Jan 26/27 – Avery first injured her foot at gymnastics. Complaining of it hurting but no bruising or swelling. She wears an ace bandage on it off and on, takes a week or so off from gymnastics, but with no bruising or swelling over the course of the next week, I basically tell her to suck it up.
Feb 10 – Avery hurts it further when doing a handspring at gymnastics. Still no bruising or swelling.
Feb 11 – I decide to take her to Urgent Care before school for an X-ray to prove that her ankle is just bruised and because I was starting to question my judgement as a parent. X-Ray is inconclusive….they determine it may just be a sprain; however, they also see something that could be either a hairline fracture or an oddity in her growth plates. They refer us to an orthopedist and put her on crutches in a splint until she can get further evaluated.
Feb 14 – We see Dr. Shepard. X-rays reveal just a bad sprain. He orders physical therapy (PT) twice a week and tells her she must stop running and jumping on it for three of four weeks. He indicates she can come off her crutches as soon as she is ready. I expect this to be within a day or two, she ends up staying on crutches for three few weeks…a few weeks on both crutches and then another week on one crutch. While she is not able to attend gymnastics during this time, she is able to attend dance and participate in various ways over the course of the next few weeks. There is some watching and some movement of the arms while sitting in her chair.
Mar 15 – After a month of PT and not participating in gymnastics at all and dance in a very limited capacity, Avery’s PT clears her to fully participate in gymnastics and dance. She believes the sprain occurred long enough ago that it is healed. At PT, Avery starts doing some running and jumping. We expect her to be back at gymnastics and dance this week. While she has been cleared and her ankle her certainly improved, over the next two weeks, it still seems as though it isn’t as strong as it should be by this point. While cleared, she still takes another week off from actual truly participating in gymnastics and dance.
Mar 30 – Avery goes back to the orthopedic and sees the Physician’s Assistant as it is the routine 6-week follow-up appointment. Due to her continued pain, additional X-rays were ordered, ones not only for her ankle, but also for her foot. The PA consulted with another orthopedist in the practice after seeing the images and they thought they were now seeing something called tarsal coalition, which is a genetic condition one is born with and often starts presenting starting around the ages of nine. A MRI would confirm such a diagnosis. Until the MRI, Avery was put in a boot where she could only take her foot out for PT, to shower, and to sleep. The exercises in PT changed as well with this potential new diagnosis.
Apr 11 – MRI day. I spent hours on the phone trying to get an appointment for a MRI. Our original one was scheduled for even a week later; however, I finally got lucky after calling multiple times a day daily and found a cancellation. Avery was nervous about the MRI; however, she was able to calm herself and she did great.
Apr 13 – MRI results were in and turns out she did not have tarsal coalition. Great news! This was confirmed by Dr. Switagon April 13th. I had lined up this appointment as a second opinion in the event she had tarsal coalition. Due to the first doctor’s vacation schedule, her second opinion doctor read the MRI before her first opinion doctor. He cleared her to return to things back to normal as she could. We would continue PT for a few more weeks to continue to strengthen her ankle and foot.
Apr 17 – Easter – Avery injures her foot in an Easter Egg race.She ends up using crutches the rest of the evening.
Apr 18 – We happen to have Avery’s follow-up appointment with the first practice (2nd doctor – Dr. Ludwig) the day after Easter. We tell her that we saw another doctor and received the good news on the MRI. She agrees with his path forward based on the MRI, though she is concerned with Avery’s new injury. She wants an X-ray again to make sure she didn’t reinjure it based on where Avery is saying it now hurts. The X-ray shows a potential fracture, but she isn’t sure and believes it could be a bruise as well. So, she orders Avery back in the boot for two more weeks. Avery receives a new boot as her prior boot was starting to fall apart on the bottom. We spend 40 minutes trying to get fitted with the new boot. Despite the boot being the same boot, Avery is having problems with her foot moving in it. She is in tears by the time we leave, and we go back and talk to the orthopedist a second time. She assures Avery a little movement in the boot is okay and she is not doing further damage to the foot. She indicates PT needs to stop for several weeks to allow the foot to heal.
Apr 19 – Avery is not only wearing the boot but also back to using her crutches as she literally can’t walk now without a lot of pain in the boot alone. This continues for the next week plus.
Apr 27 – I leave a message with the orthopedist as she is clearly regressing.
Apr 28 – I speak to the Physician’s Assistant, and she believes Avery has now developed Amplified Pain Syndrome, something that can occur when a body part is immobilized for too long. Avery has now become overly sensitive. She said the pain is real but it is a result of physiological pain. She ordered Avery to start PT again right away as opposed to waiting; PT is recommended for up to three times a week.
Apr 29 – We start PT at home, it is challenging as she can barely put up with it. The PT is simple touch and ice. We continue this at home for a few days until I was able to get her back into a PT session.
May 5 – Avery has a PT session focusing on desensitizing and she is able to tolerate it. She is off the one crutch again by the end of the day.
May 6 – The desensitization exercises seem to be making a big difference and she is walking in her boot normally again.
May 20 – Avery goes back to Dr. Ludwig, takes additional X-rays and is cleared to take off her boot and resume walking on it. Doctor says it may take about a week to get comfortable walking on it all the time so boot can be worn occasionally if/when foot gets extra tired. PT to continue twice a week.
May 20 (evening) – Avery is attempting to walk in the kitchen without her boot when her knee gave out on her and she has sharp pains for over an hour in the back of her foot (Achilles’area). She said her knee never actually hurt but she collapsed due to pain in Achilles’ area.
May 31 – Avery finally been off the one crutch she had been using after hurting her Achilles. She was in a lot of pain for over a week and is finally walking normal on her foot again.
June 22 – Avery sees Dr. Ludwig and she says her progress is great. She said it was night and day from what she had seen of Avery previously. She wants Avery to continue PT for another month since it has been benefitting her so much.
All throughout this time, Avery has:
– Been in and out of dance
– Been in and out of gymnastics
– On and off of crutches
– Had high and lows
– Been scared, down, positive
– Attended X PT Sessions
– Complained, A LOT, did I say A LOT?
– Above all persevered!
It’s been a roller coaster of emotions and tasks for her and me. It seems like a long time to have to deal with an injury, but we are both hopeful that we will look back on this time down the road and realize in the grand scheme of things, it was just a short period of time that she got through and taught her resilience.