Slight Setback

New Walking Boot

Had my second post op doctor visit on 10/30. It was 23 days after the surgery. I was hoping to get the cast off and to be able to walk but it wasn’t going to happen this visit.

I got to the doctors office (4th floor) to only find out I was supposed to have the x-ray done first so it was off to the lobby again. Once the x-Rays were done it was back off to the fourth floor.

As far as my recovery there was very little pain in this two week cycle. What pain I had was bearable. The worse pain I experienced was definitely in the 3 days after surgery.

Once there they rolled me into the cast room and removed my cast. YES!!! Damn I needed that. Then the doctor removed the 25 stitches. The doctor had to place a screw horizontally to attach the replacement ankle to my leg and he doesn’t want me putting weight on it yet. However he did remove the cast and put me in a walking boot. I guess you can say I am half way where I wanted to be. So far the worse pain was the 3 days following surgery. The boredom really sucks but all in all the experience hasn’t been too bad but that is still dependent on how well the surgery worked to end my constant pain. Time will tell.

A Week Gone By

My new cast.

When I began my journey to full ankle replacement I had so many questions that I couldn’t get answers to. I talked to a couple people who had had it done but they really didn’t help much.

After some thought I decided to record my journey and do a series of blogs outlining my recovery. I figured those who were thinking about having the surgery could maybe get some of their questions answered to help them in the decision process.

First off a little history about myself. 66 years old, 6 feet tall, overweight (250 lbs) with high blood pressure. Retired farrier. Injury happened in 1980 crushed heel, broke ankle and broke instep. Never took a step without pain since it happened. Lived with chronic pain for 40 years. Warning: some of the photos are graphic

Surgery was 10/07 and I had my follow up doctor visit today 10/15. Cast was removed. The incision looked good and the doctor was pleased.

After a thorough examination Doctor Sloan informed me that I was to return in 2 weeks at which time he would remove new cast and I would begin physical therapy. He then applied the new cast.

My thoughts on the first week. I know everyone has a different pain threshold. Mine has always been relatively high. Ten years ago I was kicked by a horse and I incurred 2 broken ribs and a bruised spleen and was shoeing horses 3 days later. Pain chart I am using 1 is little pain, 10 horrible pain. They used a nerve block on me which lasted almost 14 hours so that helped. The first 3 days my pain grade bounced between a 4 and an 8. I am not going to kid you. It hurt like hell, but it was bearable. By day 4, 5, and 6 the pain began to ease considerably. I still had my moments but they were fewer and farther between. On days 6, 7 and 8 I only took 1 pain pill each day.

My biggest mistake was not losing weight and I had plenty of time to do that and didn’t do it. I couldn’t put any weight on my foot so my arms, shoulders, left leg and foot were taxed heavily when I needed to go mobile. Then figure in my age with this it doesn’t take a rocket scientist to figure out if I would have dropped 40 pounds it would have helped my predicament a lot. I also should have done some upper body strength exercises. Even though I had plenty of time I didn’t do either. Two things that would have cost me nothing but would have benefited my endeavor immensely. Lesson learned!

That pretty much sums everything up. If you decide to get the surgery don’t be a Wayne, use your brain instead. I know, I wish I would have.

Hope?

Surgery is done.

The day finally arrived. I had mixed emotions. Nervous, skeptical and hope. My accident happened in 1980. I crushed my heel, broke my ankle and broke my instep. That is when the pain started.

Fast forward to 2019 when I changed primary physician. He referred me to an orthopedic surgeon. He informed me ankle replacements had been happening for 25 years. He said he could help me so here we are.

It started at 10 am. Not sure when the surgery was finished but I awoke around 5:15 pm. I thought they were going to keep me but they decided to send me home. I guess one can really say this is where my journey begins.

I havent taken a step without pain for 40 years. I have lived with chronic pain. It wasn’t as bad in the beginning but it has got worse over the years. The surgery is supposed to take care of the pain. Time will tell.

Note: I plan on recording my recovery through my blog.

Hope For My Chronic Pain

On February 27 I posted a blog about my chronic pain. About 3 months ago I made the decision to find a new doctor and I was lucky enough to find Dr Paul Moniz in Farmington, MO. He didn’t waste anytime addressing my health issues. He has my piercing edema under control and referred me to a cardiologist to address my heart problem and that has been addressed.

I had asked him to order X-rays of my ankle because I wanted to make sure no stress fractures were present. He took one look at my ankle and immediately ordered a work up of my ankle and X-Rays. When he saw them he referred me to Dr Christopher Sloan, podiatrist, of Farmington.

My appointment was today and I am ecstatic with the news I received. Seems I have bone build up on the right side of my right ankle the size of a ping ball, and smaller bone build up on the left, and my heel has some abnormalities. He said the X-rays of my foot were quite evident of how painful it was for me to walk and that he would like to do an ankle replacement. He informed me that ankle replacements had been available for almost 25 years.

He continued to say I would be pain free and could walk normal. He went over everything with me very thoroughly and I agreed to let him do the procedure on October 27.

Needless to say I walked out of his office on cloud 9. Once I got into the truck and put the key in the ignition I teared up. For 40 years I have not known what it was like to walk without pain and I was looking at the possibility of finally getting that opportunity. I was saddened to think that because I wasn’t proactive and basically given up, that I could be living that dream years ago. I could only imagine how much it would improve my quality of life. Time will tell.

In closing I would like to encourage anyone in the same position as me to not be afraid to change doctors or at least get a second or even third opinion. Don’t give up hope even if you have exhausted every possible avenue. Try again in a couple of years. They are making new medical advancements every day and you never know when they might develop a way to address your problem. Don’t give up like I did. To think it might have cost me 10, 15 or 20 years of enjoying being pain free is a hard pill to swallow but it’s better late than never. Good luck!