Monday, November 3, 2008

Giving Tendonitis “The Boot”

I have been so very blessed with good health in my life. No broken bones, no sprains and very few stitches. Even the taking out of my teen-aged wisdom teeth took about 30 minutes from anesthesiology to a gauze-packed, incomprehensible speaking voice. When I think of all the bike spills, horse throws and tree falls I endured as a kid, I remind myself how lucky I am. At what point did my bones, joints and muscles start to bark back at me?

So last year, when the outside of my foot had a subtle, nagging pain, I went to a podiatrist. He informed me I had tendonitis. Tendonitis? What? Isn’t that an athletic disease? (All you people who know me can stop snickering now.) With all his years of medical study, years of residency and private practice -- and how does he figure this out? By looking at the bottom of my shoe heels. Thank you, Dr. Scholl.

Apparently, I pronate. Before you think I’m supporting some segment of the porn industry, it just means I roll out on the right side of my foot when I walk, thus putting pressure on the point where tendon meets bone. In defense of Dr. Happy Feet, he did also take x-rays and ordered an MRI on my ankle and foot area to confirm what my shoe heels told him. Not only did it confirm his initial diagnosis, but he believes I had a major – like “oh my gawd my foot” – foot injury in my life that might have weakened it. I know I’m a blonde, but that’s news to me.

He’s not quick to go to surgery, for which I’m very thankful. He exhausts – and below, you’ll see why I use “exhaust” – all options first. The tendonitis diagnosis led to three months of fun-filled foot frolicking:

Month 1. Wrap the foot/ankle and wear a Not-Ferragamo Walking Boot. But it might as well have had a Ferragamo logo on it to go with its $400 price tag. Zero to deductible met in .7 seconds. And on top of that, I found the exact boot on Walgreen’s website later for $70. Nah – there’s no price-gouging that would yield a healthcare crisis.

Month 1 – Part 2. Prescribes a TENS unit. There’s another $200 toward the deductible. TENS stands for Transcutaneous Electrical Nerve Stimulator – an electrode that attaches to my foot to shock the blood into flowing through my foot. Great…he’s giving this to a blonde who enjoys drinking wine in the evenings.

Month 2. Just walking on the boot is not making it any better. Let’s keep the boot and raise her a pair of crutches. Remember me? The one who’s never had a broken bone? I would have had more coordination in a hip-hop dance class.

Month 2 - Part 2. Prescribes shoe inserts supposedly designed to keep me from rolling out when I walk. Here’s another $300, complements of my healthcare provider. And they don’t work…to this DAY I’m still shaving off the outsides of my heels.

Month 3. Orders for physical therapy. Ten sessions of using my foot to “write” an imaginary alphabet in the air. Ten sessions of doing things with weights and rubber bands on my foot. Ten sessions designed to either (1) make it better or (2) make it worse – either way, it’s supposed to predict the next course of action.

After Month 3, I knew that if none of this worked, my next step would involve surgery. I didn’t need Dr. Metatarcel to tell me that. And quite honestly, my foot’s not in that much pain. So I just abandoned the whole production and decided to play my own doctor. Lose weight; watch how I walk; wear well-made shoes. So far so good.

Oh well, at least my foot does tell me when rain is coming, so that’s a bonus!

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