CrossFit Discussion Board  

Go Back   CrossFit Discussion Board > In Sickness and In Health > Injuries
CrossFit Home Forum Site Rules CrossFit FAQ Search Today's Posts Mark Forums Read

Injuries Chronic & Acute

Reply
 
Thread Tools
Old 12-12-2007, 09:04 PM   #1
Adam Worthington
Member Adam Worthington is offline
 
Profile:
Join Date: Oct 2007
Location: Columbus  OH
Posts: 8
Ruptured Achilles

This thread is a chronological diary regarding an injury I experienced to my right Achilles tendon. It starts at the date of injury along with an explanation of how the injury occurred. My intent is to post updates about my surgery and physical therapy with the hopes that the information will help other CF's in case they experience a similar injury.

To give you an idea about myself, I am a 39 year old male white, I stand 5'7" and usually weigh between 174lbs and 180lbs. This was before I stated the Zone diet about two weeks ago. I have not lost a lot of weight since starting CF but I have definitely lost a lot fat and gained muscle. I have been doing the CF WOD's religiously since August 2007.

20071207 at approximately 2045hrs EST. I ruptured my right Achilles playing indoor soccer. The pain felt as if someone came from behind me attempting to power kick the soccer ball but missed the ball and kicked the back of my ankle instead. It felt so real that I actually looked back behind me to get a look at the idiot who kicked me. I was totally confused when I didn't see anyone there. After asking around if anyone saw someone kick me a female player who was close by said she did not see anyone around me but stated she heard what she thought was my shoe lace breaking. Ouch! that was my Achilles.

20071207 2115hrs After icing the back of my ankle and correctly self diagnosing my injury I immediately went to the closest emergency room to get the process started since I knew I would need surgery. You may be asking yourself how I figured it was a ruptured Achilles? After feeing my left Achilles still intact then feeling for the right one I only felt a soft gushy spot where the right tendon should have been. I also noticed a small bulge where the tendon retracted up my calf. This along with remembering how a friend described the same injury when it happened to him brought a sinking feeling to my stomach because of the long recover time I had ahead of me. I then then immediately thought about not being able to do the WOD's as rx'd for at least a few months and the sinking feeling got worse.

I was seen by a PA first who verified I had a ruptured Achilles. After spending about two hours in the ER total I left that evening with a half splint, 20 Vicodin, and a recommendation to see a foot and ankle specialist. Since it was Friday night, the start of the weekend I had to wait until Monday morning to call the referred doctor.

Over the weekend the pain was not to bad. Since I had the Vicodin I took it as rx'd when I felt any pain coming on. Vicodin surely does work for pain. It also made me feel drowsy and slightly punch drunk. For the life of me I don't understand why or how people like that feeling and seek pain killers for the high.

20071210 0800hrs. I called the referred doctor and his service fits me in for a 1030hrs appointment to see the doctor that day. I was seen by Dr. Terry Philibin of The Bone and Joint Center at Grant Hospital, Columbus, OH. He has a very extensive background in sports medicine. Dr. Philibin verified the injury and explains that I have two options. One option is to set the foot in an immobilization boot at an extreme angle with the toes pointed forward making the ankle and shin as strait as they can be. In this position the two ruptured tendon ends find their way back together and mend together over time, a long time. This procedure is recommended for the elderly or very inactive people or people in poor health. The second option is to have surgery and it is recommended for very healthy and active people who want to recover faster. It is also believed but not exactly proven that surgery provides a stronger mended Achilles than option one. I chose surgery and Dr. Philibin schedules me for an MRI for December 12th and for surgery, December 13th.

20071212 0830hrs. I sit for a little over 45 minutes with my right foot in the MRI. The MRI the tech running the machine comments on how bad it looked. Damn, not what I want to hear.
  Reply With Quote
Old 12-13-2007, 02:03 AM   #2
Aileen Reid
Member Aileen Reid is offline
 
Profile:
Join Date: Aug 2007
Location: Perth  Western Australia
Posts: 485
Re: Ruptured Achilles

Thanks for posting this. Mine is sore, I hope it never gets to broken. Good luck with the surgery.

I'm with you on the painkillers - I hate anything that disconnects my brain from the rest of me. I'd make avery bad addict!
  Reply With Quote
Old 12-13-2007, 05:40 PM   #3
Adam Worthington
Member Adam Worthington is offline
 
Profile:
Join Date: Oct 2007
Location: Columbus  OH
Posts: 8
Re: Ruptured Achilles

20071213 1920hrs I woke up this morning, took a shower, and was driven to the hospital for the surgery. It was my first surgery as an adult and I must say I found the whole process really fascinating.

I will write in more detail later since my brain and body both still feel kind of tired and "cloudy". I will make one remark though. Coming out of the surgery was by far the worst part. For anyone who likes the feeling of being on Dolodin or the like I want to sock them in the mouth I hate the feeling so much. How anyone gets addicted to that feeling is beyond me and I admit to liking a good buzz every now and then.
  Reply With Quote
Old 12-14-2007, 04:16 PM   #4
Adam Worthington
Member Adam Worthington is offline
 
Profile:
Join Date: Oct 2007
Location: Columbus  OH
Posts: 8
Re: Ruptured Achilles

20071214 1700hrs Day 1 after surgery.

Here are a few thoughts from what I remember about yesterday, the day of the surgery.

I was really impressed with how well organized Grant Medical Hospital here in Columbus, OH was. Everything from registering, which happened over the phone the night before, to my discharge went very smooth. There was even free valet parking for when my wife arrived which meant the car was waiting out front for us when we left.

As far as the operation itself went of course I don't remember anything because I was knocked out with whatever anesthesia they used plus the Dolodin. Upon waking up I was very groggy as expected but I felt terrible. Kind of like having a mild fever with nausea minus the aches and pain if that makes any sense. My throat was also sore and my lip was slighly cut because of the intubation process. I woke up with my leg wrapped in a half splint with so much padding around it that it looks cartoonish. The extra padding is there for protection in case it gets knocked around. I do remember wanting the company and comfort of my wife as soon as I woke up. I kept asking for her until they finally let her come back to where I was resting. It is normal to let family back with the patient during post op but apparently not as fast as I wanted. After about 2 hours of post op care they sent me home.

I was prescribed three different drugs. To act as a blood thinner and to be taken once daily I was given Ecotrin which is actually aspirin. To fight off any infection I was given a generic form of Keflex to be taken every four to six hours. And finally for the pain I was prescribed a generic form of Percocet to be taken every four hours. All day yesterday the Percocet worked well enough but it seemed to wear off after about three hours which at that point my ankle started to throb and felt infected. Today the Percocet seems to be working the entire four hours which tells me the pain is subsiding and I am healing as well as can be expected.

Today I feel good enough to be up and moving around on crutches like I was before the surgery. I am trying to maintain some discipline and make myself lie around and rest as much as I can. I took my first bath today since the surgery. Because my leg has the half cast and is wrapped in what I believe is cotton padding and what amounts to a very good quality ACE bandage I cannot get it wet. As a technique to bath I bought a shower chair to bath in the bath tub and a rubber shower head that fits over the bath tub faucet. At this point, about 24 hours after the surgery, I am able to get into and out of the tub by myself. Of course if I needed my beautiful wife, the RN, would help. As far as bathing is concerned I have to sit on the chair with my ankle up on the edge of the tub being careful not get it wet. For anyone who finds themselves in a similar situation this system of bathing works surprisingly well and is clean in regards to splashing water everywhere.

That is about all I can add up to this point. I have an appointment to see the surgeon next Friday the 21st of December. I will post anything pertinent from now till then if I think it necessary.

One more interesting note: Weird as it sounds, I really think being in shape from doing CF for the past 5 months has made the past couple days a lot easier.
  Reply With Quote
Old 12-25-2007, 10:37 PM   #5
Adam Worthington
Member Adam Worthington is offline
 
Profile:
Join Date: Oct 2007
Location: Columbus  OH
Posts: 8
Re: Ruptured Achilles

Because of the holidays I have not been posting my updates as often as I intended but at the same time I everything has basically been status quo since my last post.

20071220 The following experience is interesting so I thought it would be fun to add.

I am a police officer by trade. As a cop we are given a chance each year to take a physical fitness test with the incentive of earning 24 hours of vacation for passing at a predetermined max level of fitness. I will tell you know it is not real hard to pass at the max level. Prior to my injury I schedule to take the test. While phoning the center to cancel the appointment to take the test I asked if they would let me take the test with a cast on my right leg. To my surprise they said yes. Anyway long story short I took & maxed the below test standards with a cast on my right leg that extends just below my knee. By itself passing it is not a very big deal but you should have seen the look on the two testers faces when I pressed 315 with only my left leg.
The pathetic “3rd tier” test standards are below

-Body Comp Test using calipers was 15.6%. It had to be 20% or below.
-Sit and reach, reading was a 19 on box they use. I had to reach 17.
-65 sit up's in 2mins. I could have done more but I had to do only 65.
-Bench press body weight once. I did it no probroblem.
-Leg press 1.77% of body weight once. I did it with my left leg only!

Pitiful to think there are injure free LEO's who can't pass the above standards.
I must start passing around the CrossFit cool-aid to my fellow LEO’s!

I should mention here that after about 12 days since the surgery I started driving myself around town in my Ford Expedition using my left leg to brake and accelerate. I have been moving around more and more each day and feeling really good doing so.

Here are a couple of important notes that I think are important to share. First, as some of you might know, pain medications like Percocet are known to cause constipation as a side effect for many people. I happen to be one of the many, but after drinking a lot of water and taking the recommended dose of Extra Strength Exlax the problem goes away. Second and a little more embarrassing, the Percocet totally destroyed my sex drive. I honestly didn't think anything about it until my beautiful wife of 17 years started mentioning “how long it's been”. Since that part of our life has never been a problem I went looking for a solution knowing it pays to keep Momma happy! The fix for me was to switch back from Percocet to Vicoden. I was originally prescribed Vicoden by the emergency room doctor after the injury and had no such side effects. All it took was one call to my Doctor and an explanation of what the problem was with the expressed desire to change back to Vicoden for him to approve it.

20071221 I went to my first post op appointment today. The intent of the appointment is so the doctor can look at the incision and replace the half cast with a full fiberglass cast. As soon as I was lead to the back and seated on a medical table a technician, not sure of his title, removed my "cartoon cast". It was the first time I saw the stitched incision. Except for it looking longer than expected it actually looked good to me. My foot did appear to be swollen than I would have thought it should be but I had been up all night prior to my 0830 appointment and hadn't elevated it for a few hours. After removing my cast the tech handed me a box of baby wipes and told me to clean myself up. I took this opportunity to give my leg and foot as good of a cleaning as I could for obvious reasons and because my wife and daughter started to mention how bad my foot started to smell.

Dr. Philibin arrived and looked at the surgery site. He quickly commented that it looked real good and asked me how much pain I was having. I told him the periods of pain are subsiding but I am still taking the pain meds just a lot less often. The doctor asked me to lay on my stomach. Once in that position he did a very quick test by squeezing my calf looking for foot movement to verify that the tendon was still attached and that my foot naturally pointed slightly up like it is supposed to. My foot moved and was pointed up. Whoo Hhoo!

At this time the tech returned and asked me what color cast I wanted. I had all kinds of selections but decided on black. He had the cast on in less then five minutes and what seemed like five minutes after that it was dry and I was released.

Before I left I asked for a doctors slip to show my employer that I can only work light duty and a slip to give the local BMV so I could get a temporary Handicap Parking tag. I highly suggest the temp handicap parking tag. Don't be stupid by thinking you are too tough to get one. They are great when going with the wife to Home Depot and not having to park so far away knowing your about to hobble while following her around the store for a mile or more. They are also nice when leaving the bar with your DD at 0200.

The med center has a store to buy all sorts of foot and ankle medical supplies. I bought a boot with a thin rubber ring that slips over my cast up to my knee that keeps the water out when I shower. It works as advertised and I suggest it for anyone with a cast that does not want to bath in a tub.

More to follow
  Reply With Quote
Old 12-26-2007, 02:50 PM   #6
Aileen Reid
Member Aileen Reid is offline
 
Profile:
Join Date: Aug 2007
Location: Perth  Western Australia
Posts: 485
Re: Ruptured Achilles

Glad its going well. I know what you mean about the handicap parking. When I broke my foot I never had an ACROD sticker - or a cast, I was just hobbling around on one side of my foot. I got to hate shopping centres!
  Reply With Quote
Reply


Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off

Forum Jump

Similar Threads
Thread Thread Starter Forum Replies Last Post
Flexibility in achilles John Lovins Fitness 7 10-18-2007 06:48 AM
A tight Achilles Matt Cusack Injuries 10 03-25-2006 10:07 PM
Ruptured L5/S1 disk Beth Moscov Injuries 10 01-23-2006 09:25 AM
My achilles!!! Misael Lopez Injuries 5 11-25-2005 02:41 PM
Advisability of doing gymnastics with a ruptured ACL Peter Galloway Injuries 4 03-22-2005 09:44 AM


All times are GMT -7. The time now is 03:26 PM.


CrossFit is a registered trademark of CrossFit Inc.