Thursday, March 26, 2015

Thursday (3/26/2015)

Update:

I went to my appointment with my prosthetist, Leah, yesterday.  She adjusted the back of my prosthesis so I can bend my leg better and ride my bicycle without pain.  There is a constant battle between what I think of as comfort level and the ability for the prosthesis to perform as it should.  If they lower the back wall (on the calf of the leg) too far, it allows for the whole prosthesis to shift and wobble on the leg as you walk.  It can’t stay tight on the leg as it should.  Imagine going on a long hike with a pair of boots that are too big and your foot slides up and down in them.  How long would you be hiking before you developed major blisters and the hike was over?  It is the same concern with a prosthetic leg.  After that my prosthetist told me that there was nothing else that she could do for me because it has become obvious that my problem isn’t a fit issue with the prosthesis. 

With the medication level now up to full strength and the fact that I am still experiencing high levels of pain, it indicates that I have a nerve issue.  I am confident that I am headed back to surgery to have the nerve at the end of my fibula resectioned.  That means they remove the end of the nerve and bury the rest of the nerve deep in muscle tissue to protect it.  When that will happen, I don’t know.  There are always certain steps and procedures that must be followed before it happens.  Everyone knows you’re headed there, you just have to jump through the hoops (medical and insurance) before it happens.  The system is designed to prevent unnecessary procedures; but it tends to drag everything out.  I have an appointment with my doctor next week for a different issue; maybe it will be obvious enough and we will had done enough that I can move on towards the next step.  I assume that will be an evaluation by the surgeon and then an MRI and then schedule the surgery.  There might be other steps to the process before we get there.  So I am thinking at least a month or two before it happens.   After the surgery, there will be a period of healing (3-8 weeks) before I can start the process of being fitted with a prosthesis again.  Good bye, Spring and Summer!  Timing sort of stinks but it is what it is.  Who knows?  Maybe it will all happen much sooner!  One can hope!

I also met with Bob, the Orthotist measured my foot for a new shoe and scanned my foot for my new orthotic insert.  I sort of miss the old method of standing in a foam lined box to leave an impression of your foot.  It is just not as satisfying as putting your foot on a scanner bed—even if it is a 3-D scanner.  I then got to pick out some new shoes.  I chose what I would call some hiking shoes.  Definitely made for the outdoors and more casual.  I should get the new shoes and orthotics in a few weeks.

I am still experiencing pain in my “short” leg.  And I am still experiencing side effects from the medication (hard to concentrate, somnolence (falling asleep easily all of the time), dizziness, and feeling loopy).  The next few days should tell whether those side effect will diminish or not.  This afternoon, I did walk to the end of the block and back (about 300 steps); I am paying for it now because my missing foot is throbbing in pain.  Just another indicator that I have a nerve issue that needs to be addressed. 
 

Well I’ve got to say that at least I am getting my money’s worth out of my health insurance.  Ha! 

My son, Joshua, drove me to my appointment because I am still having side-effects from the medication that I am on and cannot drive.

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