Okie dokie artichoke so here goes the ‘ankle story’
2018 January
Started getting pain in my left ankle, from my heel, up into my calf, I had a scan and it showed a bone spur and some achilles tendinitis. No big deal right? So started conservative treatments, orthotic adjustments, tens machines, stretches, manipulations, dry needling, ultrasound therapy, all to no avail.
2018 March
Am referred on to an orthopaedic surgeon for his opinion on what the next steps may be. He looks at my history and says an MRI would be the next step to see the full extent of what’s going on. Comes back with insertional achilles tendinosis and paratenon thickening.
The decision is made that an ostectomy and debridement surgery is the next step.
2018 May
Surgery is performed. I stay overnight in hospital. While attempting a shower the following day, I lose my balance and put my weight on the freshly surgeried (yes I know it’s not a word) foot. The pain is something I had never experienced before, despite this, I am sent home, in my half leg backslab, no weightbearing, to return to the surgeon in 3 weeks time.
2018 June
Surgeon is happy with the incisions and transfers me to a moonboot, at a 30° angle to take the pressure off my achilles. I can now weightbear. In 2 weeks time, I go down to 15° angle in my boot. I am then over the next month to get back to 0°.
2018 July
I am now 10 weeks post op, and still in pain with weightbearing and experiencing warmth over the ankle. Surgeon feels this is inflammation and that it is still healing, that it may take more time due to my diabetes. He suggests I wear heel wedges to take pressure off the achilles and return in 6 weeks.
2018 October
5 months post op, I was doing okay until I had a bout of localised swelling and redness, suspected mild cellulitis, resulting in IV antibiotics. Here is when the “considerable swelling” (surgeons notes) comes into play. I was no longer able to wear my normal shoes due to the swelling. We again try conservative therapies, compression, elevation, ice and tens therapy.
2018 December
Repeat MRI is done due to considerable unrelenting swelling. This leads to the decision to redo the surgery and debride the inflammed tendon.
2019 January
Undergo my 2nd surgery the day before Australia day. Left ankle debridement.
2019 February
1st surgical review post op. Swelling is considerably lessened and my heel is flatter. Intraoperatively, I am told, there was significant tendon degeneration and gross swelling towards the insertion of the achilles. Into the boot I go, to see him again in a month’s time.
2019 March
Have an unexpected flare of my wound, landing me on antibiotics. At this time, the base of my scar is breaking down slightly. He advises to stay in the boot as is for another week and see him again in 2.
2019 April
As with the 1st surgery, once I made the transition back to shoes, the ankle blew up and the swelling would not subside. To avoid the chance there is something he has overlooked, he sends me to a colleague for a second opinion.
2019 May
I see this 2nd surgeon and he agrees that the achilles appears to have lengthened, giving me little to no power in my calf muscle. I have pain with weightbearing and day to day functioning. The decision is made that the next reasonable step is to again return to surgery to have an FHL tendon transfer. This is where one of the tendons that runs to the big toe is used to support the achilles. I am told I will never be able to be a ballerina, devastated 藍
Thinking that my big toe isn’t really a big deal, and that 80% function in it wouldn’t make any noticeable difference, I agree and surgery is booked.
We do the surgery and go thru the now painfully familiar wheelchair, moonboot, shoe routine over the next few months.
2019 August
Swelling and pain are still very present. Surgeon decides to try immobilising my ankle and have a non weightbearing period of 4 weeks. This turns into 6 weeks in a cast, before again transitioning to my moonboot.
2019 September
Things are looking promising, the surgeon and I are tentatively optimistic that a slower approach to rehab will have a different outcome this time.
2019 October
Back to the surgeon, with gross swelling and heel pain, again. I am sent to a specialised physio for gait retraining and oedema management.
2020 January
Back to the surgeon for a review and inform him of my current pain status and that I am now also getting pain over the outside of my ankle.
2020 May
Back for my 4th surgery, this time on my peroneal tendon in my left ankle. Due to my altered gait (due to an essentially useless big toe) I now putting pressure on that tendon when walking, and causing microtears.
My recovery from this surgery was extremely difficult, getting extreme itching under my cast, we removed the backslab to gently wash my leg before rewrapping it. We did this and found bubbles over my entire leg, itchy, disgusting bubbles and a fairly disgusting wound. I call the surgeon, he sees it and tells me to go home, pack a bag and report to the hospital for admission for cellulitis, and would also turn out to have staph, that I would need a few days of IV antibiotics. I am in hospital on antibiotics and pain meds for 8 long days. This obviously complicates my recovery quite a bit, but eventually I am back on the same train of wheelchair, boot, shoes.
May 2022
So the past 2 years I have been in and out of my moonboot, I have been diagnosed with lymphadema in my left leg and fitted for a custom compression sock. This made my pain worse and so that was discontinued, i was then fit for an achilles brace in an attempt to support my ankle and provide some compression. This is also unsuccessful. The past 2 years have been physuos, podiatrists, myotherapists all trying to help retrain me to walk properly. Due to little to no control of my big toe, to compensate I was walking on the outside of my foot. Today I am still walking the path of gait retraining, but am now dealing with an irritated knuckle joint in the middle of my foot underneath which makes it feel like I’m constantly walking on a marble. So while I retrain, I am also receiving treatment to minimise the bump under my foot. Years of being in and out of a wheelchair, and being in the boot for long periods of time at varying degrees has taken its toll on my back and hips which are generally inflammed and irritated all the time now.
I am getting there, I am able to do heel raises now and am working with my myotherapist making slow and measured progress. I still have not much calf engagement and am in constant pain but am seeing small improvements which feels like winning the lottery after the last 4 years.