4 weeks post op.

Post Op Status:
2 weeks splint - done
2 weeks cast 20 deg plantar flexion - done
2 weeks cast Neutral/0 deg - in progress

I got my 1st cast off today and was able to really move the foot around a bit. I was asked to really dorsi-flex the ankle position so they could put me in a neutral position cast. I did so and took the 10-15 minutes to massage, stretch, wriggle, rub, repeat on the leg. It was nice to get some sensation back, but stretching the tendon and calf was a lot tougher than I ever imagined. The swelling had gone down so much more than the last visit so I felt better about the tingles - nerve damage was a concern for me, but I was told that was normal due to swelling and lack of sensation in the cast.

My ROM was pretty good (not sure how scientific this is),but in a sitting position I put both feet together toes pointed forward and they were equal. Pulled both toes backwards towards the my body, and the ATR’d foot was about 1-2 inches less than the good one. There’s just no strength behind it and now locked in neutral…

When it came time for the PA to see me, I was not successful in convincing him into putting me into my boot (NWB) instead of the cast. Apparently they did this for two people last week who pleaded and begged, got their way, and ended up falling (for whatever reason) and re-ruptured. Of course, I could have absolutely demanded it, but by the way my stretching went and the two "cases" that went wrong I opted to just wait it out and follow their program.

So I’ve got 13 more days ( I tried to up my appt.) in this cast and again I hope it loosens up a bit so I can do more flexing in there. Then it’s on to rehab.

The scar still looks like @$$, but overall I think I’m doing well.