enough cut on the strap over my foot that it didn't bother my incision any more than the other sandals.
I was still very tentative in my walking. I did another set of stretches this time using my hands after breakfast. Then set off to feed the neighbors' cats and go to the grocery store(s). I put the velcro strap sandals on that I wore yesterday. My gait was slow and off but I wasn't in pain. I found that by walking slowly I could focus more on keeping my foot straight and not rolling outward like I had been doing before the surgery since my toe couldn't bend. Holding onto the grocery cart helped.
Got home, not feeling much like walking anymore. The sandals were rubbing on the top of my foot and it was feeling a little irritated. After lunch, I did some foot massage and then more sets of toe stretches again using my hands to push a little beyond what my foot could do on its own. Felt pretty good about the up stretches. To my eyes it looked like I could get my toe to 45 degrees without too much pain. Curling the toe down was much harder since that pulled on the incision on the top of my foot. But I did the best I could and it did improve a little by the 6 or 7th rep. Sometimes my foot is a little sore after the exercises but it is definitely more flexible.
In spite of that, I still didn't feel much like walking this afternoon. By about e 3pm my husband lured me out to the garden saying he needed me to "supervise" what I wanted him to harvest. I didn't want to have to walk in the dirt in my good sandals. It did motivate though to go through my shoes and see what I could get into. I could get my foot into my very soft, old topsiders but they felt too tight to walk comfortably which was strange since they fit so loose usually. No luck even getting my foot into any of my shoes with ties. But I did have a pair of New Balance slip ons. They are very soft but normally fit snugly so I was surprised when I was able to put my foot all the way in without pain. I think the soft padding on top and the open back made them easier to get on. I figured these would keep the incision clean and since they are black could survive a foray into the garden. Amazingly, they worked great. Once I got out there, I not only harvested but was able to pull out some overgrown kale and lettuce and do some clean up. I left them on while I cooked dinner. No problems.
What I noticed today is that when I was in the garden or cooking, my gait seemed more normal. Maybe I was still rolling my foot outward but it didn't seem like it.
Lessons from today: Do the exercises as often as I can. They really help. And get engaged in something that requires movement but also puts attention on something other than my foot.
I'm actually quite pleasantly surprised at how well my foot is doing tonight given where it was last night.
I slept through the night, unaware of anything going on with my foot. When I woke up it felt stiff but not sore. I did my 10 reps each of up and down stretches laying in bed and using my other foot to help apply a little pressure. I could feel a pull but it wasn't painful. Got up and carefully slid on my fitflops since I was too tired to mess with the velcro on my other sandals. The fitflops worked fine and provided a nice cushion under my foot. They have a high enough cut on the strap over my foot that it didn't bother my incision any more than the other sandals.
I was still very tentative in my walking. I did another set of stretches this time using my hands after breakfast. Then set off to feed the neighbors' cats and go to the grocery store(s). I put the velcro strap sandals on that I wore yesterday. My gait was slow and off but I wasn't in pain. I found that by walking slowly I could focus more on keeping my foot straight and not rolling outward like I had been doing before the surgery since my toe couldn't bend. Holding onto the grocery cart helped.
Got home, not feeling much like walking anymore. The sandals were rubbing on the top of my foot and it was feeling a little irritated. After lunch, I did some foot massage and then more sets of toe stretches again using my hands to push a little beyond what my foot could do on its own. Felt pretty good about the up stretches. To my eyes it looked like I could get my toe to 45 degrees without too much pain. Curling the toe down was much harder since that pulled on the incision on the top of my foot. But I did the best I could and it did improve a little by the 6 or 7th rep. Sometimes my foot is a little sore after the exercises but it is definitely more flexible.
In spite of that, I still didn't feel much like walking this afternoon. By about e 3pm my husband lured me out to the garden saying he needed me to "supervise" what I wanted him to harvest. I didn't want to have to walk in the dirt in my good sandals. It did motivate though to go through my shoes and see what I could get into. I could get my foot into my very soft, old topsiders but they felt too tight to walk comfortably which was strange since they fit so loose usually. No luck even getting my foot into any of my shoes with ties. But I did have a pair of New Balance slip ons. They are very soft but normally fit snugly so I was surprised when I was able to put my foot all the way in without pain. I think the soft padding on top and the open back made them easier to get on. I figured these would keep the incision clean and since they are black could survive a foray into the garden. Amazingly, they worked great. Once I got out there, I not only harvested but was able to pull out some overgrown kale and lettuce and do some clean up. I left them on while I cooked dinner. No problems.
What I noticed today is that when I was in the garden or cooking, my gait seemed more normal. Maybe I was still rolling my foot outward but it didn't seem like it.
Lessons from today: Do the exercises as often as I can. They really help. And get engaged in something that requires movement but also puts attention on something other than my foot.
I'm actually quite pleasantly surprised at how well my foot is doing tonight given where it was last night.
Thursday, September 3, 2015
Day 13--Stitches out and boot off!
Today was the big day. I must admit I was a little anxious about what to expect when the wrapping came off. My doctor came and got me from the lobby and escorted me back to the examining room and took the dressing off. I'm pretty squeamish but actually got myself to look and take a photo which I'll post at the end of this entry in case anyone else prefers not to see the incision all stitched up. I had twelve stitches. More than I had thought. Other than some very mild bruising of my two middle toes and a small bruise on the side of my foot, it looked pretty good. It didn't look swollen and the stitching was pretty neatly done.
I was very apprehensive about stepping down on my foot much less moving my toes but I was able to slowly walk down the hall to x-ray where they re-xrayed my foot to look at how things had changed.
Back to the examining room where the doctor's assistant very gently took the stitches out (not a big deal at all) and taped up the incision with steri-strips. No shower today (thankfully, I got up early and took one this morning) but tomorrow okay for shower. Five days before I can immerse in water but doctor said swimming on Tuesday should be fine.
The assistant showed me how to pull my big toe back to the point of pain and hold for 10 seconds and then push it down and do the same. 10 reps for 10 seconds each in each direction. That means a minimum of 200 opportunities for pain a day--not counting walking. Ugh.
I had a pair of sandals that had velcro straps going over the tops of my feet which worked great. I was able to get my foot into my Minnetonka slippers but they pushed just a little too much on the incision so the sandals seemed like a better bet to get home.
My joint was definitely sore as I left but I was able to walk albeit slowly and deliberately. I don't quite trust my foot and I'm scared to death to have anyone standing near me with their back to me (like on the elevator) for fear they will accidentally step back onto my foot.
Doctor wants me back in three months and warned that it's not unusual to feel discouraged at that time that there is still some pain and swelling. He says that's normal. We're leaving the 23rd of October for a trip that will definitely involve some hiking and walking so I was a little disappointed although not surprised to hear that. Guess that gives me something to work for.
By the time I got home, I had a headache and uneasy stomach. The sensation in my foot isn't exactly what I would call pain but it is most unpleasant right now which is what I think is contributing to the other symptoms.
Did my 10 reps of the upward movement of my toe. Not comfortable but tolerable. Downward is harder. Feels like a tight cable running through my foot that is pulling on the ends when I try to stretch it. Got through about 4 reps while I was on the phone. Will challenge myself to do a full 10 more before the end of the day.
Tried walking barefoot on the tile floor in our kitchen for a bit. The cold floor felt good but for some reason it was harder to walk barefoot than with the sandals. Maybe because there is no cushion under the joint. Joint is pretty achy right now although not what I would say is painful. It's been 4 hours since my foot was released from its bondage.
Photos of stitches below. Scroll down if you want to see.
I was very apprehensive about stepping down on my foot much less moving my toes but I was able to slowly walk down the hall to x-ray where they re-xrayed my foot to look at how things had changed.
 |
| The before xray is on the left, toe facing up. After on the right. You can see a distinct bump on the bone at the base of my toe on the left that is much reduced on the right. (Can't quite figure out if there is a way to rotate this photo so it is vertical.) |
Back to the examining room where the doctor's assistant very gently took the stitches out (not a big deal at all) and taped up the incision with steri-strips. No shower today (thankfully, I got up early and took one this morning) but tomorrow okay for shower. Five days before I can immerse in water but doctor said swimming on Tuesday should be fine.
The assistant showed me how to pull my big toe back to the point of pain and hold for 10 seconds and then push it down and do the same. 10 reps for 10 seconds each in each direction. That means a minimum of 200 opportunities for pain a day--not counting walking. Ugh.
I had a pair of sandals that had velcro straps going over the tops of my feet which worked great. I was able to get my foot into my Minnetonka slippers but they pushed just a little too much on the incision so the sandals seemed like a better bet to get home.
 |
| My velcro strap sandals that I wore home today,. |
My joint was definitely sore as I left but I was able to walk albeit slowly and deliberately. I don't quite trust my foot and I'm scared to death to have anyone standing near me with their back to me (like on the elevator) for fear they will accidentally step back onto my foot.
Doctor wants me back in three months and warned that it's not unusual to feel discouraged at that time that there is still some pain and swelling. He says that's normal. We're leaving the 23rd of October for a trip that will definitely involve some hiking and walking so I was a little disappointed although not surprised to hear that. Guess that gives me something to work for.
By the time I got home, I had a headache and uneasy stomach. The sensation in my foot isn't exactly what I would call pain but it is most unpleasant right now which is what I think is contributing to the other symptoms.
Did my 10 reps of the upward movement of my toe. Not comfortable but tolerable. Downward is harder. Feels like a tight cable running through my foot that is pulling on the ends when I try to stretch it. Got through about 4 reps while I was on the phone. Will challenge myself to do a full 10 more before the end of the day.
Tried walking barefoot on the tile floor in our kitchen for a bit. The cold floor felt good but for some reason it was harder to walk barefoot than with the sandals. Maybe because there is no cushion under the joint. Joint is pretty achy right now although not what I would say is painful. It's been 4 hours since my foot was released from its bondage.
Photos of stitches below. Scroll down if you want to see.
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| Foot with stitches. It's not really as bruised as it looks in the photo. |
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| With steri strips on. Need to leave these on for 5 day although the first strip by my toe is already peeling off. |
Wednesday, September 2, 2015
Days 10,11,12 Same old stuff
Tomorrow is the big day--the dressing comes off and the stitches come out. I've been doing so well in the boot that I'm a little scared about what I'm going to experience once it comes off. Plus I've never had stitches taken out and that doesn't sound all that pleasant.
I've been up and about a bit more this last couple of days. Walking around in the boot hasn't really bothered me as long as I go slow and not walk too much. Last night, however, once I got into bed the top of my foot in the center was throbbing. That's not really where the incision is so not really sure what that was all about. I changed the position of my foot a couple of times and then fell asleep and when I woke up it felt better. Out for a quick run to the grocery store and to feed the neighbors' cats. By the time I got home, the affected joint was starting to ache. Iced up the back of my leg and have it up on pillows while I type. I suspect I'll have a lot more to share starting tomorrow.
Planning to take several pairs of shoes and sandals tomorrow since I have no idea what shape my foot is in and what will fit and not cause pain just by being on my foot.
I've been up and about a bit more this last couple of days. Walking around in the boot hasn't really bothered me as long as I go slow and not walk too much. Last night, however, once I got into bed the top of my foot in the center was throbbing. That's not really where the incision is so not really sure what that was all about. I changed the position of my foot a couple of times and then fell asleep and when I woke up it felt better. Out for a quick run to the grocery store and to feed the neighbors' cats. By the time I got home, the affected joint was starting to ache. Iced up the back of my leg and have it up on pillows while I type. I suspect I'll have a lot more to share starting tomorrow.
Planning to take several pairs of shoes and sandals tomorrow since I have no idea what shape my foot is in and what will fit and not cause pain just by being on my foot.
Sunday, August 30, 2015
Days 7,8,9 Not much new
A widespread power outage interrupted my posting although I have to admit not much has changed over the last few days. For the most part my foot feels fine and I can easily walk around in the boot. But I do notice that the top of my foot feels more irritated at night when I've done more walking and standing during the day. Although yesterday I didn't really get to ice since I didn't want to open the freezer door. Today, I'm trying to just take it easy.
My biggest challenge right now is that our typical northwest weather is back which means a lot of rain. It still haven't devised a good system for keeping my foot dry in a sudden storm or walking through parking lots puddled with water. A friend told me about a product called Dry Pro (drycorp.com). Looks pretty slick. Kind of like a neoprene cover for feet/legs or arms/hands. I think you can even use this product to swim. Looks a little heavier and more sturdy than the shower water proof cover I bought. They have a knee length foot/leg cover that looks like it could be the ticket. Unfortunately, the places around me that carry it are all closed Saturdays and Sundays. Since I get the stitches and dressing off Thursday morning, not sure it's worth it for only three days. I did notice they had overnight shipping on their website but figured the weekend would still present a problem with that as well. I suppose I could try one of the shower covers when I go out. But the plastic isn't that heavy duty and I'm afraid between the pavement and the bottom of the boot it will end up in shreds. I may just resort to the inelegant solution of a garbage bag.
My biggest challenge right now is that our typical northwest weather is back which means a lot of rain. It still haven't devised a good system for keeping my foot dry in a sudden storm or walking through parking lots puddled with water. A friend told me about a product called Dry Pro (drycorp.com). Looks pretty slick. Kind of like a neoprene cover for feet/legs or arms/hands. I think you can even use this product to swim. Looks a little heavier and more sturdy than the shower water proof cover I bought. They have a knee length foot/leg cover that looks like it could be the ticket. Unfortunately, the places around me that carry it are all closed Saturdays and Sundays. Since I get the stitches and dressing off Thursday morning, not sure it's worth it for only three days. I did notice they had overnight shipping on their website but figured the weekend would still present a problem with that as well. I suppose I could try one of the shower covers when I go out. But the plastic isn't that heavy duty and I'm afraid between the pavement and the bottom of the boot it will end up in shreds. I may just resort to the inelegant solution of a garbage bag.
Thursday, August 27, 2015
Day 6 --Out in the Garden
Foot feeling good this morning. I've been dying to get out in my veggie garden although certainly didn't want to risk dirt and water getting into the bandaged foot. Decided to try a contractor's bootie, the tyvek cover made for contractors to put on over their boots when they come into a house. Perhaps a little looser than I'd like but it did the trick. It covered my exposed toes and kept the sole of the protective boot clean. Was able to harvest tomatoes, strawberries and cucumbers. I iced and elevated my foot afterward. Was up making ice cream for about 30 minutes and later out on another errand where I used the crutches since their was a fair amount of walking involved.
Found my cleaned out joint was throbbing a bit at dinner time although once I elevated my foot on another chair it went away. Other than for a shower tonight, I'm going to try to keep my foot elevated and iced.
Only one more week to go before I can get this wrapping off. Luckily, I've finally gotten into reading the 575 page Catherine the Great and have devised a way to keep my feet elevated that is a little gentler on my back. Unfortunately, we're supposed to have a lot of rain over the next few days which may limit my ability to get outside since my tyvek cover doesn't cover the top of my foot.
Found my cleaned out joint was throbbing a bit at dinner time although once I elevated my foot on another chair it went away. Other than for a shower tonight, I'm going to try to keep my foot elevated and iced.
Only one more week to go before I can get this wrapping off. Luckily, I've finally gotten into reading the 575 page Catherine the Great and have devised a way to keep my feet elevated that is a little gentler on my back. Unfortunately, we're supposed to have a lot of rain over the next few days which may limit my ability to get outside since my tyvek cover doesn't cover the top of my foot.
Wednesday, August 26, 2015
Day 5 No big changes
Not much different today from yesterday although for some reason not feeling much like walking around. Just getting kind of tired of all this stuff on my foot. The top of my foot, although not necessarily the incision, is feeling kind of sore and ichy. Hopefully, it's just healing skin doing its work.
Biggest excitement is that bandage is coming off a week from tomorrow! I suspect that will be the start of the real work as I'll need to get my toe and foot working again and I suspect it's going to be sore when I get started. Have been trying to wiggle my toes just a little in the bandage. I can bend big toe just a little without pain although haven't wanted to push it too far at this point.
Have no idea what kind of shoes, if any, I'm going to be able to get on once the bandage is off. Have been reading blogs and looking at photos. Lots of bruised, swollen feet when bandages come off.
Went out to dinner tonight. Used the handicapped parking tag but no crutches since we didn't have too far to walk. Did fine. Got home and iced and elevated foot to make up for the fact that I didn't elevate during dinner.
Biggest excitement is that bandage is coming off a week from tomorrow! I suspect that will be the start of the real work as I'll need to get my toe and foot working again and I suspect it's going to be sore when I get started. Have been trying to wiggle my toes just a little in the bandage. I can bend big toe just a little without pain although haven't wanted to push it too far at this point.
Have no idea what kind of shoes, if any, I'm going to be able to get on once the bandage is off. Have been reading blogs and looking at photos. Lots of bruised, swollen feet when bandages come off.
Went out to dinner tonight. Used the handicapped parking tag but no crutches since we didn't have too far to walk. Did fine. Got home and iced and elevated foot to make up for the fact that I didn't elevate during dinner.
Tuesday, August 25, 2015
Day 4 First outing since surgery
Woke up just wanting to free my foot from all it's wrappings. The bandage between my toes was bothering me. The whole top of my foot felt irritated. Not really hurting just uncomfortable. I took an ibuprofen thinking maybe my foot was a little swollen. I had kicked out one of the pillows it had been propped up on during the night.
Decided to do an outing today. Cabin fever has gotten really bad. My husband came with me so decided to use the crutches since I knew I'd have to do some walking in the store. He could carry what I bought. Packed wallet, sunglasses, phone, etc. into a light weight back pack to avoid having a purse at my side. My foot thanked me for that but the heels of my hands are red and sore from the crutches. But a good trade off in all. Was able to slowly get down our wood stairs in the house hanging on tightly to the rail just in case. No crutches for this. No problems.
So excited to realize that my follow up to get my stitches out is a week from Thursday, not Friday like I thought. So hopefully I'll be out of this wrapping and boot a day sooner than I thought. Still kind of wondering what shoes I'll be able to wear when the stitches come out. The doctor's assistant keeps saying loose, floppy shoes. Other than flip flops I don't have any loose floppy shoes. Really don't want to have to add another pair of shoes. I already have too many that are only geared toward specific foot problems.
Shower was easier today. Instead of using string to keep the towel wrapped on my leg inside the waterproof boot cover I found an old woven belt with two d-rings that worked much faster.
Up and moving around a little more today although foot seems to still be doing okay.
Decided to do an outing today. Cabin fever has gotten really bad. My husband came with me so decided to use the crutches since I knew I'd have to do some walking in the store. He could carry what I bought. Packed wallet, sunglasses, phone, etc. into a light weight back pack to avoid having a purse at my side. My foot thanked me for that but the heels of my hands are red and sore from the crutches. But a good trade off in all. Was able to slowly get down our wood stairs in the house hanging on tightly to the rail just in case. No crutches for this. No problems.
So excited to realize that my follow up to get my stitches out is a week from Thursday, not Friday like I thought. So hopefully I'll be out of this wrapping and boot a day sooner than I thought. Still kind of wondering what shoes I'll be able to wear when the stitches come out. The doctor's assistant keeps saying loose, floppy shoes. Other than flip flops I don't have any loose floppy shoes. Really don't want to have to add another pair of shoes. I already have too many that are only geared toward specific foot problems.
Shower was easier today. Instead of using string to keep the towel wrapped on my leg inside the waterproof boot cover I found an old woven belt with two d-rings that worked much faster.
Up and moving around a little more today although foot seems to still be doing okay.
Day 3 Driving short distances
My foot is actually feeling remarkably good. I can get around fairly easily in the boot. It helps to have a higher soled shoe on my right foot to more closely match the height of the boot. I feel more stable that way and if I can keep the boot from rocking too much my foot doesn't get as sore.
I went out to my local drive through coffee place this morning. Was able to get in and out of the car fine even with coffee in my right hand. Just too it very slowly and used the car itself for support.
I'm still icing although the nurse that called to check on me today said that I only needed to keep doing that if I needed it to make my foot feel more comfortable.
My biggest issue today is that all this sitting with my foot up is causing serious issues with my back and butt and upper leg. I really feel much better sitting normally or even walking but hesitate to do too much since my doctor had indicated a quick recovery depended on keeping the foot from getting irritated or swollen. Irritated I can feel but my foot is so covered up I'm not sure I would know if it's starting to swell.
I'm going to try doing some weights and yoga stretches that allow me to sit or lay on the bed. For someone who is used to at least an hour or two of exercise every day, I'm concerned about 2 weeks with nothing.
I went out to my local drive through coffee place this morning. Was able to get in and out of the car fine even with coffee in my right hand. Just too it very slowly and used the car itself for support.
I'm still icing although the nurse that called to check on me today said that I only needed to keep doing that if I needed it to make my foot feel more comfortable.
My biggest issue today is that all this sitting with my foot up is causing serious issues with my back and butt and upper leg. I really feel much better sitting normally or even walking but hesitate to do too much since my doctor had indicated a quick recovery depended on keeping the foot from getting irritated or swollen. Irritated I can feel but my foot is so covered up I'm not sure I would know if it's starting to swell.
I'm going to try doing some weights and yoga stretches that allow me to sit or lay on the bed. For someone who is used to at least an hour or two of exercise every day, I'm concerned about 2 weeks with nothing.
Sunday, August 23, 2015
Day 2 Off the pain meds, walking in boot, shower
What a difference from yesterday! I took two pain meds before bed at midnight last night. Slept well. Woke up at 6am and the first thing I noticed was no pain in my foot. I was able to hobble to the bathroom (with one crutch just in case) but found that I could actually walk in the boot with barely noticeable discomfort. By 10am still no significant pain. Took a couple of tylenol just in case.
Was able to get out to the kitchen and make breakfast (nothing complicated). Sat at the table with my foot placed on a pillow on top of a chair. Although have spent the majority of the day with my foot up, I have been able to get around the house without the crutches today! No way could I have done that yesterday.
Actually, my biggest problem today is just a foggy head from spending too much time lounging with my foot up. Although I have a ton of books, I've found it hard to focus. The Sunday NYTimes has been about my speed today. I know I'd feel better if I took a shower but just wasn't up for all the effort to waterproof my foot. Will attempt that after dinner tonight. Hoping that since I'm not taking the pain meds that the fuzzy head will clear up.
The other thing I've noticed today is that my foot doesn't feel as tightly wrapped in its bandage. So maybe there was some swelling that has gone down. That has done a lot to ease the discomfort as well.
After dinner, my foot was feeling good enough to stand on so I did manage to get a shower in. The waterproof cover worked well.
I used this Aqua Guard Boot. Unlike the other cast covers, this one has a wide opening at the top which made it a lot easier to gently slip in my booted foot without banging my toes. There is a stretchy band with a buckle that locks tight that you slip over the cover. I tied a microfiber towel around my leg just below my knee to catch any drips just in case and then put the cover on over that. I fastened the band just above my knee and then folded the excess length of the cover over the lower part of the boot. No leaks although the area right above the towel felt damp but I think that might have just been condensation. My foot felt dry. I did a quick shower with a handheld shower head to try to minimize how much water was spraying on my leg. This cover comes in packages of 3 (with one band and buckle) for $19.95.
The other product which I already had and has come in handy is this ice pack and cover.
The label says Caldera.The tabs have velcro that you can fasten around your leg and the main body has a pouch that you can slip a frozen 6" x6" Caldera therapy gel pack into. A small velcro tab keeps the ice pack in place. No more leaky ice cube bags! I think I got this at my local pharmacy.
Biggest issue I'm dealing with now is a sore lower back from sitting with my foot elevated. Foot is a little more sore over the incision tonight but putting together dinner and taking a shower may been a little too much for it. It's actually been feeling better than I had expected at this point.
Was able to get out to the kitchen and make breakfast (nothing complicated). Sat at the table with my foot placed on a pillow on top of a chair. Although have spent the majority of the day with my foot up, I have been able to get around the house without the crutches today! No way could I have done that yesterday.
Actually, my biggest problem today is just a foggy head from spending too much time lounging with my foot up. Although I have a ton of books, I've found it hard to focus. The Sunday NYTimes has been about my speed today. I know I'd feel better if I took a shower but just wasn't up for all the effort to waterproof my foot. Will attempt that after dinner tonight. Hoping that since I'm not taking the pain meds that the fuzzy head will clear up.
The other thing I've noticed today is that my foot doesn't feel as tightly wrapped in its bandage. So maybe there was some swelling that has gone down. That has done a lot to ease the discomfort as well.
After dinner, my foot was feeling good enough to stand on so I did manage to get a shower in. The waterproof cover worked well.
I used this Aqua Guard Boot. Unlike the other cast covers, this one has a wide opening at the top which made it a lot easier to gently slip in my booted foot without banging my toes. There is a stretchy band with a buckle that locks tight that you slip over the cover. I tied a microfiber towel around my leg just below my knee to catch any drips just in case and then put the cover on over that. I fastened the band just above my knee and then folded the excess length of the cover over the lower part of the boot. No leaks although the area right above the towel felt damp but I think that might have just been condensation. My foot felt dry. I did a quick shower with a handheld shower head to try to minimize how much water was spraying on my leg. This cover comes in packages of 3 (with one band and buckle) for $19.95.
The other product which I already had and has come in handy is this ice pack and cover.
The label says Caldera.The tabs have velcro that you can fasten around your leg and the main body has a pouch that you can slip a frozen 6" x6" Caldera therapy gel pack into. A small velcro tab keeps the ice pack in place. No more leaky ice cube bags! I think I got this at my local pharmacy.
Biggest issue I'm dealing with now is a sore lower back from sitting with my foot elevated. Foot is a little more sore over the incision tonight but putting together dinner and taking a shower may been a little too much for it. It's actually been feeling better than I had expected at this point.
Saturday, August 22, 2015
History, surgery and first day
It took me a long time to come to the decision to have surgery for the hallux rigidus condition on the big toe of my left foot. I found that reading the direct experiences of others who had the surgery was a big help both in knowing what to expect and in helping me make my decision. So although I am definitely a rookie at the blog business, I decided to share my experience as well in the hopes that it might help someone else. I realize that no two experiences are exactly the same but sometimes just knowing what others experienced can give the courage to either go ahead or to chose not to once one has consulted with the appropriate medical professionals.
I had my surgery yesterday morning. In today's entry I'll cover the day of surgery, today as well as a little of the history leading up to the need to have surgery in the first place.
On subsequent entries, I'll be covering things real time. I'll start with the surgery and following 24 hours and then follow with history and background for anyone interested.
Day of surgery
The usual prep. No food or liquid from midnight the day before for a 7am surgery. Also instructions on what medications to discontinue. They requested that I shower both the night before and morning of surgery.
I needed to be there by 6am for prep. Once there, I met with the anesthesiologist and the surgeon. My surgeon uses a block for the lower leg and a sedative, rather than a general. The surgery took 30 minutes. Once in the surgical room, they put in an IV and a tight cuff just above my ankle. I was awake--I can remember hearing music and hearing conversation but couldn't retain what was playing or being said. I remember commenting that I felt a slight burning sensation on the top of my foot when they first started but after that I felt nothing. It was just a calm, relaxing, peaceful rest. Shortly thereafter, the surgeon asked me to sit up and look at how my toes could now move. I was easily able to do that. My foot was nicely stitched up with about 8 or 10 stitches (I think) and he showed me how they could now bend like they were supposed to.
They bandaged up my foot and wrapped it with an ace bandage and then fitted me with a lovely black protective "boot." At 9:38 am I was on my way home. I was given crutches but told I could walk short distances in the boot if I could tolerate it. I was given percoset for pain.
Although my foot was definitely sore, it was nothing compared to about 5 bouts of serious stomach pain that I had throughout the day. Each only lasted about 10-15 minutes but were intense. Intense enough to make me sick to my stomach on the way home. (Thank goodness for the bag we had taken that had held my clothes at the hospital.) Later, talking to the physician's assistant, it sounded like it was a reaction to the pain meds. In recovery they had given me a choice of several things to eat. I wasn't hungry at all but chose some apple sauce since it seemed like it would go done easiest. That was, in retrospect, a mistake. I really needed something starchy like crackers to offset the pain meds. Once I got lunch and dinner on my stomach yesterday, I haven't had an issue with the stomach ache.
I was able to hobble around a little at home but definitely felt more comfortable on the crutches. Spent the afternoon and evening on the sofa with my leg propped up on a couple of pillows. Iced it for about 30 minutes every couple of hours. They had me ice the rear of my leg just above the ankle since the foot was wrapped up. Or they said I could ice behind my knee. They said either would cool down the blood going to the foot which I guess is a good thing. I was doing a couple of pain pills every 4 hours which was enough to take the edge off the pain and allow me to sleep. (Had only gotten a couple of hours a sleep the night before.)
Day 1
Spent the night in the guest bedroom since trying to keep my foot propped up and get the covers seemed too difficult with my husband in bed next to me. Plus, I was scared that if he thrashed around, it would be easy for him to accidentally bump my foot. Got a good six hours of sleep before the pain woke me up. But took some pain pills and was able to doze off again. Was awoken by soaked bedding under my leg and foot and realized the ice bag they had given me at the hospital and which I had put on when I was up earlier, had sprung a leak. Luckily the dressing on my foot stayed dry.
For some reason, my foot seems more sore trying to walk on the boot today than yesterday so have been mostly using the crutches for getting around. The pain meds (I think) are making me feel a little light headed although that may just be from lying down with my foot elevated. (How else do you get your foot higher than your heart?) Have been taking advantage of the situation by catching up on emails and starting this blog. (Okay, and at times napping.) Minimal pain as long as I take the meds every four hours and stay off my foot.
Was able to make my own lunch today including hobbling around to collect the ingredients although let my husband do the bigger tasks like unloading the dishwasher and taking care of drying out everything that got soaked with the melted and leaky ice pack.
Background/history
I am a 60 year old female. Average height and weight. In good physical shape. No major medical issues although my left foot is quite flat and does have a longitudinal tear in a tibial tendon which is a whole other issue.
Since I was in my early 20's, I worked in jobs that required I be in professional dress which at least for me meant wearing heels. I kept the heel height to about 2 1/2" which didn't seem to cause me any problems, at least at first. As I got into my 40's I started to notice a burning sensation wrapping around the inside of my foot just to the rear of the ball of my foot. It would come and go and although it was uncomfortable, it was never so debilitating to force me to look into it. I was a walker with flat feet who was quite used to having sore feet a lot of the time. At times the joint at the base of my big toe would be achy but I had just chalked it up to the high heels. And I never connected the burning sensation to joint issues.
In my early 50's I left the corporate world and since I now worked at home, rarely needed to be in heels. The pain for the most part when I was walking went away. What I started to notice at this time though was that a lot of dressier shoes both heels and flats were cut in a way that rubbed over the joint of the big toe which was quite painful. I addressed it by buying new shoes that didn't do this. It wasn't until 2012 when I was having issues with a torn tibial tendon on that foot, that I learned I had a rather severe bone spur and arthritic condition on that big toe joint. But at that time, other than certain shoes causing pain, I wasn't having any issues with that toe. If I were barefoot or in my walking shoes my toe was fine. At that time I was more concerned about the tendon tear and whether the pain from it would resolve on its own or whether I would need to do the rather extensive surgery and long recovery associated with that.
Fast forward to spring 2015. My tendon issue resolved. I'm back to walking about 3 miles a day and doing yoga a couple of times a week. Then one day doing a downward dog in yoga, I could feel something kind of crunch in the joint of the big toe and the pain immediately hit. Walking was painful. Anything on my toes in yoga was out. But the hardest part was finding shoes that didn't debilitate me just trying to get them on and off much less while walking. Even the slightest pressure on that joint caused tremendous pain. Luckily, it was unusually warm here and I was able to wear some loose sandals.
During this time I went in for my annual physical and my internist pointed out that I could only bend my big toe about 10 degrees on my left foot while my right toe could bend the normal 90 degrees. She explained that the condition was called hallux rigidus and suggested that I have it corrected since it can be very limiting to someone leading an active life. She recommended an orthopedic surgeon (who I had already seen years ago for the tendon issue) and who has an outstanding reputation for fixing foot and ankle issues. It was the end of July before I could get into see him but I decided it was worth the wait since he seemed to have done more of these surgeries than anyone else around. Of course by the time my appointment rolled around my toe was feeling better although the burning sensation was still there when I walked and the achiness would come and go.
He explained the surgery which seemed quite straight forward. Said it was a very common condition especially in people who were physically active. (I truly think mine was caused or at least initiated by the beating that joint takes from wearing heels.) Although at that time since I wasn't having a lot of pain, he didn't feel surgery was in order. He suggested I try a carbon fiber plate in my shoe to keep my toe from bending and then to push myself to do the things I wanted to do. And then, if I starting having pain have the surgery. At that moment, that seemed logical.
I bought the $70 carbon fiber insole. But when I put it in my walking shoes under my custom orthotic (which I need for my torn tendon) my toe joint was pressed so tight against the top of the shoe that the pain was awful. I put in my thinner orthotic for my dressier shoes and it was tolerable. But during my walk that night, I blistered both big and little toes since the edge of the carbon fiber plate was "reading" through the softer, thinner front portion of the orthotic. And now, the joint was sore again to boot. So much for the carbon fiber plate.
My husband had been on my case to get this fixed for some time. He's recently retired and we've got a lot of travel coming up. Neither one of us wanted to waste a big trip if the pain started up while we were far away and I ended up not being able to walk or at least walk in the shoes I had with me. I started to look at our travel schedule for the next couple of years and realized that if I was going to have a window to recover from surgery, it was now. I was tired of never knowing when this issue was going to flare up. Even more tired of having lots of beautiful shoes (low heeled) shoes that I couldn't wear any more.
I got on line and stumbled into a blog about cheilectomy written by a 40 some year old male. It was quite helpful as were many of the comments made by women as well as men. Didn't see anything that made me think that surgery wasn't the right thing to do. So the very next day, I called the surgeon and luckily got an appointment for surgery just 10 days later. Was just enough time to take care of things that needed me to physically move around, plus get a temporary handicapped parking permit (you'll need a letter from your surgeon), a waterproof cover in order to take a shower with my wrapped foot in its boot (I'll give a review on mine once I've tried it) , load up on library books, etc. without giving me too much time to second guess. And so here I am writing about my surgery and post op experiences.
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