Wait? No MRI?
No Non-Surgical Options?
I injured myself on a Thursday night. I saw the orthopedic surgeon in the late
morning on Friday. After failing his
Thompson Test, he scheduled the first available surgery that I could have with
any of the surgeons from the Orthopedic Associates of Saratoga. He said that there was no point in having an
MRI. I had definitively failed Thompson.
We discussed options very briefly. If it wasn't a complete tear, which he was
sure that it was, I could have it casted in the toes pointed position for 3-4
months, then a month in an orthopedic boot.
Then it would be grueling rehab and range of motion for at least another
3-4 months. If I had it surgically
repaired, it would be two weeks in a splint, six weeks in a cast, and then a
month in the boot.
There were also some practical statistics in play. In terms of re-rupture, 15% of non-surgical
repairs re-rupture the tendon. Only 5%
of surgical repairs have the same relapse.
In terms of the need for quick scheduling, if my tendon was indeed split
in two, the longer I waited, the more difficult the surgery would be as the
tendon would continue to lose elasticity.
He had considered scheduling night or Saturday surgery, but thought that
it was best that I wait for one of his colleagues, whom he trusted, on
Monday. It took zero time for me to make
up my mind, wishing I could have the surgery on the spot.
Good Morning, Shakespeare. We are Here to Stick a Needle in Your Spine
To make a long story short, I have a thing about needles in
my spine, so I was quite happy to have general anesthesia. Complicating matters, however, was that I had to have
surgery face down as the incision would be on my calf. General anesthesia would mean three
orderlies would move me from gurney to operating table and back. I would also have to be intubated. It turns out that I have a bigger thing about
being intubated than I do about needles in my spine. It took no more
convincing. They took me to the OR, gave
me a slight sedative, some lidocaine to numb the injection area, and then the
injection. I didn't even feel it. Soon my legs were getting heavy. I rolled myself to a comfortable spot on the
OR table and they placed the oxygen mask on to help me breathe while
"semi-conscious" sedation set in. Beyond
a bizarre tugging on my left leg, at which I tried to kick away with my barely
usable right leg (and a foggy remembrance of being asked to keep still), it
was a snap. No pun intended. Ninety minutes later I was out of surgery and
in the step-down room, waiting for anesthesia to wear off and for feeling to
return to my legs.
Related Readings
(please note that hyperlinks
will not work until future blogs are posted):
Part 1 - My Achilles Heel - Achilles Tendon Rupture
Part 2 - To Cut or Not To Cut? Not Even a Question!
Part 3 - Sew Happy Together
Part 4 - Casting
Call
Part 5 - The
Process of Getting a Handicapped Parking Permit
Part 6 - The
Orthopedic Boot(y) Call
Part 7 - I'm
Going to Rehab
Part 8 - Preparing for the Breast Cancer Run
Part 9 - Results from the Breast Cancer Run
Resources:
http://www.mayoclinic.com/print/achilles-tendon-rupture/DS00160/DSECTION=all&METHOD=print
http://en.wikipedia.org/wiki/Achilles_tendon
http://en.wikipedia.org/wiki/Orthotics
http://en.wikipedia.org/wiki/Achilles_tendon_rupture
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