👉 You can get some of the rehab equipment mentioned in my video here: - Aircast orthopaedic boot: geni.us/Go40Ehc - VACOped orthopaedic boot: geni.us/wX4HA - Elbow crutches: geni.us/yBbnh2U - Heel-raising wedges: geni.us/lA7G - Shoe leveller: geni.us/GkHh7e - Exercise bands: geni.us/wMtFm - Weights: geni.us/nMdmAJg - Balance cushion: geni.us/balance-cusion If you buy anything via these links, we may get a small commission at no extra cost to you.
No words can express how grateful I am for yhis breakdown. I cried tears of frustration, joy, and grattitide throughout it. It's everthing a person who's torn their achilies and in post-op recovery could ask for. Thank you so much!
As a physical therapist I would like to say that this video is perfect! Not only you’re giving advice based on science, but also make it easy to understand for everyone. Excellent work!
THE BEST EXPLANATION EVER !!!!!!. ALL THE DETAILS, ALL THE SCOPE OF POSIBILITIES , THE HOLE SPECTRUM OF PEOPLE, EXPLAINED AT THE VERY LEAST DETAIL. EXCELLENT !!!!! THANKS !!!!!!!!.
I'm only one week past surgery, but I am already trying to figure out what my recovery is going to look like. This video is very informative and encouraging. Thank you so much for your time and generosity to share with others.
This is the most comprehensive, detailed, versatile (based on each individual), scientific, and easy to understand video I’ve ever seen! Wish I came across sooner as I’m 8 weeks post complicated Achilles surgery. I’m in very good hands with surgeon, staff, and physio PT, but have learned a lot more here as well. Thank you 🙏🏼
You’re a lifesaver. I fully ruptured my Achilles a week ago. I’m living overseas in Korea as a PE teacher. The surgeon here wanted me to be in a cast for 8 WEEKS post surgery!! Furthermore, the surgeon hasn’t discussed ANY rehab plan or protocol with me yet, despite my asking. This guide will be a good starting point and bargaining chip with my surgeon to get me back to activity as soon as possible. Thank you. Thank you. Thank you!!
This is so helpful for my recovery, especially in preventing me from trying to get back asap. Yeah, I was a bit rushed, but now after your instruction, I decided to take my time.
This video was the best help and support I've had in the whole duration of my achilles recovery! Thank you so much for the breakdown of the recovery process. MARYKE: baie baie dankie - mal oor jou aksent. Dit was so lekker om hier in Australia na n stunning video vanaf UK te kyk en lekker te voel oor ons Saffer roots!
Thank you! I just had left heel surgery for Haglunds Deformity / Insertional Achilles Tendinosis. I am a 65 yr old athletic person. This gives me a solid understanding of what I should expect regarding PT and expectations moving forward. My mind wants to rush the process, but your explanation was VERY clear on why I need to “pump the brakes” and be patient for long term results. Thank you again!
Awesome, I finally found what I was looking for. I am almost three weeks post surgery for a rapture Achilles tendon. Thank you very much for the exect, professional and easy-to-understand explanation of this issue. Sincerely.
I am just five days post surgery on my right Achilles tendon, and this is going to be so helpful and useful! I am a landscape/gardener, so I need my physical abilities for my livelihood. I also enjoy hiking, mushroom hunting, camping, snowboarding, etc. I hope and have faith I will be able to do these things again. Thanks so much for this encouraging video!❤
I’m almost 4 weeks post op and should be starting real rehab in 2 weeks ish. I’m glad I came across this video! I’ve been doing some small movement stuff (same stuff in this video) in my shower chair just to get the blood flowing and nerves firing, but can’t wait to get to rehab and be weight bearing. I’m 26 and this process has been killing me!!! I’m restless and antsy 😂. I definitely will be putting the basketball down for good at this point..maybe lol. I really just want to be able to fish again. I’m definitely healing well as everyday I get more feeling, control, and strength back, but this video was good to help me set realistic expectations and have a timeline so I don’t do anything too hardheaded lol. Already flipped off my porch over my scooter handle bars week 3!! That humbled me into staying my a** inside!!
@@Always_Never Pretty good! I’m walking with a cane and have started rehab mostly light stretching, strengthening the ankle & hips, some calf activation stuff, weight shifts, light resistance band work and toe grabs. It still hurts to try to walk barefoot though. I feel I’m mostly limited by the inflammation. After too much activity my ankle gets pretty big and leg even if I over do it a bit, but no pain except on the bottom of my foot. Just feels like a lot of pressure and inflammation is in there. I’m definitely avoiding doing anything painful or over stretching it just trying to take things slow. The PT said my Achilles was definitely anchored well and I have no risk of tearing it again unless another freak accident happens essentially. I was pretty explosive athlete and also 6’7 so the worse part is knowing I probably won’t be the quiet the same, but every dog has his day. I’m taking my rehab pretty serious though as I’m hoping to get as much range of motion and hypertrophy back. One of my old teammates tore his and he’s back to running and dunking at 6’2 so he’s definitely motivated me a bit!
Thank you very much for making this video so complete. I'm in my third week, the surgery stitches have already been removed and I have the boot on. I will return to the video every week to review each exercise and recommendation. Thank you very much for the video. very very complete. Excellent, really thanks.
This video is AMAZING. Thank you! My Achilles ruptured a month ago, I’m 2 weeks post-op, but still in a plaster cast, and will be until 6 weeks post-op. I will be coming back to this video repeatedly during my recovery. And I agree with other comments- the constant reminders to not go too fast are so important…
How are ypu dping woth ypur post op? I am on my 3rd week post op. But first week on cas, pretry much week 1 with cas and slight weight bearing with crutches.
Thank you so much for this. I’ve watched videos on some people who began weight bearing at 4 weeks and sometimes even sooner. My doctor is conservative and has me in a cast for the first 6 weeks. I was pretty discouraged by this, thinking it was going to lead to a slower recovery but it seems from the studies you’ve mentioned, I have nothing to worry about. Patience is the most difficult thing to have during this process but this video gave me some piece of mind. 🙏
I've been looking around for what to do after an Achilles Tendon rupture reconstruction. This is by far the best one yet. All in one video and not divided into too many videos. I understand some videos were more detailed about each week. But they're more specific for that patient's case. You explained for a multitude of cases 🤣 Which answered all I needed to know. I'm just about 2+ weeks post surgery. They'll put me in a Boot probably by week 3 or 4. Since my surgery was a bit complicated since mine was a Neglected Achilles Tendon rupture lol 🤣 I've already set that I won't be doing hard sports for 6 months and would probably be just doing light work for 4-9 months. Definitely set no dorsiflexion until month 6 then 🤣 But we'll see how things progress. Glad you included it at the 12+ week mark 🤣 Something to look forward to every week. Thanks again for the video. Saved this so I can look back at it 🤣
I fully ruptured my right achilles at 54 and the left at 55. I’m a rock climber. I got surgery on the first rupture (right) and decided to not do surgery on the second (left). In both cases, I was in a half cast for two weeks, then into a boot. On the second, I started walking in my boot without crutches at two weeks from rupture. I started rock climbing in my boot at about three weeks in both cases. I came out of my boot at 5 weeks after surgery and start climbing at six weeks, very carefully. In both cases I was climbing hard again 4 - 5 months after rupture, including falling. Rock climbing, in conjunction with my regular physio therapy, was my therapy and the results were the same for both surgery and non surgery I’m now almost 61 and don’t even think about my achilles when climbing. I boulder primarily, and fall from the top of the wall multiple times per session. That’s my experience.
Mixmyster. I am a climber as well. Ruptured my right achilles 3 weeks ago. Did surgery. I’ve been so discouraged. No rockclkmbing this fall and definitely no ice climbing this winter.
This video was super helpful! I had a complete rupture Jan 4th. I was getting weary on the slow progress but this explanation with excercises was incredibly helpful. I'm 11 weeks from surgey and looking forward to a full recovery in the coming weeks and months ahead. 🙏 Thank you.
Thank you very much for this excellent video. Surgeons should just refer to this - way better compared to whatever info they try to convey in 10 minutes visit. In my case, I got put in a boot without a surgery. In ER, got immobilized using cast in front, for 5 days, then, waiting for surgeon appointment, and apparently, they don't do surgeries nowadays *shrug*. So they put me in a boot, and they told I can put as much load as I can tolerate pain. On day 8 or so, I was walking without crutches, because I didn't feel any pain, and now makes me wonder whether instructions I was given were correct. And they asked me to do 20 iterations of foot lift up to 90 degrees (to the neutral position), which was on day 5 after the Achilles got raptured, and considering that after surgery one stays in boot for 3 weeks at least, makes me wonder whether it was too soon to start doing those exercises.
If it was partially torn, then that advice may have been OK, but if it was a complete tear, then it may have been a bit aggressive. But it is worth noting that even complete tears managed by just using a boot often recover more quickly than after surgery but heel raises are still not used until at least 8 weeks. If you wanted help with your rehab and getting back to your normal activities, this is something that our team of physios can help you with via video call. You can read more about how the online consultations work here: www.treatmyachilles.com/treatment-packages
Wonderful video. I loved that you provided reference too. I must have watched it 4X. I even referenced your video and Maffulli's paper to my orthopedic surgeon and physical therapist. Each time I watched it, I wrote down notes for myself. I was very eager to "get back into form", but after reading your referenced articles and watching your video, I rather base my recovery on data and patience. I know the papers and your video refers to post surgery recommendations; however, non-surgical recovery should follow a similar trend. My surgeon and therapist allowed me to vary from the standard post 8 week regiment. An extra 4 weeks of heeling shouldn't hurt.
Thank you for sharing. Patience is definitely a good thing during the early stages of recovery from a tear. There is always time to start working hard later in the process.
I had a partial calf and Achilles tear which was told would heal, 8 weeks later in the boot, fully ruptured. Then surgery, then 8 WEEKS IN A CAST as my surgeon went on holiday, now back in a moonboot for the next 6 weeks with 4 weeks of wedges decreasing then two weeks full weight bearing no more crutches. Has been a long road that’s been overly conservative but am going to start with a specialist in the states on Monday and hopefully can play catch up, it’s been a long 4 months to be only at 9 weeks post op right now 😂
Tore my Achilles 3 weeks ago roughly playing basketball, opted for non surgery with the dr due to location of tear/age/nutrition/activity level I’m 28 starting the Willits protocol for rehab next week.
Thanks, super helpful! Two weeks post op - stitches came out today and I'm still learning how to rock and roll in my Vacoped boot, with sticks for now. Please would you suggest some other floor exercises for legs, core and glutes - I'm trying to remember all my Pilates exercises, but I NEED to move! Thanks again! Saffa in Switzerland.
Thank you for creating such an informative video, I am ~1 week post surgery with a rehab plan that looks to get me out of the aircast boot at the ~6-8 week mark and this is definitely making me want to consider a slower progression. Reading Maffulli's paper on slowed down rehabilitation, one thing I noticed is that the mean age for participants was ~39 years old. As someone in their mid-20s, is it possible to see similar outcomes on a traditional rehabilitation timeline?
Traditional rehab plans do work and may likely work for you, but like with all things medical, the results aren't perfect for everyone. It is worth noting that the results in Maffulli's study was also not perfect - some people also still did not recover all function. They just achieved a better success rate. If unsure, discuss it with your doctor or physio - they are often quite flexible to accommodate what the patient also wants.
Thanks for your very informative video. I had a RT ACHILLES TENDON REPAIR, PARTIAL CALCANEAL EXOSTECTOMY - Right . I’m 3 wks post op now and wearing a boot with 1 wedge taken off yesterday. My doctor already advised me to do the dorsiflexion exercise or as far as I can go for 20 mins everyday but according to your video patient should avoid dorsiflexion until 12 weeks. Do you think in my type of surgery, I should need to do the dorsiflexion now or should I just do up to Neutral position dorsiflexion only just to be safe? Please let me know, thanks.
I can't safely provide specific advice if you're not my patient because I don't have the full picture, but usually my advice for my patients would be to just go to neutral for 12 weeks. Your doctor may have specific reasons for advising otherwise so it is best to discuss it with them. You can find the research I quote in the video in the description if you're interested.
Thanks you so mich for this video! I’ve been looking for something like this all over. Being in the UK where my first (and seemingly only) Physio session I can get will be 4 month post op, this helps a ton! May I ask how you recommend regarding stairs once put of the boot? I’m scheduled to remove my last wedge tomorrow, and soon transition to shoes and hopefully away from crutches, but I don’t know if there is a good way to walk down the stairs, as that would surely go strongly into the dorsiflextion, which I as I understand probably do not yet want…
Glad you found it useful! You want to start by doing them one at a time and put your injured leg down first so the uninjured one controls the movement and the injured one does not go into much dorsiflexion. Wearing shoes with a heel on them also helps.
Extremely informative video, one I would highly recommend. Just wanted your thoughts - I’m at 8 weeks postop Achilles rupture repair, my surgeon said to get aggressive with active dorsiflexion even past neutral and it seems even mass general hospital (Harvard) has a Achilles rupture protocol to have no limits on DF at 7-8 weeks. Your presentation findings of withholding DF past neutral until at least 12 weeks is very interesting. Is this latest research? Is the idea just giving the Achilles more time to solidify it’s integrity with another month of healing? In your opinion how compelling is this research to you? Despite my surgeons recommendations, I’m highly considering postponing my DF past neutral exercises for another month, never hurts to be a little more conservative. Thank you for all you do!
The group of researchers that did this study are specialists in the field of Achilles injuries - they have brought out lots of studies on it and also treat these patients regularly so I value their opinions and this is the advice I would give my own patients. They think the reason why early DF stretching has a negative effect on the tendon is that it messes with the stitches and like you say, by delaying the stretching, it helps the tendon to better grow together and then when you stretch it it doesn't elongate too much.
thank you for this amazing video. I ruptured my achilles and got the surgery 3 weeks ago. Firstly i got a kind of plaster cast for two weeks in ballet position foot, then after two weeks i got a new plaster cast by 90 degree neutral position of the foot. And after 4 weeks i will be using boots. My process seems very different than many others, i could not understand that
It has been 3.5 months for me after the surgery, I am all okay except just a bit swelling. Remembering how i was at 6th week; I could walk with the boot slowly.
On 20/03/2023 I joined my work after 6 weeks post tendo Achilles surgery in the right leg on 04/02/2023, my tendon again got reruptured on 28/03/2023 and was undergone surgery on 30/03/2023. Currently under rest. Your suggestion is extremely important to me.
Maryke thank you for this very informative video! I'm 2,5 weeks post surgery,in a few days I get the stiches removed. I am a big boy (150kg) who was very active in lifestyle & workwise (construction) though. Given that my legs were very,very strong before, would it be safe to assume I can take up your plan?
You need to check with your doctor - every case should be managed according to what your clinical assessment shows and the surgeon is best placed to tell you what is right in your case.
Thank you so much for this very informative video. I am 3 weeks out of surgery and asking mysefl, what may happen if I take my foot out of the boot at night during sleep. I did that accidentaly once as it was itching so much, I took the boot off and as I was so comfortable out of the boot, I felt asleep rapidly and completely forgot the boot until the morning.
Just hit 6 weeks yesterday and just got permission to walk with crutches and do the alphabet stretches. My ankle is extremely tight and I feel like I’m behind in rehab
Hello, from Spain. Is it the same when you talk about Achilles rupture without surgery? I mean a conservative treatment because of a rupture between the muscle and the tendon. 20 years ago I undergo surgery (of the other leg) and I remember the pain of the first rehab days with a physiotherapist that didn't mind about over-streching..😅 . 1 week after a changed the physiotherapist and all went fine. 3 months and 2 weeks after surgery I was working but the stiffness that you explain was feels about all the first year after. Now I ask me if we could have do it better ... Thank's for your video. I like those that don't like the are in possession of the full truth but are open minded. And I like to talk about the last evidence and try to progress about our knowledge.
I'm glad you found it useful! The rehab after conservative treatment is slightly different, but you usually don't want to do strong dorsiflexion stretching past neutral for 8 weeks and then slowly ease into it. By 12 weeks it is usually OK but I always find the little and often approach is better than the forceful trying to get massive gains in one session approach. I will make a video about this but it will unfortunately not be quick to come out. Best wishes for your recovery!
Hi , Maryke!! I very glad about your answer. I yesterday went to a sports medicine doctor that underwent a ultrasonography and my tendon was starting to grow and heal properly so he allowed me to start putting my body wheigt at home with more confidence. Really in week 3 I started putting on wheight when walking with 2 crosses. No dorsiflexion!, I know. Now in week 6. In one week I'll start real rehab with a recomended phisiotherapyist. Thanks to your explanations I have more information of what I don't have to do and the progression criteria. Another good thing I learned this time, is that I have to follow rehab during and after work reincorporation. When I first have this tendon rupture was at 30 years of age and I returned to work at 3.5 months and discontinued rehab. They told me that the real life will be sufficient...
Good day ma'am, I've been watching this video of yours as my guide for recovery. I am in my 11 week post op. Is this normal to still feel stiffness in my tendon? Hope you read this ma'am. Thank you.
Yes, you will still experience stiffness for quite a few months, but as long as it improves slowly (think how it is feeling compared to 4 weeks back) then it is OK.
Thank you for uploading this video, so informative and helpful. I’m currently on Wk10 but like everyone else at this stage am looking ahead and keen to make progress. I have a question about plyometrics and my age. My rupture was the result of trying to do skipping with no real plyometrics training/warm-up and compounded by heavy calf raises earlier the same day (I was eight training 5/6 times a week). At 52 could I realistically get to a stage (assuming I do all the correct physio - including plyometrics) where I could do HITT type training, etc? or is this asking for a rerupture?
If you build it up right and really put in the effort with spending enough time doing heavy slow resistance before then moving on to plyomentric and also working on very easy, low dose plyo first and then up to higher volumes and force, then it should be OK. But I would predict it taking at least 12 months of consistent, structured training to ensure it is strong. Remember also that there is usually a mismatch between how strong it appears (because your calf muscles get so strong) and how strong your actual tendon is. So don't go on ability but rather keep a training log and ensure that you do at least 4 months of proper heavy load strength training before moving on to adding in plyo work and then also not everything on same day - they have to have recovery days etc. which changes according to fitness.
Are we meant to add on to the exercises as the weeks progress? For instance, doing the heel lifts, resistance band, and pushing a chair leg with the sides of our feet by week 6? Or do we move onto the next exercise and leave the other ones behind? Thanks so much for an amazing video. I've watched it 3 to 4 times now.
It varies and often depends on the patient - sometimes a new exercise replaces an old one because it is now a stronger version e.g. when you start doing calf raises it replaces plantar flexion with band. But you may still continue with eversion or inversion with band because those movements are not yet being properly strengthened in other ways or you haven't reached full strength there yet. You will likely stop them once you do more dynamic strength training but depends on patient.
I'm 5 weeks after surgery. This is a great video..I need to keep in mind healing will take time.. Question how long until the pain goes away? I start PT next week.. nervous and not looking forward to the pain..but ready to heal
The pain usually improves a lot once you actually start moving it more. PT is not meant to cause a massive increase in pain - you should only really be working in the comfortably uncomfortable range - not super painful range.
@churahinaturalview4824 ..I just got the boot taken off in month 3..still using a brace and cane..This surgery was rough so give yourself grace..stopped using crutches when I was put in the boot
Hi there, We cannot provide individual treatment advice without doing an in-depth assessment of your injury and your personal circumstances, as the advice might not be appropriate for you. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised treatment plan: www.treatmyachilles.com/
I walked on my foot 4 weeks postop and slept without my boot 3 weeks post op, against my Dr’ orders, I’m very regretful and nervous of what this will cause me in the future. Anyone done the same?
Hello my surgeon told me I didn't have to sleep with my boot on. Just was told to be careful when I went to restroom at night. Oh and 50% weight bearing on it and 3 weeks post op.
Yes I am 4 weeks post ops and I thought the pain level would determine what I can do. Physio was mad . I lost patience and will have to face the consequences. Honestly I feel like they are over reacting. The would has almost all healed
Thank you very much for your excellent video for my guidance. I am 7 weeks post operation. Last week cast uoto belie knee removed. Still on with cast. Rehabilitation starts after 9th week Ortho. told. I am retiree playing tennis 10 years. Can I play tennis again cautiously again doctor?
Yes but you have to do your rehab for at least 9 months first and regain full strength before you try - your physio will help you get strong enough to do it safely.
Hello , I’m 15 weeks post-op. You said not to dorsiflex and stretch in 21:43. My physical therapist gave me this same stretch exercise since week 5 post op, now I’m scared that my tendon might heal long. What are your thoughts?
Every case is different and I can't advise what is right in your case. People can recover following various rehab plans - so, my advice would be to discuss your concerns with your physical therapist. They will be able to explain their reasoning for the exercises.
@@Always_Never I’m doing okay, my walking gait has improved greatly this past month. But I still can’t do a single calf raise, working with my therapist to accomplish this goal and maybe then I will be clear of PT.
@@Elopez1005 I hope you can clear that single calf raise, I watched an interview with a doctor here on youtube...and he said sometimes he likes to be patient with those, as some clients aren't able to do them until month 9 (which is very late) so he said it's not that bad, if you can't perform them early. So good luck and hope you heal strong!
Thank you for the very informative information. I am at 4 weeks post op and on a very similar plan to what you have described, all going well. Can I expect to play golf at 6 months or earlier?? I realise I cannot walk a course for 4 hours. Injury is on right leg, right handed player.
I’m 16 weeks post op and ran out of PT visits due to insurance limitations. I’ve since joined a gym for the last week to continue rehab but I’m starting to wonder if I’m doing the right things. Age 45 and am trying to get back to bowling. The surgeon said I can try but physio said no. Can almost do a single leg raise while holding something. Any recommendations would be greatly appreciated.
There isn't really any specific recommendations we can safely make other than the general advice in this video. But it sounds like you're making good progress - slow and steady is the key with Achilles rehab and ramping things up a bit more slowly than if you were training just for fitness.
Thanks for a great video! I had a surgery on the 25th of April, and the surgeon said I would be in the cast for 6 wks cuz my tendon was a bit old and used too much. But I have done lots of researches and read many studies and most of them including you recommend early weight bearing, so I'm thinking of asking him if I can take it off after 4 weeks. Would it be ok?
I had surgery to repair my torn Achilles at the end of December. I approaching month 5 and still have pain in the tendon and swelling which is impacting my walking. I do believe I am overworking the tendon and perhaps have some tendonitis. How many rest days a week do you recommend from PT exercises. I go 2x a week but have been doing some sort of exercise everyday. what do you recommend to allow the tendon to heal between session and not irritate it more. thanks ahead of time!
You need to be asking your PT this question - there is no recipe to this. They have to assess your tendon's current state, what your rehab is looking like (with them + what you do at home + your daily tasks and everything that load the tendon) and then come up with a plan to allow it to recover while growing stronger.
No, there are different protocols for recovery from tendon tears that haven't been operated on. Your doctor should be abe to advise you on the best one for you.
hello, I got surgery for my Achilles ligament, but mine was not total rupture it was partial, I was able to run, jump, walk and a very little pain, but I developed a hunch back of my foot, over the Achilles ligament close to my foot heel. It was a partial tear off. I got a reinforcement using fibers anchored to my hell bone. Is the recovery procedure the same as the total rupture?
Not necessarily - it's best to check with the surgeon who did the procedure. They usually have specific protocols they want their patients to follow depending on their assessment of how the surgery went etc.
I ruptured totally a few days ago. In a vacoped for conservative and keen to return to sport in 6-9 months. Does this apply to me or only surgical cases? Thank you 🙏🏽🙏🏽
Thank you for this vid. I just ruptured my Achilles Sunday playing American football running an out pattern. I just saw my Ortho today and he confirmed the rupture from a Thomson test ordering a MRI for insurance purposes. It's my understanding surgery should be within a couple weeks of incident in that the tendons do not retract to much and avoid atrophy. Is this accurate? Is there a time limit with added value having the surgery sooner than later? If so, what's a safe time range to have surgery? Also, my ortho knows of the currently newer surgery technique called "Internal Bracing" using a special bridge technique where an additional suture bridge brace is used over the top of the repaired tendon portion and anchored to the heal bone. This has become a news story here because of Aaron Rodgers, the NFL QB for the NY Jets, having this done with a very fast rehab of 3 month. Are you familiar with this? Also, a couple years ago, an NFL running back for the LA Rams, Cam Akers had the same procedure returning to the football field is record time as well. Would love to have your thoughts and opinion concerning the above. Thanks again!!
The most important thing is to have your foot in plantar flexion until surgery because that will stop the tendon ends from retracting. But you may also not need surgery if your foot is place in that position because the tendon may grow together without it. I have seen that story of Aaron Rodgers but it is a bit misleading - the way they write it makes it sounds as if he is back to full training and in actual fact if you read the comments from the medical personal, he is not actually doing much in training that involves his leg - so, don't expect to be back running in 3 months even with the internal bracing.
@@TreatMyAchilles Thank you for the quick reply as your input is greatly appreciated. I was hoping to return to activities in 3 to 5 months but this sounds way to aggressive and optimistic. Keep up with the amazing vids!!
I want to ask you if its a thing to worry about if you didnt follow up exactly the rehabilitation programme from time schedule perspective. I have a about a month or a bit more of delay. Is it a problem with dorsiflextion if i started at lets say about month four. I feel stiff, so do u think will the tendon get softer if i start streching with eccentric exercises after month four? Another thing do you reccomend to get muscles back to start streching or is it fine with passive streching?
This programme is just a guideline and many people take longer to progress through the stages without issue. It's not safe for me to make any specific recommendations for your case without assessing you and having an in depth conversation. If you wanted specific rehab advice and help with getting back to your normal activities, this is something that our team of physios can help you with via video call. You can read more about how the online consultations work here: www.treatmyachilles.com/treatment-packages
Hello , thank you for your video. I am spending lots of time absorbing your comments. End of August I have injured my Soleus muscle, it would not heal and month later it revealed high grade Achilles tear. I am on a cast last 2.5 weeks. Lucky I don’t feel any inflammation or pain. I will see my doctor next way, and hoping he will transfer me to walking medical boot. To be honest, my cast with a heel is very difficult to walk - so I look forward to a walking boot. I will take your advice to keeping my toes down for total 12 weeks. Question, can I drive taking boot off? Should I shower with my boot? Would that cause any issues?
Just to clarify - you don't have to keep your toes fully down for 12 weeks - just not move it past neutral (which is the position the ankle is in if you stand with your feet just flat). Ask your doc about showering - but often in the early days it is best to shower with boot (you get special plastic thing for it). Driving is usually only safe once you have enough strength to perform emergency stop.
👉 You can get some of the rehab equipment mentioned in my video here:
- Aircast orthopaedic boot: geni.us/Go40Ehc
- VACOped orthopaedic boot: geni.us/wX4HA
- Elbow crutches: geni.us/yBbnh2U
- Heel-raising wedges: geni.us/lA7G
- Shoe leveller: geni.us/GkHh7e
- Exercise bands: geni.us/wMtFm
- Weights: geni.us/nMdmAJg
- Balance cushion: geni.us/balance-cusion
If you buy anything via these links, we may get a small commission at no extra cost to you.
ydsaer 1:03
Thank you for the video.... roughly how long does it take for the injured leg to get back to how it looked before the injury in terms of muscle size
I’m 4 weeks post surgery and will be coming back to this video throughout my entire recovery. Thank you so much for making this!
How has your recovery been?
Curious to know too
No words can express how grateful I am for yhis breakdown. I cried tears of frustration, joy, and grattitide throughout it. It's everthing a person who's torn their achilies and in post-op recovery could ask for. Thank you so much!
You're very welcome, and good luck with your recovery!
@TreatMyAchilles 🙏🏽 bless you!
I’m at 6 weeks yet my recovery schedule plan from my doctor seems to follow your 3-6 week plan.
You are the Gold Standard for Achilles rehab recovery. The amount of information you're giving out is phenomenal. Thank you!
You are so welcome!
This has been more helpful than any of the PT sessions I’ve had thus far. I’m at 14 weeks post surgery. Thank you get much!
As a physical therapist I would like to say that this video is perfect! Not only you’re giving advice based on science, but also make it easy to understand for everyone. Excellent work!
Wow, thank you!
@@TreatMyAchilles Greetings from 🇨🇴😄
THE BEST EXPLANATION EVER !!!!!!. ALL THE DETAILS, ALL THE SCOPE OF POSIBILITIES , THE HOLE SPECTRUM OF PEOPLE, EXPLAINED AT THE VERY LEAST DETAIL. EXCELLENT !!!!! THANKS !!!!!!!!.
Wow, thanks!
I'm only one week past surgery, but I am already trying to figure out what my recovery is going to look like. This video is very informative and encouraging. Thank you so much for your time and generosity to share with others.
Thanks for watching!
How are you doing now. I think I might have the same timeline as you
This is the most comprehensive, detailed, versatile (based on each individual), scientific, and easy to understand video I’ve ever seen! Wish I came across sooner as I’m 8 weeks post complicated Achilles surgery. I’m in very good hands with surgeon, staff, and physio PT, but have learned a lot more here as well. Thank you 🙏🏼
You’re a lifesaver. I fully ruptured my Achilles a week ago. I’m living overseas in Korea as a PE teacher. The surgeon here wanted me to be in a cast for 8 WEEKS post surgery!! Furthermore, the surgeon hasn’t discussed ANY rehab plan or protocol with me yet, despite my asking. This guide will be a good starting point and bargaining chip with my surgeon to get me back to activity as soon as possible. Thank you. Thank you. Thank you!!
You're welcome, and good luck with your recovery!
This is so helpful for my recovery, especially in preventing me from trying to get back asap. Yeah, I was a bit rushed, but now after your instruction, I decided to take my time.
Glad you found it helpful!
Me too, I'm taking it light
Thank you very much! All the best to you and your family! My surgery was in November, 2022. Super useful and professional 👍
Thank you for this. I'm having surgery soon and I've got lots of anxiety about my recovery process. This gives me a clearer picture.
You're welcome!
This video was the best help and support I've had in the whole duration of my achilles recovery! Thank you so much for the breakdown of the recovery process.
MARYKE: baie baie dankie - mal oor jou aksent. Dit was so lekker om hier in Australia na n stunning video vanaf UK te kyk en lekker te voel oor ons Saffer roots!
This is by far the best video on Achilles tendon rupture. So much practical information and really helpful. Thanks a lot
Glad it was helpful!
Thank you! I just had left heel surgery for Haglunds Deformity / Insertional Achilles Tendinosis. I am a 65 yr old athletic person. This gives me a solid understanding of what I should expect regarding PT and expectations moving forward. My mind wants to rush the process, but your explanation was VERY clear on why I need to “pump the brakes” and be patient for long term results. Thank you again!
Good luck with your recovery!
Awesome, I finally found what I was looking for. I am almost three weeks post surgery for a rapture Achilles tendon. Thank you very much for the exect, professional and easy-to-understand explanation of this issue. Sincerely.
You're very welcome, and good luck with your recovery.
I am just five days post surgery on my right Achilles tendon, and this is going to be so helpful and useful! I am a landscape/gardener, so I need my physical abilities for my livelihood. I also enjoy hiking, mushroom hunting, camping, snowboarding, etc. I hope and have faith I will be able to do these things again. Thanks so much for this encouraging video!❤
Thanks for watching, and good luck with your recovery!
@@TreatMyAchilles❤
I’m almost 4 weeks post op and should be starting real rehab in 2 weeks ish. I’m glad I came across this video! I’ve been doing some small movement stuff (same stuff in this video) in my shower chair just to get the blood flowing and nerves firing, but can’t wait to get to rehab and be weight bearing. I’m 26 and this process has been killing me!!! I’m restless and antsy 😂. I definitely will be putting the basketball down for good at this point..maybe lol. I really just want to be able to fish again. I’m definitely healing well as everyday I get more feeling, control, and strength back, but this video was good to help me set realistic expectations and have a timeline so I don’t do anything too hardheaded lol. Already flipped off my porch over my scooter handle bars week 3!! That humbled me into staying my a** inside!!
Thanks for sharing, and good luck with your recovery!
How are you healing a month later?
@@Always_Never Pretty good! I’m walking with a cane and have started rehab mostly light stretching, strengthening the ankle & hips, some calf activation stuff, weight shifts, light resistance band work and toe grabs. It still hurts to try to walk barefoot though. I feel I’m mostly limited by the inflammation. After too much activity my ankle gets pretty big and leg even if I over do it a bit, but no pain except on the bottom of my foot. Just feels like a lot of pressure and inflammation is in there. I’m definitely avoiding doing anything painful or over stretching it just trying to take things slow. The PT said my Achilles was definitely anchored well and I have no risk of tearing it again unless another freak accident happens essentially. I was pretty explosive athlete and also 6’7 so the worse part is knowing I probably won’t be the quiet the same, but every dog has his day. I’m taking my rehab pretty serious though as I’m hoping to get as much range of motion and hypertrophy back. One of my old teammates tore his and he’s back to running and dunking at 6’2 so he’s definitely motivated me a bit!
4 weeks post surgery and your videos have been so usrul to me
Thank you very much for making this video so complete. I'm in my third week, the surgery stitches have already been removed and I have the boot on. I will return to the video every week to review each exercise and recommendation. Thank you very much for the video. very very complete. Excellent, really thanks.
You're welcome, and good luck with your recovery!
This video is AMAZING. Thank you! My Achilles ruptured a month ago, I’m 2 weeks post-op, but still in a plaster cast, and will be until 6 weeks post-op. I will be coming back to this video repeatedly during my recovery.
And I agree with other comments- the constant reminders to not go too fast are so important…
Best of luck!
How are ypu dping woth ypur post op?
I am on my 3rd week post op. But first week on cas, pretry much week 1 with cas and slight weight bearing with crutches.
How about your health now
Thank you so much for this. I’ve watched videos on some people who began weight bearing at 4 weeks and sometimes even sooner. My doctor is conservative and has me in a cast for the first 6 weeks. I was pretty discouraged by this, thinking it was going to lead to a slower recovery but it seems from the studies you’ve mentioned, I have nothing to worry about. Patience is the most difficult thing to have during this process but this video gave me some piece of mind. 🙏
Good luck with your recovery!
Mam i am from India I have watched this video really useful... From top bottom u explain very helpful... U r a mom of God
I've been looking around for what to do after an Achilles Tendon rupture reconstruction. This is by far the best one yet. All in one video and not divided into too many videos. I understand some videos were more detailed about each week. But they're more specific for that patient's case. You explained for a multitude of cases 🤣 Which answered all I needed to know. I'm just about 2+ weeks post surgery. They'll put me in a Boot probably by week 3 or 4. Since my surgery was a bit complicated since mine was a Neglected Achilles Tendon rupture lol 🤣 I've already set that I won't be doing hard sports for 6 months and would probably be just doing light work for 4-9 months. Definitely set no dorsiflexion until month 6 then 🤣 But we'll see how things progress. Glad you included it at the 12+ week mark 🤣 Something to look forward to every week.
Thanks again for the video. Saved this so I can look back at it 🤣
Thanks for watching, and good luck with your recovery!
My surgery done yesterday,day before yesterday I tore mine while exercising in gym . Your video is useful. Thanks
You're welcome!
Lovely explanation thank you. I’m just going in for surgery tomorrow for a complete rupture. This has helped. I appreciate it.
-after your surgery…How are you recovering at this moment?
Thanks !!!! I tore mine Last weak. Surgery Yesterday. So i am Week 1 from 52 ;-)
I Will come Back !
Thanks for all thé informations ❤
Good luck with your recovery!
thank you so much for this very helpful video. Going through rehab now, wk3 post-surgery
Hello! 3 weeks post surgery here. How did your recovery go?
Thank you for such a comprehensive guide as to how I can progress from my surgery. You videos are always insightful
Great video I just had my surgery so 1 week in. This really is calming knowing that time really heals. No need to rush my healing ❤️🩹 🙏
Thank you for this insightful video.
I'm 6/7weeks post surgery and just got cleared to start Physiotherapy (Rom exercises).
I appreciate this so much.
You're welcome!
I needed to see this. Can you walk?
Thank you so much for making this video, very helpful. 🙇🏽♂️ I’m 2 weeks post surgery. I hope Allah allows me to be able to walk notmally again 🙇🏽♂️
how are you to day ?
I fully ruptured my right achilles at 54 and the left at 55. I’m a rock climber. I got surgery on the first rupture (right) and decided to not do surgery on the second (left). In both cases, I was in a half cast for two weeks, then into a boot. On the second, I started walking in my boot without crutches at two weeks from rupture. I started rock climbing in my boot at about three weeks in both cases. I came out of my boot at 5 weeks after surgery and start climbing at six weeks, very carefully. In both cases I was climbing hard again 4 - 5 months after rupture, including falling. Rock climbing, in conjunction with my regular physio therapy, was my therapy and the results were the same for both surgery and non surgery I’m now almost 61 and don’t even think about my achilles when climbing. I boulder primarily, and fall from the top of the wall multiple times per session. That’s my experience.
Thanks for sharing!
Mixmyster. I am a climber as well. Ruptured my right achilles 3 weeks ago. Did surgery. I’ve been so discouraged. No rockclkmbing this fall and definitely no ice climbing this winter.
Extremely useful. Thanks a lot 👍
You're welcome!
This video was super helpful! I had a complete rupture Jan 4th. I was getting weary on the slow progress but this explanation with excercises was incredibly helpful. I'm 11 weeks from surgey and looking forward to a full recovery in the coming weeks and months ahead. 🙏 Thank you.
Glad it was helpful!
Me too, I had the rupture since Jan 2023. I just got my surgery on 4th June 2023.
How’s your recovery going? I ruptured my Achilles November 2. I had surgery on the 14th and I’m in a ton of pain… I’d this normal?
Very good and comprehensive video. It has helped me a lot.
Glad to hear that!
Thank you for this information . I am passing it on to my friend who has just ruptured his achilles .
Please do!
Thank you so much for your very informative and well done video, really useful as I am going through my recovery
Best of luck!
Thank you very much for this excellent video. Surgeons should just refer to this - way better compared to whatever info they try to convey in 10 minutes visit.
In my case, I got put in a boot without a surgery. In ER, got immobilized using cast in front, for 5 days, then, waiting for surgeon appointment, and apparently, they don't do surgeries nowadays *shrug*. So they put me in a boot, and they told I can put as much load as I can tolerate pain. On day 8 or so, I was walking without crutches, because I didn't feel any pain, and now makes me wonder whether instructions I was given were correct. And they asked me to do 20 iterations of foot lift up to 90 degrees (to the neutral position), which was on day 5 after the Achilles got raptured, and considering that after surgery one stays in boot for 3 weeks at least, makes me wonder whether it was too soon to start doing those exercises.
If it was partially torn, then that advice may have been OK, but if it was a complete tear, then it may have been a bit aggressive. But it is worth noting that even complete tears managed by just using a boot often recover more quickly than after surgery but heel raises are still not used until at least 8 weeks.
If you wanted help with your rehab and getting back to your normal activities, this is something that our team of physios can help you with via video call. You can read more about how the online consultations work here: www.treatmyachilles.com/treatment-packages
This has helped me so much, thank you!
I'm so glad!
Excellent video.
Thanks for sharing
Thanks for watching!
Its a really helpful and professional video ,thank you
Glad it was helpful!
Wonderful video. I loved that you provided reference too. I must have watched it 4X. I even referenced your video and Maffulli's paper to my orthopedic surgeon and physical therapist. Each time I watched it, I wrote down notes for myself. I was very eager to "get back into form", but after reading your referenced articles and watching your video, I rather base my recovery on data and patience. I know the papers and your video refers to post surgery recommendations; however, non-surgical recovery should follow a similar trend. My surgeon and therapist allowed me to vary from the standard post 8 week regiment. An extra 4 weeks of heeling shouldn't hurt.
Thank you for sharing. Patience is definitely a good thing during the early stages of recovery from a tear. There is always time to start working hard later in the process.
I had a partial calf and Achilles tear which was told would heal, 8 weeks later in the boot, fully ruptured. Then surgery, then 8 WEEKS IN A CAST as my surgeon went on holiday, now back in a moonboot for the next 6 weeks with 4 weeks of wedges decreasing then two weeks full weight bearing no more crutches. Has been a long road that’s been overly conservative but am going to start with a specialist in the states on Monday and hopefully can play catch up, it’s been a long 4 months to be only at 9 weeks post op right now 😂
Thanks for sharing, and good luck with your recovery!
its so useful and professional explaination of recovery,thank you!
Glad to hear that!
great video. very informative. thank you!
My pleasure!
Tore my Achilles 3 weeks ago roughly playing basketball, opted for non surgery with the dr due to location of tear/age/nutrition/activity level I’m 28
starting the Willits protocol for rehab next week.
Best wishes for your recovery!
Thanks Maryke! Week 3 ended for me today... Daunting process!
You're welcome, and good luck with your recovery!
@@TreatMyAchilles Thanks alot. I need some luck. It wasn't a routine rupture. The surgeons report as interesting reading ;(
Excellent video, thank you so much!
You're very welcome!
Thanks, super helpful! Two weeks post op - stitches came out today and I'm still learning how to rock and roll in my Vacoped boot, with sticks for now. Please would you suggest some other floor exercises for legs, core and glutes - I'm trying to remember all my Pilates exercises, but I NEED to move! Thanks again! Saffa in Switzerland.
I think easiest may be to google Pilates mat workouts on TH-cam and just adjust the moves.
Thank you for creating such an informative video, I am ~1 week post surgery with a rehab plan that looks to get me out of the aircast boot at the ~6-8 week mark and this is definitely making me want to consider a slower progression. Reading Maffulli's paper on slowed down rehabilitation, one thing I noticed is that the mean age for participants was ~39 years old. As someone in their mid-20s, is it possible to see similar outcomes on a traditional rehabilitation timeline?
Traditional rehab plans do work and may likely work for you, but like with all things medical, the results aren't perfect for everyone. It is worth noting that the results in Maffulli's study was also not perfect - some people also still did not recover all function. They just achieved a better success rate. If unsure, discuss it with your doctor or physio - they are often quite flexible to accommodate what the patient also wants.
I had my Achilles tendon repair on July 14 of 2023
Thanks for your very informative video. I had a RT ACHILLES TENDON REPAIR, PARTIAL
CALCANEAL EXOSTECTOMY - Right . I’m 3 wks post op now and wearing a boot with 1 wedge taken off yesterday. My doctor already advised me to do the dorsiflexion exercise or as far as I can go for 20 mins everyday but according to your video patient should avoid dorsiflexion until 12 weeks. Do you think in my type of surgery, I should need to do the dorsiflexion now or should I just do up to Neutral position dorsiflexion only just to be safe? Please let me know, thanks.
I can't safely provide specific advice if you're not my patient because I don't have the full picture, but usually my advice for my patients would be to just go to neutral for 12 weeks. Your doctor may have specific reasons for advising otherwise so it is best to discuss it with them. You can find the research I quote in the video in the description if you're interested.
Great job!!!! Thanks for your work man! I'm going to use it on my new AT-rehab patient :)
Thanks you so mich for this video! I’ve been looking for something like this all over. Being in the UK where my first (and seemingly only) Physio session I can get will be 4 month post op, this helps a ton!
May I ask how you recommend regarding stairs once put of the boot? I’m scheduled to remove my last wedge tomorrow, and soon transition to shoes and hopefully away from crutches, but I don’t know if there is a good way to walk down the stairs, as that would surely go strongly into the dorsiflextion, which I as I understand probably do not yet want…
Glad you found it useful! You want to start by doing them one at a time and put your injured leg down first so the uninjured one controls the movement and the injured one does not go into much dorsiflexion. Wearing shoes with a heel on them also helps.
Thank you so much for doing it helps a lot
You're welcome!
Extremely informative video, one I would highly recommend. Just wanted your thoughts - I’m at 8 weeks postop Achilles rupture repair, my surgeon said to get aggressive with active dorsiflexion even past neutral and it seems even mass general hospital (Harvard) has a Achilles rupture protocol to have no limits on DF at 7-8 weeks. Your presentation findings of withholding DF past neutral until at least 12 weeks is very interesting. Is this latest research? Is the idea just giving the Achilles more time to solidify it’s integrity with another month of healing? In your opinion how compelling is this research to you? Despite my surgeons recommendations, I’m highly considering postponing my DF past neutral exercises for another month, never hurts to be a little more conservative. Thank you for all you do!
The group of researchers that did this study are specialists in the field of Achilles injuries - they have brought out lots of studies on it and also treat these patients regularly so I value their opinions and this is the advice I would give my own patients. They think the reason why early DF stretching has a negative effect on the tendon is that it messes with the stitches and like you say, by delaying the stretching, it helps the tendon to better grow together and then when you stretch it it doesn't elongate too much.
Thank you for the thoughtful reply. Great channel and content!
Great evidence-based rehab tips, thanks!
Our pleasure!
thank you for this amazing video. I ruptured my achilles and got the surgery 3 weeks ago. Firstly i got a kind of plaster cast for two weeks in ballet position foot, then after two weeks i got a new plaster cast by 90 degree neutral position of the foot. And after 4 weeks i will be using boots. My process seems very different than many others, i could not understand that
That will be like mine 2. How is it going? Can you walk a bit after 6 weeks?
How was the pain after?
It has been 3.5 months for me after the surgery, I am all okay except just a bit swelling. Remembering how i was at 6th week; I could walk with the boot slowly.
Veeeery good material, thank you very much! :)
You're welcome!
On 20/03/2023 I joined my work after 6 weeks post tendo Achilles surgery in the right leg on 04/02/2023, my tendon again got reruptured on 28/03/2023 and was undergone surgery on 30/03/2023. Currently under rest. Your suggestion is extremely important to me.
Good luck with your recovery!
I am so sorry to hear your rerupturing
i got shot in my ankle with a .40 caliber it was long journey and it left me walking different after all the rehab
Maryke thank you for this very informative video! I'm 2,5 weeks post surgery,in a few days I get the stiches removed.
I am a big boy (150kg) who was very active in lifestyle & workwise (construction) though.
Given that my legs were very,very strong before, would it be safe to assume I can take up your plan?
You need to check with your doctor - every case should be managed according to what your clinical assessment shows and the surgeon is best placed to tell you what is right in your case.
Thank you, this was so helpful
Glad it was helpful!
Thank you so much for this very informative video. I am 3 weeks out of surgery and asking mysefl, what may happen if I take my foot out of the boot at night during sleep. I did that accidentaly once as it was itching so much, I took the boot off and as I was so comfortable out of the boot, I felt asleep rapidly and completely forgot the boot until the morning.
Ask you doctor - they may say it is OK to do while sleeping or give a good reason why not to do it
Excellent video!
Thank you very much!
Awesome video. Thanks
My pleasure!
Hi! This video is amazing! Is there a similar one for those of us who have chosen a non-surgical route? Or is it pretty much the same?
Here's our video on exercise-based rehab for Achilles tendons: th-cam.com/video/Dp8gzq9zoy4/w-d-xo.html
@@TreatMyAchilles I meant for those of us treating a complete rupture non-surgically. Not just tendanitus
OK now I get it. It would involve an orthopaedic boot, but we don't have a video on that. I have put it on our to-do list.
How many weeks, from start to finish are you in physical therapy, from Achilles tendon surgery
It varies depending on the person but it usually takes about 6 to 9 months to get back to full function. For some, it can take longer.
Você é muito boa, parabens! Otimo video. (You are very good, congratulations! Great Video)
Brasil
Excellent info!
Thanks for watching!
That's a masterpiece ❤❤
Just hit 6 weeks yesterday and just got permission to walk with crutches and do the alphabet stretches. My ankle is extremely tight and I feel like I’m behind in rehab
Try to shake that feeling - it really is worth having a slow start to rehab to allow the tissue to properly heal and knit.
Hello, from Spain.
Is it the same when you talk about Achilles rupture without surgery? I mean a conservative treatment because of a rupture between the muscle and the tendon.
20 years ago I undergo surgery (of the other leg) and I remember the pain of the first rehab days with a physiotherapist that didn't mind about over-streching..😅 . 1 week after a changed the physiotherapist and all went fine.
3 months and 2 weeks after surgery I was working but the stiffness that you explain was feels about all the first year after. Now I ask me if we could have do it better ...
Thank's for your video. I like those that don't like the are in possession of the full truth but are open minded. And I like to talk about the last evidence and try to progress about our knowledge.
I'm glad you found it useful! The rehab after conservative treatment is slightly different, but you usually don't want to do strong dorsiflexion stretching past neutral for 8 weeks and then slowly ease into it. By 12 weeks it is usually OK but I always find the little and often approach is better than the forceful trying to get massive gains in one session approach. I will make a video about this but it will unfortunately not be quick to come out. Best wishes for your recovery!
Hi , Maryke!!
I very glad about your answer.
I yesterday went to a sports medicine doctor that underwent a ultrasonography and my tendon was starting to grow and heal properly so he allowed me to start putting my body wheigt at home with more confidence. Really in week 3 I started putting on wheight when walking with 2 crosses. No dorsiflexion!, I know.
Now in week 6. In one week I'll start real rehab with a recomended phisiotherapyist.
Thanks to your explanations I have more information of what I don't have to do and the progression criteria. Another good thing I learned this time, is that I have to follow rehab during and after work reincorporation. When I first have this tendon rupture was at 30 years of age and I returned to work at 3.5 months and discontinued rehab. They told me that the real life will be sufficient...
Good day ma'am, I've been watching this video of yours as my guide for recovery. I am in my 11 week post op. Is this normal to still feel stiffness in my tendon? Hope you read this ma'am. Thank you.
Yes, you will still experience stiffness for quite a few months, but as long as it improves slowly (think how it is feeling compared to 4 weeks back) then it is OK.
@@TreatMyAchilles Thank you so much ☺️
Thank you for uploading this video, so informative and helpful. I’m currently on Wk10 but like everyone else at this stage am looking ahead and keen to make progress. I have a question about plyometrics and my age. My rupture was the result of trying to do skipping with no real plyometrics training/warm-up and compounded by heavy calf raises earlier the same day (I was eight training 5/6 times a week). At 52 could I realistically get to a stage (assuming I do all the correct physio - including plyometrics) where I could do HITT type training, etc? or is this asking for a rerupture?
If you build it up right and really put in the effort with spending enough time doing heavy slow resistance before then moving on to plyomentric and also working on very easy, low dose plyo first and then up to higher volumes and force, then it should be OK. But I would predict it taking at least 12 months of consistent, structured training to ensure it is strong. Remember also that there is usually a mismatch between how strong it appears (because your calf muscles get so strong) and how strong your actual tendon is. So don't go on ability but rather keep a training log and ensure that you do at least 4 months of proper heavy load strength training before moving on to adding in plyo work and then also not everything on same day - they have to have recovery days etc. which changes according to fitness.
Are we meant to add on to the exercises as the weeks progress? For instance, doing the heel lifts, resistance band, and pushing a chair leg with the sides of our feet by week 6? Or do we move onto the next exercise and leave the other ones behind?
Thanks so much for an amazing video. I've watched it 3 to 4 times now.
It varies and often depends on the patient - sometimes a new exercise replaces an old one because it is now a stronger version e.g. when you start doing calf raises it replaces plantar flexion with band. But you may still continue with eversion or inversion with band because those movements are not yet being properly strengthened in other ways or you haven't reached full strength there yet. You will likely stop them once you do more dynamic strength training but depends on patient.
I'm 5 weeks after surgery. This is a great video..I need to keep in mind healing will take time.. Question how long until the pain goes away? I start PT next week.. nervous and not looking forward to the pain..but ready to heal
The pain usually improves a lot once you actually start moving it more. PT is not meant to cause a massive increase in pain - you should only really be working in the comfortably uncomfortable range - not super painful range.
How long u start walking without Crutches
@churahinaturalview4824 ..I just got the boot taken off in month 3..still using a brace and cane..This surgery was rough so give yourself grace..stopped using crutches when I was put in the boot
@@TreatMyAchilles yes that's very true and meds for nerve pain helped a lot
I have completed 6 weeks of Achilles tendon surgery Please suggest safety precautions and how can I walk carefully
Hi there,
We cannot provide individual treatment advice without doing an in-depth assessment of your injury and your personal circumstances, as the advice might not be appropriate for you. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised treatment plan: www.treatmyachilles.com/
1 week post surgery. Pain and extreme discomfort.
Does this apply to nonoperative treatment too?
Also, thank you so much for doing the work you do on this channel.
You're welcome. No, this is just for after surgery. Conservative treatment follows a different timeline.
@@TreatMyAchilles Thanks, sorry for the late reply.
YOU ARE GREAT !!!!!!! THANKS !!!!!!
I walked on my foot 4 weeks postop and slept without my boot 3 weeks post op, against my Dr’ orders, I’m very regretful and nervous of what this will cause me in the future. Anyone done the same?
Hello my surgeon told me I didn't have to sleep with my boot on. Just was told to be careful when I went to restroom at night. Oh and 50% weight bearing on it and 3 weeks post op.
Yes I am 4 weeks post ops and I thought the pain level would determine what I can do. Physio was mad . I lost patience and will have to face the consequences. Honestly I feel like they are over reacting. The would has almost all healed
Thanks 3 weeks post.
You're welcome
Thank you very much for your excellent video for my guidance. I am 7 weeks post operation. Last week cast uoto belie knee removed. Still on with cast. Rehabilitation starts after 9th week Ortho. told.
I am retiree playing tennis 10 years. Can I play tennis again cautiously again doctor?
Yes but you have to do your rehab for at least 9 months first and regain full strength before you try - your physio will help you get strong enough to do it safely.
Currently 2 weeks post op. How long would you recommend until can play competitive golf again?
Probably somewhere between 4.5 and 6 months but it will depend on your progress.
Hello , I’m 15 weeks post-op. You said not to dorsiflex and stretch in 21:43. My physical therapist gave me this same stretch exercise since week 5 post op, now I’m scared that my tendon might heal long. What are your thoughts?
Every case is different and I can't advise what is right in your case. People can recover following various rehab plans - so, my advice would be to discuss your concerns with your physical therapist. They will be able to explain their reasoning for the exercises.
@@TreatMyAchilles Thank you for your answer.
Same here, they PT has done the same to me rather early weeks 4-8.. now I'm scared too..I'm only week 9, how are you healing?
@@Always_Never I’m doing okay, my walking gait has improved greatly this past month. But I still can’t do a single calf raise, working with my therapist to accomplish this goal and maybe then I will be clear of PT.
@@Elopez1005 I hope you can clear that single calf raise, I watched an interview with a doctor here on youtube...and he said sometimes he likes to be patient with those, as some clients aren't able to do them until month 9 (which is very late) so he said it's not that bad, if you can't perform them early. So good luck and hope you heal strong!
Thank you for the very informative information. I am at 4 weeks post op and on a very similar plan to what you have described, all going well. Can I expect to play golf at 6 months or earlier?? I realise I cannot walk a course for 4 hours. Injury is on right leg, right handed player.
Time will tell - your physio will use your progress to gauge when you are ready.
I’m 16 weeks post op and ran out of PT visits due to insurance limitations. I’ve since joined a gym for the last week to continue rehab but I’m starting to wonder if I’m doing the right things. Age 45 and am trying to get back to bowling. The surgeon said I can try but physio said no. Can almost do a single leg raise while holding something. Any recommendations would be greatly appreciated.
There isn't really any specific recommendations we can safely make other than the general advice in this video. But it sounds like you're making good progress - slow and steady is the key with Achilles rehab and ramping things up a bit more slowly than if you were training just for fitness.
Thanks for a great video! I had a surgery on the 25th of April, and the surgeon said I would be in the cast for 6 wks cuz my tendon was a bit old and used too much. But I have done lots of researches and read many studies and most of them including you recommend early weight bearing, so I'm thinking of asking him if I can take it off after 4 weeks. Would it be ok?
I would recommend that you follow your surgeon's protocol - they gave a good reason why they are prescribing a more conservative treatment protocol.
Thanks of reply😊
I had surgery to repair my torn Achilles at the end of December. I approaching month 5 and still have pain in the tendon and swelling which is impacting my walking. I do believe I am overworking the tendon and perhaps have some tendonitis. How many rest days a week do you recommend from PT exercises. I go 2x a week but have been doing some sort of exercise everyday. what do you recommend to allow the tendon to heal between session and not irritate it more. thanks ahead of time!
You need to be asking your PT this question - there is no recipe to this. They have to assess your tendon's current state, what your rehab is looking like (with them + what you do at home + your daily tasks and everything that load the tendon) and then come up with a plan to allow it to recover while growing stronger.
Thanks for the video! Does this apply to non op route as well
No, there are different protocols for recovery from tendon tears that haven't been operated on. Your doctor should be abe to advise you on the best one for you.
hello, I got surgery for my Achilles ligament, but mine was not total rupture it was partial, I was able to run, jump, walk and a very little pain, but I developed a hunch back of my foot, over the Achilles ligament close to my foot heel. It was a partial tear off. I got a reinforcement using fibers anchored to my hell bone.
Is the recovery procedure the same as the total rupture?
Not necessarily - it's best to check with the surgeon who did the procedure. They usually have specific protocols they want their patients to follow depending on their assessment of how the surgery went etc.
Resting and walking. The Art
I ruptured totally a few days ago. In a vacoped for conservative and keen to return to sport in 6-9 months. Does this apply to me or only surgical cases? Thank you 🙏🏽🙏🏽
This is only for surgical cases.
Thank you for this vid. I just ruptured my Achilles Sunday playing American football running an out pattern. I just saw my Ortho today and he confirmed the rupture from a Thomson test ordering a MRI for insurance purposes. It's my understanding surgery should be within a couple weeks of incident in that the tendons do not retract to much and avoid atrophy. Is this accurate? Is there a time limit with added value having the surgery sooner than later? If so, what's a safe time range to have surgery? Also, my ortho knows of the currently newer surgery technique called "Internal Bracing" using a special bridge technique where an additional suture bridge brace is used over the top of the repaired tendon portion and anchored to the heal bone. This has become a news story here because of Aaron Rodgers, the NFL QB for the NY Jets, having this done with a very fast rehab of 3 month. Are you familiar with this? Also, a couple years ago, an NFL running back for the LA Rams, Cam Akers had the same procedure returning to the football field is record time as well. Would love to have your thoughts and opinion concerning the above. Thanks again!!
The most important thing is to have your foot in plantar flexion until surgery because that will stop the tendon ends from retracting. But you may also not need surgery if your foot is place in that position because the tendon may grow together without it.
I have seen that story of Aaron Rodgers but it is a bit misleading - the way they write it makes it sounds as if he is back to full training and in actual fact if you read the comments from the medical personal, he is not actually doing much in training that involves his leg - so, don't expect to be back running in 3 months even with the internal bracing.
@@TreatMyAchilles Thank you for the quick reply as your input is greatly appreciated. I was hoping to return to activities in 3 to 5 months but this sounds way to aggressive and optimistic. Keep up with the amazing vids!!
I just got a gastrocnemius recession surgery. Shoul I wear a stretch sock? If so should I wait until I start dorsiflexion exercises?
As the doctor who is in charge of your recovery - they will know what is best for the procedure they just did.
I want to ask you if its a thing to worry about if you didnt follow up exactly the rehabilitation programme from time schedule perspective. I have a about a month or a bit more of delay. Is it a problem with dorsiflextion if i started at lets say about month four. I feel stiff, so do u think will the tendon get softer if i start streching with eccentric exercises after month four?
Another thing do you reccomend to get muscles back to start streching or is it fine with passive streching?
This programme is just a guideline and many people take longer to progress through the stages without issue. It's not safe for me to make any specific recommendations for your case without assessing you and having an in depth conversation.
If you wanted specific rehab advice and help with getting back to your normal activities, this is something that our team of physios can help you with via video call. You can read more about how the online consultations work here: www.treatmyachilles.com/treatment-packages
Hello , thank you for your video. I am spending lots of time absorbing your comments. End of August I have injured my Soleus muscle, it would not heal and month later it revealed high grade Achilles tear. I am on a cast last 2.5 weeks. Lucky I don’t feel any inflammation or pain. I will see my doctor next way, and hoping he will transfer me to walking medical boot. To be honest, my cast with a heel is very difficult to walk - so I look forward to a walking boot. I will take your advice to keeping my toes down for total 12 weeks. Question, can I drive taking boot off? Should I shower with my boot? Would that cause any issues?
Just to clarify - you don't have to keep your toes fully down for 12 weeks - just not move it past neutral (which is the position the ankle is in if you stand with your feet just flat). Ask your doc about showering - but often in the early days it is best to shower with boot (you get special plastic thing for it). Driving is usually only safe once you have enough strength to perform emergency stop.
Thank you! You are awesome!!!!!