Achilles tendon repair reconnects the ends of the broken tendon so that you can use your foot again in a normal way. Mike. Ha, thats actually a really good suggestion. I am much more afraid of the pain once I get going. Of course every day my wedge gets squished down more as I walk - LOL - so I dont think it is lifting me more than 1/4 now. However, it is uncommon in foot and ankle and rare in bilateral achilles tendon. General Guidelines/Precautions Immediate post operative phase will NWB in post-op splint, transitioning per surgeon to CAM boot with wedging PROM only for plantarflexion for first 6 weeks. I am also a college cheerleader and obtained the injury tumbling at a basketball game after about a year of on and off, untreated pain. Always wear the boot when youre standing or walking. If you need more help with an Achilles injury, you're welcome to consult one of our team via video call. Maffulli, N., et al. Surgery was on the 25th, and it was performed with an FHL transfer, which involves harvesting the tendon that flexes your big to to reinforce the achilles repair (my surgeon does this standard for younger, active people to lesson risk of re-rupture, return to activity faster). Problems with healing, which could lead to the need for another surgery. I was told the right one would most likely be fine. On august 9th 2013, I kicked out a glass window, I had my first of 3 surgeries on an achilles tendon tear, tissue replacement and artery and vein repair to my right foot. Among the differences I can think of: (1) When an AT ruptures normally (from over-stress), the surrounding tissue, including the sheath or paratenon, is almost always still intact. In percutaneous (say "per-kyoo-TAY-nee-us") surgery, the doctor uses several smaller cuts. I Never take pain killers for it NOT the answer! I Have One Huge Question !! A total of 266 patients with acute Achilles tendon rupture were divided into 4 groups (A, B, C, and D) according to . Had ATR with surgery 5 years ago on the left foot and as far as I remember I was on full weight bearing after 7-8 weeks (ok, in weeks 9 I managed to rupture my scar from the inside, a very scary and bloody experience. I thought it was strange i hadnt had any up until now but hey, im not a doctor!! Just told me to be careful around slick surfaces. "Rehabilitation following operative treatment of acute Achilles tendon ruptures: a systematic review and meta-analysis." I am at the point where I am building the leg muscles back slowly. I do range of motion, moving my ankle back and forth, this helps also. I cant believe how hot it is in New York! Outside of cheer I workout daily and was in the best shape of my life, squatting 225# and weighing 125#. The rehab programme outlined in this article is a progressive one, as it allows for early weight bearing and ankle mobilisation exercises, from the third week, when the patient is still in an orthopaedic boot. He did give me a set of heels (1/4 in) for both shoes that will ultimately help out the stress on the tendon. Hi guys, I ruptured my achilles playing indoor soccer on July 15th 2013, on July 22nd I had surgery, I am 38. Find someone that is good with the Graston technique or Gua Sha massage. Just be cautious. The first week was really depressingnot only was I stir crazy with my leg elevated ALL day, but the thought of the long, tedious recovery was difficult to process. How is it going for you? First 13 days in a cast until the knee, then a walking boot. Hi All, Burning of the Achilles tendon can also be called tendonitis or tendinopathy in medical circles. Its still stiff and I would imagine that it will be that way for the rest of my life. Achilles Tendon Surgery: Procedure Details, Risks & Recovery - Healthgrades A story of caution. had surgery of 3+ hrs due to waiting so long ends of tendons were shredded. I went to see my surgeon Thursday evening and hes given me the okay to start using my shoes. Early mobilisation of the foot and ankle (but not into dorsiflexion). Calf is strong, Achilles is strong and I never worry about another tear. It makes us realize how important it is to be able to stand on our two feet and walk. I am planning on playing again as soon as i can, my Debate is I am scheduled to have surgery next Tues. Aug 4 th, Docter called today asking if I wanted surgery or to just go the healing in the cast since I have been in it alreadt 7 weeks and have started to heal the tear, but I want to be active and play again and I think the surgery will be the stronger way to avoid rerupturing it again Anyone have any Feedback on this ??? Kate I had pins and needles at onset of PWB & if I recall correctly subsided after a week. I am having a lot of swelling. If you are less active or perhaps quite unfit, your goals will likely be much lower. This will take some time to achieve, and you may find a stick or crutch helpful in the beginning to help you balance. This is why some exercises or activities should only be started after a certain number of weeks. These usually remain as before, with the addition of doing heel raises while sitting down. Mine is looking great. I was scared when I saw there is small portion of my incision is bruised and thought it could be infection. My protocol was very unusual - 6 weeks in the cast completely NWB. I have been able to walk few blocks with limp. Once burned twice shy, and wondering if at my age I should just hang up the old jock. I havent started PT yet either as Ive had a little insurance hiccup which will be sorted by next week (I hope!) A recent review of the literature that analysed the results of 20 randomised controlled trials involving 1,007 patients found that those who followed a more progressive Achilles rehab programme tended to have fewer and less severe re-ruptures and complications afterwards. There is also limited evidence that a progressive programme may allow earlier return to sport and work. Please remember that were all different, and everyones programme should be tailored to their unique circumstances. 14 compared conventional rehabilitation (18 patients) with accelerated rehabilitation (31 patients) after debridement and reattachment of the Achilles tendon. Precautions: Post-op weeks 2-3: boot at 20 degrees, sleep in boot, TTWB with crutches, no active DF. Oliva, F., et al. I guess I need to hear that this is normal. Muscles, Ligaments and Tendons Journal 8(3): 310-363, Carmont MR, Grvare Silbernagel K, Brorsson A, Olsson N, Maffulli N, Karlsson J. Be smart, but push yourself to what doctors/PTs say are ok. Had the operation a day after. I felt no pain at all and never have done apart from falling onto my foot when I was on crutches which was excruciating. I am 9 and half weeks after surgery. I was playing since I was 5. When it happenned I was upset, now I see the light at the end of the tunnelFocus on the goals, the Surgery, the Cast off, the Boot, Boot off, PT, Walkign without a limp, the little landmarks that will keep you goingRecovery will be 100% one day for me, and Ill write back at the 4 month markPlay golf for 1st time this weekend, and hope to be able to go whitewater rafting next month. I just tore my akillies playing soccer on June 13 09 and been in a cast because I also fractured my ankle. At 12 weeks I am able to walk with one crutch and 95% FWB. Return to the original sport at only 3 months after an Achilles tendon Thats when the hard cast was removed in place of a boot (no wedges). I remain very impressed by the way you have returned to a Manhattanite life! Have your foot further forward from the chair to avoid getting dorsiflexion in the ankle. Nobody knows for sure (for lack of studies), but its reasonable to think that your smaller group would recover somewhat differently than the majority here. The Achilles tendon resting angle as an indirect measure of Achilles tendon length following rupture, repair, and rehabilitation. Asia Pac J Sports Med Arthrosc Rehabil Technol. So Im not convinced that having surgery to prevent an ATR is a good bargain, on average. You'll likely be asked to use a heel raise insert in your shoe. Then, add extra weight. i dont want to seem like a whiny baby LOL. Best Regards from Malta. The first 2 weeks I was in a splint and then in a cast for 10 days. If your ankle and Achilles are stiff, start with your feet further forward to avoid stretching the tendon. Im in no hurry for a re-rupture Your leg will be placed in a cast for the first few weeks. My pain was minimal after the first 4 days. I think Im ahead of most people on recovery side. Thanks, Gus, so much for the very kind words! But it does make a convincing case for not focusing too heavily on regaining full dorsiflexion range of motion in the first 12 weeks after surgery. But I look back to where I was 8 weeks ago and I am so happy with my progress. Restrictive vs. progressive rehab programmes, Example of a post-surgery Achilles rupture rehabilitation programme. I took a pitch and went to make a quick cut up field and heard the familiar pop which everyone on here refers to. Surgery was on the 25th, and it was performed with an FHL transfer, which involves harvesting the tendon that flexes your big to to reinforce the achilles repair (my surgeon does this standard for younger, active people to lesson risk of re-rupture, return to activity faster). EPIDEMIOLOGY. However, we know from the research that an elongated Achilles tendon doesnt work that well (see here) and that overstretching should be avoided. I am really looking forward to my round. I am so glad I chose the surgery. I taught a long master class today in the boot. Surgery for Achilles tendon repair involves mending the ends of a torn or ruptured tendon. You can usually now start with eccentric calf drops, where you lift up on both feet and lower yourself down slowly on just one (see video for demo). Its interesting to me (after reading many comments here since my surgery on 6/7/11) what an internal, almost spiritual journey this particular injury can produce. You dont have to be afraid of passive stretches, as long as you dont force them or hold them for very long periods (30 seconds is usually OK). Early studies evaluating strength found no significant difference between strength achieved by surgical or nonsurgical treatment. BUT - I am about 10 months out almost 11 and Ive been back to normal. I am having a lot of swelling. At week 3 I was put in a boot with 3 wedges and FWB. Finally, shift more weight over to your operated side (about 75%) and build up to doing 5 x 25 repetitions. Hello It sucks! If you want to play a sport that involves quick changes of direction and pace, such as football, tennis, or basketball, your programme should also include drills for those elements during this phase. Please remember that were all different, and everyones programme should be tailored to their unique circumstances. 1. 3. Otherwise, you will find that the sole of the Achilles boot is really thick and causes you to walk unevenly, even when you wear a thick-soled shoe like a running shoe. I was kicked in the heal while my foot was in the air and it POPed while in the air and I came down and landed on my foot!!!
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