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Achilles tendon update
Dr E. was busy having a baby on Thursday when I went in for a check after a week in the walking cast boot. (Apparently her due date was Friday.) Instead I saw Dr. S., a fill-in (Dr. E. has a solo practice), who was quite harried trying to see a full schedule of patients with no prep and deal with an office computer system and files she was unfamiliar with. The staff was harried trying to get Dr. S. to do things their way. <g>
I tried to offer a summary of my problems, but got cut off in favor of a few directed questions, an out-loud reading of the MRI report, and a brief physical exam in which Dr. S. was somewhat frustrated because nothing hurt. I told her that was the way it went--when I'm not hurting, generally no pressure or movement will hurt. When I am hurting, there's a definite are and type of pain...until it stops again.
Anyway, we didn't discuss any treatment except continuing the walking cast/boot for at least a 4-week period, then see if it was ready for PT. She suggested I try to sleep in the boot, keep it pumped up tight to really restrict all movement possible, and try getting an elastic ankle brace for additional support. All these are underway--sleeping in the thing is...OK, the ankle brace was bought yesterday and is now on for the first time, and I'm keeping more pressure in the boot except for occasional rest breaks where I'm careful not to move around. We'll see how this goes.
Don't know when Dr. E. will be back. I asked the receptionist, but she said they were playing it by ear. That could mean weeks or months, I guess, but I'd assume she will try to get back in the office quickly given the one-woman operation it is.
I tried to offer a summary of my problems, but got cut off in favor of a few directed questions, an out-loud reading of the MRI report, and a brief physical exam in which Dr. S. was somewhat frustrated because nothing hurt. I told her that was the way it went--when I'm not hurting, generally no pressure or movement will hurt. When I am hurting, there's a definite are and type of pain...until it stops again.
Anyway, we didn't discuss any treatment except continuing the walking cast/boot for at least a 4-week period, then see if it was ready for PT. She suggested I try to sleep in the boot, keep it pumped up tight to really restrict all movement possible, and try getting an elastic ankle brace for additional support. All these are underway--sleeping in the thing is...OK, the ankle brace was bought yesterday and is now on for the first time, and I'm keeping more pressure in the boot except for occasional rest breaks where I'm careful not to move around. We'll see how this goes.
Don't know when Dr. E. will be back. I asked the receptionist, but she said they were playing it by ear. That could mean weeks or months, I guess, but I'd assume she will try to get back in the office quickly given the one-woman operation it is.