Achilles Rehab after Surgery - Exercises and Recovery Times
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- เผยแพร่เมื่อ 6 พ.ค. 2024
- In this video, Maryke explains what the latest research says about the best rehab plan after Achilles surgery, which exercises you should avoid, and which ones you should include. She then discusses every stage of the rehab protocol and demonstrates the exercises that are usually included. Finally, she explains what the recovery time after Achilles tendon surgery is and when you can safely return to your sport.
👉 You can get some of the rehab equipment mentioned in my video here:
✅ Orthopaedic boot: geni.us/Go40Ehc
✅ Elbow crutches: geni.us/yBbnh2U
✅ Heel-raising wedges: geni.us/QiGjBE
✅ Shoe leveller: geni.us/GkHh7e
✅ Exercise bands: geni.us/wMtFm
✅ Weights: geni.us/nMdmAJg
🌟Need more help with your injury? You’re welcome to consult one of the team at TMA online via video call for an assessment of your Achilles injury and a tailored treatment plan: www.treatmyachilles.com
📽️ Related videos you may find useful:
▶️ Can You Walk on a Torn Achilles Tendon? Partial / Full Ruptures: • Can You Walk on a Torn...
▶️ Supplements for Achilles Tendonitis: • Supplements for Achill...
▶️ Practical Tips for Weight Exercises for your Achilles Tendon: • Practical Tips for Wei...
▶️ Achilles Injury Recovery Time - The 5 Psychological Factors that Influence It: • Achilles Injury Recove...
🖊️Article links:
You can find the detailed plan for Achilles tendon post surgery rehab programme written down here: www.treatmyachilles.com/post/...
📚Chapters:
00:00:00 Introduction
00:00:52 Progressive vs. restrictive rehab plans
00:02:43 Avoid overstretching!
00:05:29 Progression criteria
00:07:20 Summary of research guidelines for Achilles surgery rehab
00:08:12 First 2 weeks
00:09:13 3 weeks after Achilles tendon surgery
00:12:42 4 weeks after Achilles tendon surgery
00:13:42 6 weeks after Achilles tendon surgery
00:16:29 7 weeks after Achilles tendon surgery
00:16:41 8 weeks after Achilles tendon surgery
00:23:02 3 months (12 weeks) after Achilles tendon surgery
00:34:09 6 months after Achilles tendon surgery - easing back into sport
00:38:34 Recovery time for Achilles tendon surgery
00:39:08 How we can help
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🖥️Some of the software we use to run our online physiotherapy practice:
➡️ Website hosting and management - Wix: geni.us/uyiB
➡️ Taking online payments - Square: geni.us/nZUbyi
➡️ Appointment scheduling - Acuity: geni.us/ayXb91
➡️ Consultations - Zoom One (Pro): geni.us/eEeC
➡️ Patient notes - Cliniko: geni.us/L5Q3H
➡️ Rehab exercise library - Physiotec: geni.us/JIODEpQ
➡️ Patient satisfaction survey - Typeform: geni.us/1Pn4F5p
➡️ Bookkeeping - FreeAgent: geni.us/TZfc7b
➡️ In-house task planner - Notion: geni.us/yArdF6
References:
Saxena, A., et al. (2022). "Current consensus for rehabilitation protocols of the surgically repaired acute mid-substance Achilles rupture: A systematic review and recommendations from the “Gait” study group." The Journal of Foot and Ankle Surgery 61(4): 855-861
Massen, F. K., et al. (2022). "Rehabilitation following operative treatment of acute Achilles tendon ruptures: a systematic review and meta-analysis." EFORT Open Reviews 7(10): 680-691
Zellers, J. A., et al. (2019). "Defining components of early functional rehabilitation for acute Achilles tendon rupture: a systematic review." Orthopaedic Journal of Sports Medicine 7(11): 2325967119884071.
Oliva, F., et al. (2018). "IS Mu. LT Achilles tendon ruptures guidelines." Muscles, Ligaments and Tendons Journal 8(3): 310-363.
Frankewycz, B., et al. (2017). "Rehabilitation of Achilles tendon ruptures: is early functional rehabilitation daily routine?" Archives of Orthopaedic and Trauma Surgery 137(3): 333-340.
Carmont MR, Grävare Silbernagel K, Brorsson A, Olsson N, Maffulli N, Karlsson J. 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. 2015 Feb 20;2(2):49-55
Maffulli, N., et al. (2022). "Slowed-Down Rehabilitation Following Percutaneous Repair of Achilles Tendon Rupture." Foot Ankle Int 43(2): 244-252.]
Wang KC, Cotter EJ, et al. Rehabilitation and return to play following achilles tendon repair. Operative Techniques in Sports Medicine. 2017. 25:214-219.
Zellers JA, Carmont MR, et al. Return to play post-Achilles tendon rupture: a systematic review and meta-analysis of rate and measures of return to play. Br J Sports Med. 2016. 50:1325-1332.
👉Some links here are to places where you can buy something relevant to this video. If you do, we may get a small commission at no extra cost to you.
👉 You can get some of the rehab equipment mentioned in my video here:
- Orthopaedic boot: geni.us/Go40Ehc
- 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
If you buy anything via these links, we may get a small commission at no extra cost to you.
ydsaer 1:03
i tore mine at 34 years old. 3 months to walk 6 months to jog 12 months to run 18 months to pain free everything
Thank you for sharing - it is really useful to get some real world timelines for people.
Did you have surgery?
But for me they suggested to walk just after 5 weeks🤔🤔
Thank you for such a comprehensive guide as to how I can progress from my surgery. You videos are always insightful
thank you so much for this very helpful video. Going through rehab now, wk3 post-surgery
Thank you very much! All the best to you and your family! My surgery was in November, 2022. Super useful and professional 👍
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!
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 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?
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 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
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?
Thank you so much for your very informative and well done video, really useful as I am going through my recovery
Best of luck!
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
Very good and comprehensive video. It has helped me a lot.
Glad to hear that!
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!
4 weeks post surgery and your videos have been so usrul to me
Its a really helpful and professional video ,thank you
Glad it was helpful!
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 ❤️🩹 🙏
This has helped me so much, thank you!
I'm so glad!
Excellent video.
Thanks for sharing
Thanks for watching!
Thank you for this information . I am passing it on to my friend who has just ruptured his achilles .
Please do!
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!
That's a masterpiece ❤❤
Veeeery good material, thank you very much! :)
You're welcome!
its so useful and professional explaination of recovery，thank you！
Glad to hear that!
Great evidence-based rehab tips, thanks!
Our pleasure!
Thank you, this was so helpful
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.
Extremely useful. Thanks a lot 👍
You're welcome!
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 🇨🇴😄
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!
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 🙏🏼
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!
Excellent info!
Thanks for watching!
Excellent video!
Thank you very much!
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?
Você é muito boa, parabens! Otimo video. (You are very good, congratulations! Great Video)
Brasil
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 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
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.
thank you so much
Welcome 😊
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 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 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
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.
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.
Thank you
You're welcome
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.
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.
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.
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.
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.
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 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!
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 try heel raises at the pool - standing chest deep and swimming pushing off from the pool end.
That can be a really good way to start when the calf-Achilles is still lacking strength - for anyone else reading this - just make sure you check with your physio that it is OK to do before starting it.
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.
hey hello!
until which week will stregth training of the upper leg muscles(quads,hamstrings, glutes, etc..) be suggested ?
for example with a leg press machine or hamstringcurl machine?
You will only be allowed to start using the leg press machine once you are allowed to put full weight or more though it, so only very late in your rehab. Leg muscle strengthening continues throughout the whole rehab period but the exercises you do changes depending on what you are allowed to do with your injured leg. So for instance, as soon as you are allowed full weightbearing, squats usually become a good option as it also then teaches you good distribution of your weight.
Your physio should guide you on when you are ready to start what type of exercise as they will know what is safe in your case.
thanks❤
Welcome!
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.
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!
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.
i got shot in my ankle with a .40 caliber it was long journey and it left me walking different after all the rehab
1 week post surgery. Pain and extreme discomfort.
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 have a full rupture of my left achilles, I’m due to fly to Jamaica on the 18th October. Will this happen??
Hopefully surgery in the next 3/4 days
Discuss it with your surgeon - they will be able to provide the best advice about flying safety.
Hello, all help is very much appreciated. I am on 6 weeks of non weight bearing with 20 degrees in a boot. I'm in middle of week 6, the doctor wants me to set my boot to zero degrees. And next week when I start partial weight bearing with zero degrees. To go from 20 degrees to just 0 degrees, isn't that dangerous?
We usually take a slow approach to that and gradually reduce the angle. But your doctor may have good reason for what they are prescribing so perhaps ask them.
Great job!!!! Thanks for your work man! I'm going to use it on my new AT-rehab patient :)
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...
Hi, I am 7 weeks out from surgery. The post surgery shows cycling in doors. It doesn’t specify if I should have the boot on when cycling. Should I keep the boot on when cycling on a stationary bike?
Yes, at that stage all activities is usually done with the boot on.
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!!
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!!!!!
I had surgery on 7/18 ani was sent home without any care. The doctors office will not return calls, and I was sent home without crutches. They’re not returning calls or anything. I’m in lots of pain and miserable.
I'm going n2 surgery on the 16th. Will it be ok if I use my ice machine while in the stitches? What about a tens unit?
Tens should be fine. Best ask your doctor about the ice machine.
Would the same apply to something like Tenex or Tenjet? I am 5 1/2 weeks out from Tenjet and some days it feels like it's almost gone, like 70% better, I got a long of range of motion back, but any physical therapy at all really flares it for up to 24 hours. Starting to deter me from actually doing my PT. How much pain is acceptable after exercise?
We've actually done a full video about rehab post Tenex - same applies to Tenjet: th-cam.com/video/MgyM15FITho/w-d-xo.html
Hi👋
I had an ACL surgery 3 years ago and i was suffering from a scare tissue tha didn't allow me to reach the full motion and swelling and pain after an easy exercises
I had an orthoscopy last week
Dobyou think i can reach the full motion or its too late?
I am assuming that the goal of the surgery was to help you achieve full range so as long as you do your rehab it should improve.
Hello. I am struggling significantly with nerve pain post surgery. It’s a burnings and at times an ice cold sensation on the achilles. Have anyone heard of these symptoms?
Yes, this is one of the side effects that surgery can cause. It usually calms down after a few months but speak to your doctor to better understand what is going on specifically with your case.
Hi, i ruptured my achilles and i am on my 9th week post operation. My heel is really hurting when i walk, the inner part closer to my foot arc. Is this normal plus will it be better when i got stronger and get that pressure off my heel more?
When you're in the boot the muscles of the foot often lose a bit of strength so it is easy to then strain your foot and even sometimes get plantar fasciitis when you remove the boot and don't wear supportive shoes. It may help if you avoid walking in bare feet or with unsupported shoes, even perhaps get a mild arch support orthotic to support it while regaining strength, and start doing some foot strengthening exercises. Please note that I am providing this info without having assessed you, so it may not be right for you - check with your physio.
@@TreatMyAchilles thank you so much :)
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 had my operation for my Achilles tendon rupture last monday the 3rd of july.2023, in algeria so im flying back to England on the 17th of July, but i dont know where to start when i get back ,do i have to contact my gp or do i have to go to hospital to start rehab. Any advice please .thank you
Email or phone your GP's office because they should be able to give you a number for physiotherapy - in most areas of the UK you can self-refer to physiotherapy in the NHS now.
@@TreatMyAchilles thank you
How many times a day would you do knee to wall stretches or stretches off a step per day? 3 reps of 30 seconds 3 times a day?
Ask your physio - they will be able to advise what is right for you. We can't safely advise on this without assessing your and knowing your full situation.
Hi, I had a complete Achilles cut and my operation was about 2 weeks ago. Kindly share your socials if possible
Hi there,
You can contact us and/or book an appointment here: www.treatmyachilles.com/
Hello im now 48 days postop wallking in a normall boot with help from crutches but my achilles is stiff verry stif and i cant get to 0 dorseflexsion yet is this normall in begining ?
Yes, it will improve as you start to place weight through it and as your exercise regime increases over the following weeks.
My doctor says 6 weeks non-weight bearing. Followed by 6 weeks partial weight bearing. And then start PT, should I push for am early weight bearing option? Im 31 years old male, in decent shape.
Follow your doctor's protocol - they will know what the best is for you depending on what they have done.
I had FHL transfer for Achilles tendon rupture. Its 3 months. While climbing up is easy, descending stairs is still a difficulty? How can i get over it?
It will likely take about 9 months to reach full function - rehab is the best way to get it working properly.
Madam my Achilles Tendon op was done on 08/01/2023,but was fell down again in wash room on 11/02/2023.that time complete disruption in mytendinous junction and tendon gap found.now I was air walking boot from 4 weeks
Plz advice me when I start walk??
You need to ask your doctor - I can't advise when I don't know your full situation.
6 weeks ago i ruputred my ACL and had 2.5mm tear - I had an operation 2 weeks after. So 7th week in, 3 weeks since my operation I am now only today in my Aircast with 3 wedges.
Im hoping someone can help with something, i cannot put my leg straight without a very uncomfortable sharp pain in my tendon. When i try to stretch my leg out straight it burns my ankle and the scar tissue around my surgery scar. Am i being too hasty?
Im concerned that i may cause more damage if i am trying to straighten my leg.
Any help or advice would be greatly appreciated
You mention you ruptured your ACL but then the rest of your comment sounds as if you ruptured your Achilles, so I assume that was a typo. It sounds as if you may have a nerve that is irritated from the surgery and putting your leg out straight is likely stretching it and causing it to be irritated. But it is really difficult to give an opinion if you don't actually see the person doing the action because it is easy to misunderstand what is written - so best speak to your doctor or the physio who is helping you with rehab.
@@TreatMyAchilles my bad, yes it's a ruptured achillies. I appreciate your reply. I feel like the burning/pain will subside but only time will tell.
Yes, it is quite common for the little nerve that runs close to the Achilles to get irritated when they do surgery. Nerves recover quite slowly so it may be with you for quite a while.
is it normal to feel burning sensation (like needles) when doing heel/calf raises? When stopping the burning pain stops.
There is a little nerve near the Achilles that often get irritated when it is injured - it sounds as if that is what is causing the burning. As long as it settles down immediately once you stop, it is usually not something to worry about. Speak to your physio about it because they can check to see if you need extra exercises to help the nerve move more freely.
If you wanted more specific rehab advice and help with getting back to your normal activities, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.treatmyachilles.com/
@@TreatMyAchilles Do I keep doing the series or I stop for the calf/heel raises. I am post-op rupture achilles tendon. thank you so much for the reply.
I got a speed bridge done on my Achilles tendon after they scraped out my bone spur and calcified tissue (Haglund's deformity). My doctor already gave me a boot a day before my 2 weeks post-OP.
I'm freaking out how the doctors and a PT doing a protocol on me a little bit too fast. How do I know I did not tear down my Achilles tendon?
You can have an ultrasound scan if you're really worried but if you will usually know if you have torn your tendon - it requires quite a lot of force usually. Tell your physio about your fears and they will help you figure it out.
@@TreatMyAchillesQuestion: I've been using my sick leave and vacation leave to recover from my bone spur removal surgery that involves detaching and re-attaching my Achilles tendon. What's the best time line for me to go back to work? I don't work behind the desk. I work with a lot of walking, standing, squatting, bending, crawling and lifting stuff.
I have swelling ( sort of puffiness near the ankle area) after six weeks post surgery . Will it go away after doing the exercises. Should I apply ice packs to reduce the swelling??
The swelling usually only improves once you can move like normal - you can expect some slight swelling for 6 months or longer after surgery. Exercises will help as long as they are at the correct level for you.
@@TreatMyAchilles Thank You for the Guidance. Much Appreciated
I’m 5 weeks post surgery been back cutting hair
Are you sitting or standing while your cutting? I'm a barber too I just experienced this injury
How big of a factor is age/prior fitness levels? I am 25 in above average shape that was very active. Would this enhance the recovery time?
It definitely counts in your favour - but the precautions for the first 12 weeks still remain the same.
@@TreatMyAchilles thanks!
I am at week 3 and feeling to frustrated. When does the swelling start to go? Also still struggling with pain. When does that stop?
The swelling will stick around for several months but the pain should start to improve quite quickly - speak to your doctor if you feel it is not really changing and especially if you think the pain is actually getting worse.
@@TreatMyAchilles thank you
4 years post op ATR and my foot and ankle are in constant pain and burning. what did I do wrong?
I don't think you necessarily did anything wrong - it sounds as if your pain is caused by nerve irritation. If it is most of the foot and ankle, it could be complex regional pain syndrome which can come on after being immobilized for while. If the pain and burning is more localized, it is likely that it may be a local nerve that is injured.
If you wanted help figuring this out and advice on what can be done, this is something our team of physiotherapists can assess and advise on via video call. You can find more information about our online service here: www.treatmyachilles.com/
What happens if you dont get surgery for partial tear achilles 60 percent while wearing a cast for 3 weeks im in a boot and worry i wont be able to walk again
Partial tears usually don't require surgery - it is only full ruptures that have separated too far that require it. Ali explains it here: th-cam.com/video/hVTzxd1HtjE/w-d-xo.html
hi, its been about 3 months since my surgery, half of my foot is still numb and i still cannot tip toe and bare my whole body weight on my injured foot. is this normal? im 5'9 in height and 75kgs. im athletic in general.
Yes, it is absolutely normal - you usually only start loading your foot with 25% of your weight at this point and it will take several more weeks or months to be able to lift 100% of your weight.
Had my op yesterday (02/03). How many days till I can move without pain? I’m unable to sleep
If it is that painful, ask your doctor for pain medication and get them to check that everything is as expected.
Everything about the cast/ boot is uncomfortable. The only thing I did that worked well was to make a night splint out of fiberglass casting material, cut it in half, and use an ace bandage to wrap it up.
have you ever worked with anyone with a proximal rupture?
Do you mean where the Achilles tendon attaches onto the muscles? I've seen a few partial proximal ruptures but not full ones (but they do exist). The treatment for partial ruptures is similar to distal partial ruptures.
@@TreatMyAchilles I’m in week 12 of a full thickness proximal tear. I understand it might be uncommon.
I am post op 3 months, still walking with a limp, I was in a cast for 4 weeks and a walking boot 3 weeks, during PT I was doing dorsiflexion at 9-10weeks, unable to stand on tip toes, should I be concern?
It is quite normal to still be limping at this point. Discuss your concerns with your physio - they'll be able to help you understand what is expected in your case.
Can we walk normally after Achilles tendon repair any chances of limp
Some people do continue to limp but most regain normal walking gait if they rehab it properly