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I knew that surgery wouldn’t be an enjoyable vacation but this has been rougher than I prepared for mentally. Mostly I just work on keeping the pain under control and sleeping.

I also have to make sure I get up and move around to prevent blood clots so it’s harder to get steady sleep. My follow up is on the 12th in the morning and until then I pretty much have to rest.

This surgery was a lot more invasive than the knee too. My biggest accomplishment so far has been washing my hair. I am thankful I have my parents to stay with, they have helped out a lot.

This morning I went to PT and at the same time I picked up my medical records from my current foot doctor in order to shop around for a second opinion. I went and saw the same doctor that did surgery on my knee to see what he might suggest and while it’s not an area he does surgery in he did say given everything that’s gone on that foot surgery may be the only route left to try. I am going to be seeing another foot doctor on the 24th and then I suppose I have to make a decision. I’m more worried about this surgery than I was about the knee but it’s really not getting better.

The doctor today said that normally they tell people with plantar fasciitis to “stretch, stretch, stretch” and the problem generally lies in not stretching enough. I have heard this one before so I do stretch a lot – I stretch in the morning, before bed and a few times during the day at work or before/after I go for a ride.  He said that my flexibility was really good so I may have reach the limit of the benefits of stretching. He also commented that my heel spur was pretty impressive and that they don’t normal see one of that size in someone my age. He said that people come in talking about having this “big” heel spurs and normally they aren’t much but in my case it really is a huge spur. I believe he also said it was “angry” and really swollen.

I did get new shoes today, Brooks Ariels, to replace my old pair of Ariels. So far they have been pretty nice but I’m not sure they’ll be a miracle cure to my problems. One of them already has a scuff/oil mark from the bike though so that’s a little sad.

Some good news though, he went ahead and “released” me as far as my knee is concerned and I don’t need to go back. The knee is doing really well and I’m quite happy I went ahead with the surgery. Now I have to decide if the foot surgery is going to be worth it.

Multi-subject Post Warning!

Physical Therapy

So I went in for session number two of foot torture this afternoon. The first time wasn’t as bad as this time – this time it was pretty painful and I was feeling it when I left. I guess it has to be done for the long run but I had that bad, I wish I could quit, kind of vibe in my head when I left. She is doing some pretty deep massage and moving around tissues and stuff I guess and a few times she just really hit some pain spots. This really better work in the long run because it’s not fun. I have another medicated patch to wear overnight tonight and I go back for more on Wednesday and then a small break before going in three times next week. The people there are great though, everyone is nice and etc.

The Bike

Bike in the Park

When I got done at PT I decided to first stop and get a smoothie at Juice Stop and then I had planned to come home and ride my bike. During the drive home that looked like it might not happen thanks to the rainy weather. Thankfully, after dinner the sun was out and I ended up still getting in a nice ride tonight. I went down to the Rock Island trail/Billy Wolff trail area and rode around. Ended up going around the zoo a couple times, down to Calvert and out to Jim Ager Golf Course and back home. The weather was nice and lots of people were out on the trail. I’m learning how to properly pass people and while I’m certainly not the fastest bike on the trail I still hold my own. Only had to walk a little once when I hit an incline in the wrong gear coming off an underpass. Those underpass ramps can be brutal for a beginner!

Push Ups

I don’t think I have ever been able to do a proper push up so I decided it was time to change that. My new long term goal is to be able to do some real push ups. There is a program online called One Hundred Push Ups and I’ve decided to follow that. I encourage anyone reading this to join me, it could be fun! I’m currently working my way through wall push ups on week 3 to start. Once I get more comfortable with that I plan to move to bench push-ups, then “girl” push-ups and finally full push ups. I can’t do the “girl” push ups right now because my knee is, technically, still healing and kneeling on it would be bad.

The Bike

Yesterday, when I got home from work, I was really excited to get out and ride my bike. Rain was in the forecast but at that time everything was clear and nice. I happily rode the bike down to FoodPride and picked up a few groceries, it felt so great to be able to use my bike for a purpose. After my trip to get groceries I still felt like I needed more ride time, the store is only a mile from my place. So I decided to head up to the cemetery and ride around there.

Riding around the cemetery, oddly enough, is really nice. There are some nice hills mixed with flat area and lots of nice pavement – some of which was recently added. The older area is well treed so it made for some nice shaded areas to bike. I felt like I was 10 years old again, zooming around the corners and flying down the hills. It was such an awesome feeling with the wind zipping through my helmet. I am currently in love with riding my bike. I hope to get out tomorrow and hit the trails, I really want to get downtown and figure out the best route into work. I really want to bike into work a couple times a week to start. Long term, I’d like to get ride of my parking permit and just walk, bike or ride the bus.

The Foot

I think I said this before, but I have plantar fasciitis in my left foot. Plantar fasciitis is when the plantar ligament in your foot, for various reasons, becomes stretched or damaged and causes pain in the heel (or calcaneus) and can present with or without heel spurs. In my case, I have a “moderate to large” spur on the plantar side and a “moderate” one on the Achilles side of the calcaneus. This information is coming from the MRI I had done in March. So far my treatments have been icing, trying to rest (ha), stretching, night splint and finally a cortisone injection.

MRI Heel Spurs

Heel Spurs on My MRI

The cortisone injection was done prior to the MRI in hopes that it would help – instead it seems to have made things worse. The going theory now is that the injection somehow further weakened the ligament causing it to tear. This tear then created a high amount of inflammation that so far is still present. (As a side note, my right foot had plantar fasciitis also but responded quite well to stretching and hasn’t been a real problem since, never had an injection or spurs)

So today I went to a new physical therapy place, this one is located in the same building as my foot doctor. Some of the things were did were the same as I have been doing but she did a few new things. We started with ultrasound followed by some pretty deep massage. This massage, while not downright painful, was certainly not pleasant. She has to really dig in at times but I survived just fine. After that we did some exercises and stretches and that was followed by icing and something called iontophoresis.

Iontophoresis is basically an electronically charged pad that has both a positive side and a negative side. Steroid medication is placed on one of the pads and is drawn into the tissues via the electrical charge. It’s apparently similar to getting an injection without the actual injection part. This one last 14 hours and so far has been interesting – I seem to get waves of relief followed by waves of pain. I’m hoping it will work with time so I’m doing my best to leave it alone. I’m not a big fan of things stuck on my foot. I go back and see her on Monday so hopefully there will be some improvement. Our goal is to keep me from having to have surgery. I do know that prior to any surgery options, I’m getting a second opinion – it’s just the smart move.

Vital Stats

Name: Angela
Height: 5’8″
SW (2019): 475 Lbs
CW: 410 Lbs

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