Less Leg More Heart: A Story of Elevation After Amputation

In Audacious People by Guest Contributor

Tina Hurley, a blonde haired female sits in a chair. She has a prosthetic left leg. She is smiling at the camera.

Life has a way of throwing you curveballs when you least expect it. At 27 years old, I was completely comfortable. I had assured a favorable position after eight years of college and was working as a Physician Assistant in acute care medicine in New Hampshire. I had a brand-new vehicle for the first time, met the man of my dreams, was in the best shape of my life doing CrossFit competitively, and had very little unmanageable stress.

My family and friends were healthy. My bills paid. I had a good groove. The universe was playing an easy tune. I carelessly danced to its rhythm. After years of sacrificing, it was reassuring to know my projection for the future was on track.

Enter: the curveball.

Calve discomfort and foot numbness increasingly occurred over the years, which I chalked up to needing new shoes, needing to eat more bananas, or to stretch more. I sought medical attention and, after a blood clot is ruled out, diagnosis was a calf strain.

Two years, thousands of dollars in medical bills and countless hours in testing later, orthopedics diagnosed me with Exertional Compartment Syndrome. My calves were too big for the tissue they are contained in. The treatment is surgery for both legs.

Conservatively, I modified my activities to limit symptoms, hoping to avoid the knife. I stopped running and stopped exercising my calves, but the symptoms worsened. After the symptoms interfered with my ability to walk both my dog and the hospital halls at work, I went back to orthopedics.

Popliteal Artery Entrapment Syndrome

Serendipitously my mother had stents placed in her leg arteries for similar symptoms. After telling my doctor, I went to a vascular surgeon who astutely diagnosed me with a very rare vascular disorder called Popliteal Artery Entrapment Syndrome.

I have genetic anatomy trapping the arteries and veins at the knee whenever my calves engaged which, over time, had debilitatingly limited the flow of blood to my lower legs.

The diagnosis came a mere six months after meeting the man of my dreams in a CrossFit gym. As our love grew, my physical condition worsened. Soon, I had undergone eight surgeries to improve the blood flow to my left leg, but to no avail. They removed structures from my lower leg, filleted the connective tissue open to make room, and tried repeatedly to replace the
arteries using vein from other places in my body.

Nothing worked.

I couldn’t walk up a flight of stairs without losing circulation to my foot. Everyday tasks like walking my dogs, working, or grocery shopping were impossible. I was on narcotics round-the-clock that left me in a haze. I had anxiety, depression, and fear. My pill box was full, but my bandwidth depleted. I had lost my identity altogether.

Just three weeks before my wedding, while getting ready for my bridal shower, my latest artery bypass pops open, causing me to internally hemorrhage. I rushed to the hospital to undergo yet another bypass. I missed my bridal shower.

My disease had stolen wonderful memories and replaced them with nightmares. I remember lying in the hospital with my spouse-to-be considering postponing the wedding but, we persevered.

On October 10, 2015 I was able to hobble down the aisle and celebrated love with my closest friends and family. A failing graft promptly interrupted the honeymoon period and need for more urgent interventions to save my foot. A mere six months later, we are directed to a surgeon considering amputation. The reality of circumstances was crushing. I struggled to find any hope, knowing that we hadn’t even started interventions on my right leg.

The prognosis was beyond devastating. I had been pulled so far from my center, I couldn’t remember who I was. I felt alone, misunderstood, and empty. I became an amputee July 28, 2016 and immediately suffered complications that hindered healing.

I had to have a full thickness wound debrided in the operating room. I was discharged home with a wound vacuum and crutches, only to find my husband had removed all of his things from our house. It was one day after our one-year anniversary and the last bit of carpet I was unsteadily standing on had been ripped away.

I gave up.

I laid in bed for three weeks avoiding phone calls, text messages and visitors. I lost twenty-one pounds of muscle because I couldn’t eat. I couldn’t get around my house because I didn’t have enough energy. I may have stayed that way if it weren’t for my best friend breaking into my home, finding me, and reminding me that only I could give away my own power.

A switch flipped. I began rewriting my story. I was learning there was strength in vulnerability. I was finally allowing help from others. A local CrossFit gym opened their arms to me charitably and, just like that, I got a community and my physicality back.

I started learning how to adapt things in the gym. I knew my mindset was changing after undergoing two subsequent revision surgeries on my amputated leg. Thirteen total surgeries. I was less rattled with each operation.

I was learning the power of community and the blessing to have wonderful people in my life willing to help pull me out of a very dark place. Most importantly, I learned that I could lend myself to others to help them suffer less than I had. I learned that life isn’t about having ten fingers and ten toes. It’s about developing inner constancy, building virtue in yourself, and being of service to the world.

2018 was a transformative year.

I chose to simplify the year’s decisions using two questions to govern my choices: 1) Will I regret not doing this? 2) Will this help me help others?

In following those two simple guidelines, the world opened up. Opportunities I never could have predicted presented themselves to me. I was training with Paralympic teams, winning the CrossFit Adaptive Championship, getting sponsors, and even moving to Texas to participate in a redefining program.

The emotional weight had fallen off my chest and had allowed my wings to spread. A sense of purpose replaces my grief. I created a 501(c)3 nonprofit, called Less Leg More Heart, to help the disabled population in critical ways.

Using my medical training and patient experience, I constructed four pillars of operation. They are peer mentorship, medical advocacy, funding for holistic approaches to care, and funding for services in the home when someone is recovering from the hospital.

The next amputee won’t lose further weight from lack of protein. We will provide supplements. The next trauma victim won’t wither when they leave rehab. We will provide continuity of care with a gym membership.

The next patient won’t feel so alone, so lost for resources, so confused about medical jargon, so depressed and so unsure of their medical decision making. We will advise, consult, advocate and encourage. The next rock bottom will have a softer landing because we commit to be their cushion.


Less Leg More Heart commits to helping others realize sooner that you don’t need feet to leave your mark in this world.

Tina Hurley is a 36 year old former gymnast and Division 1 cheerleader, an exercise physiologist, nationally certified Physician Assistant, below-the-knee amputee from Popliteal Artery Entrapment Syndrome, adaptive athlete, public speaker and the founder/CEO of the 501(c)3 charity Less Leg

For more information about Less Leg More Heart, visit www.lesslegmoreheart.com as well as their FB, IG, and YouTube accounts that are all linkable from the website.

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