After a lot of thought and consideration -- I have decided to retire One Foot in Reality and leave it as an Archive. I will still monitor it to keep the trolls at bay, but will not be posting here any longer.

If you are looking for my new posts, please go to www.haroldlshaw.com .

Thank you for all they years of following One Foot In Reality.


Tuesday, June 4, 2013

Ortho Visit and Injury Update 6-4-13

After a lot of thought I have decided to move some of best of my old posts from Aging Runnah and A Runnah’s Story blogs, primarily the old reviews, maybe a few of the better posts and race reports that I have written over the years. I have a feeling that at some point, my WordPress.com blogs are simply going to go away and I want to still be able to go back and read some of the stuff I wrote.

If you are reading this blog post, that is why it is has been re-posted here.

Originally posted on: June 4, 2013

I got to see the orthopedic doc yesterday and came away with some answers about what is going on.

Some news was good and some, well, I just have to be freaking patient about it.

So what did he say?

Official Report of the Doctor’s Impressions:

  • Pain in limb
  • Tendinitis, Achilles
  • Tenosynovitis
  • Tendonitis, Enthesopathy
The plan is:

The Doc said: “I explained the pathology to the patient and went over the options including conservative care and he will continue with the FP walker. He most likely has a clinical suspicion of an intra substance tear. If he fails to respond as expected we will capture an MRI. He will simply keep immobilized and ice and compress and in 2 weeks we will enroll Harold in PT so he can accelerate his recovery.”

This is what I heard

Lots of big words that I needed research, so that I could understand and wrap my head around what in the hell the doc was saying. Yes, I asked him to clarify what he was saying, while I was in the exam room, but I did not really understand, until I did more research at home about what was discussed.

The X-Rays were all negative – while not conclusive, they are a positive signal.

From what he could tell from the X-Rays and poking and prodding my foot - mmmmm checking my tolerances of pain – it looks like I didn’t tear my Achilles tendon. However, because of where and the amount of swelling there is on my foot, I might have done something to the Posterior Tibialis tendon, in addition to having some tendinitis in the Achilles .

This is where the patience comes in. I have to stay in the aircast for 2 more weeks and let my leg rest, get rid of the swelling and to let those tendons recover/heal a little more (it will be a slow process to heal the tendons). Yes, this sucks and puts a crimp into more than just running, but I also know that it is the right thing to do.

During this time, I am supposed to keep using my crutches, limit my weight bearing activities to an absolute minimum, ice the hell out of my Achilles and ankle area and wear compression gear.

The Doc gave his recommendations in terms that I understood:

“Stay off the f’ing thing if you want to run anytime soon”. I appreciated his bluntness – in other words, I completely understood what he saying and will do the best that I can.

He also told me that even though I probably would be feeling a lot better by the end of the second week, to keep using the aircast and not put weight on my foot for the full 2 weeks. That will be the hard part for me, especially as the yard work piles up and I inconvenience others in the house, because they have to do things that I normally do.

Right Foot Issues

The original reason that I had this appointment was because of the issues that I am having with my right foot and little toe.

During the visit I learned is that the problems I have been having with my right foot were/are not my imagination; I have something called Tailor’s Bunionette.

Like the Doc said, “since you won’t be running for a few weeks, we won’t’ worry about this until next time”. However, he did not put anything in writing about his impressions or the plan we will be following in the results I received today.

When I got home and researched all the stuff we talked about, much of the symptomology discussed in what I read, described exactly what I have been feeling in that foot.

So I am both psyched and very relieved now that I know or at least have an idea of why my foot hurts when I run (probably too many years in poorly fitting shoes) and have some ideas on how to alleviate the issues (getting wider toe box shoes – is probably going a long way towards resolving the issue) and the doc wants to try some foam pads under my sock liner to see if they help.

Overall, I was pleased with the Doc and the visit, although I heard the word surgery a bit too often, to be completely comfortable with him. I think he likes surgery as the primary option a little too much for the way that I see things. However, he did explain things well, didn’t recommend going to the knife solution as the first option and was pretty blunt about what I needed to do, if want to get back to running as soon as possible.

I need blunt.

Now to get through the next couple of weeks. 

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