One Year Later

Today marks one year since I had the Achilles’ tendon repair surgery.  Life has mostly returned to normal and I can do everything I was doing before the injury.  I do get stiffness in the tendon area, but I actually get that on both legs even though it was only my left tendon that ruptured.  And, thinking about it now, I realize that I had had stiffness in both tendons for a while. After sitting for a while, usually an hour or more, when I first stand up I can barely walk for about 10 seconds until it loosens up, and then it’s basically fine.  But I can ride my bike, walk, sprint to catch a train, take stairs two at a time, and have even gone back to the ocean a couple times – which was the real leap of faith, since that’s how I injured it in the first place.  

So for anyone who’s found themselves with a ruptured Achilles’ Tendon, I just want to let you know there’s life after.  It definitely helped that I had a great doctor, great physical therapist, great wife and a great employer (who let me work from home for 2+ months after it happened) and great health insurance for support.  But stick with it and hopefully you can expect a relatively normal life afterwards.

One year ago
Incision scar on my left ankle after 1 year.

Video update I recorded last week in Central Park.

Day 63 post-op: back to the office

This past Monday, Sept 17th, I finally returned to the office, after almost 11 weeks being out.  I was on long weekend (July 4th) when the injury occurred, and worked from home the following week.  I then had the repair surgery on July 16th, and spent about two weeks just sitting on the couch recovering – WFH wasn’t really an option for that, since I had to keep my leg elevated above my heart.  Since then I’ve been working from my home office.

First of all, let me say how amazingly lucky I am to have a job and a manager that allow me to work from home.  I am extremely grateful for that.  However, while there are definitely advantages to working from home, it’s not ideal, so I got clearance from my doctor and went back in this past Monday.

I live on Long Island and my office is in Manhattan, which means commuting involves driving to the local train station, parking there, taking a train into Manhattan, and then taking the subway to get to my office. Competition at the LIRR parking lot is fierce, and if you’re not there by 7 AM you likely won’t get a parking spot.  I left the house at my previously usual time of 6:25 and managed to get one of the last spots in the “good” parking lot.  There are no handicapped spots in this lot so I ended up just taking a regular spot, which was about 1000 feet from the stairs.  The stairs weren’t too much of a problem, though I am definitely slower climbing them, and double-timing was not an option.  I got a seat and the train ride was unremarkable.

I got off at Penn Station and took the escalator up to the concourse.  I took another escalator up, and then decided to take the stairs up to street level.  Again, no problem, just slow.  I walked over to 6th Avenue and entered the NRQ station at 6th & 32nd.  This was the first time all day I had to go down stairs, and it was definitely more challenging than going up. The main problem was that the boot was too big for the steps.  I took the subway to 5th Ave & 59th Street, just to take a peek at Central Park before work.  One thing I noticed walking on the sidewalk was that the slight grade of the sidewalk is very noticeable when wearing the boot.  The sidewalks are all slightly slanted downwards, from the building to the street, so rain will run into the street.  Normally I don’t notice this, but having the massive flat-bottomed boot bolted on, unable to use my ankle, it was awkward and uncomfortable.  I found walking on the right side of the street was easier than the left, so that the boot was lower than my good foot.  Not sure if I’m explaining it well, but it was a noticeable issue.

When I got to the office I took the elevator to the 17th floor, where the coffee is, and then walked down stairs to 16, where my desk is.  I managed to get special handicapped elevator privileges with a doctor’s note, so I can at least take the elevator to my floor in the future without having to walk down.

For lunch I walked to a burrito place about 5 blocks away and brought it back to the office to eat.  That was also a relatively unremarkable experience.

At the end of the day, I left a bit early, since there’s no way I can run if I need to catch my train.  Descending the stairs into the subway station near the office I started to feel sharp pains in my right ankle – my non-injured one.  By the time I got off the LIRR and got back to my car the pain was becoming more frequent.  My immediate guess was that all the walking down stairs had caused Achilles tendinitis in my right leg.  I had a physical therapy session right after work and I told my therapist what happened and he massaged the right leg as well as the left, using his roller thing.  He said the right calf was extremely tight, and I need to make sure to stretch the calf out before doing anything, to avoid future injury.

The pain in the ankle continued intermittently throughout the evening, and when I woke up Tuesday, laying in bed, I felt it continue.  It felt like someone had slashed the very bottom of the back of my ankle with a razor.  I decided to work from home rather than exacerbate whatever the issue was.  By Tuesday afternoon it was fine, but I chose to work from home for the remainder of the week.  There are just too many steps involved in getting to & from the office.  I plan to go back in either tomorrow (Friday) or Monday, and see if I can take a different subway route that has escalators or elevators the entire way.

Day 25 post-op: walking again (sort of)

Had my second post-op followup today (August 10th, 2018), 25 days after having Achilles’ tendon rupture repair surgery. The doctor took the tape off the incision, said it was all closed up but there was still a part that was “soft” so he put a strip of tape back on.

He told me I could now get the area wet, as in “run water over it,” but not rub or scrub it. So showering is slightly less of an ordeal now, since I don’t need the cast protector.

The big news though is that he had me remove one of the pieces of the wedge in the boot, so it’s only about 1.75″ tall now, and said I should start walking on it. Obviously with a big wedge in there, I can’t walk normally, but it’s a huge improvement in quality of life to be able to walk up the stairs versus going up butt-first or on crutches.

He also said I should take the ace bandage off when sleeping. I told him I had found another boot on Amazon that’s much lighter – it’s for plantar fasciitis – and I’ve been using that to sleep. He said that puts the foot in the wrong position, and I told him I rigged it up so the wedges were by the heel rather than the toe and he seemed slightly impressed. He said, “you’re an engineer, aren’t you?” I laughed and said yes, and he said “I love it when my patients solve their own problems.”  This boot weighs maybe 1/10th what the heavy duty boot weighs, but can’t be used for walking at all. I use it only for sleeping – it’s way more comfortable than the big boot. My sleeping boot is the “Plantar Fasciitis Night Splint by Vive” and comes with two wedges.  I’ll add a couple pictures below showing the Vive boot vs the heavy boot (the heavy boot was provided by the doctor, and appears to be this one: Procare MaxTrax Air Walker).

I have some more pics below of the incision with the tape off. Apologies again if it’s gross (it is).

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