Therapy has been a long, slow slog. I haven't been getting better as fast as I hoped (it's never that quick) or as well as the doctor had hoped. In fact, I went back to see Dr. Z. this weekend she was surprised I wasn't progressing a little quicker. I explained that they had me move laterally in PT and it proved to be overdoing it, the lateral movement re-inflaming the bursitis. Ice helped, but she wasn't sure there wasn't other things at work, so she ordered an x-ray.
On the x-ray, my Achilles showed to be thicker than average, which may be putting excess stress/pressure on the bursa sac. Also, there is some calcification starting there as well, probably due to being OLD and also a history of athletic endeavor. Swell. She also recommended I continue with PT and also get a gait analysis.
So, off to gait analysis at Drayer Physical Therapy I went. I met with Kris, the PT there who took videos of me walking. The command is to "walk naturally" which is funny because how else would you walk, except that now someone is videotaping you walk, which makes you walk unnaturally because walking naturally is what you do when no one is looking. It's all so complicated. It turns out that I am VERY flatfooted, which is causing a roll inward of my foot to push off properly, and this is putting pretty intense pressure on my Achilles. The Rx is to get orthotics, inserts that will close the gap between my foot and the ground to create a more natural and efficient footstrike. I am just glad he didn't recommend those big, ugly Herman Munster shoes.