So now a pediatric physical therapist is coming to the house once a week. She's fantastic - high energy, encouraging, willing to let him go at the pace he's comfortable with. What a treasure. So different from the last pt place we went.
It didn't take her long to figure out that the ortho boot (which he uses to walk any distance) and the roller blades keep his foot at a 90 degree angle, and that his continuing pain is caused by the dorsiflexion of the foot with weight bearing. I'm not really sure if that points to maybe the hardware really is the problem. I suspect it is. I wish it wasn't so risky to take it out.
She wants to get him in a brace (short term) to give him that 90 degree angle, to get more functioning back, with specified time each day out of the brace to keep all the muscles active. He still has quite a bit of atrophy in that calf and foot.
If he could just rollerblade everywhere he goes, he'd be good to go.