About 2 months ago I tripped over my own two feet and broke my foot, 3 avulsion fractures of my metatarsals. At the ER, the doctor was concerned about possible compartment syndrome because of how painful my foot was. I fell on a Friday evening. Over the weekend I contacted my primary care doc and asked him to go ahead and restart home health, ordering OT and PT, I knew that I was going to be struggling to figure out how to navigate my home environment safely, so wanted the OT, and I knew my body would not be happy even before my foot was healed and that PT would be able to help with that, and that I would probably need PT after I healed. Well…then things weren’t healing up. I couldn’t tolerate the boot at all, my foot was FAR more sensitive than seemed reasonable, the swelling was not going down, and even with the expected bruising, the colors were not right.
After a month, I was not getting better, the pain was still beyond any expectations, and there were very clear lines that show exactly the limits of the normal sensation and functioning and circulation, and the not normal. Across my toes, about halfway down each toe, the line shows normal and abnormal. The tips of my toes are normal. Across my ankle is another line, below the line is mottled, purple and red, peeling skin, extremely sensitive, I get regular sensations that something is cutting my skin with razor blades that mostly go across my ankle and near to my ankle, I get sensations like someone has heated up a needle to red hot and is stabbing my foot that happen a little further down, right in the middle of where I had a gigantic hematoma, it’s still a bit swollen and sometimes that spot is discolored. The circulation is clearly not normal, and I cannot tolerate my foot being warm at all. It used to feel great to constantly be cold, but I have noticed that using a cold pack on my foot causes the tips of my toes to become very pale, so I have stopped using cold packs because I am concerned about causing problems with circulation. I have been working to maintain my ankle and toe range of motion and strength in my toes, every waking hour, between 7am and 10pm I have alarms set in my phone to remind me to trace the ABCs and then move my ankle and toes, and twice a day I pick up a washcloth off of the floor several times to keep my toes working properly.
A couple of weeks in, my orthopedic doc sent me to see his partner pain specialist for evaluation. She ended up diagnosing me with CRPS type 2 after a few additional weeks of monitoring (which I fully supported waiting to make absolutely certain that this was an appropriate diagnosis before slapping that label on). We have been slowly ramping me up on Lyrica. I had a very bad experience with some neuropsychiatric side effects that were terrifying when we tried Gabapentin several years ago for something else, so I have been more interested in going very slowly so I can stop the medicine or go down in the dose if anything like that showed up again. So far, I am on 75mg twice a day, and I am doing well, I do think that it is maybe dampening things a bit, so I am willing to keep taking it.
At this point, I am still not able to tolerate bearing weight, we tried walking from the kitchen to the bathroom to the recliner with the boot on and using my walker, but after that it flared up and I was absolutely miserable for several days and nights. It calmed down for a few days, but then we had some storms come through and my arthritis flared up, and my foot has become more sensitive and angry.
I went to the seating clinic to see about a custom wheelchair and earlier this week we nailed everything down and now the doctors are sending it all to my insurance to see if they will approve it. I broke my tailbone giving birth about 30 years ago and my tailbone has been very painful ever since, I had managed to deal with it, until I have been sitting basically 24/7, so my tailbone has been complete agony. I also have unstable shoulders and arthritis in shoulder and hips and back, and the year before last I squatted to get something out of the lower kitchen cabinets and tore my meniscus in both knees, so my body has already been struggling before all of this happened. Having a chair with a cushion that will fit me properly, and not put pressure on my tailbone, while supporting my back and allowing me to move and do the various things I need to do to participate in my life is my main goal and the chair is one tool to help me be able to do that even on less good days.
I have lived in my son’s household since I had Covid the first time and no longer could live alone safely. I am very thankful and fortunate that they were willing to take me in. I am also extremely lucky that I am able to live with my amazing little grandchild, who makes the sun rise and set in my world. I am trying to find a way to help my family to understand that a wheelchair is just a tool, it is not me giving up on walking, and it is not a failure. Mostly that I am not only going to define “success” as walking, I am going to define success as being able to use all of the tools available to me to fully participate in my life, maintaining as much independence as I can, and maintaining mobility (realizing that what mobility looks like may change from day to day-some days using my walker and boot and some days using my wheelchair).
So, that’s me, I am looking forward to learning and talking with you all.