On the Tendon, Securely

When I was in the ER a couple of weeks ago, I kept insisting that I couldn’t move my big toe. They assured me I was fine, that the movement would return. As the wound began to heal, I realized that I could not lift my big toe. I could point it, ballet style, and fold my toes under, but I could not bring my big toe up. It was a sad attempt – the other toes would come up nicely, and there would be the sad big toe, not even halfway as high as it should have been.

I babysit for a couple of doctors, so I asked one of them to look at it. As soon as he pointed it out, I kicked myself for not realizing it before. The tendon on my left foot drew a clear, elevated line over the top of my foot when I lifted my toe. There was no such line on my right foot, a clear indication of a severed tendon. No tension, no tendon at work.

He informed me that there are two tendons that cause your toes to come up. I had torn the EHL (extensor hallucis longus) tendon. For non-active older adults, he wouldn’t recommend fixing it, but for someone young and active like myself, there is no need to spent a lifetime without that movement. (I thanked my lucky stars at that moment – I hadn’t been able to put on shoes without having to guide my sad, limp toe into them because it just wouldn’t move.) He made a few calls and surgery was scheduled.

With 6 weeks left of health insurance, and the clock ticking, I went in on Monday. They did a preliminary examination, taking some X-rays and feeling around. I already had a surgery time set aside, so all that was left was the surgery prep. Everyone was fabulous – they all commented on how cold my toes were, which made me laugh. I had a choice between a spinal block or full anesthesia, and since they told me I couldn’t watch the surgery, I chose the full anesthesia. The countdown was quick. The anesthesiologist asked me where I wanted to go, I replied “South Africa,” and was out.

I’m in a giant black boot – they told me to treat it like a cast. I can’t remove it for two weeks. It’s heavy, but I feel secure in it. I’m not to move my big toe yet. After the first follow-up appointment, I’ll be able to manually move my big toe back and forth – with my hands, so as not to engage any of the muscles to prevent any accidental tendon snapping.

Boyfriend took this fantastic picture of me sleeping on the couch my first night home. I’m to keep my foot elevated, so I’ve managed to create a sleeping position that’s semi-comfortable. I assume I have blanket over my face because the light was on and I couldn’t get up to turn it off. Note the hospital socks. Two socks on that foot.

I’m on pain meds. I have my foot elevated most of the time. I was supposed to go back to work today (in the office), but I’m still exhausted. I’m laying on the couch right now, working from home. Getting up to do a few things zaps my energy and increases my discomfort. I can’t drive for a while, so that’s annoying.

Yesterday, I slept most of the day. I had two furry helpers who napped with me. Acorn hung out by my feet, Carlos took advantage of my stomach and chest. I love that they’re starting to tolerate each other a little bit better. They’ll never be best friends, but I love it when they both snuggle with me.

I’ll try to go back to work tomorrow – we’ll see how long I last. Getting up is uncomfortable, so I’ve been avoiding too much movement. I’m ready to have my feet again, but I’m so grateful that it could be fixed.

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2 thoughts on “On the Tendon, Securely

  1. Hey! How is your recovery coming along? I had the same surgery about 7 weeks ago and am always looking for other stories to read, since there is such little info on this injury on the internet, and it seems like there is wide range of experiences with EHL tears. You should keep blogging with your progress! 🙂

    • It’s coming! Still in the walking boot, can finally shower and sleep without it. Haven’t gained any movement in my foot back, though, so I’m going to take it pretty light until my neck follow-up appointment, which is in May.
      How is yours? Do you have much movement?

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