So a couple of weeks ago I was chugging along on the treadmill at cardiac rehab and it felt so good that I decided to try jogging a bit. Being able to hold myself up with my arms would make the impact more gentle on my feet. I did a couple of intervals of 1 minute on 1 minute off jogging. This evidently was the very repetitive minor trauma that can lead to Charcot Foot, "...most commonly due to diabetic neuropathy." Well, I have the neuropathy but not the diabetes. (Serum glucose 79). Although a lot of my symptoms present as diabetes, and each doc I see asks if I have ever been diagnosed with diabetes, I do not have diabetes.
When the podiatrist explained that not treating this could lead to amputation, I got to practice my "learned optimism," that we were going over in Stress Management. "I'm so glad you caught this early," I found myself saying. The X-rays did not show any evidence of neuropathic arthropathy.
The repetitive trauma opened up a lesion on my left sole where a callus had built up, and then the wound got infected. I went through a couple of courses of antibiotics, which cleared up the infection, but the wound did not heal. The podiatrist took a look, shaved off some excess callus, and put me in a boot.
Well, no. That's not a good idea. The podiatrist wants me in the boot exclusively. Only out to sleep and to shower. The doc fashioned a cushion with a cutout where the lesion would not press on the innersole of the boot, and some of the sole itself was removed to leave a pocket. The cushion has one sticky side, which he attached to my foot to prevent sliding. The doc gave me extra cushion material, so I assumed that I should change the cushion each time I showered and changed the bandage. The first time, however, some skin came off with the cushion and left a bloody cut. Linda is getting good at bandaging.
I'm trying to be positive about this, but 6-9 months in the boot is not pleasant to anticipate. Better than amputation, though. How to manage the stress of a long-term disability? That's what the stress management class is working on.
Here is a good summary of Martin Seligman's Learned Optimism.
Each time a worrisome thought comes along, I think of something else and relax my shoulders. We are going to work on other stress reduction techniques next week.
It will be a challenge to find an exercise l can do with this boot.