So its almost 2019 & 8 years since I did it !

Its December 27th 2018 & a post on here prompted me to check in. I can't believe its been over 7 years since my recovery from a Lisfranc fracture began !

So much has happened since I began this blog, I got married, I moved house again ! I've changed jobs, I've learnt to ski to name a few positives but I guess what you really want to know is.......... how is that foot ???

Well mostly it is fine. I'm due my second DEXA scan since I discovered the Osteopaenia & since the fractures so I honestly don't know how the bone density or arthritis situation is.

But what I can tell you is my darkest fears did not materialise & I can most days wear high heels for a while with no significant pain (Maybe a vain positive but to me aged 38 & single it was important). I can drive my car (manual or stick shift to the US readers) for long distances with no swelling (I needed to do this to continue with my career).  I conquered my fear of suffering another fracture to be able to ski ALL the way down the mountain & I have managed to jog distances of 3-4 miles. I may not be the fastest runner, or the most dynamic skier, or be able to wear 6 " Laboutins but life is alot better than I feared it might be. I can only say to anyone who finds themselves facing this scary unknown that is a Lisfranc fracture to hang in there, because it will improve.

I don't know how long it will be until I start to experience pain or discomfort that starts to limit my mobility/activity. I expect & accept that this is inevitable though, in the meantime I'm going to carry on trying to fend it off for as long as I possibly can !

Best Wishes & Happy New Year all xxx

Happy New Year 2014 !

Gosh, 2014 already & in April it will be the third anniversary of my injury. I have been seeing posts from other Lisfranc victims via the Facebook page; www.facebook.com/LisfrancFractureClub & I often see questions & enquiries from newly injured people on long term pain, shoes etc. This got me thinking about how my situation has progressed & I remember only too well the uncertainty I felt & misery of the constant pain during the recovery process. I also remember the despondency that I felt when even 18 months later I still experienced severe pain after walking or being on my feet for a period of time. The doctors were reluctant to speculate on my prognosis, I think that this is probably something that most Lisfranc sufferers experience at some point from their medical team. I have had to work quite hard in the gym, with physiotherapists & personal trainers to rebuild the muscle & tendon strength etc lost during the none & partial weight bearing period of recovery. At times this has been embarrassing, frustrating & quite frankly slightly depressing, but interestingly the by product of this work has definitely been a significant reduction in the pain.
I still have the pins & a plate in my mid foot & I had a cuneiform fusion, whilst I do sometimes experience tenderness in my 3rd & 4th metatarsal joints I can confidently state that I am pain free most days. If I know that I will be on my feet for a long time then I prepare with perhaps taking with me a second pair of shoes & some Ibuprofen as I know I'll need to manage my foot. However the period of time involved has lengthened considerably from around an hour or so 18 months ago to 3-4 hours now. To be clear this is normally standing or walking in a court shoe on a hard floor surface, or walking quite vigorously. In thicker soled footwear or on softer surfaces I can be pain free for longer. I walk at a normal pace again these days & can even run if I want to. I won't be entering any marathons anytime soon though :-) Not that I wanted to run a marathon even before the foot !
I would advise anyone with this injury to seek expert help & advice on the physical rehabilitation as it will help you to get the best results possible. I am planning to go skiing again in a couple of weeks, this time for a whole week. I recently purchased my own ski boots with a custom fit boot liner so that should help too. I have had 19 sessions with a personal trainer to help me prepare for skiing. We have focused on weight bearing strength, lower back strength, hip, knee & ankle flexibility as well as upper body. At one stage I was leg pressing 120 kilos ! It has been hard, I have had to step outside my comfort zone & push myself to beyond it.
I can also wear high heels again, a two inch heel to work for most of the day is quite comfortable now anything higher is for special occasions only ! Stilettos are tricky, wedges or thicker heels work better I find as there is more support incorporated within the shoe design. The happy feet insoles I previously mentioned are also worth a try, the good thing about those is that you can insert them into any shoe & improve your comfort pretty much instantly.
Anyway this update may help I hope, don't give up it does get better !

Special shoes ! Not bad for a girl with a broken foot :-)

My own home !

In four days our solicitor will hopefully complete our purchase of 1 Lilac Cottages. Finally after over 10 years of living on my own in rented accommodation I will actually own bricks, mortar & all of the home that I'll be living in. It almost feels surreal right now, although I am packing up belongings in boxes it's almost like I'm doing it for someone else.......

In April 2011 when I fractured my foot & was diagnosed with the Lisfranc I felt like my life had been put on hold, like I was in pause mode whilst the world carried on. 2011 was to be one of the toughest years of my life as it turned out. But sitting here now, writing this latest post I'm glad to say it is firmly in the past & the emotions have now subsided into an almost melancholy memory. I finally feel like I'm back, life is progressing, I'm ticking the boxes on my bucket list (not that I intend to go anywhere soon), doing things that I enjoy & I've learnt to live with the foot.

I saw Bruce Springsteen play live last weekend in Cork, Ireland. I managed to stand for the whole 3 1/2 hours that he was on stage, I then managed a 1 1/2 mile walk to get back to the town. The foot was sore, as it often is these days but it doesn't inhibit me anymore. I manage with anti inflammatory medication when I need it, rest & regular exercise. I still hope to recover further, cycling is by far one of the best methods of exercise for the foot & my health that I have taken up since the foot. I strongly recommend it if like me your consultant advises you against high impact exercise like running or racket sports.

I have found an insole that is really working for me, they take some getting used to but the cushioning they provide definitely reduces the soreness in my foot. Particularly in the 4th metatarsal area where I still have the pin & plate. You can machine wash them, use them in almost any shoe & they are a lot cheaper than an orthotic. What are they you ask ? HAPPY FEET !
Take a look at their web site; http://www.happyfeet.net/ a work colleague recommended them to me & well all I can say is give them a try........

It's been a long hard journey for me, but I fought back & I've learnt a few things along the way. Without wanting to sound too philosophical my Lisfranc has been a life changing challenge, not all negative.

42nd over the line !

                                          The sunrise over the solent 01/06/2013.

Well we did it ! Yacht Scream completed RTI 2013 in 6hrs 46 minutes, a record for the team. We had a really good start, crossing the line in about 5th position with ICAP Leopard. Of course ICAP quickly sailed off into the sunrise, we could only watch. ICAP is 100ft long & SCream a mere 37ft still managed 18knots boat speed down wind after we rounded the needles. Ben Ainslie started 10 minutes behind us & we watched him over take us in his BAR 45 ft Americas cup catamaran during our run up to the needles. The weather conditions were brilliant for SCream, we had the right amount of weight on board to be able to keep the boat stable during the 28 knot gusts that we saw around the back of St Catherine's point.
1459 yachts entered this years race, 1323 completed the race & Scream crossed the line 42nd ! Our handicap is harsh due to SCream being the only racing SC37 in the UK, maybe even Europe so after everyone had completed & the handicaps applied our corrected position overall is 201st. Best ever performance for the team so we celebrated with a glass of bubbly on the sail back to the berth in Hythe.
The foot held up well, I was overly protective in hindsight for most of the race, our run up to the forts was against tide & required several tacks to get us there. I had to move from the rail each time & the foot was fine. I was nervous as you'll see in the pic below, but despite the nerves I am so proud to have been part of this epic race & so ecstatic to be back out on the water............

Freedom !

Where has the time gone ? It has been so busy & I can't believe it has been over 2 months since my last post ! Well as you can see from the pic above I made it to Morzine & I made it back- safely ! It all went quite well in the end. I was really nervous but my man & his boys were incredibly understanding & patient ! I booked another  2 hour lesson with an instructor at the start of the trip & she was great. Pushing me where necessary to bring me on but also understanding of my fear of injury. It was very tiring, without the gym I would never have managed it but it did pay off rather well. During the ski trip not only did I manage to get back to my beginner level that I was at before the Lisfranc, I then progressed & was managing a stable parallel ski technique with turns/stopping on the lovely blue runs that Morzine has to offer. I think the 4-5 day trip was about the right length for a starting point too. So all in all I was happy with that.

The foot was fine mostly, the legs ached as they do with skiing but it was all reassuringly normal :-) I even did a couple of easy Blue runs on my own whilst the boys were tackling the fearsome Reds & Blacks. I can recommend Morzine, a great French alpine resort with fantastic restaurants & beautiful runs. The transfer from Geneva airport is a reasonable 1hr trip by mini bus.

I have continued to work hard at the gym since being back, I've introduced some other exercises & I'm really enjoying walking & getting out & about now it's not so painful. I find my new found enthusiasm for walking  quite amusing as before my injury I'd walk but not really enjoy it. Perhaps it's linked to the whole fear of not being able to that I had throughout 2011 & most of last year. Either way I can & I very much enjoy it these days ! I have added a new page to the blog just explaining a bit about the exercises that I've done, I thought it might be of interest to someone who is wondering where to start :-)

I visited Newport beach, OC, CA & Glendale CA in April with my work colleagues. It was an absolute blast ! Never have I ever had so much fun on a work trip or been so well looked after. We hired bikes & spent a day on a bike ride/pub crawl all around Balboa Harbour & Newport beach, beautiful scenery & sunshine. Lunch was at Mutt Lynches that day, a great bar just off Newport Beach I think. We had a union jack handkerchief tied into a hat which we all took turns to wear...........

This certainly got us noticed amongst the residents ! I consider myself very lucky to be part of such a great team of people & to have such a fantastic job. I reminded myself of how brilliant my life is now so many times during that trip ! We must have ridden about 6-7 miles that day as well. The bikes were great fun, some were without brakes, you had to back pedal to stop, tricky after a few beers or when tying to stop in a hurry ! Another highlight for me was seeing a Sea Lion frolicking in the surf at the end of one of the piers, I'd never seen one so close & not in captivity so adorable to watch !

The following day we hired a boat & took a trip around the harbour & along the coastline, we were fortunate enough to catch 3 sightings of a whale ! Again so amazing & all of this before we started work.......... We spent 5 days working in Glendale after our weekend in Orange County, but it was worth it.

I planned a surprise weekend trip to Cornwall & Devon for my man just a couple of weeks ago for his birthday. Last year we also went but sadly I was on crutches following an inflammation of my mid-foot, so we took the opportunity to revisit the area this year & what a great time we had. We visited Exeter Cathedral, one of the greatest Gothic style cathedrals in Europe. It is magnificent with one of the longest uninterrupted Gothic vaulting in the world ! Then we travelled on to the Eden project at St Austell, & spent the evening in Carlyon Bay. The following day we moved on to Charlestown harbour which dates back to 1790 & was built by a private owner for the export of copper & china clay. What is remarkable is that the export of china clay still happens from Charlestown to this day, about 30-40 ships are still loaded from here each year. Films are filmed here, Dr Who was filmed here a couple of years ago & interestingly it was up for sale for £4.4m last year !

After a nose around the harbour & a lovely cup of coffee from the Orange Farm shop, housed in a brightly coloured bus situated on the harbour wall we moved on to Dartmouth. A lovely historical town situated in Devon, home to the Royal Britannia Naval College & the artist Simon Drew. We did speak with Simon Drew when looking around one of his shops, You can't miss him actually !
So a superb weekend & now it's back to work.........
I go to college each Tuesday evening to learn about photography, this is something that I'd been meaning to do for so many years. It's been really interesting, a real shame that there is only a couple of weeks left to complete the course. Next week we are on a field trip to practise low light photography, this I am really looking forward to.
Before I go just one last thing; On Saturday June 1st I am joining the team of Yacht Scream, sail number GBR8837R who is competing in class IRC 0 in the 2013 J.P Morgan Round The Island Yacht Race.

We are the 1st class to start the race at 5.00 am (GMT) & will be competing against some fearsome competition including ICAP leopard. The race is world famous & this year 1450 yachts have entered so far. The course is 58 nautical miles long & follows a course around the coastline of the Isle Of Wight. Wish me luck ! If you'd like to see how we get on you can find details on the following link;
http://www.roundtheisland.org.uk/

Small Victories .......

This morning I awoke safely tucked up in my own bed, the foot was tired but OK, no traction, hospital beds or fractures- PHEW!............
Phew because last night I Skied ! Yes SKIED !
Oh how happy am I this morning :-) My Inner self was dancing victoriously last night & still going this morning when I woke up.

I didn't manage to persuade my employers to let me tag on a trip to Canada in April after my weeks work in California as I was hoping but  my lovely man is taking his two sons skiing to Morzine, France for Easter & in an impetuous moment I agreed to fly out & join them for 4 days before I fly to LA. So after much deliberation & of course shopping for the right outfit (Yes...... all the gear & no idea!) I decided that a couple of lessons on the artificial snow slopes in the UK could be a sensible plan. So last night was my first lesson. I have skied once before, a couple of months before I broke the foot I had a week at ski school in the three valleys & although it was hard work, challenging & scary I had got bitten by the bug & have really wanted to try it again since my Lisfranc.

I nervously met my instructor & after coaxing my foot into the ski boot off I went, out onto the nursery slope. To begin with I had forgotten most of the basics, my legs were shaking with fear & the butterflies in my stomach were more like a fast spin on your washing machine cycle. Anyway my instructor was very patient & we went through some warm up exercises, including jumping with my skis on would you believe ? "Now I want you to jump" my instructor said, I looked at him open mouthed & after swallowing back the "NO, I DO NOT JUMP!" that my brain was screaming I bit the bullet & did it.
Just a few inches from the snow but I did it.
After nearly an hour of hard work practising snow ploughing, trying to turn & testing my leg strength I did manage a controlled run down the slope of about 50 meters with turns & stopped neatly at the bottom. I was knackered I can tell you and sweaty and hot but absolutely thrilled !
The toughest bit was taking the mental leap of faith. Physically I was fine (although very glad I'd been working out at the gym & aware that lots more work is needed) but mentally I was apprehensive to say the least. But by breaking it down into baby steps & gradually working my way up the slope I got to a point where I felt relatively safe & happy.
So there you go, we can recover from Lisfranc to a point where life becomes fun again !
I have one more lesson in the UK in two weeks, then I'm off to Morzine. They've just had another 5 cm of snow, conditions are good according to the reports so I'm keeping my fingers crossed that it stays that way until we go. I'll let you know how I get on .......

2013 is here already ?

Happy New Year Everyone !

I hope you are all doing well in your respective recoveries ? Still making progress, not looking back I hope :-)

I am participating in a regular gym programme now, managing 45 minutes in the gym, 3 times a week & I think I can see real improvement. My balance seems to be better, my walking pace is quicker, I can actually stride & my weight has stabilised. I need to get much stronger & I do need to lose a few more pounds (the bikini pics from Hawaii told me so :-)) but I'm hoping that sticking with this programme will reap further rewards in these areas. My latest 'new tricks' with the foot are; I can run up the stairs &  stand balancing on one foot; the dodgy one !- Woohoo.........
The foot is still painful & stiff most days, but not all day everyday & I can manage the pain. I believe that the gym work helps with increasing the blood flow by improving the circulation, this in turn helps with my mobility, I'm sure.
I am settling in well into my new role within my new company, off to a slow start but I've got positive vibes about this year being a good one, all round !
Hawaii in October was immense, I did celebrate my 40th on the beach in Maui, with a beautiful dinner at Mama's Fish house, after watching the sun set on the beach. I swam with the turtles, I was nervous & apprehensive due to the lack of personal fitness, but hey....... I did it & I saw dolphins too !

We drove the road to Hana 3 times to take in all of the sights & watching the sun rise at Haleakala was so incredibly moving & well, helps you put a bit of perspective on things :-)
I climbed the Pipiwai trek/trail  to see the Waimoku waterfalls, the uneven ground made it awkward for me & painful at times but hey ........ I did it !
So my plans so far for this year ? 1) Skiing, hopefully in Canada in April after a work trip takes me to California. 2) Get back out on the water & sail PROPERLY, hopefully complete the Round The Island Yacht Race in June. 3) Make a success of my new job & get myself back on top. 4) Hopefully buy my own house or save enough to be able to do it early 2014. 5) Put the difficult times behind me, finally.

Big plans I know, but the real difference is I've made some this year. To me this simple realisation says a lot about how I am continuing to improve & move forwards. I've continued with my photography as well, did I mention that I'd bought myself a DSLR a few months after breaking the foot ?
I had thought about it for so many years. I'd previously studied Photography at college using a Canon SLR you see & being a creative soul I had missed it. So I have been taking a few snaps & teaching myself the basics............. I took nearly 700 in Hawaii alone- LOL . I have also enrolled on a photography college course in Feb, I've decided that I need some technical direction to train my creativity into what I want to produce Haha & I'm hoping to make a few friends in my new area. Who knows what this year will hold........ exciting eh ?

Looking forward & enjoying it !

It's been a busy time here in Blighty with the 2012 Olympic fever which has been gripping the nation !

I can't tell you how wonderful it is to finally be able to blog about how happy I am & how well I feel.
I did lose my job as I feared I would. In fact just a few days after my last posting I was notified of my probable redundancy. It was a shock when it was confirmed even though I'd had my own fears for a few months. Of course I sought legal advice etc, but after a difficult few months deliberating over what to do I have decided not to look back !

I have been attending hydrotherapy now for 2 1/2 months & it has helped me immensely, god I wish I'd done this a while ago. I was referred after my last relapse in April & I seem to have gone from strength to strength in the past couple of months. I am still only able to wear flat supportive shoes but I am not utilising the metatarsal bar & appear to be coping very well without it. I have focused much more on the foot recently, taking notice when I am in pain & developing an awareness of the amount of time I spend on it etc. Resting it when it needs it & accepting that pushing it beyond it's limits (I.E ignoring the pain) is detrimental to my long term recovery. I realise that all of these points may seem obvious to anyone reading this, but I am a strong willed, stubborn & determined personality, accepting the restrictions that having a serious injury bring has not been easy for me to do.
The positive of being made redundant has been that I have been able to take a couple of months out to rehabilitate the foot with my focused attention. I have not had to drive 7-800 miles per week & rely on Ibuprofen to get me through the day. I have also registered & got a rehabilitative programme organised with the local gym. At the moment it is all sedentary stuff & not too demanding. But it's a start & I'm grateful to finally be at this point after so many setbacks !
I have been swimming & took a holiday to Bermuda last month. I spent all of my time in flip flops & swimming or snorkelling. The freedom of movement I experienced was so uplifting, I think it gave me a sneek preview into what my life could be like without pain & with improved mobility which has spurred me on to work harder at getting fit :-)
I returned home in love with Bermuda, such a beautiful island with friendly people & a wonderful climate.............. I will return :-)

I visited Weymouth at the start of the Olympics to take in some of the sailing action (spectator only) & stayed in a holiday park nearby which had a dry ski slope. I decided to take this opportunity to see If I could get the foot into a ski boot & to attempt a couple of very gentle runs down the nursery slope. The good news was that I could get the boot on, my confidence was low & I struggled with the reduced muscle in my right leg. But this was also a positive experience, as it left me with a clear understanding of what work I would need to do to be able to enjoy skiing again, importantly I feel that I can now allow myself to look forward to being able to do it again one day.
I walked for a couple of miles & some of it was quite uneven & tricky, even involving a little bit of climbing during the visit to Duurdle door, but the sense of achievement on reaching the top was exhilarating !
I've also purchased a second hand bike for myself & have been out on a two mile bike ride. Not exactly a marathon, but again a start & an important step in the direction that I have wanted to go for so long.
 I still require Ibuprofen most days, but only maybe one or two doses, I'm no longer dependant on it to be able to do things.
In October I am going on a trip to Hawaii & I'm determined to be fitter & stronger than I am now, what I can achieve will depend on what I can do & my commitment to getting fitter I know but I certainly am looking forward to being able to be mobile & strong enough to enjoy this trip to its maximum. I also want to try to go on a ski trip next Feb perhaps, so I will set that as a goal to work towards whilst I'm at the gym.
Maybe it's the whole Olympic fever surrounding the Team GB successes or just that I've finally reached a turning point in my recovery, but what's really great these days is how much more positive I feel in myself, I am now allowing myself to look forward & dare I say it -to a life beyond Lisfranc !

Transfer metatarsalgia ?

I subsequently underwent two MRI scan examinations in the end, the first didn't include enough detail on my forefoot to accurately determine if it was fractured or not......
I visited my consultant to receive the verdict & much to my surprise no fractures were seen, stress or otherwise. My consultant expressed his surprise at this result, stating that he was as sure as I was that a stress fracture would be the culprit of this latest bout of pain. My consultant involved another specialist when reviewing my MRI images & after discussions & a diagnosis elimination the consensus of opinion appears to be that I am suffering from transfer metatarsalgia............

This is believed to be the result of the mid foot fusion that I underwent as part of my Lisfranc surgery, essentially my 2nd, 3rd & possible 4th metatarsals are now too long. The bio dynamics of my foot have altered following the surgery apparently & this has resulted in a change to how my weight is distributed within my foot & how my foot manages this. Additional length in my metatarsals will cause them to weight bear beyond the amount they should, this also causes the metatarsal heads to become inflamed thus causing significant pain & discomfort like I have been experiencing within my toes. So the prescribed course of action is to first wean the foot back out of the boot & into my MBT's (Fitflop). When I can walk relatively comfortably I will then meet with a physio who will fit a metatarsal bar into my shoes. This should relieve the pressure in my toes. The metatarsal bar will get my foot back into proper alignment when I stand or walk, it simply takes the weight off of the metatarsal bones which should relieve my pain instantly.
Failing this then a metatarsal osteotomy would be required to permanently shorten my toes- Eeek !

It has now been 17 days since I put the boot back on so I decided to try a day without it yesterday, the result was quite a bit of building discomfort in my mid foot, particular increase in acute pain when my foot was positioned with the weight into the heel & lower than my fore & mid foot. The foot was quite red & puffy afterwards, although this settled down after a couple of hours. The building pain is significant enough however to prevent me from walking for any length of time at the moment. The feeling in my mid foot is quite bizarre, more of a nerve sensation, similar to when you have burnt yourself & the area affected projects that tingly slightly numb sensation. When I touch it it feels like this too, so I am wondering if the real problem lies within the mid foot area. but I am not a doctor so I feel obliged to follow the advise given & hope for some improvement. I am back in the boot today to give it a rest & will try again to hobble about without it for a few hours this afternoon.
It is a worry as I have had to take time off from work again & even now I am working from home, this cannot be a long term arrangement as my role requires me to visit customers on site & to travel significant distances. My company will not support me indefinitely I don't think & let's face it at the moment I am not able to fulfil the role I was employed for :-(

But I realise that I must focus on my long term health & recovery as my family & friends advise me to, if I need to change employment due to this injury then I will, there is very little that I can do about that except heed advice & try to recover as best as I can, the foot is in the driving seat at the moment, well that's what it feels like anyway !

Return of the boot !

Ello, ello, ello,

Yes it's been a while hasn't it ?
I was so astonished to see that I'd had over 4000 hits when I logged on last night !
Thanks to all of you that have read my woeful tale :-) I have been quite miserable in some of the posts I've made ,I noticed, but then It's been a crap year for me ! A Lisfranc fracture is not funny & I'm not superstitious but I do find myself being careful around mirrors & ladders these days !
It has been probably the most difficult & challenging year of my life, not just because of the foot....
Where shall I start to bring you all up to date?
I think where I last left you will probably make the most sense....

Sadly I haven't been away pirouetting on the foredeck, or trekking up Mount Kilimanjaro :-(

When I returned from my road trip to the US last October, I learnt that my dear Grandfather Pete was seriously ill, so ill in fact he died just three weeks later. This event was devastating to me, more so than the consultation with Mr Ritchie last April when I learnt the full extent of the damage to my right foot.

We were best friends you see, really true best friends.
When together we were always in cahoots, giggling together about the silly daft things that our mutual sense of humours connected on, often hiding away together when I was a young child in his woodworking shed from my quite strict Gran when she was on the war path !
In fact I think my Grandfather gave me my love of the sea & all things salty ! As soon as I was old enough to walk he got me a life jacket & took me sea fishing with him off of the coast of Hastings in East Sussex. This was the way I would spend most of my summer holidays with him right up until the age of 13 or 14. My grandfather taught me all of the essential things that a young lady should know, like how to thread lugworm onto a fishing hook, how to cast a decent line, how to tell the difference between a Flatty & a Plaice (fish!) & of course how to tell a decent pint of beer from a wrong 'un', although not this lesson until I was of the legal age to consume alcohol of course :-)
I experienced my first man overboard with him on Emma 1 (of course it was me) & my first rescue by the RNLI when the new radio he'd installed on Emma 2 failed when we were out at sea. My grandfather found this event most exciting & whilst I was being uplifted from the boat by the RNLI, he got his camera out to photograph the entire proceedings- LOL

So it all came as a huge shock to me, to lose him so quickly & unexpectedly, the foot actually became second priority to my grief for the best part of six months. He'd appointed me as his executor in his will as my Gran had died 14 years previously. I carried out all of his wishes as best as I could & then after much soul searching I decided to leave my birth place- Tunbridge Wells for a fresh start. I found a house in Addlestone, Surrey, closer to my work, my son, the rest of my family & my man. Yes, my man did hang around (see earlier posts about my worry & self doubt) & he has proven himself to be my rock during this difficult period. I often wonder at his unwavering support & faith in me as he'd only known me for a few months before my life was turned upside down.
I moved to Addlestone on April the 4th, the house is lovely but a project. It needs extensive redecoration & repair as well as having a garden that needs designing from scratch. So I spent the first three weeks in April decorating & cleaning the house with my man in earnest & we travelled to London on April 22nd to watch a great friend of mine compete in the London marathon. The foot was behaving well, a little tender at the end of the day but that was about it. I discussed climbing Mt Snowdon with my friends that evening, I planned to join the local gym the following week & my man had just booked me a trip to Hawaii in October this year to celebrate my 40th birthday.

Then on April 27th after a few days of feeling a little more tender than usual I got out of bed & upon standing I experienced acute pain through my 2nd & 3rd toes. I presumed that I'd just overdone it, I took some Ibuprofen (Aadvil to all you Americans ) & continued with my day hoping for the best.  On the Monday evening (30th) I caved in & drove myself to the local hospital casualty department, by now walking was extremely difficult, I couldn't bend my big toe at all & the pain wasn't responding to the Ibuprofen. I had a standard X-Ray & it didn't show any fractures (neither did the one I had last September) but the doctor decided to refer me to the fracture clinic the following Friday as a precaution in view of my history. I declined the offer of Tramadol & decided to persevere with the Co Codamol & Ibuprofen that I had stocked up at home.
After driving some 700 miles for work over the next three days I arrived at the Fracture clinic sore & feeling slightly unwell. I met Mr Monk- an Orthopaedic & Trauma consultant who browsed my X-Rays with considerable interest & read the letters I'd taken with me that detailed the details of my original injuries, previous surgery & then the second fracture in September. He informed me that he was very experienced in Lisfranc injuries & expressed sympathy at my latest predicament. He recommended an MRI examination & a referral to his private clinic as the current waiting list for the NHS service was around six weeks. Luckily my health insurance provider approved this & it was arranged for the following Tuesday (8th May). Mr Monk also strapped my foot back into an Aircast boot & presented me with another pair of crutches, precautionary but essential as was the ban on driving he explained :-)
Oh the irony wasn't lost on my either, the date ? Well it was the 4th May, exactly 13 mths since my original injury..........
So I had the MRI & met with Mr Monk this evening for the results, the good news, no fractures detected, the not so good news was that the radiologist omitted my toes from the scan ! Mr Monk puzzled over my symptoms, he commented that I was a mystery as both he & the expert radiologist he'd asked to interpret & report on the MRI were convinced as was I that I'd developed a stress fracture in either my 2nd, 3rd or 4th metatarsal. A second MRI of the front of my foot has now been booked for next Monday (14th May) with a further follow up consultation booked for the 15th with Mr Monk.  Morton's Neuroma was also mentioned by Mr Monk as a possible diagnosis;

Morton's neuroma is a condition that affects the nerve between the toes. The nerve becomes irritated and compressed, which results in severe pain on the ball of the foot and at the base of the toes.
Morton's neuroma usually affects the nerve between the third and fourth toes. It is rare for more than one nerve or foot to be affected apparently.

So A further week of minimum weight bearing, in the Aircast & no driving awaits me now. I have limited Internet access at home due to no WiFi as yet so I re subscribed to SKY TV today just to relieve some of the boredom. I will have to sit on my hands to stop myself from getting up & grabbing a paintbrush or doing any more of the various DIY jobs that are outstanding in the house. I must admit I'm now doubting myself, I pondered on the way home if the pain really was that bad or was it just me being nervous about the foot ? When I got home I removed the boot & tried to walk around the house, yes the pain is still there, between my 1st & 2nd metatarsal, maybe not as acute as it was but enough to prevent me from walking normally. So I will just have to await the verdict on Tuesday.

I also received the results from my bone densitometry scan (DEXA) that my GP referred me for a month ago this week. It appears that I do have signs of Osteopaenia in my lower spine so it's a lifestyle change for me, from now on a careful diet & a lifetime's supply of Acal D3 (Prescription Strength Calcium & Vit D)! When my time comes to enter the Menopause then I will need a rescan & possibly more of the Alendronic Acid that I had following the fracture last September (Oh the joy !).

The positives; Well it's an Olympic year here in Blighty, Oh & we have the Queens Diamond Jubilee to look forward to ! Yay !!!!!!!!!!!!!

Heading South

The flight out to NYC from London Heathrow was smooth & on time, the foot was reasonably comfortable,able to be elevated for the entire time, due to the club seat/ beds. For some reason I was personally welcomed on board by the chief steward (?).

I had a wheelchair service at both of the airports which was really efficient & amazingly the Clexane syringes weren't even questioned. The scanner guy's comment on my hand luggage as it passed through the scanner was " Wow ! That's a lot of drugs." But everyone was kind & courteous, which made it much less of an embarrassment.

Swelling only became noticeably painful during the descent to landing in Newark.

So the weather was hot & sunny in Manhattan, around 78c on average. I spent most of Friday around Wall street, Seaport & Pier 17. Whilst sitting on the pier enjoying the sunshine, a couple of men who were engaged in slightly high pitched dialogue, were edging along towards me. One chap was moving backwards with the other a "Jackie Chan" lookalike moving towards him holding what looked like a flick knife. To start with I watched them with mild bemusement & wondered if they were acting out some sort of street theatre .......
People around me started to back away from them & move along the pier, getting their mobile phones & cameras out of their pockets etc while they did so.
As I looked at "Jackie Chan " I noticed his eyes were bulging & he had a deranged expression fixed on his face, the other guy was wearing an amiable smile, whilst speaking softly. He was big built but quite young I thought. Anyway, after watching these two dance around each other for a few moments,it became apparent to me that "Jackie Chan" clearly was wired, unhinged & serious ! I then noticed that I was the only person left sitting on the steps & considered to
myself how quickly I could move away from them on my crutches looking as inconspicuous as possible. I looked upwards & the upper levels were lined with crowds of people filming & taking photographs!
I got up slowly & inched my way along the pier sideways, crab like really, all the time
watching "Jackie Chan's" wild eyes but trying not to meet his gaze full on. Two lads ran past & then wrestled the Chinese guy unceremoniously to the deck in seconds. One of them sat on him while the other wrestled the suspected weapon from his grip. I looked at it, as it was thrown to the ground but i couldn't really make out what it was exactly other than it had a bright green plastic handle. Then the NYPD arrived, trussed up the little China man like a chicken ready for the oven & carried him away.
I mused for a while about the "what if's" & then headed to the Pacific grill for lunch which turned out to be a bit of a disappointment. The rest of my day was pretty uneventful after that, a bit of shopping, the Brooklyn bridge & a little bit of Little Italy & Chinatown.
We had dinner that night at The Waters Edge restaurant in Long Island, it has a complimentary water taxi service from the Skyport marina which provides stunning & romantic (take note Glenn) of the Manhattan skyline at night along with a complimentary glass of champagne The food is pretty good too !

Next morning the sun was shining high in the sky as we headed to Central Park. After a taxi ride we entered by the Lake & Boathouse & walked to them via Strawberry Field. I took the obligatory photograph of the Imagine mosaic & some great close ups of the bridge & staircase down to the fountain, before we hobbled around to the Loeb Boathouse. I couldn't believe our luck, we got a great table by the lake for lunch. The view was so beautiful, of people trying to row their boats around, of the sun glinting on the water & glowing through leaves on the trees. I ordered the Maine lobster roll & it was delectable, slightly sweet but not too chewy, delicious, the glass of bubbly complimented it perfectly too !

Afterwards another taxi ride, but this time to The Empire State building. Although I have been up it before (2005) I wanted to watch the sun set & hopefully capture a bit of it in some photographs .

We finished the day by heading to some bars just off of Broadway & the foot & I boogied to
Michael Jackson before heading back to the hotel.

Yesterday we drove over 700 miles (after getting lost) through West Virginia & along the Blue
Ridge to arrive in Greensboro NC. Lovely chappie has a two day course to attend before we can continue onwards to our next destination which is Cherokee.
Whilst chilling out & watching daytime tv in the hotel room I saw an advertisement for a male grooming gadget, it had a bright green plastic handle & looked very familiar ..

I'm hoping to be able o visit an Indian reservation & maybe have a pow wow with the Chief !

The foot is crossing the pond !

Good morning everyone,
Thank you for your comments, they were a lovely reminder that I'm not the only one dealing with these problems........

The news is, I've decided to go ahead with my trip. A distraction is what I need at the moment I've decided. After a few days of stewing, a few minor alterations to our plans, we are flying out of Heathrow T5 this evening!
My lovely chap (yes he did hang around,despite the foot)has booked me club class all the way to NYC. Which means the foot will travel in style & will be elevated the whole way.
I am back on the Clexane to hopefully fend off a possible DVT & we have organised wheelchair assistance through the airports on both sides of the pond.
We have cancelled both of our internal flights & now plan to drive from NYC to Greensboro NC before heading to Cherokee & the Smokies. The beauty of this is we can stop as often as the foot needs & run to our own schedule. We've even decided to include Philadelphia in our return journey back to NYC.

I brought a new DSLR a few months ago, so I will be snapping away & will try to post as often as I can. We plan to have dinner at The Waters Edge restaurant tomorrow evening (Birthday) which has stunning views from Long Island of the Manhattan skyline. We were there last November, on our 2nd date so it's sweet to be going back. I may try to watch the sunset from The Empire State building, I visited it in 2005 & perhaps a picnic in Central Park .......
I've also researched wheelchair hire companies, if it comes to it, I'll swallow a bit of pride & use one.
So for the next two weeks, it's not about the foot & what I can't do, it's about exploration, fun, adventure & me ;-)

Fractured forefoot

My consultant was quite concerned when I arrived this evening. The CT reported a fractured forefoot which apparently is the part from the bottom of my metatarsals to the tips of my toes.
I just need to fracture my ankle & I've done the full set !

Thankfully it's not displaced & my mid foot reconstruction is still intact with no misalignment. Therefore as long as it stays that way I won't require surgery. It just needs lots of TLC.
So I feel some sense of relief but am upset & frustrated to be back in the aircast boot & on crutches for the next six weeks. The Osteopaenia is partially to blame apparently making my bones more brittle than normal, but the good news is it doesn't slow down the bone recovery rate.
I developed Ostepaenia as a result of the time spent none weight bearing, it should resolve itself in time I've been told. I am continuing with the vitamin supplements & will try to eat a diet to encourage the mineral density in my bones to improve.
It hurts, but the drugs are good, it's very swollen too, ice packs & elevation here I come!

So, on Monday 3/10 it is the six month anniversary of my Lisfranc fracture & on Friday 7/10 it will be my birthday. On Thursday 6/10 I am supposed to be flying to NYC to celebrate :-(
My consultants advice was I could travel but he wouldn't if it was him in this situation. I will have a higher risk of developing DVT being pro coagulant at the moment due to the fracture. He did say he would put me back on the Clexane injections if I went ahead with my trip to try to prevent a possible DVT.
I'll need to restrict what I do in NYC though & will need to put my foot up as much as possible (De Ja Vu !). I will need to sit in the back of the car with my leg up for the road trip in the Smokies as well .........  However I don't think we can get a refund on the airline tickets now. So, I don't know what to do really. I was so looking forward to seeing the Smokies in the Autumn, I bet the colours are stunning this year. But I'll be able to do very little in NYC, my planned cycle ride in Central Park on my birthday can't go ahead.......... Hold on, do they have tandems ??? Hehe I could just sit on the back & get my chap to pedal.

Travel insurance could be a problem too, getting cover for the foot !

With this unlucky streak, I don't think it's worth my while buying any lottery tickets.

Yes......... I panicked !

Last weekend, after managing fairly well for 3 weeks without the boot & using my crutches less & less I had planned a sailing reunion with my crew down in Southampton. Unfortunately I hurt my foot! I stepped up with my good foot, wobbled backwards & lost balance with my entire weight dropping back onto the ball & toes of my injured foot. The pain was immediate & severe. I felt a horrible crunching in the base of my toes, followed by a searing pain through the bottom arch.
It swelled pretty much straight away, a band of swelling all the way across the bottom of my forefoot & base of my toes. The pain was scarily similar in sensations to the pain I'd experienced following my 1st surgery. I took a hefty dose of ibuprofen & hoped that it would settle down & that perhaps I'd just jarred the joints & ligaments or something. The fear, just kept rising up inside though, managing that whilst being with my sailing crew was difficult. A couple of times the fear & panic overwhelmed me to the point that I shed a few tears. Sure I felt run down due to the pain, but the panic & fear overtook.

48 Hrs later I gave in, walking was incredibly difficult, the ball of my foot & underneath the forefoot felt horribly tender, my 2nd & 3rd toes were pretty swollen too with some bluish bruising starting to materialise. So on Sunday evening I found myself in the A & E department of a nearby hospital. After waiting for a couple of hours I was seen & lateral & AP Xrays were taken. To my immense relief no significant fractures were evident on either Xray !
But the consultant was concerned enough about my inability to weight bear & the swelling to give me another pair of crutches (my 3rd !) & prescribe very strong pain killers before discharging me with strict instructions not to weight bear until I had visited my own consultant.

So I saw my own consultant last night & after reviewing the Xrays again he agreed there are no significant fractures evident & my midfoot reconstruction still looked intact which was great news. He was slightly concerned over the swelling & tenderness in my forefoot & toes, with my planned holiday to the US due to happen in a week he has requested a CT scan before confirming that I'm OK to travel.

So it's been a pretty eventful few days, & here I am waiting to go back to hospital this afternoon for the CT. I feel so relieved I can't tell you, the thoughts of having to go back into surgery or back into cast were enough to make my stomach lurch & my heart sink. So I'm keeping everything crossed & thinking positive thoughts that the scan results are good, I'll get them during my follow up with Mr Ritchie on Saturday. In the meantime resting the foot & only partial weight bearing with crutches allowed.

Breaking the silence .......

Well ! Where have I been ?
Apologies first of all, I know I've been a bit quiet, it's been a very tough couple of months........
So after my second operation on the 15th July, I got an infection in the wounds. Which set me back a few weeks. Innitially after the op I felt great. It turned out to be more complicated than planned, I needed some tendon repair & cleaning up which meant another 2 1/2 hrs under anaesthetic. But I felt good and after a couple of days & was looking forward to walking without my crutches relatively quickly. What actually happened was the two weeks planned holiday following the op were spent with me feeling quite ill & eventually not being able to walk at all.
It put me back,but all in all I got over it quite quickly,
What was harder was the walking & weaning out of the boot. I'm no wimp, but when I started to walk I couldn't believe how painful or difficult it was going to be, or was. I knew it wouldn't be straightforward but no body explained to me or prepared me for just how hard it would be. The initial disappointment was so hard..............
I tried to stand up, but I just couldn't. Taking the first few steps out of cast were petrifying. People just do not prepare you for it.
Dealing with my weakness, limp & the pain have been a huge problem. I suppose that maybe I've been hoping that when I came out of the boot I would walk normally. in fact I think I've been in some sort of denial for the last 5 months & was pinning my hopes on it all being fine once I got out of cast.
So when it happened, that is the failure & pain when trying to walk normally, I really struggled with facing up to just how serious this injury is. I didn't deal with it, I cried lots & pushed more & more, hoping for a breakthrough, it didn't happen.

Physiotherapy, shoes & all that follows Lisfranc Surgery

2 1/2 wks post op removal of compression plates, fixing screws & arthroscopy.

I saw my surgeon last night for my post op check & all things considered I didn't think the foot looked too bad .............. I now have one more incision, on the inside of my foot following the arthroscopy but he used the same scar for the metalwork removal & I have to say, I think he did a better job of closing it this time then after the original surgery. What was encouraging was the lack of significant swelling, this is a positive sign apparently & is as a result of all of the elevating & rest it has been given. So there we are, the Lisfranc mantra of "keep your foot up" obviously works !
I still have internal stitches which will dissolve in time, but I can go back to bathing with "my foot"- heaven ! I looked down after the dressings were removed & thought there were a couple of blonde hairs that were perhaps stuck to the sticky residue left behind, but after a gentle tug & a bit more scrutiny, I discovered that they were in fact attached ! They were the 'tails' for the internal stitches- LOL
I will start with an intensive moisturising regime & will buy some "Bio Oil" to rub into the scar. My surgeon says that this stuff really helps with scar healing.......... time will tell !


I explained how I'd tried to build up the weight bearing last week & the amount of pain that I experienced afterwards.............. After an examination, there was some tenderness around the 3rd & 4th metatarsals. My surgeon commented that it is possible the bones haven't fully fused yet, which would explain the discomfort. He was hoping that I would start full weight bearing in a shoe yesterday, but in view of the pain etc, he has asked me to continue with trying to build up the weight bearing whilst wearing the (now stinking !) boot & I will see him again in two weeks time for another examination & X ray. But the good news was I am now ready to meet with the physio terrorists as I fondly call them & they can now be let loose on "the foot".
I must say, my ankle & foot are so painful & stiff at the moment it is hard for me to believe that I will manage to walk in a shoe in a couple of weeks time, but I'm hopeful that along with targeted physiotherapy exercises & a focused effort from me, it can happen. I'm sitting at the moment on my sofa with my laptop on my knees & both feet flat on the floor. Not really weight bearing, but bending the ankle joint & flattening the foot on the floor. My ankle joint has been in a rather odd position pretty much since I had my accident & although I do try to bend the joint & rotate it from time to time, it still will not reach the 90 degree angle which is normal.The pain has been gradually building whilst I've been writing this post & I know I will have to elevate it again shortly.
It's all very well, but when does this need stop ? Does anyone know if this need to elevate gradually lessens & "the foot" will build up enough strength to become strong enough not to need it so often ? I'd be grateful for an indication of how long from where I am now this will begin to happen too.

I have been thinking that swimming would be a good thing to do, but there are no facilities close enough to me to be able to get to without a lift or taxi. Maybe I might just have to stomach the bills & overcome the diminished self confidence & just go ! Quite frankly I think I'd do anything at the moment to help reduce the pain & accelerate the recovery process if I could.

1 step forward......... 2 steps back

Well, I've kind of had the wind taken from my sails so to speak. It seems I didn't respect "the foot enough" this week & it let me know !
So 4/5 days ago, I started walking around just using one crutch more & more often, around the house to start with & then I did venture out. I brought myself a new DSLR recently & a friend offered to take me to the Pantiles last Sunday morning. It was such a beautiful day, I took my camera & really enjoyed hobbling around (in the boot), snapping pics as & when I saw them. It wasn't a long walk or particularly challenging, I took my time & used just one crutch. I was tired when I got home but that was about it. The foot was a little sore, but after a painkiller it settled down. On Monday, I was home all day, hobbling in the boot & sometimes using one crutch, sometimes none. Well that evening, the foot really started to hurt, in fact it did feel scarily similar to the pain I had a few weeks after my 1st op. I had sharp pains in the arch & under the ball of my big toe, along with lots of prickly spasmodic type pains across the bridge/top of my foot & some pain up the back of my leg. I took pain killers & elevated it. the strange thing was, my toes didn't look particularly swollen. A little puffy but they've been alot bigger ! The next morning, it seemed OK, no lasting pain carried over.

My dog was desperate for a walk on Tuesday, I had arranged for someone to come over & take her, but it fell through. So after deliberating, I decided I could possibly manage a gentle hobble (in the boot & with one crutch) around the block with her & gave it a go.
I didn't go anywhere else yesterday, just pottered around the house, sometimes using a crutch & sometimes not. Instead limping around in the boot & using props around the house to support myself on. Last night I really suffered for it. The pain was all of the day before, but much stronger & at times nauseating ! I even had a grinding ache all along the balls of all of my toes (underneath the bases). I'm not sure if that's the right term for that area, but hopefully you'll understand from this odd description which part I mean :) I got up to use the bathroom & hopped all the way on my good foot to it, each hop I took, made "the foot" hurt, a bruised type of pain.
It stopped me going to sleep last night, I couldn't get comfortable in bed at all & I was seriously worried. I lay in bed trying to work out if this was the tendons & nerves healing following the most recent op or if I had somehow managed to damage "the foot" again. I had to go back to elevating "the foot" on a cushion outside of the bedclothes again. So after worrying & feeling pretty sick, I had a poor nights sleep & decided that today, I would hardly weight bear at all, using two crutches if I did.
I've spent the entire day on the sofa pretty much, trying to work, taking pain killers & If I'm honest still worrying. The thing is I still have all of the bandages on, so I can't actually see my foot & I have no idea if the surgeon went back in through the old scars, or if he has made new incisions (I forgot to ask). Therefore I'm not sure if the rest of the foot swelled as a result of the weight bearing & that's what caused the pain, or if it is the tendons etc healing or what, really.
I feel a bit deflated, after feeling so positive & that it really wouldn't be much longer before I could drive (it's my right foot) my car & get back to the office perhaps around the end of August, I'm now not quite so confident. I was also hoping to sail in the last couple of races of the season which are in September. I had realised I couldn't do foredeck, but in this amount of pain, to do anything except sit in the cockpit would be difficult. Not too mention dangerous really. I don't know, frustration & anxiety probably sums up how I'm feeling this evening. Since resting all day, "the foot" has calmed down & isn't hurting me quite so much, although the spasmodic prickly twinges are still happening.............

Last night I was all set to ring the hospital today, but I decided against it & thought I'd try the rest treatment first. I'm really hoping that I've just overdone it & perhaps pushed for too much too soon. I have to go back to the hospital next Tuesday which is 6 days from now, I think I'll just continue to rest it as much as possible, & see if I can gently work back up to one crutch by then. If I can't then I'll just have to make notes on how the foot feels & tell the doc.

Removal of my compression plates & screws Day 103

On July 15th I was re admitted to hospital for the removal of one of the compression plates & five of the screws that were holding this plate in place & supporting the Lisfranc ligament.

I arrived at 12.30pm, in my boyfriends Porsche, with the roof down of course! Peter Gabriel's Solsbury Hill was blasting out from the stereo, the sun was shining beautifully & well, arriving in style seemed like fun. A sort of ironic celebration I guess, but either way it took my mind off of the surgery for a while & I arrived at the hospital in good spirits.
I met with my surgeon who talked me through the process, it didn't seem to be complicated, but I was advised to have another sciatic nerve block from the knee down in addition to the GA. This was instead of Morphine, which the anaesthetist thought I may need in post op recovery otherwise. So the waiting began................

After a few hours of flicking through the daytime TV, fiddling with my Ipad, photographing the foot pre op & planning a possible holiday in October my boyfriend & I were pretty fed up with waiting & were beginning to wonder if I'd be able to go home after the op as I'd wanted to.

Eventually, just before 6pm, the porters came & got me !
Although I was a little anxious, with sweaty palms, i was relieved to finally go. Everyone was really friendly, I cracked a few jokes about needing a glass of Merlot & celebrating the end of "the foot" which now felt like it's not too far away. My lovely anesthetist gave me a little something via my canula to make me feel fantastic (I have no idea what it was, but it worked!) I'd agreed to have the nerve block administered while I was conscious, so I was asked to roll over onto my belly, I watched them do it over my shoulder. My sciatic nerve looked like a ball of wool really, a white mass on the ultrasound screen, to numb it, they injected anaesthetic around the outside edge of it, through the back of my knee, at equal distances, like the 12, 3, 6 & 9 points on a clock face. After rolling back onto my back, I can't remember much more really, the GA was given but I think i may have drifted off before then...........

So what actually happened to "the foot" whilst I was under was, my surgeon removed the plate which was bridging my 1st cuneiform & 2nd metatarsal articulation & also the 2nd metatarsal joint. he discovered that these joints were stiff & some of my tendons had become attached to the plate. So he also carried out a formal arthroscopy (examination & flushing out/cleaning of the joint to re mobilise it) & then an open release of the extensor contracture ( releasing the large tendons from the surface of the plate by laser). It all went smoothly apparently & I had a 'smooth uneventful flight' according to my anaesthetist.

I woke up at about 8.30 in recovery, feeling pretty groggy but already relieved & happy. After some oxygen, I was taken back to my room, where lovely boyfriend was waiting with a gorgeous smile for me :)
I peered under the duvet, to see "the foot" well wrapped, looking almost ball like in shape, with the familiar Iodine staining on my toes & around my ankle.

So the deal was, I had to eat, pee & walk convincingly on my crutches in order to gain my release from the hospital that night by the "physioterrorists" ! After half an hour or so, I began to munch the sandwich proffered to me & drink the tea in earnest, so as to satisfy the release criteria- ha ha !
We tried at 9.30 pm, then again at 10.00pm, I was given one last attempt at 10.30pm.

I could feel nothing in the foot at all, it just flopped about, & my head felt strangely separate from my body, but after forcing the foot back into the aircast boot & a few deep breaths, Voila ! I achieved the necessary few steps around the room on the crutches & the tea had performed it's magic too. Home I went, much more appealing to sleep it all off in my own bed than stay another night in hospital. I took Co codamol & Diclofenac home, just in case.

Saturday night, I was determined to take out BF for dinner, to say thank you for all of his support & to celebrate ! So we did, I managed to put on a high heel (hitched my crutches up a notch) & a dress & off we went. It was lovely, Chinese with a bottle of bubbly, foot still numb & although I was still a bit tired it was worth it.
So the nerve block worked fantastically, it finally wore off about 3 am on the Sunday, over 30 hours after the op, I'd recommend having one to anyone, much nicer than the groggy mess that Morphine can you leave you in sometimes.

But on Sunday I paid for not obeying my body, I was sooo tired, sore & groggy I slept most of the day. I took the Diclofenac & a couple of doses of Co codamol to take the edge off. Monday was spent dozing on the sofa too.

It's now 4 days since the op & I don't feel too bad. the foot is still a bit sore, but that's too be expected, but the swelling isn't too bad & the pain is bearable. I've been told to try to start fully weight bearing in the boot over the next 2-3 weeks, building it up gradually, but stopping if "the foot" protests too much.
I'm back to see my surgeon on the 2nd August........

3 mths since my Lisfranc surgery .........

Tomorrow will be the 14 week anniversary of my Lisfranc fracture, I thought I'd update you all on how I'm doing. ....
I've been home alone for two weeks, just me, my foot & my dog rattling around in my flat & finding ways to overcome some of the obstacles I now face when trying to do some of the simplest tasks.
My dog, Hannah is almost completely blind now from degenerative retinal disease, so trying to negotiate around the flat on my crutches & avoid banging into her has been a challenge !
Hannah lives to eat, food is her greatest pleasure in life, so every time I got to the kitchen, so does she. Hannah has cunningly worked out that if she sits in between me & the kitchen work surface, then she's in a prime position to catch any food I drop, before I can stop her. Although this has worked well for her for food, the downside is she regularly nudges my crutches that are resting against the work surface & as such has received several bumps on the head from them as they clatter to the floor.  She walks hopefully alongside me with her head in the air, nose twitching, as I trundle slowly along on one crutch, whilst precariously balancing a plate of food in the other hand. My cutlery & anything else I need in one of my pockets. I do it this way because the only other alternative would be eating in the kitchen whilst standing. Hannah's also bumped into my crutches when trotting up to me for a stroke, the poor thing has had to try to adapt to her mistress's extra two legs by touch & smell only. I look at her & can't help but think that this must be very confusing for her. Walks only happen if someone visits who doesn't mind taking Hannah for a quick stroll around the block, the rest of the time she has to make do with the garden, but she never complains.................. treats & strokes work wonderfully.

So I've been continuing with my physiotherapy exercise since being home, the plus is I can now do them in the living room in front of the TV. I've worked out a way to do my laundry too. I have a big bag with a long strap. So upstairs in the bathroom, I load my laundry into the bag, then I put the bag on diagonally & swing it around to the front, like a kangaroo pouch. After bum shuffling down the stairs, I then use my downstairs crutches to get to the washing machine in the kitchen & unload. To dry it I do the same thing but in reverse & sit on the loo (lid down of course , it's just a handy place to sit!) whilst I unpack the bag & hang the laundry onto my clothes horse.
Thermos vacuum mugs have been a god send. I make a cup of tea, put the lid on & then manage to hobble back into the living room carrying it without slopping it all over the floor- fantastic !
I had a go at hoovering the living room last weekend. Mmmn not my most sensible idea. I worked out how I could use the hoover as one of my crutches & shuffle around the room, hoovering as I went. Balancing was tricky & I did overbalance onto 'the foot' several times......
I've discovered the power of home shopping too ! I place my orders for my food & groceries online, a very friendly chap delivers it & carries it into my kitchen for me. I can even order magazines, newspapers & alcohol :) The next delivery is tomorrow & I can't wait, I've ordered an Indian takeaway, the highlight of this weekend- hoho
My sofa is a huge corner style one, which has now become my main base. I have the TV remotes, my handbag, Blackberry, Iphone & all that I need set up in the corner seat. Lots of cushions to prop me up & both laptops to hand. This is where I currently rest, work & spend most of my time.
I've been working from home for the past couple of weeks which has been difficult to concentrate on. But perseverance will help I think, I mostly just answer emails, phone calls write reports & co ordinate the team in the office remotely. But after being in this very insular environment for so long, it's tough now to snap out of it & stay focused on any singular task for any length of time I find.

This week however I went to two day sales meeting & met with the rest of my team. It was the first time I'd seen them all since I'd had my accident. So I had one chair for me & one for 'the foot'. I sat at the end of the boardroom table & gave my presentation, to my surprise it was well received, I finished with the last slide being my X-rays with the caption "any questions?" & gave everyone a wry smile.
The hotel room booked for me was an accessible one, with a walk in shower. This was novel, I've been lifting myself in & out of the bath for three months. So in I hobbled on my crutches & switched it on, the shower head squirted water everywhere, not just on me, but up the walls, all over the wash basin, all over the towels & mirror. It was broken & there I was naked, on crutches & powerless to do anything other than watch the water spray uncontrollably anywhere it wanted to !
I gave up, washed as best I could & switched it off. the bathroom was a scene of soggy chaos !
I think I'll stick to baths.......


So I received a letter from my consultant yesterday, I am to go back into hospital on Friday (15th) for the operation to remove one of the plates & approx 6 screws from my 1st, 2nd & 3rd metatarsals. It may mean an overnight stay due to the general anaesthetic, I'm hoping this op won't be a big deal though. I'm sure I'll feel a little bit sore afterwards but I have plenty of pain killers left over which should see me through. I'm guessing that they'll go back in through the same scar from the previous op, pity as it's healed quite well.
I've put boyfriend on standby for some TLC & to ensure they'll let me out as quickly as possible (apparently they have rules about discharging people after GA without people to look after them) & I've warned work that I'll be uncontactable for a few days. But this op is another step forward, after I've recovered I should then be able to begin walking using all of 'the foot' albeit still in my boot & on crutches. The thing to look forward to though, is I'll be another step closer to SHOES- Yay !

Day 80 Weight bearing- Woohoo !!

I had a really good appointment at the hospital today, for the first time in this recovery process, I finally received some real positive news !
My AP & Lateral X rays looked as good as the consultant would expect at this stage, his words were "You're making a good process in line with what I would expect at this stage".  The fusion (with bone graft) of the 3rd TMT joint is healing well & the plate & screws that are also holding it & the 4th metatarsal will remain permanently in my foot. The 2nd metatarsal which was treated with an open reduction & fixation look like it's healing well, the screw that was put in in place will hopefully be removed along with the fixation plates & screws in the 1st metatarsal. If I continue to make progress at the same rate, I can expect this to happen in about 17 days (July 15th).
After examination of the foot, he was encouraged with the low level of swelling that it presented with.  He wasn't concerned by the swelling I described & the purple appearance "the foot" sometimes adopts he said it was quite normal to experience this after exertion at this stage & I should take it as a sign that I need to rest it whenever it happens. The swelling should always subside after resting, which mostly it does.
I explained to him the problems that I was having with the boot, it was loose & hung awkwardly on my foot rather than supporting or cushioning it. This was causing the bridge of my mid foot to become sore, pins & needles in my toes & irritation of the operation scar.  He explained that he was hoping to get me to start weight bearing using the boot, so we needed to resolve this other wise it would mean transferring back to a cast, which would be a slight regression. So we hopped along to the physiotherapists office to see what her verdict was. After having a look, she explained that the boot was far to loose, following the reduction in swelling over the past 3 weeks. I also still cannot get my ankle & heel to bend into the normal 90 degree position due to stiffness & swelling within the ankle joint. This is also affecting the positioning of my foot within the boot. The physio suggested that we try to inflate the air cushions more to hold my foot in a better position, although it would mean discomfort short term, the long term benefits would be important. After doing this, the boot was a lot tighter, all around my foot & calf, apparently this is how it should have been all along :( I also need to continue with the ankle exercises at home.
Then came the "moment"................. after another nurse was called in for support, I was asked to stand up slowly.............. on both feet ! After much coaching from the physio & lots of instructions I then began to walk, just putting 50% of my weight into my heel. Crikey it felt alien, completely abnormal ! I painstakingly slowly put my crutches out in front of me, then brought my bad foot through, parallel with my crutches, put my weight down into it's heel & then brought my good foot through to meet it. The smile on my face after the first couple of steps was immense ! I even felt emotional, my bottom lip wobbled a bit, I don't mind admitting. The relief was over whelming, at last a real tangible step forward in my recovery process. I also had a lesson in staircase techniques, so hopefully after a bit more practice, I may be able to leave the days of bum shuffling behind me- Yay !
I asked my consultant if I had actually displaced the Lisfranc alignment when I fractured all of the bones that I did, he confirmed that in deed I had & it was by a serious measurement. However If I continue to make the recovery that I currently am, he felt confident that the ligament & tarsometatarsals should heal well. I asked about my prognosis, he confirmed that subject to the good recovery continuing I stand a relatively low chance of developing a debilitating level of arthritis. The good news is that I stand no chance of developing arthritis in my 3rd TMT as I've already had the treatment by having it fused. If I were to present with painful arthritis in the future then he would treat it my fusing the rest of my TMT joints. I feel reassured that it would be treatable & actually if it came to this, well at least I'd still be able to stay relatively active. I have lost some feeling on the inside of my 3rd & 4th toes, my consultant said he couldn't say for sure if this would be permanent, but it shouldn't affect me too much. I also asked if I would be left with a permanent limp, he said that I would have a slightly displaced gait, but after 6 months or so I shouldn't have an obvious limp & should be able to walk relatively normally. It will take a full 12 months or so, before I will reach my full recovery. I should be able to sail again next year, OK so no pirouetting on the foredeck but I WILL be able to balance well enough on both feet to be able to sail.

So I can hopefully look towards the op in July, then around a month later walking in a normal shoe, a few weeks later discarding the crutches & being able to drive sometime in August.
Happy, happy, happy of Royal Tunbridge Wells !!!