Orthopod appointment lined up!

I was really surprised to get an email offering me an appointment in 11 days! Perfect! I work odd hours and six days on three days off so getting an appointment on a day off was almost a miracle!

I have been wondering whether a steroid injection would bring some relief? I have had one before in the same area. So painful compared to the ones just into tendon and muscle. It felt like someone was shoving a red hot screwdriver in between the bones. If it works then I can pull up my big girl pants and have one but I know it would only be temporary.

The surgeon is very forthright so I’m going to have to keep my head clear and not be bulldozed into doing something I don’t want. Hopefully I can take a support person with me.

I’ve made it 4 years, 7 months and 4 days.

I’ve made it over four and a half years post calcaneal osteotomy. Four years were pain free but the arthritis started to win the battle. I’ve tried to brave it out because I don’t want to give up my ability to run. I was told when I had it performed that eventually I would need an ankle fusion.

I’m at that point, in fact way past that point but I don’t want to go down that track. For me the pros are far out weighed by the cons.

Ankle fusion or arthrodesis involves cleaning up the ankle joint and fusing the bones together with screws, plates and bone grafts. Sounds easy enough?

New York Marathon 2018

• Well, it means limited range of movement - I have two flash hip joint prosthesises so I can run so they’d be wasted.
• It can change how you walk which can lead to, you guessed painful arthritis in other parts of your ankles, knees and feet! 
• Recovery can involve 10-12 weeks in a cast. Mines my right side and we drive on the left hand side of the road so my right foot is responsible for the foot controls. Therefore no driving. I work odd hours and can’t take public transport so no work or pay for 3 months.

This is the only likely option if I use our public health system, as I did with the original surgery.

My surgeon also works in private so that gives me more options. She does ankle replacements. 

• It has a shorter recovery period - 3-6 weeks in a cast.
• You regain a wider range of motion. Apparently most people return to active lifestyles but that would depend on your definition of active lifestyle.
• Return to impact sport is rarely possible.
• Need to have little or no ankle deformity - who knows if the CO has made it so!

So this is better than fusion but still unlikely to let me run unless the surgeon is brave. I’m waiting to get an appointment. If I went down this road I’d want a mobile bearing replacement rather than fixed. I don’t even know if that’s an option in New Zealand.

So what do I want? At the moment, a sharp knife and a ton of local anathestic! It is the most pain I have experienced in my life and I have experienced some high level pain. I also have a very high pain tolerance level. Right now nothing even reduces the pain to tolerable. I am taking Naproxen, paracetamol and lots of tramadol and it’s like I’m eating lollies. I can barely walk. The lowest levels of pain occur when I’m wearing the steel cap boots I have to wear to work because it’s really rigid support. Still painful but at least I can carry out my job.

It is actually something I am considering (not the DIY method!) but seeing where non-traumatic amputation for severe osteoporosis-arthritis falls on the scheme of things. I have friends who are amputees so I know all about stump issues and prosthesis fittings being hit and miss but the pain is really driving me mad and not being able to run after all I’ve been through to guarantee I can continue to run after two hip replacements is making me want to scream “Chop it off and just shove a blade on it!” Plus there’s the whole leg length issue. I was lopsided when I only had one hip replacement and that caused back and hip pain until I was straightened out with the second one. I don’t want to go down that path again.

So I wait to see when I get an appointment - how much longer I have to suffer in pain. Then I will ask for ALL the possible options and see where that leaves me.