New video It has been 3 almost months since the screws were removed and exactly 6 months since the injury, and Mia Rose continues to see improvement in her foot and her left leg overall. The general consensus is that you continue to see improvement throughout the first year so she’s at the halfway mark and doing really well. She tapes her arch (to support the whole arch/underside of the foot) and wears an ankle brace for preventive ankle support while at practice and she is now able to do everything she wants without any problems. She still sees some swelling at the end of the day both in the gym and on weekends out and about, but it isn’t bad at all and doesn’t slow her down. She is even able to wear wedge heels when dressed up without a problem.
Now that she’s well into the recovery process she is working some pretty cool new skills in the gym. Here’s her new vault (yurchenko full) that she got to flip onto mats rather than into a foam pit for the first time yesterday. VIDEO I can’t wait to see what it looks like in a few more weeks. She’s working new skills on the other events too but this is the only one I’ve been around to catch on video.
I am so pleased to be able to say that Mia Rose qualified for level 9 States in both floor and vault yesterday just 15 weeks after her lisfranc fracture/dislocation and ORIF surgery! Just being able to compete so soon was a huge accomplishment. At the start of the week we weren’t sure that she would be able to compete floor or vault as she had not yet flipped a vault or done a floor routine with tumbling and jumps in it since November 9th, so the fact that they were the events she qualified on is even more remarkable. Bars and beam were the first two events and unfortunately falls prevented her from qualifying on those, but regardless I am amazed by her drive and perseverance which paid off in the end.
I am immensely proud of and happy for my girl! She never stopped believing that she could come back from this injury in record time and she put in all of the incredibly hard work necessary to make that happen. She was in the gym training every single thing she could even while 100% non-weight bearing and never let the inevitable sadness and frustration that comes with this long recovery process deter her from her goals and what she needed to do to get there. She is wearing an ankle brace to help support her ankle as a precaution as she comes back from being immobilized for so long. Happily she has no pain in the area of the lisfranc repair, but all muscles in the foot and ankle that were immobilized in a cast and boot for 3.5 months get sore and she still has small limp when walking. Her surgeon and PT told her that some pain is unavoidable when returning to sports and that as
long as it doesn’t get above a 4/10 and doesn’t last more than 2 hours after she stops working out that she is fine to work through it. She generally ices after each practice as a matter of course and the pain is gone within 30 minutes or less…so all is well and each day she has a little less. We both look forward to the day when pain is no longer “normal and expected” but it is wonderful that it is not bad and not slowing her down.
It seems that periods of feeling really down and helpless are inevitable when traveling the long road to recovery from this injury…but having a specific goal in mind and writing down what she needed to do to get there really helped Mia Rose. Intentionally recognizing and appreciating even the tiny signs of progress seemed to help quite a bit especially as time wore on…progress is frustratingly slow with this injury compared to so many more common injuries so it can be hard to believe that you are really improving unless you intentionally notice and appreciate the little things. She still has a way to go before she is back to 100% but now it is easy to see how far she has come and there are big things to celebrate on a regular basis.
She heads back to the gym tomorrow to keep working in the hopes of improving her routines enough over the next 2 weeks to do well at States and qualify for Regionals.
Mia Rose had her post-op wound check with her surgeon Monday. It was 13.5 weeks post-ORIF surgery and 11 days after the hardware removal surgery. The incisions look good and with all the poking and twisting that he did to her foot, the only thing that was sore was the new incisions. Based on that and what he saw on x-ray during the hardware removal surgery, she was cleared to start barefoot gymnastics again. That was very happy news! She was told to gradually increase what she does over the course of the next 1-2 weeks with pain as her guide. The doctor told her to expect it to hurt a lot initially, but she is fortunate to have almost no pain and what little she does have is improving with the increased impact activity.
The last competition of the regular season (and her only chance to try to qualify for States this year) is in 2 weeks and she is absolutely determined to try to be ready to compete all-around by then if she possibly can. At the moment both bars and beam are almost competition ready and vault and floor are coming along. She was so happy to have the all clear to really start getting back to doing what she loves-she even seems to be taking the directive to work her way back gradually to heart. I am so proud of her grit, determination and hard work no matter what happens regarding competition!
She doesn’t need to see the surgeon again for two months. She will continue PT through the end of this month and then hopefully that will be far less frequent as well. Getting to the point where we do not have to go to multiple appointments every week will make our lives and her schoolwork so much easier than the past 3.5 months have been!
Mia Rose is feeling very good considering she had surgery just yesterday. For anyone who is wondering what the lisfranc hardware removal surgery recovery is like…it is *much* easier than the lisfranc ORIF surgery! Extra strength tylenol and elevation have been all she needs to manage it. The incisions are sore but not terrible. The front of her ankle is also sore…we’re guessing from the position they had her foot in while they were removing the hardware. But she is able to use her foot without increased pain which is great.
She’s been using the ARP Wave machine lots since the surgery to help accelerate her recovery. Right now it is set for recovery. Next week she will move back into the rehab protocols to help rebuild lost muscle and improve neuromuscular patterns in order to help prevent future injuries. We are really hoping that adding this to the rest of her rehab will make a difference in both the long and short term.
Today is the beginning of the final phase of this recovery process. Mia Rose’s hardware is coming out! It has been 12 long weeks to the day for her. (Even though we know that many have hardware for much longer, it has felt like an eternity to her).
While she was not looking forward to another IV, post-op nausea, or incision healing process, she is *really* looking forward to being allowed to do more impact and sports-specific rehab in the near future. I will update this once she’s out of surgery. (I’m in the same day surgery waiting room as I write this.)
Surgery went very well. The surgeon confirmed that all of the joints were stable after he removed the screws which is what needed to happen. Before the surgery we told the anesthesiologist that she woke up vomiting and miserable last time and he promised to try to make adjustments to help minimize that to the extent possible this time. The great news is that it worked! By the time we got to see her, she was sitting up smiling and ready to leave, an entirely different experience than the last time. She had no trouble keeping down the ginger ale they gave her as soon as she woke up and within 20 minutes she was happily gobbling down the container of mixed berries that we had gotten for her in the cafeteria. No nausea at all and far less groggy that the first time around!
She had some soreness but no serious pain in her foot. After getting some breakfast I took her over to the gym so she could see her coach and team mates for a few minutes and then headed back home to snuggle into the recliner with her foot up.
Today was Mia Rose’s first visit to the PT since she started wearing the sneakers and orthotics. She had a good session, got new exercises to work on her own (squats single leg and two leg, RDLs, big toe exercises to get some of the small muscles in her arch more active etc), and got instruction in how to correct her gait so that she is now walking with much less of a limp. She had been walking in the boot for so long her steps had become short and choppy with a bit of a swing from the hip on the left side. Her PT told her to take longer steps really focusing on squeezing her glutes with each step and leading with the front of her hips. Within just a few seconds that dramatically improved her gait and reduced her limp to almost nothing. I will try to grab video later today to show the difference.
Physically Mia Rose is doing extremely well with her injury healing ahead of the typical timeline. She has little to no pain even when she is up and about doing lots, and the rest of her body is stronger than ever. But, since the purpose of creating this blog is to help others who are traveling this road to recovery from a lisfranc injury, I can’t just talk about what is going so well…I have to acknowledge that mentally and emotionally this has been a grueling process to say the least.
We are both pretty exhausted by the seemingly never ending medical appointments between PT, follow-ups with the surgeon, and visits to the chiropractor to address back pain from being on crutches and then walking in the boot for many weeks. We are typically going to 3 appointments a week to some combination of medical professionals. Both of us are very anxious to get to the point where she will not have such frequent visits! Between the medical visits, her schoolwork, my job, and her practices it feels like we never stop and the injury and recovery process are constantly front and center in our life. After the screws are removed on February 16th, I’m hoping that things will settle down quite a bit in that regard. Although the long term big picture seems to look very positive at this point, in the day to day it can be difficult to stay positive. It is definitely a daily (sometimes hourly especially early on) conscious choice to stay positive and focus on how far she has come in the past 11 weeks. When we look at her progress it is easier to appreciate how well she is doing. We have daily conversations about the little things that are better each day to help us really see and focus on what it good. Early on that was things like going 5 hours without needing a pain killer instead of 4 the day before. Now it is things like being able to dramatically reduce her limp with just a small change from the PT, being able to do one more leg lift or connecting one more skill in her bar routine for the first time since she got injured. I highly recommend doing this as it helps you to focus on the positives that are there but could easily go unnoticed and being able to see progress is so important to knowing that you really are recovering.
All of that said, we continue to take the long view and know that everything she is doing now (and everything she is not doing per doctor’s orders) will ultimately lead to her being fully healed with her foot ready to support her for a lifetime and with her back to the sport she loves while also being stronger than ever. That’s the”sliver lining” that we focus on and are grateful for every day.
On Jan 25th Mia Rose had another appointment with the surgeon when we were supposed to pick up her orthotics, but they had not arrived yet.
Her surgeon twisted, bent and poked at her foot even more intensely that two weeks before and again she had no pain at all (sat completely relaxed as he manipulated it), which elicited the remark “amazing” from him…he said it more to himself than to us, but clearly feeling so good and moving so well 10 weeks post surgery is not typical. He then told us we could schedule surgery to remove the screws in 2-3 weeks. We scheduled that for February 16th (exactly 13 weeks after the initial ORIF surgery).
On January 26th her surgeon’s assistant was very kind to bring her orthotics to us, since he lives in our area while the surgeon’s office is nearly an hour from our house. He put the orthotics in her sneakers and said that she should gradually break them in starting with one hour and increasing each day. Here’s a VIDEO of her first steps in a sneaker since the injury on November 9th.
VIDEO: Working her switch leap was the first thing she wanted to do when she got into her shoes…since she takes off and lands on her uninjured foot she was able to do it without a problem.
Although she still has a limp, she’s comfortable in the sneakers and so happy to be moving away from the boot. We’re looking forward to seeing her PT tomorrow.
January has been a busy month with lots of physical therapy, doctors visits and gymnastics practice.
Mia Rose has gotten most of her skills back on bars and is focused on trying to be ready to compete bars in February. VIDEO In addition to practice where she does bars plus tons of conditioning, she does PT once a week with our fantastic PT who is very well versed in gymnastics, home exercises prescribed by her PT daily, another hour of PT once a week with a trainer and lifts weights several days a week with me. She is really determined to be even stronger than she was before when she is cleared to get back to gymnastics fully.
She saw the surgeon on January 11th and he took more x-rays, which looked good. He also moved her foot around and pushed on the arch a bunch, which happily didn’t hurt her at all. He seemed satisfied with her progress and took molds for custom orthotics for her sneakers at that visit as well. We will be traveling on February 9th and the goal is to have her comfortably walking in her sneakers before then.
On Christmas Day Mia Rose tried putting weight on her foot for the first time in 6 weeks…and amazingly it did not hurt at all. She was so happy…quite a wonderful Christmas gift. Over the next few days she was able to give up her crutches completely without any pain at all other than irritation to her shin from the top if the boot.
She had her initial physical therapy evaluation two days before and her range of motion and strength were quite good for the circumstances and her PT gave her range of motion exercise to do at home until her next appointment. She was very pleased to be able to move and begin to work on getting her range of motion back.
At this visit Mia Rose’s cast was removed and she was put into a walking boot, but the doctor told her that she needed to remain non-weight bearing for one more week. After that he told her that she could begin weight bearing in the boot as tolerated. He said that she could walk as much as she could reasonably tolerate. He said that some discomfort was to be expected but intense pain was not. He also said that she could ditch the crutches as soon as she felt ready.
As expected her foot and leg were pretty flaky and in need of a good scrubbing when the cast came off and the atrophy in her calf was pretty extreme as well. She was bummed to see that but looking forward to starting PT to begin to build her strength back up. Despite being a little stiff from being immobilized for 5 weeks, she had pretty good range of motion in her ankle and said it felt really good to be able to move it. The doctor said that she could remove the boot whenever she was sitting to do range of motion exercises.