Comments on: Haglund’s Correction with Removal of Retrocalcaneal Spur and Transverse Achilles Tenoplasty : 2 Case Reports http://podiatry.wordpress.com/2007/01/01/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/ Case Presentations in Podiatric Medicine & Surgery Fri, 01 Jan 2010 13:26:24 +0000 http://wordpress.com/ hourly 1 By: RANDI http://podiatry.wordpress.com/2007/01/01/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2838 RANDI Fri, 01 Jan 2010 13:26:24 +0000 http://podiatry.wordpress.com/2006/12/31/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2838 my achilles was detached---cleaned out--and sutured back in a special fashion---the no weight bearing for 3 weeks---and elevation---were key. very little swelling--then i slowly walked better each day----now--6 weeks out---limping small amount---been on bike since off crutches at 3 weeks--started eliptical at 5.5 weeks. no pain---in fact the machines help with stretching and range of motion---I REALLY WANT TO AVOID SURGERY ON OTHER ONE---THAT ONE IS NOT SWOLLEN AT all---the bump-bony projection is seen on exray--and with naked eye---but not any where like the bad one was....WHAT HAVE PEOPLE DONE TO AVOID EXXACERBATION? just avoid rubbing--up hill running---? my achilles was detached—cleaned out–and sutured back in a special fashion—the no weight bearing for 3 weeks—and elevation—were key. very little swelling–then i slowly walked better each day—-now–6 weeks out—limping small amount—been on bike since off crutches at 3 weeks–started eliptical at 5.5 weeks. no pain—in fact the machines help with stretching and range of motion—I REALLY WANT TO AVOID SURGERY ON OTHER ONE—THAT ONE IS NOT SWOLLEN AT all—the bump-bony projection is seen on exray–and with naked eye—but not any where like the bad one was….WHAT HAVE PEOPLE DONE TO AVOID EXXACERBATION? just avoid rubbing–up hill running—?

]]> By: Jennifer http://podiatry.wordpress.com/2007/01/01/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2837 Jennifer Fri, 01 Jan 2010 08:48:09 +0000 http://podiatry.wordpress.com/2006/12/31/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2837 That's encouraging! Hopefully, I'll actually get to exercise next week on the bike. I have never gone this long without exercising, since...well, never. That’s encouraging! Hopefully, I’ll actually get to exercise next week on the bike. I have never gone this long without exercising, since…well, never.

]]> By: RANDI http://podiatry.wordpress.com/2007/01/01/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2836 RANDI Thu, 31 Dec 2009 21:35:07 +0000 http://podiatry.wordpress.com/2006/12/31/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2836 i used the stationary bike with the boot--then with a clog....no poblem i used the stationary bike with the boot–then with a clog….no poblem

]]> By: Jennifer http://podiatry.wordpress.com/2007/01/01/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2835 Jennifer Wed, 30 Dec 2009 20:02:47 +0000 http://podiatry.wordpress.com/2006/12/31/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2835 Hey, I am getting my cast off next week and will be in one of those cam walker things. Are there any exercise machines I could use at this point, like the stair master? Thanks! Hey, I am getting my cast off next week and will be in one of those cam walker things. Are there any exercise machines I could use at this point, like the stair master? Thanks!

]]> By: ash http://podiatry.wordpress.com/2007/01/01/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2834 ash Tue, 29 Dec 2009 10:19:34 +0000 http://podiatry.wordpress.com/2006/12/31/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2834 I am 1 week out of surgery today. Perhaps I have been a bit premature - I moved a cupboard yesterday, organised all my kids new xmas stuff and cleaned a floor of the house (vacuuming etc) and last night my ankle was SORE! I guess I had it down too much. It's also not working 100% to have the pressure bandage off, which is what I did yesterday and which led to really immense swelling (with my skin peeling), so since last night I have a tubigrip which has helped a lot. The incision is almost completely healed, but peculiarly the pain from the swelling is worse than the pain I had directly after the surgery. I am revising my plans to be driving by next Tuesday and we cancelled our New Year's plans (which included driving 9 hours from Holland to the UK via France). Did anyone else have a lot of swelling come up so late after the surgery? I am 1 week out of surgery today. Perhaps I have been a bit premature – I moved a cupboard yesterday, organised all my kids new xmas stuff and cleaned a floor of the house (vacuuming etc) and last night my ankle was SORE! I guess I had it down too much. It’s also not working 100% to have the pressure bandage off, which is what I did yesterday and which led to really immense swelling (with my skin peeling), so since last night I have a tubigrip which has helped a lot.

The incision is almost completely healed, but peculiarly the pain from the swelling is worse than the pain I had directly after the surgery. I am revising my plans to be driving by next Tuesday and we cancelled our New Year’s plans (which included driving 9 hours from Holland to the UK via France).

Did anyone else have a lot of swelling come up so late after the surgery?

]]> By: Renee http://podiatry.wordpress.com/2007/01/01/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2833 Renee Sat, 26 Dec 2009 13:09:48 +0000 http://podiatry.wordpress.com/2006/12/31/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2833 Congratulations, Ash! That's wonderful news and a great Christmas present! I'm so happy for you! Congratulations, Ash! That’s wonderful news and a great Christmas present! I’m so happy for you!

]]> By: ash http://podiatry.wordpress.com/2007/01/01/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2832 ash Sat, 26 Dec 2009 13:00:13 +0000 http://podiatry.wordpress.com/2006/12/31/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2832 The inflamed bursae were drained as far as I know. I have the dressing off now and because I didn't keep off my foot as much as I could have I have some really awesome looking bruising all along the side of my foot and about three quarters of the way up my ankle. I'm suffering a bit from swelling too, but I think that's because I'm not keeping it up that much. Today I am walking without crutches. I had the pressure bandage off but the swelling quickly builds up if I leave it off for too long. The incision is about 3 inches on the side of my heel so there will be no pressure from shoes later on. I'm really impressed with my dr as I think he's done a great job. The heel already resembles the other and the ridiculous lump is completely gone. I'm hoping to be driving by the end of next week! The inflamed bursae were drained as far as I know. I have the dressing off now and because I didn’t keep off my foot as much as I could have I have some really awesome looking bruising all along the side of my foot and about three quarters of the way up my ankle. I’m suffering a bit from swelling too, but I think that’s because I’m not keeping it up that much. Today I am walking without crutches.

I had the pressure bandage off but the swelling quickly builds up if I leave it off for too long. The incision is about 3 inches on the side of my heel so there will be no pressure from shoes later on. I’m really impressed with my dr as I think he’s done a great job. The heel already resembles the other and the ridiculous lump is completely gone. I’m hoping to be driving by the end of next week!

]]> By: Scott http://podiatry.wordpress.com/2007/01/01/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2831 Scott Thu, 24 Dec 2009 16:13:16 +0000 http://podiatry.wordpress.com/2006/12/31/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2831 Ash, See Rob's post back in July 2008. Not having Achilles detachment is a key driver in recovery time. In some situations, the amount of excess bone buildup will require achilles detachment (vs. debridement). In most cases this will requires the use of screws to reattach. Were inflammed bursae removed or just drained? Best of luck on a speedy recovery, it sounds like you're well on your way. Ash,

See Rob’s post back in July 2008. Not having Achilles detachment is a key driver in recovery time. In some situations, the amount of excess bone buildup will require achilles detachment (vs. debridement). In most cases this will requires the use of screws to reattach.
Were inflammed bursae removed or just drained?
Best of luck on a speedy recovery, it sounds like you’re well on your way.

]]> By: ash http://podiatry.wordpress.com/2007/01/01/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2830 ash Thu, 24 Dec 2009 15:49:01 +0000 http://podiatry.wordpress.com/2006/12/31/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2830 Hi Renee, I think the key was that they put nothing IN only took bone out - or at least that's what the orthopedics resident was explaining to the nurse. She said if they had had to put anything into my foot the recovery would be different. I can tell you what scared me though - when I got to the hospital none of the staff on my ward had ever heard of this surgery before and they'd all looked it up on the internet! Luckily my dr had more experience. I have been doing stuff today so there is some swelling now, but am about to go and rest it! Hi Renee, I think the key was that they put nothing IN only took bone out – or at least that’s what the orthopedics resident was explaining to the nurse. She said if they had had to put anything into my foot the recovery would be different.

I can tell you what scared me though – when I got to the hospital none of the staff on my ward had ever heard of this surgery before and they’d all looked it up on the internet! Luckily my dr had more experience. I have been doing stuff today so there is some swelling now, but am about to go and rest it!

]]> By: Renee http://podiatry.wordpress.com/2007/01/01/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2829 Renee Thu, 24 Dec 2009 12:41:20 +0000 http://podiatry.wordpress.com/2006/12/31/haglund%e2%80%99s-correction-with-removal-of-retrocalcaneal-spur-and-transverse-achilles-tenoplasty-2-case-reports/#comment-2829 WOW, Ash! I'm amazed at your speedy prognosis! I'm so glad that it's going well for you. I was thinking about my experience and trying to determine what was different and if the aftercare had anything to do with where I am now. I don't know if the fact that I also had an osteotomy was significant - they took a wedge out of my heel bone and screwed it back together to change the angle of the bone. My foot was swollen and black and blue for weeks after the surgery. There was no way that I could have put any weight on it. I needed sleeping and pain medication for several weeks. It is still stiff and painful at times. I'm happy for you that your recovery is so much quicker. Have a very merry Christmas! WOW, Ash! I’m amazed at your speedy prognosis! I’m so glad that it’s going well for you. I was thinking about my experience and trying to determine what was different and if the aftercare had anything to do with where I am now. I don’t know if the fact that I also had an osteotomy was significant – they took a wedge out of my heel bone and screwed it back together to change the angle of the bone. My foot was swollen and black and blue for weeks after the surgery. There was no way that I could have put any weight on it. I needed sleeping and pain medication for several weeks. It is still stiff and painful at times. I’m happy for you that your recovery is so much quicker. Have a very merry Christmas!

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