Tag: ankle surgery

Medical Update

I made it to my first lymphedema massage therapy session yesterday. I began experiencing edema in about 2020, around 63 years old. I walked about eleven miles a day back then. Went all over town carried by my feet and legs. As various injuries slowed my exercise routines, bilateral edema developed in my legs. This became a real nuisance when I had ankle surgery to address a ruptured tendone. Swelling caused by edema kept me from healing correctly. Yeah, that sucked. My orthorpedic surgeon recommend that I pursue lymphedema massage therapy. When I expressed interest, he set it up.

My first appointment was supposed to be Munda. I cancelled because of snow, and the therapist cancelled Wednesday due to snow. A young woman named Anastasia is my therapist. When I made it in yesterday, we laughed over the week’s crazy snow weather and agreed, Ashlandia was hit much harder than her town, Medford. Makes sense, as Ashland is at a higher elevation.

Not my foot.

Ana wrapped my legs as part of the process called lymphedema compression bandages. Used to help manage lymphedema by a sequence of pressure from high to low to help the lymph vessels move their fluid, the bandages end up being very thick. My toes were individually wrapped, then foot, ankle, calf, up to my knee on both sides. Sort of looks like a mummy. After that, dark blue open-toed sandals with velcro straps were provided. They were needed because my wrapped feet were too large for my shoes.

When my wife saw me in my new gear, she doubled over in laughter.

She laughed again today when she saw me. She couldn’t believe that after my appointment yesterday, I went grocery shopping. Her exact exclamation was, “I can’t believe you went into a store looking like that. You’re braver than me.”

I replied, “Nobody noticed.”

Her eyes widened. “Oh, honey, they noticed.”

Whatever her and others’ opinions of appearances, I’m astonished by how my legs feel within these bandages. There is absolutely no pain. No limitations on movement and flexing that’s generated by swelling. No stiffness. Before that, I had a regular evening struggle. Once my compression socks were removed for the day, swelling into my feet. This really affected my ability to bend and flex my ankles and toes. Exercising them came with a double shot of anguish. With these bandages, there is none of that.

Besides the shoes, the other drawback is the bathing limitation. The bandages can’t get wet. That means washing my hair in the sink and giving myself a sponge bath.

It’s a tiny sacrifice to have my legs, ankles, and feet feeling and doing so much better.

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Thursda’s Wandering Thoughts

It’s a potpourri of offerings and updates. Nothing important. Just sharing.

Tucker (pronounced Tuck-ah), my black and white wonder floof, had some issues this morning. I heard him in the litter box at a quarter to daylight this morning. The familar tones of him puking followed. I rose to check it out and soon learned that he was constipated. After comforting him, I warmed water and gave him a few CCs of that via syringe. Next, warmed water and made a slurry out of his kibble, which he eagerly took in. Finally, warmed water, mixed it with a Churro bisque and fed him a few CCs of that. Meanwhile, in his wanderings, three small, hard stools were released. After these treatments, he retired to his litter box and had a large bowel movement. Then he acted normal. But this is a warning shot; I need to shift his diet and ensure he’s eating more wet food. I’d noticed that since his teeth have been removed, that’s been a problem for him. I’m also picking up some cat laxative to keep on hand, just in case.

My healing continues, and my edema issues are improving. I’ve been experiencing bi-lateral edema. Started a few years ago, in conjunction with an obstructed bladder caused by an enlarged prostat. Ankle surgery last fall made it worse on my right leg and foot. I focus on reducing the swelling by day’s end every day. Here in general is what I’ve done.

  1. Increased hydration. I’m drinking a ton of water a day. Peeing a lot, too.
  2. Reduced alcohol and coffee.
  3. Reduced my sodium intake. Banished any lunch meat from my lips. Bacon and sausage, which I never consumed much in the first place. Breads were cut back. Swore off most sauces and all salad dressings. Almost completely cut out butter. Eating more raw fruits and veggies. I consult labels for sodium content before buying or consuming.
  4. Massage a CBD lotion into my legs, ankles, and feet each morning and evening. I follow the contours of my muscles, ligaments, tendons, and bones. This seems to help my blood and lymph flow.
  5. Wear compression socks during the day. I typically have them on for about ten hours.
  6. Elevate my feet. Each night I lie on my back with my feet up on the wall for 30 to 40 minutes. I exercise my legs, feet, and toes during this time. I then also elevate my right ankle further during the night.
  7. Exercise several times a day to raise my heartbeat. Significant emphasis is given to moving my legs and feet. Besides brisk walking, I stretch and flex, plank for a minute, wallsit three times a day for a minute at a time, run in place, and do some light free weights.
  8. Bought and wear orthopedic footwear.

This all seems to be paying off. My left limb and foot doesn’t swell much during the day at all. The swelling on my right foot, ankle, and leg is completely gone by each morning. Although it slowly swells during the day, the swelling isn’t as heavy. My mobility, strength, and flexibility have all improved, IMO, based on the exercises and my observations. I commence my lymph-edema massage therapy next week.

My wife and I both like to do word games like Connections, Spelling Bee, Wordle, and Hurdle. Each day, we talk about how easy or hard the games were for us. We also laugh about how we sometimes screw up. For example, with Wordle and Hurdle, you’re guessing a five letter word. You have six guesses. Correct letters show up in green. Letters which are in the word but in the wrong location are in gold or yellow. It’s humorous but irritating to realize after making some guesses that we’ve overlooked or have forgotten to use a letter in yellow in our guesses. It’s like, “OMG, I had a N in yellow that I forgot! What is wrong with me?”

It’s all fun and games.

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Health Update

Went for my lymphedema massage assessment the other day. Wednesday. This was driven by my ankle surgery. My edema causes too much swelling for my surgically debrided tendon to fully heal. In their assessment, the sharp young Anastasia declared I had “secondary lymphedema stage 2” because my swelling wasn’t going down overnight. In her notes, she wrote, “Patient currently lacks the knowledge and ability to independently manage current symptoms for this chronic progressive condition.”

Well, WTF. I was insulted. And pissed.

Which was the kick in the ass I needed. I commenced wearing my compression socks almost 24/7. Rested on my back with legs elevated three times a day for twenty minutes at a time yesterday. Increased my exercise and took up the intensity. And increased hydration yet more.

It paid off. This morning, the swelling in my feet, ankles, and calves had dropped. My legs, ankles and feet all had re-assumed their normal size and shape. Sure, it’s temporary, because, as I go through the day, the swelling will commence. I’m wearing my compression socks, though. And, I’ll need to continue to deeply hydrate, elevate my legs, and exercise.

“Lacks knowledge and ability to independently manage current symptoms.” Hah. I’ll show them. I begin my Complex decongestive therapy (CDT) next month. Monday, Wednesday, Friday for four weeks. Two things to cheer: the service is available to me and my insurance covers it.

Here we go.

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