Please feel free to join our AT rupture discussion by leaving a comment below. If you want, you can also read the chronicle of my Achilles tendon rupture and recovery.
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Anonymous
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Day 2 post surgery, glad to have found this site. I tore my achilles at the muscle, has anyone else experienced this? Overall, not to much pain, but occasionally have an itch where I think the sutures are...
I am glad that I found this site while I am recovering from my own achilles tendon rupture. I wanted to go on here and post my experience with my own injury as, come to find out, each person has his/her own rehabilitation and recovery rate.THIS POST IS ONLY TO SHARE MY OWN EXPERIENCE AND I CANNOT EXPRESS ENOUGH TO NEITHER TAKE MY EXPERIENCE AS MEDICAL ADVICE OR RECOMMEND YOU DO WHAT I HAVE/ OR AM DOING. FOLLOW YOUR OWN DOCTORS INSTRUCTIONS AND ADVICE. I KNOW WHAT MY PERSONAL LIMITATIONS WERE AND KNEW WHEN NOT TO DO SOMETHING.
I ruptured my achilles tendon playing football on November 12th 2007. That day will forever be burned into my mind as the most excrusciating day in 27 years. Well I heard the infamous loud POP! and I thought someone had hit me on the leg from behind and when I turned to see who it was, hmmm no one there. I still had my leg in the air and when I put my foot down, needless to say, my entire body followed and as quickly as it happened, the pain arrived. wow. I cant explain to anyone what that feels like. Reminds me of the movie HOSTEL. if you seen it you know what Im talking about. Well it felt just like it looked. anyway I get to the hospital and they keep pressing it and rubbing it and Im about to pass out from the pain. but sure enough they say its ruptured. I get referred to my Orthopedic Surgeon and get an MRI. Sure enough. right at the base of the heel. tendon, tendon, and then nothing. a week later I get my surgery. I hobbled in on crutches and get the whole this is what we are going to do one last time and if I had any questions blah blah blah. I was ready to rock and roll. well we get into the pre op room and they decide they are going to give me a popliteal block from my knee down. I agreed. what that is, they inject you with a needle on the back of the knee to find the artery leading down to your foot. the process to find the artery was a little painful, with electrodes that make your foot twitch and other things Im not really sure about. I was really uncomfortable with the pain. anyway they inject some numbing stuff and a couple of minutes later, I couldnt feel anything below my knee. So I get the mask on and count backwards from 10. I dont even know if I got to 8. Im out. I come out of anesthesia and I get my first drink of water in about 20 hours. I have a cast on and I still cant feel anything. Im fine. (the block last from 36 - 48 hours)I get in the wheelchair and they wheel me into the car. Im starving and we go to Sonic Drive in to get a hamburger. So here I am not even an hour post op and Im at Sonic eating a hamburger in the front seat crutches and all. When I get home I get out of the car and I realize how heavy this cast is. everytime I move I feel like Im pulling a cinder block. leg still numb. so 4 days go by and I can wiggle my toes. there is no pain from the surgery, I just have this itch that if I cant scratch it right then and there, Im going to go crazy. I wait it out. day 7, one week from surgery and I go back to the doctor. the cast comes off and I can scratch. nice. the doctor checks the stitches, everything looks great. The boot goes on. Only I have a wedge in there to point my foot down. after the doctors office we stop by the mall to get some clothes for the kids picture day the next day. while walking around, I tend to put some pressure down on my foot. no problem. no major pain. fine. I get home and during that day the wedge is the only thing making my foot hurt. out it comes. it feels so much better. the next day however, some pain when i wake up but nothing to serious. pain went away within a half hour and decide to ditch the crutches. walking in the boot 10 days post op. no problem. day 12 I decide to see if I can walk around without the boot. Im out of work and bored mind you. boot comes off and other that some minor discomfort. no big deal. walking without the boot 13 days post op(inside only) 2 weeks post op I go to the doctor again and is surprised how quickly the incision healed, out come the stitches. YAY i can take a shower again! ( as opposed to baths )doctor says I can try walking without the crutches if I can (haha) well for a couple of days I get to go do things and Im wearing the boot to the stores and stuff. living my normal life minus both feet. week 3 post op comes around and I decide I can walk outside without the boot. the boot comes off. It was hard at first and I would have to sit down after a while and could only walk a short distance before it got uncomfortable. but after some getting used to, mission accomplished. It feels great tobe able to drive again. I still have a slight limp but hopefully physical therapy should fix that problem. Week 4 post op comes around and back to see the doctor. I dust the boot off and put it on for old times sake. Doctor is really surprised to see that I have full range of motion, absolutely no pain and very strong with hand pressure. (still working on body weight pressure. So here I am 32 days post op and strutting around like I own the place. I start physical therapy in a week and a half and hopefully regain the strength in my achilles and calf muscle that I lost during my out of commission time. Again thank you for this site. It was great to associate my experience with others.
Hello all...glad to find this site! Helps to know what I am feeling is pretty normal - like everyone else who is recovering from surgery for an achilles tendon rupture....only I believe age and physical ability makes a big difference!! My rupture occured 12-7-07 and surgery (3 hours long) was 12-11-07. My tendon was completely ruptured as well as split. They re-attached my tendon with a metal anchor in the bone. I have on a cast above my knee. My other leg - that is now my "good leg" ... is the one that I have arthritis in my knee...bone on bone....so getting around has not been easy. I would like to find some friends to commiserate with! Not sure how to go about doing that...so any help will be greatly appreciated. Kathy
Thanks so much for this extremely informative AT site. I am currently at week 13 post op and wanted to share my experience. My achilles tendon completely ruptured on September 29th 2007 during a tennis match. The following day I had the surgery to reattach the achilles. Had to keep the leg elevated for 21 hours per day for the first week. At 2 weeks post op, the stitches were removed and I was informed to begin physio. At this time, I also got rid of the splint and was given an "Air cast" boot. I got around on 2 crutches and wore the boot at all times except when taking a shower. I have attended physiotherapy twice a week since then and have found it to be helpful. Several sets of exercises were recommended and the therapist stretches and massages the calf and achilles region. At 8 weeks post op, I began using just one crutch while still in the boot. At week 12 post op not using crutches any longer and occasionally walked around the house with boot off. Achilles was very stiff and walking is quite awkward. Walked with quite a big limp. I am hoping to stop using the boot by week 14. The orthopaedic surgeon advised that you want to be able to walk but you also do not want a rerupture that would set you back. Thanks again for this excellent site. This injury forces you to slow down and be quite patient. This site lets you know what to expect and relate to others that have gone through an achilles tendon rupture. Hang in there and you will get through it! Canadian AT survivor.
I ruptured my left Achilles in 1996, while playing basketball. Looking back on it, I stretched everything that morning, except my calf muscles. My rupture was a clean razor like cut for 90%, but the remain 10% splintered up into my calf muscle, tearing away the muscle. That caused my medical team to take the rehab with extreme caution. One of the nice things about my injury, it happened on a Saturday, I saw the doctor the following Monday, and had the surgery the next day. The surgery happened on the 30 of Jan., and I played basketball again for the first time on Oct. 30th of that same year. My doctor is a sports medicine guy, and he wanted me back living an active lifestyle as quickly as possible, but within reason. He also warned me to listen to my rehab team, BECAUSE I DIDN'T WANT TO RUPTURE IT AGAIN, AND IF I DID, CHANCES ARE IT WOULD HAPPEN A THIRD TIME. I ended up not being able to drive until the end of June of that year.
It was over 18 months until the tenderness of the area went away, and that matched the time frame my doctor mentioned.
Now, almost 12 years later, I still have the twinging you will hear about. Sometimes it feels almost like I ruptured it again, other times not as bad. When a twinge hits, you will know it. It comes on fast, with me there isn't a warning sign, just quick pain. Rest, ice and more rest is all I've ever been told to take care of it.
I hope this helps someone else, that may be going through the same thing.
I ruptured my achilles about 6 - 7 weeks ago and have just recently been diagnosed. (long story as to why I waited so long - I just wore the boot another heel issue.) Anyway, I am scheduled to have an MRI this week to determine the extent of the damage. I have been seeing a podiatrist. Should I be seeing an orthopedic specialist instead? Who is better qualified? Any advice would be much appreciated?
Hi, I had the surgery about 5 1/2 weeks ago by my podiatrist. A GOOD ONE (mine is outstanding) is just as good as an orthopaedic surgeon. If you have confidence in the person you are seeing, you are fine. Many podiatrists treat athletes and specialize in sports injuries. But as with any doctor, each one has different skills -- so in this case it's not the type of doctor --but the doctor's skills. In any event, good luck to you!
This site has been very helpful. Glad it was set up. I am going on two weeks post op, 3 weeks since I ruptured my achilles tendon. I cant wait to get this thing off and start walking. I wish the docs would start experimenting with how quick we really can get the walking boot on. I sometimes wonder if they are just too careful.
Hi to all whom have experienced a ruptured achilles tendon and surgery. I am into my fourth month of recovery and I am having a few problems. My wound has puckered and dipps in at the top where the muscle joins..the wound has adhered to the tendon. No help from doctors....physio wants me to continue with lifting heel exercises. I have been having acupuncture regularly and find burning the moxa (chinese herb stick) really helps. My strength is weak as I am struggling to lift the heel still. I stretch out and massage which is helping..soreness in heel is developing.....any helpful hints......can walk well slight limp. My injury occurred whilst playing netball.my opponent accidentally trod on heel and pinned it down as I lunged forward...I chose to remain awake through surgery as to prevent feeling unwell from anesthetic which was a good choice as my legs were numb for 8 hrs after surgery and I couldnt feel pain..I feel pain in the inner ankle joint beside the wound and I am very stiff in the front of my ankle.. Anyone else feeling like this.. I am beginning to worry that my ankle will not recover well. Any suggestions.
Greetings from sunny Australia to all you Achilles rupturees. It's been 2 weeks (seems like 2 months) since I snapped my left AT playing indoor soccer. The classic case of the 50 year old who jumps on to the court without any training or warm-up and tries to play as hard as he did when he was 15. In retrospect... not a good idea. I was very lucky that, soon after the accident occurred, I was able to contact an orthopaedic surgeon who is a friend of mine. He was able to organise the surgery for the following morning. Sometimes it's not WHAT you know but WHO you know! At the moment I am in a fibreglass cast which will be replaced in 2 weeks with a gortex boot. Stitches will be removed then as well. I am getting around pretty well on critches and, using them as support, I can do stationary activities like washing the dishes, cooking simple meals etc as long as I am not standing for too long. It is also a blessing that I can drive (auto tranmission). No weight at all to be carried by the injured leg at this stage. When I wiggle my toes I can feel the pads under my foot have swollen a bit. This is alleviated by elevating the limb. There is minimal pain overall. Of course all of my plans for the Christmas /New Year holidays have been destroyed but hey...it could have been worse. It's now a case of doing the time and getting stuck into a few projects that can be done without too much physical activity. After some years I've started drawing and painting again. It is comforting to know from a lot of posts and blogs I have read that the old leg will be functioning well again in a few months. However I think my soccer days might be over. Good luck to you all and Happy New Year.
I tore my Achilles while playing basketball on Nov. 16th. I had surgery 14 days later and now am in week 5 of post op. Physical therapy is going well and I'm returning to work on Jan. 7th. I'm walking with one crutch now and of course wearing "the boot". I am supposed to be full weight bearing in week 6 post op. I'm finding that my achilles is feeling fine, safe inside the boot, but my knee is really sore when I try to walk on the boot with weight. It's really awkward to walk because I can't bend through my foot. I'm basically walking on my heel mostly. Also, my ankle ligaments are really sore. There is swelling every day around the toes, foot, and outside ankle. But not around the achilles. I ice and elevate each evening + night and it goes down, but then swells back up again during the day. I guess this is pretty common, but I can't wait until that ends! Range of motion in my affected foot is really limited, comical really compared to my healthy foot. Really like this site by the way. It helped me feel reassured and prepared when I read it before my surgery.
Since my last blog, I have been consistently using Moxa each morning, stretching out my achilles and rotating and stretching my foot and ankle (quite rough actually and loosening the joint by using my hand to lift and rotate foot and shake it abit as well) this is working. Heat seems to bring relief to sore spots apparently getting the blood into the joint assists the healing. Can be a slow process but I was reminded to crawl before I can walk as it is a significant injury..get a little stingy under the wound for a few seconds and then it goes away...I use bio oil on the wound each morning an night and I massage into the sides of the wound...which seems to assisting with eliminating the puckering as the wound is smoothing out..maybe i have expected a quick recovery reading and after reading rob's blog ...18 mths of tenderness seems more of a reality check for me...any way ...it is important to be comfortable and be cared for...it is hard to do everything for yourself in the initial stage ..I hired a wheelchair as I felt it difficult to rely on others for cuppas and meals...even cleaned the house in the wheelchair...need this for about a month....anyway good luck with recovery..it is not an easy experience to go through..and it makes you appreciate your mobility when you get it back especially when you start to walk. Swelling can be a problem just know when to stop and rest and ellevate...I used arnica cream..herbal...it definitely helps and repairs.....bye
What a relief to find I am not alone in the world of ATR. I ruptured my left Achilles on November 14th as I was playing a rousing badminton doubles set. I raced in for a killing shot and the next thing I knew I was on the floor wondering what or who had fallen on my leg. My wife and daughter came to pick me up from the gym but I thought it was just a sprain or small tear so waited for several days before going for medical help. I got some crutches and went back to work in a couple of days and even tried to teach my Sunday School class the following week (standing on one leg) but after the class I asked my wife to take me to Emergency. After waiting there for 4 hours and an X-ray the doctor told me it was just tendinitis and sent me home. The pain and swelling just continued to increase so I saw my family doctor on Monday. He booked an appointment with an orthopedic surgeon the next day and I had surgery the following Friday. Evidently I tore the tendon up where it joins the muscle so that made surgery a bit more complicated. So now, after 4 long weeks in a fiberglass cast and 4 more long weeks in a cast-boot with wedges under my heel the surgeon saw me yesterday and told me I needed to keep the boot on for another 4 weeks - and not to put too much weight on the foot yet. That was quite a blow. But discovering this site and reading all of your experiences has definitely softened the blow somewhat!! :) I trust you all recover well! God bless. Loren (BC Canada)
I am 61, tore AT late November 07. Had to wait(underlying surgical risk problems, diabetes etc) for surgury till January 15th 08. Now 4 days later post op,full cast up to the knee for at least 4 weeks. Very little pain, getting around on crutches awaiting the spring.
A Bad Day in Belgium I was racing in the Cyclocross World Cup in Hofstade, Belgium on Dec. 26th when halfway through the race as I was dismounting my bike I heard POP and it felt like someone had hit me from behind. When my foot touched the ground I was immediately on my knees. I knew something was really wrong so I hobbled to the side of the course and asked the spectators to get medical. I knew someone there spoke english so they would know what I was asking for. It was only a matter of a minute or two before I reached down and found no tendon in my right ankle and I knew this was bad. After climbing over the fence under my own power and sitting on the ground for a while medical took me to an ambulance and the ambulance took me to the ER. My bike took it's own journey around the course before it was announced on the loudspeaker to 30,000 people that my bike was wanted at the start/finish. Once in the ER the doc confirmed my diagnosis he offered surgery in less than two hours. I sat in the foreign ER alone and cried for a few minutes before deciding on surgery. About an hour later I was meeting my ortho and being put under. Everyone at the hospital was super nice and they all spoke good English. This was especially helpful as I don't speak Flemish. Three days post op I hobbled around the cobbled streets of Brugge in search of the ultimate truffle. My racing friends were super helpful and I couldn't have survived my last week in Belgium without their help. The flight home was awful, with only tylenol and advil to keep the pain at bay I was in a terrible mood after 25 hours of traveling. Things have been going fairly well since then. The staples are gone, I'm into a boot and can shower again. Almost four weeks post op and I've ditched one crutch(my gimp sticks) and am searching for a nice looking cane (a pimp stick). I can ride a stationary bike and look forward to swimming in another week. What I want the most is to properly heal my achilles and stregthen my leg so I can return to racing. Barb
Thank you all who have posted on this site. You have all helped me through understanding an injury I knew nothing about. Until I ruptured my AT 10 days ago I did not know how bad of an injury it was. I had my AT surgically repaired 3 days after rupture. I have just finished my first week Post op and went to my doctor.He removed my stitches as he said he was surprised how well my wound had healed. I spent my entire first week in bed with my leg elevated. I have to say the absolute boredome was the most difficult part. Traded my plaster cast for the moon boot and was sent home and told no weight bearing for 2 more weeks but I can start PT than. I actually went to 2 surgeons for diagonosis. I can not tell you how important it is to find a good sports orthopedic for this injury. I have come to learn that there has been much progress made in the surgery and post-operative treatment for achilles..
The first surgeon I went to see explained more of the traditional post operative recovery. 6 weeks in a cast followed by use of a moon boot and PT to start around week 8 to 10 based on how well you are healing. I was set to use him when A good friend of mine called. he ruptured his AT a year earlier and was refered to a well know sports orothopedic that was actually the consult for a couple professional sports teamd in my area. He was able to get me an appointment that same day and I had surgery the following day. my friend was able to run a marathon less than a year after his surgery and his leg has been great. I know everyones recovery time is based on their individual circustances, but I can not tell you how comfortable it made me feel.
Again, thanks for all the posts and this site has been great. Good luck to everyone and I will post how my Rehabilitation progresses
I have started Physio (Im around week 9) and am in the moon boot. I had started feeling really good and (with crutches) was putting a good amount of weight on my leg whilst still having the last wedge in. I was going for long walks with crutches and walking around the house without crutches and in the evenings icing any swelling. Its amazing how little of my calf is left! All of a sudden last night I woke up in the middle of the night in absolute agony, it was like someone was sticking hot knives in the back of my leg! Crazy!!
Has anyone felt this? Is it a normal part of the healing process? I feel fine now, but am obviously a little worried that I might be pushing it a little. I do feel like pushing more, but wonder if I can do some damage if I do.
Im cautious of resting and resting when I could be rebuilding my strength -as my leg is getting weaker and weaker and this will hinder my recovery if I wait too long. Then again I dont want to damage anything by starting recovery too soon!
Confused and bewildered!! Im back in to see the surgeon next week, but wondering if anyone has any similar experiences?
Ryan: As long as you have the boot on, I wouldn't worry too much. However, the pain you feel is probably a signal that you're pushing too hard (I used to have severe cramps at night when I put too much weight too long). Try three or four days putting some weight with crutches, then four or five days with only one crutch (on the opposite side of the injury) and finally start putting full weight without crutches for a few steps. At 9 weeks the leg is very weak and you have to be careful. Right now, I'm at the one year mark and the injured calf is still not as wide as the other one, although I'm now walking normally. Just take things gradually, one day at a time, and don't try to do too much at once.
Hi guys, hope everything's going well. Well, today is the big one: one year since my Achilles tendon surgery! Feeling great and walking normally, although I haven't gathered up the courage to finish that tennis match yet. Off I go to my brother's birthday, the same one I missed a year ago. Good luck to everybody and glad you enjoy the site. Good healing, Mario.
I ruptured my achilles after falling down and landing feet first from about a 6 foot embankment while hunting on 1/12. I had intially felt as though I had broken my ankle. Thankfully where I fell was close to the vehicle. I did not hear any popping sound or anything but it burned like nothing I had ever felt before. It felt to me like someone poured scolding hot water down the back of my leg. My buddy and I loaded the deer that I had shot earlier in the morning into the back of his vehicle. Kind of amazing considering I had a ruptured achilles. After being officially diagnosed I had surgery on 1/24 to repair it. I am now a little over two weeks post op and go to have the 21 staples removed from my ankle on 2/11.
I have experienced gradual increase in pain and stiffeness of both ankles over a long (36mo.) period. Went to Podiatrist first, who started me with othodic inserts, then special shoes, then ultrasonic treatments as well as physical therapies. None helped, and the pain increased dramatically. Finally frustrated to the point I saw an orthopedic surgeon, who did an MRI. I have severe scarring of both Achilles tendons. He has scheduled me to do surgery on left side first, but with conflicting schedules with family and doctor, that will not happen now until April 7. After reading through the blogs, it sounds like I have a long road to recovery coming up. Dr. said there is a good possibility he will need to utilize tendon replacement by havesting from my big toe. Has anyone experienced this procedure? It sounds like no fun at all.
Have any of your guys heard of someone who came well through the achilles rupture? that is went back to the sport activity they used to do, and on which level? And after how long time?
I try to think of some sports stars who had the surgery, but I cannot think of any, it would be so nice to hear that it IS possibly to go pass this big thing withot having to miss out on the sport that one love to do.
I play beachvolley on a high level competing etc, and I fear that I'll never play beachvolley again.
I tore my achilles tendon 5 days ago, and I had my surgery yesterday. Looks like it'll be one long road to recovery. Thanks for the info. I am chronicling my experiences as well on: www.valuemavens.com
Barb and Bettina, I read your comments and felt the same sadness, as I am an avid snowboarder and mountain biker. these are not just activities for me but connect me to the outdoors which is an important part of my life and spirituality!
I ruptured mine while snowboarding - I'm not even sure how - just a freak act of nature. been snowboarding for 15 years and am pretty experienced so it happened for some reason. and we are having a great snow year here in Colorado when of course I can only stare at it and not play in it!! I am on week 5 of my recovery.
my focus is to strengthen it while mt. biking this summer, I'll have to go slow at first but at this point I will be so happy to pedal on dirt, that I won't mind doing the easier trails.
good luck getting back to racing Barb, and Bettina, I'm sure you will play beach volleyball again, just be patient. remember why you love it, and you will get to it again. Regards, Maya, Colorado, USA
Thanks for your encouraing words, they all help. I know how you feel about your sport, it is such as big part of one's life and identity, so it is a struggle to be without. The good thing about your situation is that you also like to do mountainbiking, and my doctor said to me that one of the first things one is able to do, is swimming and cycling - so at least you'll be able to fairly quickly to go back to one of your beloved sport activities. But maybe snowboarding will take just a little longer time. Yes, snow in Colorado sounds wonderful. But I agree with you, my passion for the sport will make me take the rehabilitation program very seriously. I talked to a physiothearapist, and asked him to evaluate my chances of playing beachvolley again. And his short answer was, Yes, but it will take time - probably 1½ years. And he recommended me not to start to quickly because it is quite and explosive sport.
But in time the achille will strengthens it is possible to go back to the level one used to be at. But then I'll be 35 :( and perhaps that will decrease my chances of being a champion for example. Well one has some goals. :) good luck to you!!! And let us know how you are doing. Next mondag I'll be two weeks post operation, and will wear the CAM walker from then. Hope to be able to go to work thereafter, it is a little sick just to sit at home - all day long :)
Best wishes for all achilles rupture patients. May we overcome this!!!!!!! Bettina
I ruptured my AT exactly one month ago today. I had surgery about a week later.
I am about 3.5 weeks post surgery, and have started to feel some tingling in my toes that comes and goes - nothing painful. Last night, I straightened my leg in my cast all the way and felt a pinch on my heel. Not sure if the 2 are related?
The last couple of days I have also experienced toe tingeling, I am 2 weeks post operatione, and still in plaster - but also get the tingeling - especially when I stretch. So I guess it is quite normal, maybe it is the nerves or something. I feel it in my toes, and on the outer part of the foot as well as in the heel, and it is weird feeling. But glad to hear I'm not the only only one. Bye bye, Bettina
Feb 10th, Decided 2 days before my wife is giving birth to our new Daughter I should go play ball...BIG MISTAKE. Heard the POP! Now 1 week later...in bed with the inlaws here!
Does not hurt too much except when I get up off the bed and initially when put leg down...
Going to the doctor Friday to look if the stitches can come out and perhaps get this cast off me!
My other leg is starting to bother me from the crutches...
How was the doctor appointment, Bettina? I am jealous of all you who are in the CAM boot already. I am entering Week 6 of this dumb cast and can't get it off until 8 weeks are complete. If he doesn't prescribe PT by then I will seek another doctor maybe, but I think he will.
Aren't you all sick of people telling you how long it will take to heal?? "it'll take at least a year, blah blah." or how nasty of an injury it is? I KNOW THAT already you stupid people. How about just some encouraging words or wishing a successful recovery? Besides, I am not you and it may take me 6 months, who knows? You don't need to emphasis worst case scenario every freaking time.
Sorry, I had to vent, cause I know you guys understand. I don't need a reality check, I am living it you idiots, is what I want to tell these people. I need positive words ...I am breathing the negative 24/7, for yes, maybe up to a year.
I am the guy who previously posted that I tore my achilles while hunting. I had my staples removed at 17 days post op. I had my first physical therapy session at 21 days post op. In my second session they had me riding stationary bike which is somewhat painful and really stretches the tendon. Most of the other exercises are much less painful. Therapy ends everyday with a good ice down and electrical stim. I am walking around without crutches in the Bledsoe boot. This Thurs. I am told that they will be lowering the heel in the boot. This puts me one step closer to recovery and being able to get back to enjoying the great outdoors of Pennsylvania.
Why are you still in the cast, Maya ? I thougth everyone got the CAM walker a couple of weeks after surgery. Havent' you had the surgery yet or what? Actually, sometimes I'm a little confused; I have read a lot about the steps that one goes through after surgery, - but the methods all vary. So in my case I had to be two weeks in the cast after the surgery, and now 4 weeks in the CAM walked. I read somewhere that patients spend up to approx. 8 weeks, so I don't understand how I can miss out on two whole weeks. Well, I must say the the CAM boot is both good and bad. Its' great finally to be able to walk around a little and have a "life" - (eg. went to see my colleauges at work today), but from there to having an independant life, there is a long way... The boot is very heavy, and I was told that I have to sleep with it wearing it at night as well, which is quite a big struggle (I think) compared to the cast. It was lighter and I could sleep more free. And this first week in the walker I'm not even allowed to take it off while showering. So life doesn't become so much easier with the boot. But of course there is a value in being able to get more around and doing more social activities... Well, that's the status with the CAM walker. It's both good and bad, but it's always great when something new happens, because then you know proceed. Patience is still the clue word. Have any of you guyes worn the cast longer than 2 weeks? and what was the idea do you think? Good luck to everyone, and Maya great to hear from you. I will recommend to see "Million Dollar Baby" - a movie I saw on video the other day. It makes you think that we are quite lucky for at couple of hours :-) Bye bye, Bettina
Hi Bettina, that's a good question. I don't understand either why every doctor's method is so different - yes every patient is different, but my doc didn't do a comprehensive study of me to find out how I'm different - he just went with the way he heals AT patients (he is an ortho specialist who deals with many mountain sport injuries).
The guy who made this site was non weight bearing until Week 9, and then finally got off his crutches at Week 10. In a way I don't mind the crutches because it is building my upper body strength like I've never had before! it will make me a stronger mtn. biker.
After 8 weeks total I will lose the cast and use the boot - without crutches. Yes Million Dollar Baby is a good movie to watch in our condition. By the way, Mario, thanks for making this site. Are you totally back to sports now? Maya
Maya, dont feel liek you are the only one because you are not!! I am 5 weeks post op and i am in my 3rd cast!! I have to go back to the doctor next Monday and then I will have my last cast put on. I will be in that one for another 2 weeks. So that will make a total of 8 weeks post op in a cast. Then I have a boot on for another 2-6 weeks, then I can start rehab..so dont feel bad I might have you beat!!
Hi!! I totally understand it must be hard to be in the cast for so long. But on the other hand then you'll probably wear the CAM walker shorter time. I must say that even though it is quite nice to walk around A LITTLE, then it is very heavy and WARM - and since I'm also wearing it a night, it is not very pleasant. At night I would prefer the cast! But okay one cannot choose. Apart from that I'm at the moment 2 weeks post op. experiencing a lot of tingling in my heel and in the toes. The doctor said that it may be the nerves, the left side of my heel was numb when the took of the cast two days ago. SO I really hope it will pass. And I really hope I can find something else that brings happines apart from Beachvolley. It is such a wonderful sport, and I'm so sad I can't play for a YEAR!!! at least probably. I wish there was another sport activity I enjoyed doing just as much. But of course there isn't. Well, Have fun in your casts - and CAM walkers. !!! (which is a little ironic to say) Bettina, Denmark
I originally posted this in another section, but I thought I'd repost here to share my story. It's so great to read stories from others that are in a similar situation and compare rehab plans.
I ruptured my right Achilles tendon on Jan. 3 while playing volleyball. Just a slight lunge forward was all it took to hear the “snap”. I knew right away what happened.
Anyway, I had surgery on Jan. 9 and I’m now completing week 6 of post-op. My ortho surgeon performed a less invasive procedure, making 3 horizontal incisions, each approx. 2 cm in length, as opposed to the longer longitudinal incision. I haven’t had any complication from the surgery.
My ortho has taken me on a slightly more conservative rehab path. I was in a plaster splint for 2 weeks following surgery with my foot plantar-flexed about 20 degrees and NWB. My leg was then placed in a fiberglass cast, just below the knee, with my foot plantar-flexed about 10 degrees, continuing NWB. 2 weeks later I was placed into my current cast with my foot back in a neutral position. I’ve been allowed to PWB for the past two weeks and have even been able to get around a bit on one crutch this week.
Today I go back to see the ortho to have the cast removed and get fitted into the walking boot. It sounds like I’ll be in the walking boot for another 4 weeks, which will take me to 10 weeks post-op. So, a total of 6 weeks in plaster/fiberglass and 4 weeks in walking boot.
It’s definitely a long road to recovery. I’m a fairly active person as I’ve been doing a lot of long distance running over the last few years including 2 marathons. I also do a lot of biking, hiking, softball, volleyball, etc. It’s been hard to be sedentary over the last 6 weeks, but I want to make sure everything heals strongly so that I can return to my pre-injury activity level. I’m hopeful to be running again by the end of summer, but I think I’ll avoid any activities which require explosive starts for the rest of the year.
Thanks again to you all for sharing your stories and good luck with your recoveries!
I fully intend to return to racing my bike in the pro field. It seems that if you are careful about recovery you should be able to be 100% again. The CAM walker is a huge improvement over the cast. Yesterday was the two month anniversary of the rupture and surgery. I ditched the boot a few days ago because I just couldn't stand it anymore. I've been doing therapy for about two week and both the doctor and therapist are impressed with my increased range of motion. It will be at least another month before I'm allowed to ride my bike outside. To maintain my sanity during recovery I've been swimming and lifting weights with my bad leg. The good leg seems to get enough of a workout making up for the bad leg.
I had many days where the darkness of winter and the pain in my leg left me nothing but hopelessness. Sometimes it feels like you're going to be crippled forever. The good news is that you are healing and although the signs are often small (suture scabs disappearing, reduction in swelling)they are signs of getting better and each day you are one step closer to normal. So hang in there take good care of you leg.
it was very encouraging to write your letter. Thanks. I totally envy you ditching the CAM walker. I have worn it about 4 days, and am quite sick of it already. It is just so heavy and warm, and my foot wants to be washed :) I just realized that I'm not allowed to take it off, not even at night during the next 3½ weeks! ... But I have a love/hate relationship to the CAM walker because even though I'm alreay sick of it, it still allows me to get around a little, which is very nice, and not as boring as wÃth the casts. Today I have done washing and even prepared a very nice meal to my lover! Hope he appreciates it.:)
All the talk about full weight beiring or not concerns me these days. Because my doctor told me on Monday when I got the CAM walker on two weeks after operation that as long as I wear the CAM walker, I can do nothing wrong - which means that I have been full weight bearing since I got the CAM Walker, - and I'm still only 2½ post surgery. When I read other comments here, I think I am going to be treated with the fastest method at all, so I just cross my fingers that I'll be fine afterwards, - and that I will get to play beachvolley again. Write I liked to go bycycling or something else. Volley is not a good sport when having achilles problems unfortunately :)
Im 2 weeks post-op and went to the doctor to take the stiches and staples out....He put on another cast for 2 weeks, and will start PT in 2 weeks when I get a CAM Walker.
When can I ditch the crutches? Is anyones other leg or foot hurting?
Sorry for answering back so late (I was traveling and didn't check the blog). I am back at sports (I'm past the 12 month mark already), but I'm mainly doing swimming, bicycle and aerobics.
I haven't tried more demanding sports like soccer or tennis yet. My main problem is that my calf muscles are still weak and I'm afraid they will not provide adequate support to the tendon in sudden and strong efforts. Totally my fault, though, since I'm really not a sports nut I've gotten lazy exercising the leg.
The tendon, though, is fine and I'm able to do everything I need to do on a daily basis.
I ruptured (fully tore) my achilles tendon playing basketball on 02/08/2008.
After the surgery, I googled to find other people who are recovering from their achilles injury as well, and I found lots of blogs here and there, including this one.
It’s been helpful reading about other people’s experiences with the same injury, especially those further along on the road to recovery. It’s good to know that I am not the only one making sure to keep my leg elevated, using a shower chair, and limping around on crutches.
I’ve created a community site so that people who injure their achilles tendon can create their own blogs and share their experiences as they progress toward full recovery.
My AchillesBlog is: http://achillesblog.com/dennis
You can create your own there too.
I’ve also been gathering and posting a list of external blogs related to achilles injury here, as well as other useful resources. If you find some other good links, feel free to email them to me, and I’ll add to the list.
I am constantly working on the site, so any feedback will be great.
Has anyone here experienced that part of their foot was numb during the recovery time???
I'm still in the CAM Walker, and last night I realized that the left side of my foot is NUMB... I'm quite worried and sad, because not be be able to feel one's body is horrible, and I hope it will not LAST..
When the doctor took of the cast 2 weeks post op., I first realized that something was wrong. But the doctor did'nt seem to take much notice of it. Said it might go away, but here 1 week afterwards, it is still numb... Has anyone tried this or something similar??? And what happened afterwards?
Are you experiencing the numbness on the outside of your foot? It sounds like you may be experiencing sural nerve damage, one of the risks of surgery. The sural nerve relays sensation along the outside of the ankle and foot. The nerve runs in close proximity to the Achilles tendon and can be damaged during surgery. It’s my understanding that numbness usually goes away on its own, but it can take up to 3 months. The numbness could also just be poor circulation. It is probably best to contact your surgeon and let him know you are still experiencing the numbness.
Yes exactly, the numbness it on the outside of the foot, and just as you describe it :( unfortunately.
Actually I was in a lot of pain during the surgery, and the doctor mentioned at one point that he might have hit a nerve!.. I'm a little angry, because what if I never regain the "feeling" in the foot. I will contact my doctor on Monday, but I'm afraid he can't do anything. But hope you are right that it may go away in time...
Bettina, I'm sorry to hear about your numbness! I'm keeping my fingers crossed for you that everything will come back to normal...aren't doctors the pits sometimes?? I mean, sometimes it's so frustrating at how unconcerned they are ... like my doctor, using this outdated method of healing me by casting me for two months. I have started to put partial weight on it with a flat foot anyway, just to give my poor calf muscle some movement. And it feels just fine when I do that ...Monday I begin week 7 post-op. I am two weeks away from throwing my crutches in the river and getting my hands back. It would be nice to be able to hold my own beer again at a party :) Hang in there everyone, Maya
Hello all...I did a complete rupture on 1/13 and had surgery on 1/16. Went today for my six week check up and even though i was supposed to have my last cast put on the doc went ahead and told me that he was going to put me in the CAM boot, needless to say I was the happiest man in the world. (I have had 5 casts in the past 6 weeks.)
Question for those that are already in the boot..how did you transition from non weight bearing to trying to walk in the boot? I am having a really hard time "trusting" that the boot will support the weight. I have been waiting for this day to come to take back a little of my independence for 6 weeks. The doctor said that within the next 2 weeks he want me to go from using 2 crutches to walk down to 1 and then to none by the time that I see him next. I am just looking for tips/hints from everyone that has used this thing on ways to walk with it.
I had a complete rupture 11 months ago. This was followed by surgery, a walking cast, physiotherapy and massage therapy. At this point I have most of the strength back and only notice the injury when it comes to stretching. Can anyone comment on when or if full flexability is recovered?
LaMont, You just have to trust the boot. I've been in the boot for a week and I was able to ditch the crutches after 2 days. I was already starting to get around a bit on one crutch prior to the boot, so I think that helped. Try taking very short steps while still using the crutches and slowly place more weight onto your leg. Then try taking a very small step, still holding the crutches, but don't put the crutches all the way down. If it's too uncomfortable, you just drop the crutches back down. After a few steps you'll gain more confidence.
Also, remember how frustrating it is to walk around and not use your hands. Think about how great it will be to carry a beer (or whatever) from the fridge to the couch. That can provide a little incentive to get off the crutches.
I am exactly 2 weeks out of surgery today for a fully ruptured upper achilles. Two days ago the Doc took off the full leg cast and put me in a cast below the knee. They tried to get my foot to neutral but there was not much movement. I am sure that it will come around soon.
So here is my question. I have booked a beach/pool spring break vacation with my wife and kids for March 21. They deserve a break from taking care of me. My next Doc appointment is a couple days after we get back from vacation. That is when the Doc will remove the cast an put me in a boot.
I will be in the 6th week post op when we leave for vacation. I really want to be able to get in the pool with the kids. Are you all taking off the CAM Boot when you are relaxing or sitting around the house? Has anyone at this time frame taken off the boot to just sit in the pool or for that matter to take a bath? If so, I want to ask my Doc to remove the cast prior to the trip.
Phillip, I havent been in a boot but for a few days but I think that taking it off just to lay around in ISNT the thing to do. From my understanding you are still in the process of strecthing the tendon out so that boot needs to be on at all times other than taking a shower/bath etc..
Philip, I've been in the boot for a week now after 6 weeks in casts - similar to your situation. My ortho gave me the okay to remove the boot as I wish. I remove it for periods of time while I'm at work, during the evening while watching TV, while sleeping at night, and while showering. I try and do some simple range of motion exercises to loosen up the tendon and ankle ligaments. But, I'm careful to not too make any quick movements or apply much pressure on the tendon. My ortho even gave me the go-ahead to do some pool exercises, but I haven’t tried as of yet.
This is just my experience and you'll want to consult with your doctor to determine if it is okay to remove the boot while realizing. The severity of your injury may require a longer healing time.
That is exactly what I was looking to hear. I really don't have an interest in taking off the Boot for any other activity except to get in the pool for 10 to 20 minutes every hour or so. I hate the idea of not being able to at least splash a little with the boys in the pool or to take a quick dip when it gets too hot. I am going to contact my doctor tomorrow and see what he thinks.
I've been seeing some questions about taking the boot off or not taking it off. I'm 5 weeks post op and my PT has encouraged me to take off the boot whenever I can and move my foot around and stuff to regain my range of motion. As for walking in the boot, mine is the Bledsoe boot with the heel wedges. I've had no problem at all walking without crutches. Usually use them for a day or so after they take out a wedge. I am able to get my foot to a 90 degree angle at 5 weeks post op.
What a wonderful site! Reading all these contributions from folks in different stages of recovery has been extremely helpful.
I'm in week 7 myself, having completely ruptured my right AT on January 11. Had surgery January 14: full cast, elevation, we all know the drill. Fortunately for me, my work is all "knowledge/communications" using email, phone, IM, and teleconferencing with clients in various locations and timezones, so I basically "went back to work" via laptop and headset the next week. Have to say that the Percocet made some of my more challenging clients a lot easier to deal with. 8-}
My ortho surgeon took the approach of an initial cast with the ankle in "equinus" position, then recasting every week or two with the ankle being moved each time a few degrees toward neutral to minimize shortening of the tendon as it healed. My last cast was on for two weeks in neutral position and then I got my walking boot last week.
I've used crutches the whole time, but have gotten quite good at using just one for most in-home navigation, which has allowed me to make coffee, fix dinner, wash dishes, etc. I've also lost weight and built up my shoulders, pecs, and triceps, which has been a nice boost to the ol' self-image.
This whole experience has forced me to slow down and to gain patience, which is all to the good. One cannot force healing or speed up the calendar; all we can do is what each day presents to us.
That said, I have to admit that I'm really looking forward to moving from Boot to regular shoe at some point, and eventually to walking without a limp.
My thanks to each of you for sharing your journey.
hello, i also had achilles tendon rupture. surgeon sewed tendon back together and was wondering if the sutures loosened or came apart wouldnt everyone agree that we would feel that.
i feel good so far and god bless you all and good luck. this site is really great
Well, my ortho (and the PA) advised against me going into a boot at week 2. He put me in a cast again since he wanted to make sure that I wasn't taking the boot off. He didn't want me hopping around without the boot and re-injure the tendon.
I agree with his approach, and I have 1 more week to go until I get into a cam-walker.
Morning all Just had my surgery yesterday and found this site today...great place to find out what I have in store for myself.. complete rupture while playing Virginia State racquetball tournament... dropped down like the rest of my AT friends out there... I am a chiropractor and on my feet all day... Was wondering if there is anyone out there that is also on the feet all day during the NWB stage and what they used to get around..
Also what about plane travel...We have plans to go to London on the 15th that we have scheduled for over a year..so any input on airline travel would also be appreciated..
Hi everyone. Thanks for sharing your experiences. I am 6 days post op from a full tear of my right AT. I have little to no pain but today my leg (calf and foot) started twitching just slightly. It is not a visible twitch but definitely something that I feel. Has anyone else experienced this? Also, I am back at work (desk job) with my leg elevated on my desk. Has anyone else gone back this soon? Thanks!
I had the same twitching in my calf muscles.. I asked my doc about it and he said that it was natural. So no worries. I am happy to announce that I am 8 weeks post op and the doc had cleared me to start rehab, too bad the PT dept at my docs office is back up 2 weeks so I have to wait until the 21st to start rehab. He also told me to start walking around in the house WITHOUT the boot for 3 hours a day!! Its tough and I find myself walking more on my heels than my entire foot. I just know that I have to push myself bc i am very tentative bc of the tightness back there but I am slowly making progress!!To everyone that has recently had theirs injured, hang in there, better days are coming!!
I had the same experience as far as the pain goes. It felt more like a minor sprain, but it did feel like someone kicked me in the leg though.
This site has been very helpful in helping me along with recovering from ATR. There is also a good group of people who are recovering from achilles tendon rupture at: http://achillesblog.com
There are lots of resources (physical therapy exercise guides, exercise at home guides, early weight bearing vs. traditional rehab protocol..) there as well as many individuals sharing their achilles rupture experiences on their blogs.
anonymous: I know that Simon Barratt had problems with infections. You might want to checkout his experiences on his blog: http://apps.fmc.com/Blog.nsf/dx/achilles-tendon-post-surgery.htm
If you are waiting for physical therapy, make sure you do some exercises at home.. (just clear it with your doctor first, to make sure that it's okay). Here are some exercise guides with illustrations: http://achillesblog.com/physical-therapy/
Has anyone else experienced a somewhat sharp pain down near where the AT meets the heel? I only feel it at certain times when I move around. I am almost 3 weeks post surgery. Thanks.
Has anyone experienced little knots, or dimpling you could call it I guess, where the tendon is? I have this little knot, esp. right where I know the tendon was sewn back together, that I can really feel when I push my thumb down on it...I wonder if the sitches haven't dissolved yet?
I am 11 and a half weeks post-op and will be pedaling my bike soon...yahoo! besides the little knots, all is feeling great...
Maya - You are probably feeling the collagen/scar tissue that has formed around the rupture site. This is normal, and your repaired tendon will probably always feel slightly thicker. Massaging the area with your thumb may help break down some of the scar tissue.
It sounds like I'm right behind you on the road to recovery. I'm starting week 11 post op. You can see my progress at http://achillesblog.com/tomtom/
My husband's achilles tendon ruptured playing basketball. The surgeon who saw him recommended immobilization with a cast and not surgery due to potential complications. I wish we would not have taken his word for it and done more research earlier. My husband is in his late 30's, active and healthy. By reading articles, we found that surgery is actually recommended for him and not immobilization due to the higher chance of re-rupture. It has been about 5 weeks and are going to get a surgery consult and 2nd opinion, hopefully it is not too late to do surgery. In addition, if you have a cast there is a great product they sell to cover it while taking a shower. It works great and can be found at www.medcareproducts.com/cast cover.
Gosh i am definately the longest cast wearer on this site - my experience has been so very different here in the UK. and because i'm australian and out of my own country i just went along with what was suggested which was this: Cast for 4 weeks in FULL leg cast, cast for 6 weeks in below knee and now on crutches which at week 13 i am now on one and attending physio. No operation - just casts. i am walking on one crutch now in my shoes with heel lifts and am walking at home without crutch but still in shoes. Without shoes i still cant walk but i can weight bear fully. am i the only one in the world treated so conservatively? susan
I ruptured my right achilles tendon playing indoor soccer - not at the heel, but a few inches above - had surgery 17 days later - plaster splint for the 1st week - fiberglass splint for the 2nd week - had sutures removed and placed in a boot. I keep it on when I shower and are still on crutches - NWB. I do however remove it when I sleep - I have an Ace bandage on all the time. Next week (week 3), doc wants me to start range-of-motion exercises. Will see my him week 4 for checkup. He's thinking I'll be off the crutches by week 6, maybe sooner - of course I'll still be in the boot.
Great site, tore my left AT on 3/29 playing basketball. Surgery planned for 4/8. Waiting to start the healing process is the worst. A lot of swelling and bruising thus far. With two small children, elevation and rest is pretty hard at this point. I plan on doing my first week of recovery at my parents, away from my two boys. My goal is to be weight bearing in a cam walker 4-5 weeks post-op, this will hopefully allow me to go back to a light-duty desk position at the fire department where I work.
Any other firefighters,cops, or anyone else whose job requires them to be 110% on here. I would like to hear how long it took to get back to full duty.
What a wonderful website! I am a 50 year old-thought to be in great shape when I ruptured my achilles playing basketball. Even jogged a marathon last fall. Long story short is had the surgery and am in the casts for six weeks before the boot. Last week (Easter morning) woke up with some chest pains. Turned out I had a pulmonary embolism as a result of the surgery? Luckily it didn't lodge in my heart but in my left lung instead. Never had so much pain and worry in my life. After two days in the hospital and now six months of rat poison (coumadin) I am back working on the leg issue. Just a suggestion for anyone having this done. If you feel any chest pains get it checked out right away. It is a rare occurence but I for one never thought it would happen with me. Puts this achilles issue in more of a perspective for me now. Good luck to all and thanks again for all this great information. PS Not a firefighter but a Deputy Sheriff, back to work after two weeks on desk assignment, beats sitting at home.
Thanks for the response Steve! Unfortunately my dept has issue with Light Duty personnel being on crutches, so I have to wait until the boot with no crutches. I envy your two week turnaround.
Hi - I am almost 8 weeks post-surgery and just came across this great blog, thank you for creating it. My achilles was not yet completely ruptured when I had my surgery, instead it was nearly torn off the insertion point and I also had a bone spur that my surgeon fixed. I was NWB on crutches for the first 4 weeks (first in a cast, then in the boot) and for these last 4 weeks have been gradually weight-bearing in the boot. At week 6 my doctor unhinged the boot so that I can plantar and dorsi-flex when I walk. I have been walking quite a bit in the boot - at least 5 miles every morning at a pace of 15 - 20 minutes per mile - but am not starting PT until next week. I'm having very little swelling and no pain in the achilles, but I'm still worried that maybe I shouldn't be trying to power walk at this point. I'm curious whether anyone else has done a lot of walking in the boot and if so, how has it felt. Thank you!
Initial Post-Op sucked. Spinal Block took 8hrs to wear off, which led me to be admitted overnight. Also, my inability to urinate after surgery caused more issues than I wish to mention. Anyway, 1 week post-op now, nearly pain free. One more week of cast, then two weeks of boot(NWB). I'm pretty optimistic at this point.
james great to here all the stories-reassuring..... i am 3 and a half weeks into my second tear-happened on vacation in LA- operated on 48 hours after the tear! only drag is i changed doctors(back home) and the new one is not very enthusiastic since he was not the surgeon 1st tear was 8 years ago at 40 years old that is definitely it for BBALL- ill settle for a game of horse!!! the good thing is, now i have matching scars!!!!!! In a boot since 2weeks post op... 90 degrees 2 weeks -80 degrees 2weeks then on to the real thing...patience...... ist tear i played golf after 12 weeks hope this time it will be earlier - spring is a rotten time for this type of injury... waiting all winter to get out and move ...im from montreal---tuns of snow this winter- well i wont rush it thankyou for the posts good luck to all!!!!! welcome to the club jg
I ruptured my achilles tendon in April 2008 and I am due to lead a group of 35 students skiing in 12 weeks time. Read about my recovery here and see if I make it !! http://rupturedachillestendon.blogspot.com/
This is a great site. All the different experiences give good insite as to what one may expect. As for me, I had a tendon transplant on my left Achilles on April 7. The tendon was so scarred and torn, the Doc said this was my only option. So the tendon from the big toe was used to replace the damaged area of the Achilles. Also had a bone spur removed which was most likely the cause of all my troubles. So no it is two weeks later, I have had little pain and got of the Oxycodone within 24 hours of being home. NWB cast gets removed on Tuesday for suture removal, then I am supposed to go back in a NWB cast for another 5 weeks. We will see how that goes as I am anxious to get going again.
Hi there. I have just discovered this site. I ruptured by achilles almost 3 weeks ago playing netball. I had my right leg immediately put into a plaster cast. Day 5 I saw the surgeon who recommended surgery (I am an aerobics instructor). In hospital that afternoon all prepped and ready to go when the operating surgeon (who was different from first surgeon) ran me through the risks of surgery eg infection, nerve damage etc. Anyway after he painted quite a grim picture and being NIL by mouth all day I decided against having op. I am now taking the non surgical 'agressive' recovery. Two days shy of 3 weeks since I did it I have been removed from my fibreglass cast and placed in a moon boot. This is so I can remove it and do very mild exercises (toe points). I still will do be able to weight bear for 6 - 8 weeks.
So far all the blogs I have read have opted for surgery. Feeling a bit nerovus about not having surgery now. My ortho said it's not too late hmmm any thoughts?
Surgically fix it, the chance for serious complications is small. Your recovery will be much quicker and tendon stronger if you opt to fix it. Being your occupation what it is, I would be scheduling my surgery today. Chanc of re-rupture for a non-surgical repair is anywhere between 15%-30% depending on what study you read. Do yourself a favor and go get it fixed. You'll be thankful you did. Check out my blog.http://achillesblog.com/colinpd/
Thanks so much for your comments Colin, I really appreciate it. Unfortunately here in New Zealand it appears we are far more conservative and the non surgical approach is preferred (we have a public ACC system - although I do have med insurance if it's an accident you still go through the public system).
After reading many of the blogs on this website and other American sites it is obvious things are very different. If I was to have the operation here I would be put on the acute surgery waiting list, admitted to hospital and have no idea who would perform the surgery until a surgeon/operating theatre was available.
Had the original surgeon (who I am now back under) been available to perform my surgery I would have had it done. Because the surgeon who was going to do the op was not very positive at all about surgery I was left feeling very uncertain and not confident in the surgeon (not good on an empty stomach at the best of times ha!).
I now wish I did have surgery but being 3 weeks post accident & the fact that if I did opt for surgery I would have to go down the same road and not know who would be operating, I have decided to carry on down the non surgery road and hope for the best! I am very nervous but will do all that I am told and go through a good rehab programme. Oh and I have officially retired from netball - well at least at this stage ;-)
Wow, your situation is more complicated than it appears. Its sounds like the surgeon who spoke of the risks was not very confident in his skills. This worries me because I have heard Achilles repair described as the appendectomy of Orthopedics. It sounds like your stuck between a rock and a hard place. Good luck and with patience you'll do fine!
Hello all, I ruptured my achilles tendon on March 1 of this year, and yes i had some of the same symptoms as a lot of you (loud pop, mushy achilles area, couldn't walk properly). My surgery was on March 10th and everything went really well according to the doctor. After surgery i was only in pain for a couple hours and didn't really need any pain pills (ok maybe two or three). I was in my initial post op cast for 2 weeks, then my stiches were removed and i was placed in another hard cast for 4 more weeks, which sucked (especially with the foot pointed). Nevertheless i made it through that HORRID time. I then went back to the Dr's office (April 22nd) and recieved a walking boot with three heel lifts inside. I was then told to come back in 3 weeks, and each week i should take a lift out of the boot and attempt to wean my self from the crutches. It is now May 6th and I'm in the last of my three heel lifts, AND BEARING MY FULL WEIGHT! It feels great to walk agian! Yes, i am still in this boot, but moving without the crutches is wonderful. As soon as i got out of my cast, i immediatly started stretching and icing my achilles several times a day. The ice really helps; being a former college football player i'm completely sold on it. As soon as my hard cast was removed, my routine was stretch, ice, and elevate as much as i could. I can now get my foot past the 90 degree mark, and the occasional swelling is becoming a thing of the past. I know this is very long winded, but this is the first time i've been on a blog and read stories just like mine. I'm definately not rushing things because i'm still scared that dreaded POP will happen again. However, i have to say i took some steps barefoot (just a few) and surprisingly it didn't feel bad. Surgery was March 10th and it's now May 6th approx. 8 weeks post op and i hope I'm on schedule for a full recovery. Although, the thing that really discourages me is all the sckeptics. Everytime I get excited about my range of motion, or the swelling going down, or how good it feels, someone is always there to tear me down. Comments like: your moving too fast, you must be rushing the injury, or my favorite -your just going to hurt it again, really get ON MY NERVES! Everyone heals diferently and i'm following the doctors orders. Ok, i've vented enough - Is there anyone out there whose healing experience from this injury has been smooth? Or on the same pace as mine for that matter? (and i still have a long way to go) Is physical therapy after 9 weeks post op out of the question? Bye the way, my scar was to the left of my (right) achilles, not directly in the back of my leg like i have seen others. So far it hasn,t been a problem with healing or anything like that. In fact it's about 99% healed. Finally, I wish for everyone to have a speedy and problem free recovery and keep your heads up because i know how depressing this can be; especially for us active people.
hi slogan, i have posts all over this and i wrote one almost just like yours a few months ago - yes the ones who always point out the worst are the worst! it's like, hello, i know it's a rough injury (i'm living it) but i'm dealing, and i'm champing it!
anyway, i started PT in my 9th week post-op but it was very mellow, move foot back and forth, not even with a big rubber-band yet (but the massage and electric stim was good i guess). I reach four months post-op today and walking properly in shoes with the correct gait has been my latest challenge (a lot of pain around the heel). there's a big gap to cross between FWB and walking the way you did pre-ATR. I should ice it more like you do. good luck!! Maya
Your timescale sounds very similar to mine. i had my ATR on 7th March, helping my sons football team, i had my operation on 14th march, originally, i didn't realise i had ruptured my achilles tendon, and i went into work the next day, however, i began to realise it was pretty serious and went to hospital. I was in a cast for 4 weeks, a boot for 2 weeks, then was told to gradually put full weight on. I am managing to get around OK now,and am FWB, but as Maya rightfully pointed out, the next stage is learning to walk properly again without a limp, i haven't started Physio yet, but hope the hospital tell me to start it soon. For now i am walking more and more and going for daily walks in the park, which is great especially now we are getting some sunshine at last!
Best wishes to everyone with your recovery, its so good to get other peoples views/experiences.
Good morning All, First let me start by saying thanks for your responses and experiences. It does help when you have others who can feel your pain and frustrations (literally). Now for the reason i'm writing today. This question is for those who are at my stage in the healing process, or beyond. When does walking without the boot become more physical than mental? What i'm trying to say is: I've tried walking regular without the boot and it feels fine, however i start to limp or put less pressure on it because i'm more or less scared, not because it hurts. In addition, I walk around the house without the boot, but as soon as i think about leaving, I strap up "ole trusty". It's like now the boot is a part of my daily routine - "i can't function without it".
When my doctor told me to start walking without the boot and crutches, i was also frightened in case all the work was undone. I started walking around the house without boot and crutches, and gradually started walking outside,but took my crutches-just in case. i still use my crutches to go uphill but i am getting more and more confident, Your confidence will come, step by step, but i understand your apprhension, when i told my doctor about my concerns about a rerupture, he said that if you don't have problems in the first 7-8 weeks, you should be OK-hope he is right! Good Luck
Just hearing some of your Dr's aggressive treatments makes me angry. My doctor is very very conservative(i'm talking cast, cast, cast, boot), and would have definately chosen a more agressive doctor (in terms of walking faster, and getting out of the hard cast sooner) if i didn't think the surgery had to be within a week for the best recovery. Anyone now of some good doctors in the Baltimore area, Specifically OwingsMills, MD
What a great site for all the questions that I have. Like Colin I work in the Law Enforcment community and maybe could have avoided the injury by paying attention to my body a little more. Months before my injury I started running hills on a treadmill while increasing the speed each time to prEpare for a work Gxt(physical) I noticed some soreness in both achilles tendons but would stretch them before my workout but seldom after it. i also just bought a new pair of softball shoes for the season(high tops no less) While preparing just to take off for a flyball, I heard a pop and down I went. My injury occured May 1st and I had surgery today. I had the bloc and now it is wearing off 15 hours later. Thanks for all your stories! My doctor is treating this agressively and I have to thank all the staff at Grant Medical Center in Columbus, OH who were awesome today. I am 32 and I look to forward to this challenge and overcoming it. Labor Day will be much better then Memorial Day. Like Colin, I will be on light duty after two weeks if all is well. Sounds like alot of TV in my future though. This is Day 1 and I will keep you guys and gals posted
Day3 post surgery and what a difference 24 hours makes. I am off the pain medication all together and my foot feels much better. Still just lounging around all day resting and elevating my foot. I want it to heal the right way the first time. I have been off of my feet since May1st when the injury began and I am bored to tears already. Does anyone know when you are allowed to do push-ups and sit-ups to pass the time and does that cause any undo pressure on my achilles.-Matt
I am returning to work (desk only and elevated) tomorrow, which is Day 6 post-op. Is this too soon? I don't have any pain, just get tingling and purple toes while standing - is this normal (I am in a fiberglass cast)? I keep my foot elevated at all times while sitting. When will I be able to stand (NWB with crutches) without having my toe tingling problem for long periods of time?
I tore my AT, at the back of my heel. It’s a slight tear and I presume I got it when I skid on ice around Feb 2007. I ignored the swelling and pain, which was on and off. Last few months I aggravated the injury by working in the Gym. It came to a point where, walking after sitting for a while was painful and took my heel at least 200 steps till it loosed up. Saw a physician in Sep 07’ who recommended pain killers and exercises, which did not help at all.
This April, finally saw a podiatrist, who immediately put me in a Cam Walker, and crutches and suggested I put no weight on the foot. Last few weeks with the Cam Walker have been great; I am able to tolerate it very well, and undergoing Rehab sessions with Ultra Sound and exercises. The prognosis seems on the brighter side. I am still using the Cam Walker on my regular work schedule, but wear an ACE bandage with good supporting sneakers to support my heel and am gingerly walking around the house.
Miss going to the Gym, sometimes walking to the bus in NYC seems painful and am exhausted and do look forward to my normal life.
Questions I have are: 1) What do you recommend in the future 2) What is the best way to warm up my heel and feet before exercise 3) I plan to get a sports M/Cycle, suggestions on care and fitting shoes and riding
This site is GREAT. I tore my AT 4 days ago and I will have surgery tomorrow. I am an American who is living abroad in Europe so the whole procedure is a bit more complicated for me...Just wondering if anyone can recommend a workout DVD or something to exercise the upper body and my "good" leg while I am recovering? I can't imagine being inactive for the next 8 weeks?
I have to share my story as it is somewhat fresh. It happened during a volleyball game, a sport that I've played since I was 9 (50 now). I did the classic thing. I planted my left foot and I thought someone ran into me; it felt like someone hit my leg with a bat. I didnt have any real pain. It just felt loose and that sometHing was wrong. The other team had a player who was an athletic trainer plus there was an ER doctor on another team. They quickly told me what had happened and that just sucked. Summer plans out the window. Athletic career on hold or ended. Being self employed doesnt help either. Anyway, there was no pop sound for me and the swelling took about 12 hours or so to kick in. I had minimal discoloration. No real pain though some areas were tender. I did take some Advil and I'm trying to bond with my crutches. AS for rehabing, I plan on working out the rest of me that still moves, including my right leg. I read somewhere that working out the "good" leg can have a conditioning effect on the inactive leg. I'll have to look that up again and reference the source. I'm still in shock over the complete disaster that it seems to be. My surgery is in 3 days which is not soon enough. A good blog though;I'm looking forward to posting a few more comments as I progress.
Pete good luck with your recovery. i ruptured mine 11 weeks ago,i am 47, and did it playing football (soccer) with my sons junior team, i have been walking without crutches/boot for the past 3 weeks. you do go through different emotions, but it will make you stronger as well, and you learn to appreciate things that you may have taken for granted before. I started physio yesterday and will return to work next week, hang on in there and things will get better.
Hi all hope evryone is doing well.I have found this site so helpful in the sitting around time.I am just 1 week post op and doing well I think.I completely ruptured my achilles whilst Irish dancing in Rwanda(dont ask). It took 40hrs travel to get home for surgery.I am determined to go the aggressive route of rehab where possible.I took Cipro an antibiotic for 2days and apparently the side affect is that it weakens tendons.No shit!!Well I wont be taking that again.I am 42 and have trained hard in many sports,skiing,surfing,cycling and my surgeon fully expects me to return(slowly) 95--100%. I fully expect to be with care. Good luck to everybody on here! Euan
I had a heal spur removed, and the surgeon (I had my Podiatrist do the surgery as opposed to an Ortho) had to sever most of the achilles to get to the spur. So although it wasn't a rupture like most of the stories I am reading about, the healing process is the same. They used a plate and screw to reattach the achilles. I am a lifelong athlete, and being inactive was incredibly difficult, physically and emotionally. When you are active your body naturally releases pheromones and it is totally natural to feel a little depression kick in during this period of inactivity. Brace yourself for it. One other thing no one prepared me for: muscle atrophy. When muscle degenerates, it leaves a horrible cramping like feeling. This went away as I got ambulatory. But to cope with it, use your Vicodin and Ibuprofen, because it is damn near intolerable. Here is/was my timeline: Week 1-2 - I had a cast on my right foot for 4 weeks. Allow yourself to be taken care of. YOu are on crutches, and you are wobbly and not super coordinated. You cannot do anything other than get up and pee. You cannot even get your own meals. Take some fiber if you are on Vicodin. I was one Vicodin for a full week, then weaned myself off it on week 2. Ice and elevate all of week 1 and 2. Watch your toes for swelling and bruising. This is kind of a tell as to how the healing is going. On your other/good foot, wear nothing other than those house socks with the little gribby/nubby things on the bottom. Lots of sleep still. I have a little plastic stool in the shower along with my packing tape and trashbags. Vanity is not thy name. My surgery was on April 18, and I got my cast off on May 19, four weeks later. That was when I got my walking cast. Week 2-3, the muscle atrophy pains started kicking in. They would keep me awake at night. They were crippling. Week 3, I had to get back to work. I have a desk job. So I used my left foot to drive (both gas and brake). Crazy enough, just those little moments of being upright (still non-weight bearing), got rid of the muscle atrophy pains. I was still elevating when I could on week 3-4. Still NWB, but now vertical a little more, week 3-4 I had swelling in my ankle and foot (not painful through). So each night I was icing the swelling down, and it was fine by morning. I can wiggle my toes now! Week 4 I got a walking cast. I am now able to take the boot off and shower that skanky foot. God that feels good. I sleep with nothing on my foot at night. The doc said to slowly transition to weight bearing, using my crutches, as my body would allow (without pushing it). Yeah right. Within 2 days I was hobbling around my house i my walking cast, without my crutches. New to walking, the bottom of my my heel is super-sensitive. I was able to do little jaunts, but still using my crutches to get to and from the longer distances (house to car, car to office, etc..). Being weight bearing is very emancipating. It was so nice to be able to take out the trash, carry my coffee to the bathroom in the morning, etc. When you are on crutches, you simply can't do anything for yourself. I totally dumped my crutches at week 6. I am totally weight bearing with my walking cast. Don't get me wrong, I am slow, and it isn't pretty to watch. I am not at week 6, and I took my first jaunt to the gym and did that sitting, hand peddle machine, shadow boxing (standing, no moving), abs, and some free weights with arms. The other thing big adjustment you have to make is your diet. Being inactive, especially if you are over 30, you really have to adjust/reduce your caloric intake. Women expecially. Trust me, it is so much easier to make little diet tweaks while you are inactive, than to try to deal with depression and weight gain a few months later. And no alcohol for a while, especially while you are on crutches.
I completely ruptured my Achilles on March 27, 2008. I had surgery the following Thursday on April 3, 2008.
I was in a cast for six weeks. Currently, I am going into the third week of being in a boot (today is May 30, 2008).
I have tremendous flexibility, but I have a question. This week I rode the exercise bike on two days for 10 minutes, and I was on the elliptical machine for 5 minutes. Also, I walk around the house without a boot for "stretching" purposes. I am also doing leg extension (4 sets of 12 with thirty pounds) and leg curls (3 sets of 10 with 20 pounds).
Does anyone think I am overdoing it? I am trying to stay in bounds of taking it slow, but I am scared that I may overdo it. The only side effects I have is swelling and normal pain, all of which are gone by the next morning.
PLEASE let me know if I am doing too much. I can be reached at reginald_41@yahoo.com (my e-mail address).
After reading this blog a few times I thought it was my turn to share my experience here in New Zealand. I ruptured my Achilles on the 4th April - in my first (and last) game of the 2008 soccer season. I was placed in a cast at an A&E (Accident & Emergency) clinic and told to see a specialist 3 weeks later - ideally 2 weeks, but none were available. I went back a day later and told them it felt heavy and tight, but - since I had not worn a cast before - I was told this was normal. About a week later I went back with a very sore calf muscle. After a blood test I was rushed to Auckland Hospital with a suspected blood clot in my leg. This was confirmed at the hospital. I was given a shot of clexane - which I reacted to - so I got to spend a couple days in Hospital. My poor wife was holding my hand when I went into shock and she later told me all the warmth drained from my hand and all she could feel was cold sweat - all in a few seconds. All that I remember is the room swimming. So I was placed on medication for this, got a new cast and off I hopped. After 3 weeks I saw a specialist in the original A&E clinic. He did a brief examination and told me all was good - in fact very good. They place me in a "walker" - a rigid fibreglass cast with a spiked heel to walk on. Again, off I hopped. This was so painful that after only a few hours I had it cut off (the cast that is, not the leg). It was digging into my leg and was very painful. They placed another soft plaster cast on and again off I went. The clinic wanted me put into another "walker" and I told them what they could do with their walker. At this point I decided to seek a second opinion and a week later saw another specialist. He thoroughly examined the leg and told me that after 5 weeks I was not healing, there was still a rupture, I failed the Thompson test and I needed surgery - followed by 2 months of rest. You could have knocked me over with a very small feather. I was totally shocked. I had gone from "very good" to "very bad". The second specialist placed me in a moon boot as my leg muscles were wasting away and there was no point me being in a cast. I declined surgery. I had decided from day one I was going to heal naturally and I stuck to my plan. The specialist was not happy - he stating that declining surgery was a bad option, but I was unmoved. Two weeks later I went back to him. Another examination and I was up and walking around his office - no pain and only a slight limp - 2 weeks in the boot and 7 weeks after the rupture. Passed the Thompson test and much to the specialist surprise, I am healing much better than expected. It is now about a week later and while at home or in the office I am wearing normal shoes and getting around in no pain and only with a slight limp. Away from flat and stable floors I am in the moon boot and I in due to go into the raised heel shoes in about 2 weeks. After that I am not sure what happens but things are looking better. How do I summarise my experience to date. Most important of all - have faith. Focus on healing - mind, body and soul. I was going nuts in the cast, stuck at home, bored, relatively immobile. In the boot I was up and walking, working and working out again (upper body weights) and it all starting coming right. I felt 300% better on my own two legs and I believe this positive energy has boasted my recovery. Interestingly throughout this experience not one medical person asked me how I felt - other than physical pain. I believe the mental /emotion aspect seems to be ignored and it does make a difference. Finally, if in doubt get a second opinion. Take ownership of your old health. Unfortunately we cannot sue in New Zealand for the misadventures I have had - otherwise the original specialist would be right in my sights!
Today I hit 5 months post-op, and the tendon is well on its way to being its old self! What have I learned from all this? One, as soon as you learn you've done this injury (Thompson test yourself) before you agree to anything with your doc, research all recovery methods and protocols so you know what questions to ask and have a discussion with your doctor about what's best for you (not them just telling you). I agree with Peter's post above: it is up to us to heal ourselves b/c sometimes docs only treat the injury (and only the way they know) and not the person.
Looking back I would also combine my PT with holistic therapy (like acupucture, diet changes etc.) cause that's what fits ME. I think my recovery may have been less painful and little quicker if I had done so.
My advice is also to stick to the PT exercises, ice it a lot and self-massage the heck out of it (your PT should show you how). And listen to the tendon - it tells you when you do too much too soon. However, there is a normal amount of pain that comes with walking properly again (you know if you overdo it if it hurts while sitting).
About the cast/blood clot thing, my doc had my take an aspirin a day just to help avoid that.... and even with surgery, I was casted for two months! that sucked, but my calf muscle is coming back nicely...
Anyway, I am mt. biking again and I will be snowboarding next winter (at least once a week), just as I always have. Stay positive, remember your own power to heal, and keep the faith! Maya in Colorado
I NEED YOUR HELP!! I was hoping someone (well, actually, it must be a FEMALE that has GIVEN BIRTH)could settle a debate between me and my boyfriend. My boyfriend snapped his achilles tendon last year. he is a football player and has had many injuries in his life. he is pretty tough and can handle pretty much anything, but has said that rupturing his AT was the most pain he has felt in his life. I mentioned that it was probably not as bad as would be giving birth (I have not as of yet, nor am I pregnant, I should note. Alhough this is a comparison he could never know himself, he thinks that a ruptured AT is more painful than giving birth. Of course we both realize that there are many factors involved (ie. one's pain threshold, female anatomy size (ahem..)and severity of rupture AT. G-d willing I myself will never be able to make a personal comparison, but we were wondering if there are any women that have experienced both and if you could assist us in the comparison of the Pain Factor. Your feedback will resolve our debate and we would really appreciate your time. Thanks!!
Hi, Ruptured mine 2 weeks ago today playing a field sport. Im 31. In full cast, with toes sticking out. Due to have stitches removed next week and then back into cast until the 6 week mark.
I find i still need to keep my foot elevated a lot cos if i'm crutching around the toes get purple and my ankle feels heavy. Also get a lot of tingling and some pain from around the ankle and incision area. It's annoying when u read that some people are up flying around and even back to work after 1 week - I feel like I'm way behind or being too soft.
By the way i didn't find the initial pain that bad at all, initial shot but then it went kind of numb and I iced it a lot pre hospital. Don't know how you could comapre it to child birth, that's just being silly.
Well, I am now 2 days post-op. I is a huge relief to have the healing underway at last after a week of getting everything squared away with the insurance company and getting the pre-op exam. The surgeon said that the damage was more extensive than anticipated. The surgery went 2 hours and I was in some pain before surgery due to soft tissue damage and swelling. Post-op the pain is manageable with Vicodin and my leg is in a splint until the swelling goes down and then I'll get a cast. I have to stay in bed until the I get the cast and that has not been a problem, believe me. My spirits are good and now it's time to let it heal. So far so good.
I partially tore my achilles during the final weeks of my second pregnancy-- I felt it, but didn't think anything of it, as my body was huge and uncomfortable and I just figured it was something to do with pregnancy. About 7 weeks after my c-section I got out to do an aerobic walk. The pain was pretty incredible. I assumed it was my shoes, socks, etc. Changed all those things and it still hurt. Figured I was out of shape, worked out harder (unknown to me, hurting it worse). About 2 months into the pain I saw a doc. He referred me to a podiatrist. I opted (since I had two young children and only a partial tear) to go the non-surgerical route. After almost a year of dealing with the pain and wearing a boot, isolating movement, steroid cream physical therapy,etc. I decided, after an MRI, to have the surgery. My surgery was May 9. My doc removed about a 2cm portion of damaged tendon and left about a 5-6 inch scar. I decided to have a spinal instead of general. I didn't want to be fully out- just scared me. So, I was in the hospital for 5 hours after surgery. Went home and when everything wore off, the meds weren't working. The pain was bad. Real bad. The meds were making me dizzy and when I made my first attempt at using the bathroom I lost my balance and fell onto the toilet, ripping the TP holder out of the wall and smashing my splinted up ankle into the floor. Around 3am I went in and emailed my doctor to call me first thing. He had me come in and took the splint off to check the incision and try some new meds for the pain. In the end, Vicodin (which I already had in the house from my c-section and from breaking my elbow about a month before this surgery) was the trick that worked. The stronger meds weren't doing it. Weird. After I got the pain under control it wasn't that bad. I went in every week for a new cast and to stretch the tendon back into position. I am in a boot now and go back in on Thursday for my 6 week check-up. My hope is that I will be able to start walking. Truth is, I already have been limping around without my crutches b/c the boot makes it too tempting not too. It is almost better to have the real cast if they don't want you to walk. But, I was starting the stretching and PT at home the past week. Just last night I slept without the boot and woke up feeling great. In fact, it felt better when I put it back into the boot than it ever has. So, I think I am at that point... This is a rough injury. It is a rough recovery. I wish someone would have told me to just do the surgery. It seems that almost all cases end in surgery anyway. Hindsight is 20/20, and everyone has to make their own choice, but if I had just done it I would be back to normal by now. Instead I feel like I finally am close to starting the rest of my life with activity again. Good luck to anyone starting your journey with this. You're not alone. -Lisa
I'd like to add a few things. Vicodin was the painkiller the only thing that I took post-op for pain and it worked well. It made me groggy but that didnt matter as I was in bed anyway. After the first week I stopped with the Vicodin and now just take Advil as needed. I've had the cast for about 10 days now and will have it taken off in a few days to remove the stitches and then I'll have another put on. The cast did itch at first and the doctor suggested to take an antihistamine such as Benadryl and it worked. Has not itched since. So far so good. I'm looking forward to getting a boot..
What a great site. I ruptured my achilles tendon playing netball on 3rd June - I felt the kick at the back of the heel sensation but then my leg went completely dead and and I didn't feel any pain.I underwent sugery on 5th June and am now into my third week in plaster with a much awaited visit to the consultant on 1st July. Will let you know how I get on. Wishing all fellow ATRs a speedy recovery.
About AT rupture vs childbirth. I have had 3 children, natural childbirth with NO pain medication. Last one only 9 months ago. Full rupture of right AT on June 8th, and surgery one week ago on June 13th. Tell your boyfriend to suck it up. There is no comparison at all. I ruptured my AT playing baseball, and after being carried off the field, sat and watched the rest of the game with an ice pack. Hubby dropped me off at the hospital by myself so he could find a sitter for the kids. Surgery was a little worse and the incision site hurts some now but still no comparison. Perhaps he has a low pain threshold.
Hi Jenny, Thank you for your reply!! Perhaps you are right, maybe he has a low pain threshold...LOL I appreciate you taking the time to give us your input. Congratulations on your baby and I hope you AT heals quickly.
Does anyone have any help for me? I am 7 weeks post op. At about 5 weeks post op I started having EXTREME fire in my foot and SHARP needle pain. I can't sleep at night. All day it feels like my foot is on fire. Massage helps but only for a few minutes. I still have numbness on the top of foot on the stip that goes from the ankle to the big toe. Any thoughts? I would appreciate an email at tstanley@bryanisd.org. Thanks.
to terrystanley, I am only 10 days post-op and have had burning pain all over the surface of my foot running from my ankle to my little toe. It hurts more than the actual incision site and feels like a blow-torch on my skin. I also have no feeling on the top of my pinkie toe, but can feel on the bottom of it. Chances are pretty good that you and I both have had some nerve damage. As the nerves start to fire back up when swelling decreases etc., it can be quite painful. My husband had a similar experience after a different type of surgery and it lasted for about a month. Hope that helps.
hi everyone, hope you are all recovering quickly. I am 10 days post-op and having trouble with nerve damage (see previous anonymous posting). My real concern right now is that although I ruptured my right AT, my left foot is doing some weird things. I am NWB right now and hobbling around on my crutches but every time I step on my left foot I have the sensation like a small bubble is bursting right on my AT. I am terrified that my left AT is about to blow out. Anyone else have problems similar?
As someone who 11 years ago snapped his right achilles and had successful surgery I have now snapped the left one and been advised at the age of 47 I'll be ok without surgery. Nature will take its course and a range of plaster casts and boots will sort me out.But, after reading all these blogs and loads more info, can anybody other than my consultant give me any comfort for the non-surgery approach?
Peter, I think I read the same articles as you regarding non-surgery vrs surgery. It seems like surgery is the way to go. In my case there wasnt another option. As for the nerve problems, the tops of my big and middle toes have been numb since the injury though the bottoms of these toes have feeling. I'm about 4 weeks post op and will get my cast off for good in about 10 days.
It has now been 11 weeks post rupture and nearly 4 weeks since my original post. Since then my healing has progressed extremely well. At the 10 week mark I went back to see the surgeon. I had been in the moon boot for 3 weeks and my modified “raised heel” sports shoes for 2 weeks. The surgeon stated my progress was “fantastic” and I would now make a complete recovery. I was correct in choosing not to have surgery and he had been wrong in recommending that I have surgery. There was no further need for me to see him. I can start “no impact” cardio – cross trainers, cycling, etc – though avoid running. I could go back to weight training after week 26 (early October) and back to sports after Xmas.
In the morning I walk with almost no limp, though as my legs get tired during the day, I do limp a little bit. I am back to wearing normal shoes. There is still some swelling around the tendon, but no pain and definitely more strength and flexibility.
I have a theory on why I have healed so quickly. I have been doing powerlifting for nearly 15 years. My body is used to lifting heavy weights (I regularly bench 200kg +) and responses quickly and efficiently to the demands and strains of weight lifting. Once I was in the moon boot and back walking, everything came right. My body simply responded to pressure of walking again, my leg muscles began to strengthen and the tendon began to heal. I theorise that my body is “programmed” or conditioned to naturally heal a soft tissue injury as if I was recovering from a hard weights session. Of course it takes longer and is a slower process, but I have gone from still having a rupture after 5 weeks to nearly walking normally after 11 weeks. Not bad for a 38 year old.
Of course I am no doctor, this is only my theory. I always felt I was going to heal naturally and I was going to heal completely. I could not stand the idea of being cut open and then being on crutches for another 8 weeks. I got up, I got walking, I got lifting (upper body only weights), I got energetic again, I got what I wanted. Healed.
Your response is excellent comfort. Should be compulsory reading for all those who don't have surgery, particularly all those in New Zealand whose entries seem to indicate that only an All Black would be offered the op.
hi there i ruptured my achilles tendon on 6 th april while out dancing . i went to hospital twice and docs twice third time of going to hospital 7weeks later they decided that i had ruptured it so i had emergancy surgery and am now 5 weeks post op and only one week to go till i get the boot. i have been told that this surgery may not work as i was left too long . all i say is well done nhs and i hope it does work because i will be devastated if not as i have a disabled husband and child that i have to look after and it has been such a strain tryin to look after them aswell as myself. was wondering if this has happened to anyone else ? and did you recover ? plz let me know cheers
Like others, I was very happy to have found this site. I ruptured my AT on June 29th and was referred to an orthopedic surgeon on June 30th. This injury was unexpected as I was warmed up, sweating profusely, and enjoying a good game of long toss frisbee with my two sons in law.
My ortho surgeon took xrays, and performed several tests and diagnosed my injury as a complete rupture of my right AT. Oddly, it did not hurt too much.
On July 3rd I had surgery to repair the torn AT which took 1.5 hrs. I had general anesthesia and my leg was fitted with a cast/splint to allow for swelling. After the anesthesia wore off, I experienced a fair bit of intense pain which I alleviated by taking 7.5 mg of percoset. I was also given a specially coated aspirin to prevent clotting.
I'm on Day 3 of my post op recovery. The repaired ruptured AT hurts when it's not elevated...even with the percoset. My daughter who is an anesthesiologist tells me that pain should subside in a week.
Before this injury, I enjoyed walking my English Springer spaniel, Abby, around the neighborhood and park. I hope we can resume these walks soon!
This site is great! I have a partial tare in my AT and I did this on July 1st. I saw the orthopedic today and I am having surgery since my tendon is too weak to point my toes to the ground. I have surgery on Thursday (July 10). I am really nervous and this is helping. I guess I will be icing and laying in bed for a long time. Hopefully I will be able to work from home for a while. Thanks for the info!
hi there its sharon again from 2 july. well had my cast off on mon and now have the walkin boot oh my god how different is that from a cast . nice to be able to walk properly on it but have alot of pain this is the 1st time since op i have felt any so think i done quite well. have got to have this on for 6 weeks for now and i have 3 pieces of foam in it which i have to go back to hospital every 2 weeks to have 1 removed to lower foot down. am alot happier now that i can walk proper again even if i do have to use crutches still
Another inductee! I am a foot-mate of Rhode Island Jim, I too tore my achilles on 29th June. I was at a company barbeque and we played a pick-up softball game and while I was running between bases I think I got hit by the ball as I felt a searing pain in my right achilles area.I could only limp from then on.
I reported to hospital on Monday and was given an X-ray and the Thompson test and I was pretty quickly diagnosed as having a torn achilles. Apart from when I put weight on it I didn't have a lot of pain.
The doc said it was very common to think you have been hit, as others on this blog attest. I was in shock when he explained the choices and the post-op recovery time of 10-12 weeks. I said this is terrible, and he said its pretty normal around here. I think the surgery was really the only way to go. I am 62 and fairly active but obviously not as fit as I thought.
The op took place on 2nd July, now 10 days ago. I still have not had a lot of pain but my toes turn blue and I get a heavy throbbing when the leg is down. Also, I get some stabbing pains around the site of the incision. So in general I am trying to keep my leg raised up. I haven't thought it necessary to take any medication, although sometimes it just aches and I can't get comfortable
I believe my doc has me on a conservative protocol,next week the splint and bandage get repaced by a cast for four weeks and then its on to the cam boot. As it is my right foot I guess it will be a while before I can drive again.
Good luck to all members and thanks for the advice from those ahead of us.
Hello - last July (2007) I had a complete rupture of the left achilles. It separated approx. 6 cm above the heel as well as completely detaching itself from the ankle. Doc said it was the worst he'd ever seen. Anyways, had it fixed with some screws, lots of surgical wire and a X-Y pull down (cut the calf to reduce tension on the tendon). All's well, right? Went in a cast for 6 weeks, then a boot for 6 more, all the while doing two days of therapy a week for 2 months. September 25, while walking on the treadmill at the physical therapist's office, POP - it completely ruptured a 2nd time - this time in a higher spot. MRI - revealed complete rupture. 2nd sugery on October 2nd, 2007 - doctor goes in and reconnects the tendon while "wrapping" it in a pericardium valve (derived from Mr. Ed). This time no therapy - just 8 weeks in a cast and 8 weeks in a boot. Then slowly, I can begin walking on it. All's well, right? Then on March 7th, 2008 - at my 2 month follow up to my last post-op appt, the doctor is leary and orders an MRI. Results: the valve (graft) did not scar over with the tendon and has disintegrated. Not to mention the tendon had severed again and was scarring over on it's end, thus rendering the achilles irreparable. Solution: See another doctor. On March 31st, at the advice of a specialist (he's the ortho surgeon for the Men's US National Soccer Team) I had my 3rd surgery. This time, I had a cadaver tendon, coupled with a big toe tendon transfer. It's been two months in a cast and almost 2 months in a boot - I start therapy tomorrow and I am leary about it breaking again - this time if it happens, my choices are ankle fusion or amputation.
Now - my concern - I've put on 25 lbs this year (a result of 3 surgeries and ordered to a wheelchair - my thought is that when I get stronger, I can try bike riding. has anyone had successful bike riding with AT ruptures (re-ruptures)
I am a fresh rupturee of my right Achilles tendon (12 July 08). I have surgery scheduled this Monday.
I live alone and in a house w/ multiple stairs, so I thought I would share my experiences so far.
My right leg is splinted and I have crutches.
I follow the described methods for stair navigation on this blog.
I have set up several chairs in my living room to navigate w/out crutches from my couch to my kitchen and dining area.
I use a rope attached to a rolling cart to move items (food, laptop) from the dinner table to/from couch.
The showering is tricky! I bought two $15 folding stools from Walmart for the shower and for use in the kitchen. I rest my right knee on it (added a skateboarding knee pad for extra comfort) to wash in shower or when washing dishes. The chair is lightweight and has a handle on top so when it folds you can use it as an improvised crutch. CAREFUL in doing this though!!!
Also, I have a second normal folding chair next to tub to transfer in/out of tub (as suggested in this blog). Be very careful w/ transfers. Think before you move!! I have already had a couple close calls!
I have pretty much learned to drive w/ my left foot (my car is automatic). Be very careful w/ this, but it can be learned. I either fold my right leg under my left leg or hang it over my center console while driving. Again be VERY alert and try to anticipate braking (using appropriate food pressure is the hardest part to learn). I obtained a handicapped driving tag for my car from the DVM w/ a note from the Ortho doc.
When out and going up/down stairs, I carry a backpack to transport my stuff.
I use a blue tooth head set w/ my cellphone.
Hope these ideas help. Of course use them at your own risk. :-)
Hi, I'm now in my second week with the cam walker or Franken-boot, and the progress has been good. Each seems to bring an improvement. The swelling is almost gone but there is still some numbness in the big toe. I've started physical therapy and the strength is coming back. I can almost walk without the boot and its great to be able to take the boot on and off on these 90 degree days. I have about 2 more weeks with the boot and next Monday I can take out one of the heel lifts in the boot( there are 2). The end is in sight though. I think after reading the above I will be a litle more cautious. Good luck to you and let's hope the third time's the charm!! Pete C.
I am now on Day 13 post surgery. I went to my orthopedic surgeon today who removed my cast/splint. He performed several tests on my AT/foot/calf muscle. He informed me it was a textbook operation with excellent results. The scar was about 6" and completely healed. He used a plastic surgical technique to close the incision and it healed very nicely. I was fitted with a Aircast Pneumatic Walking Brace (tall-almost up to my kneecap). It has two inflation valves to increase/decrease the pressure on your leg.
The intense pain stopped about Day 8 and I reduced my percocet to two a day. By Day 10, I stopped taking percocet. I had three nurses (my wife and her two sisters!) which is soooo luxurious! I did not have to "do anything" but play video games on my XBox 360/PS3/Nintendo Wii with my 10 year old nephew. (He whipped me on most of the games) and watch my investments deteriorate. I kept my rt leg elevated most of Day 1-13.
Dave C from RI: Sorry to hear about your AT rupture! FYI, my doctor is Paul Fadale of University Orthopedics who I think is the BEST! Dr Fadale informed me my AT rupture was complete and low on the AT with enough tendon to attach from the bone to the tendon attached to the calf. I had virtually no adverse "symptoms" like discolored toes, tingling, or pain, etc. so I was put in a walking boot described above.
I am now walking with one crutch slowly putting weight on my affected ankle. I have another appointment on July 28th. I am considering returning to work in August depending on how my walking adventure progresses.
hi there again have had my boot on for a week now and i am in alot of pain with it am back on the painkillers again which i hate takin. next week i get a piece of my foam out which i am not lookin forward to but am tryin to keep positive and hope the pain wont be as bad it just feels like constant chinese burn inside will let you know how it goes. this is a message for uuayne try a computer chair in the kitchen thats what i used to get about as you can use your good foot to wheel yourself around it was great .
I haven't posted on here for a while, but for anyone feeling low, i hope my experience of an ATR will help in your recovery. One of my main fears when i ruptured my achilles tendon 4 months ago, was that it would be ages before i could go for a long walk in my favourite part of the country in the Lake district. i have been gradually increasing my walking each day,(i began walking after about 8 weeks post op) and last weekend walked for 16 miles in the Lakes and i felt great afterwards. I know i have some time to go, i still get some swelling, and now and again i get a little pain, but am happy with my progress, and would like to wish everyone the best of luck in your recovery
Brief update from Jim of Rhode Island: I'm 18 days from post op and have been in an Aircast tall walking boot for 5 days. (BTW, the Aircast boot has 3 pneumatic inflation valves not 2 as I previously reported.) I still keep my leg elevated about 75% of the time because it feels secure. I can walk around (with one crutch) my condo for short periods without any discomfort. I also sleep without the boot but use a large goose down pillow to support my ankle and leg. Everyday, I try to put more weight on my foot. I have no pain in the area where the incision to repair the ruptured tendon was repaired. However, yesterday I did feel a slight pain in the heel of my foot after walking around. I also ventured outside to start up my Vespa and Nissan 350Z Roadster. I also wanted to ascertain if I could drive with this boot on. I don't think its possible or safe to drive a six speed manual transmission vehicle with an Aircast boot due to space restrictions between the accelerator, brake and clutch pedals. No problems driving the Vespa though. Thanks to everyone for sharing your AT experiences! I find all of the posts very helpful!
I received my first bill from this injury this week and will summarize all of the expenses when I get all of the medical charges to date.
11 weeks post op now. Doing physical therapy. 2 problems - having to take heavy doses of nerve pain meds. Appearantly, the surgeon placed a turniquet on my leg during surgery to stop bleeding. This cut off the blood supply to my foot too long and damaged the nerves. The neurologist says it could be two years until the nerves grow back.
Secondly I am having minor sharp pains when walking at times so I have to back off of physical therapy at times.
hi - its susan again - australian woman treated conservatively under NHS in the UK - no surgey, just 10 weeks of casts in different positions and crutches when the cast came off.....its now almost 7 months since i snapped my AT and i have been SWIMMING for 45 mins almost every day for the last week, and on the weekend we went to london and i walked all around, all day - yes i walked slow, yes my kick in the pool isnt as strong but hey i REALLY am getting there...i can fel my body working again wholly and as my body....maybe the conservtaive approach aint so bad and maybe the NHS isnt so bad either :)
well how impressed am i with this airca. three weeks into havin it and i can do loads even walkin with out crutches. had piece of foam takin out last week and that did hurt for 24 hours but i really am on an upward buzz now cant wait for 18 th aug when it should be removed yippee . it has felt at times as never ending but all that seem s to have changed now . so onward and upward and time to sue the hospital now for medical neglegence . will let you all know how it goes
Hi i'm a 34 year old man from scotland. I snaped mt AT nearly 10 weeks ago playing football (soccer) with my son oh the famous bang inside your head i thought one of my sons friends had found a gun and shot me. I snaped my AT on the Saturday night and went to A&E on the sunday morning. Soon as the doctor seen my leg he said right away its your AT will have to put it in a fiber cast. He told me to return the next day to see a consultant at the fracture clinic. So following orders back to the hospital next day the doctor recomended surgerie due to the nature of my job i'm an electrician he said the chances of the AT snaping again after surgerie were reduced compaired to just keeping the leg in plaster. After the op i was in a fiber cast again for 4 weeks with my foot in the full equine position then 2 weeks in the natural position. And then came the darth vader boot what a relief that is oh to wash your poor stinking foot again. So next for me in a few days is back to the hospital to see the consultant and to start my physio. So can any one tell me what can i expect on the physio front in the uk have heard as many horror stories as i have good one's.
for the electrician in scotland....i'm the australian teacher in the UK. i didnt get any physio on NHS - had to pay for the two sessions i had - £28 for each session.....couldnt really afford it so i started treated myself (hope i dont get things thrown at me for this).. after seeing the physio twice i followed his advice but did not go back - he said: use a stationery cycle, which i did, every day, do the calf raisers against window sill which i do and start walking without crutches and then start swimming - all of which i have done AS I FELT ready....so far it has worked....nearly 7 months following the rupture and i can walk all day (at my own pace) without a limp, i am swimming every day and i have started using gym equipment.... i also jog in the pool.... i just figured i could work out myself when i was ready for stuff....so far so good...i went back to work in a full leg cast, after one week following the rupture using a wheelchair and crutches AND we were regularly being inspected by OFSTEd cos my school were in special measures.....i think the kiwis are right when they say 'heal yourself'. susan
To the Scottish guy and Susan, i live in the UK (Manchester) i snapped my AT playing football with my sons team (trying to keep up with the 16 year olds wasn't a good idea!) i went to the NHS physio for a few weeks, but now do exercises myself such as the stationery bike, i'm walking quite a lot, and a plus for me, is i have been eating more healthier since my accident,since i didn't want to gain weight being inactive, and feel better for it, so i feel that something positive has come out of my accident Good luck to you all
I tore my achilles on July 16 playing soccer. Had surgery on 7/19 and was sent home that day with a soft cast. Five days later I was put in a hard cast with my foot pointing downward. Two weeks later I was put in a walking cast and was told by the DR to walk with the crutches for a few days and then I could ditch them, but I imediatly started walking without the crutches and having been doing fine. I'll be in the walking cast for a total of 10 days and then I'll be put in the boot for 6 weeks during which time I'll be going to PT twice a week. I have had very little pain throughout the healing process.
It's been almost a year since I ruptured my AT while playing badminton at the Y in London. I'm not a fan of surgery so after having had a plaster cast slapped on, I immediately went to check the literature on op vs. non-op AT methods. I found some good literature on AT from the Netherlands and Germany, so, apart from being squeamish about having 3 inch cuts on my ankle, I'm also under the care of the UK NHS, which does not use cutting edge technologies and practices. On day 2 I convinced the Belgian doctor to put me into the CAM boot with 4 wedges. On the 5th day I was weight bearing (carefully), but by the 20th day my doctor insisted on putting me into a cast for 4 weeks. After a few days I "dynamized" the cast so I could "walk" on it. But admittedly, life was harder with a damn cast and crutches! At first the injury did not hurt much, but during the first week the pain ratcheted by the day. I was not prescribed any medication whatsoever, so I bought lots of ibuprofen and took about 800 mgs 2 or 3 times per day. A word of warning: although I have/had no regrets about opting for NON-operative treatment, the risk for re-rupture is approximately 11%, which is quite high. I admit that this has motivated me to carry out the physio (most of which I also paid for out of pocket), go swimming, steady walking, and cycling. My problem now, after almost one year, is my lower heel: sometimes while walking the pain is a stinging, burning pain. Does anyone have similar non-operative experiences? I tend to use flat shoes as well as trainers and, although heels are probably advantageous! I choose still to not tempt fate and stick with the more comfortable shoes. All the best.
Hi Folks, I had an ATR on 12July08. I had surgery on 21July08. I was placed in a FULL leg cast for 3 weeks. During this time my foot swelled immediately if I did not elevate it. So I kept it above the heart 20 hours each day.
I got a Bledsoe boot (w/ 3 heel inserts)this past Monday. I will be NWB for another 3 weeks in the boot. It is great to be able to have a proper shower now and to be able to drive, etc. However, as long as my foot is not elevated, it swells up pretty bad. Is this normal? I also noticed a dark area (pooling of blood?) on the inside of my ankle, just below where the tiba connects to the heel. I am waiting for a call back from my Ortho surgeon, but thought I would check w/ my fellow ATR comrades.
to anonymous on 3 June... Your comment made me laugh. I'm a female, who HAS given birth and I sustained a complete rupture of my right AT on July 6th whilst playing netball. Now, for someone who used to cry like a baby when I sprained my ankles playing netball (numberous times), when I felt that 'kick'in the back of the leg and the waves of pain taking over all I could think of was "why am I not blubbing this time?" Thats right "becuase I've given birth, so harden up!" ha ha.
I've rolled my ankles, I've torn my calf muscle, but this time I knew I'd done something really serious. Carried off the court, having to ring my husband to come down and pick me up, I couldn't believe what I was about to tell him - especially after I'd suggested he give up rugby after the many shoulder injuries, broken nose, damaged knee after playing so many years. I could only imagine what his response was going to be after I'd told him I think I've torn my achilles.
So, I'm a kiwi in London. I get introduced to NHS. First impression, not good. Got to A&E where I had to wait for about 4 hours while they looked after a drunk person, only then to be finally looked at, (No Thompson test) with a diagnosis of "Hmmm, it looks intact to me, but I suggest you see your GP tomorrow and get some physio - oh, and start putting as much weight as you can on it". Idiot. Went to GP the next day, she said the same thing and booked me in for an "urgent" physio appointment. - 4 days later. Went home, still not happy so found an excellent private physio up the road. After actually looking at my foot/ankle/leg, checking range of motions, thompson test etc, he knew I'd ruputred my AT and wrote me a referral and demanded I get back to A&E and to see an orthopeadic person straight away. He was brilliant. Got back to hospital, saw a doctor, had an ultrasound and heard the famous words "and this is where she snapped it". I think thats when I first cried - only because I knew I wasn't going on my holiday to Portugal a week later. Although, the first diagnosis sucked, once they realised what my injury was, they moved pretty fast. I got to hear my options - surgery, or no surgery. I opted to have surgery. I'm an active person, netball, gym, touch rugby etc, also have a 3 year old which I run around after, so having that 'stronger push off strength'and a greater increase of this injury 'not' happening again, it seemed the best solution to me. I was booked in for surgery the next day (3 days after original injury) but got bumped a day due to more serious injuries coming through the hospital. Surgery went well and I went home the next day with my foot pointed down. Went back to the surgeon 3 weeks later and it's healing really well and got put into cast no.2. Going back again on Tuesday to either get another cast or a 'boot'. By that stage I'll be almost 6 weeks post op. I'm hoping for the boot. I want to start moving without my crutches and start stretching out my AT, but hey, I'll listen to what the experts have to say when it comes to rehab. Yep, I've given birth and that was more painful, but I'll do it again. Do I want to rupture my AT again? Hell no - wouldn't wish it on anyone.
This was a complete new injury to me, and I only knew of one person who has done it and she had only partially ruptured hers - oh and she's also back home in NZ. This blog was fantastic, so imformative and reading everyone's comments and experiences has given me some sort of insight of what I should expect in the next 6 months.
Now my comment / story may have bored you, amused you, or basically just lulled you to sleep - whatever your reaction may have been, all I hope is that you do take away, the notion to nag the doctors when you have to take someone you know to the hospital with a suspected AT injury. If you think something is up, don't be fobbed off - ask them to do the simple Thompson test, they should know what it is, I wouldn't think an AT rupture is a rare injury.
To all those who are still getting through their own healing process, I wish you all the best in your speedy recoveries!!
I'm 42 - ruptured (shredded according to my orthopedic surgeon - he had to take a graft from another nearby tendon) my right achilles tendon playing tennis on August 2 - had surgery the next morning. I'm in a splint right now and had the staples taken out last Friday. Now going on almost 3 weeks post-op - tomorrow I get a fiberglass cast put on and my orthopedic surgeon (who is fantastic) said I'll be on crutches a total of 6 weeks post-op and then will move to the boot. Sometimes I get really depressed and angry - I have been playing competitive sports for more then 30 years and I guess my time was up in avoiding any major injuries.
I'm really grateful that my wife and children have been here to help me out - not sure what I would do without them! Anyways - I'm going to keep my spirits up and work hard at rehab so that I can walk normally again - and I'm officially retired from sports : )
I wish this or any blog existed in 2006 when I ruptured my left achilles tendon. I was 37. I was doing a turn while dancing on what turned out to be a wet floor. My foot slipped, my ankle torqued badly, and I heard the pop, felt the slam against my ankle, and hit the floor. I tore mine in March 8, 2006 and had the surgery on March 10. Many of my surgery/cast/boot/walking details are the same as those of you who have reported your story so I'm writing to give any who are going through the early stages hope.
When it happened and for many hard months after, I thought my "exercise" life was over and I've been physically fit and active since I was a kid. It was devastating. But I took all the PT guidance seriously, not only going for 6 months but also doing stretches and exercises at home every day.
With all the immobility during the first few months I worried about the rest of my body atrophying so after 3 months I started doing pilates once a week then twice a week to keep strength and flexibility up so that when my left leg was ready to move, the rest of my body could support it. By 6 months, I was dancing at about 70% capacity and performed in a show (although not at my best) by 7 months. Now 2 1/2 years later I dance full out several times a week but I also balance with pilates and yoga at least twice a week of either. I want to be active and stay fit for many years to come and for me--especially because I don't want the injury to recur or occur to my other leg--careful stretching goes hand in hand with strengthening.
I still think about the achilles/ankle just about every day because I marvel that I can do so many things --some even better than before--after what seemed like a catastrophic injury. Of course, I also have a 3 1/2 inch scar to remind me. (I think mine is longer than most because the surgeon I went to was used to working on big male professional athletes.) By the way, the silicon strips (Cur-Ad strips adhere better than others) helped my scar. It helped smooth out the scar and diminish the redness. It's still not pretty but it's much better than where I started. I agree that massaging the scar tissue (once that's OKd by docs) is a good idea. I still have a small area of thick scar but it has reduced a lot and I still work on it. I would say that I have 95% capacity of my left ankle/achilles although my left leg is still weaker than my right. I still work on strengthening my left calf muscle. I have had some residual issues with pain and injury on my right side because it is tighter than my left and the right side (ankle, knee, hip) has had to bear more of my weight for the last two years. Once you're past the critical recovery stage and can start general exercise, keep working on stretching the opposite side. Most importantly, keep the faith! You WILL get better, resume a normal life, and can return to sports or some form of exercise that you enjoy.
Had surgery 3 days ago, 9/2/08. They have me on anti-biotics and percosets for the pain. More dull pain than sharp, shooting pains unless I stand up for extended periods of time on crutches. Is this normal? Have been reading a little bit on this blog and am now more nervous than I was before. This was my first major injury. Dumb question: Is elevation the most important thing I can do at this time? Any feedback would be appreciated for a 39 year old athletic guy who had a fluke blow out.
Yes sir! RICE is key, although...icing it is not easy if you are in a cast. Try to keep it elevated as much as possible. My foot and calf would feel like it was about to explode in the cast if I had my leg down for longer than 10 minutes.
I have chosen the nonsurgical treatment and am now on week 6 of recovery. I am very active and fit so I was quite shocked when it happened. I was in complete denial, hopping around doing all me errands on one leg for 24hrs before going to the hospital. I had no control or motion of my foot so i new i had to face reality. The orthopedic surgeon diagnosed a complete rupture. Personally, nonsurgical treatment was the only option. I was placed in a 30 degree angle cast for 4 weeks which went well (aside from the mental breakdowns caused by boredom and frustration of being on crutches!). The cast was then removed and I was put in a walking boot with my foot flat. It took me close to one hour to get my heel down but I did it (the other alternative was having 2 attendants do it for me!). The pain of stretching the tendon convinced me that it had reattached. This was a big worry as no test was done to check. I walked with crutches for 2days,followed by a cane for 4 days, and have been walking unaided now for 1 week. I walk the dogs 1 mile daily and have returned to work. I remove the boot every day and do small rotations and stretches. Only 2 more weeks to go. The doctor said i will be able to return to yoga at that time. Needless to say I will be very cautious and wear some kind of ankle support. Small tip for both recoveries: zinc and lots of vitamin C for collagen production and tissue repair. P.
I had my surgery at the end of March of this year. Wondering if anyone else had the symptoms that I have while recovering. For the last few weeks the bottom of my heel is very numb. My tendon repair is very wide now and very tight in the morning until I have taken about 30 steps. My other tendon, my good leg, has been very sore and is now also very tight in the morning and has to loosen up as well. That is worring me. I certainly don't want to rupture another one. Any input is welcomed. Thanks.
Rupture 6-23-08 Surgery 7-8-08 Spent 1 week in plaster (weighs a ton cast) then 5 weeks in fiberglass casts and crutches of course. Was then moved up to cam boot and no crutches... 3 weeks later at follow up Dr was Not happy as the tendon seemed to not be healing properly. I.E. A possible cyst was forming... so I a now back in a fiberglass cast for 4 weeks and possibly facing a repeat surgery with possible tendon transplant.
I’m 47 years old and new to the site. I ruptured my Achilles on the 2nd August, went to my doctor on the 4th August who diagnosed it to be a sprained ankle. On the 6th August I thought I would get a second opinion so I went to my physio who did the Thomson test and confirmed it was an Achilles tendon Rupture. On the 12th August had an ultra sound and confirmed a complete rupture right Achilles. Had surgery on the 19th August, a nice 3 ½ inch scar and 16 staples. I’m now 3 1/2 weeks post op in a Cam walker boot and applying a small amount of weight. At week 4 the angle of the boot is set to 0 bringing the foot to 90% and then hopefully if all goes well I will be full weight bearing. I have an appointment with my surgeon on the 24th September so I will see how it goes I’m hoping to be out of the boot by about week 7. Ps I’ve been reading a few of the comments in relation to driving with your left foot. I work in Law Enforcement in Australia and driving with your left foot is ok ‘AS LONG’ as you have full control of the vehicle and capable of making an emergency stop. I would suggest finding a nice quiet street where there is no traffic and have a practice before driving on busy roads. IF in doubt Just check with your local Law Enforcement agency Hope this helps Paul R
Hi juj, I'm now in week 4 post op. I had an open cast below the knee after surgery NWB and then at day 11 the staples came out and I went into a Cam Walker Boot set at 45%. I had the boot NWB for 1 week and on the 2nd week the angle of the boot was changed to 10% and I could start PWB about 20%. This morning the 16th Sep I had the boot changed to 0. so my foot is now at 90 degrees. I took about 10 steps at the physios and then ditched both crutches and could walk without any pain. It felt strange at first especially on my heal. After a quick pit stop for a nice coffee I was off to the gym. I did 10 minutes on the stationary bike which was ok no pain and then 10 minutes on the rowing machine which also felt good no pain and of course finished off with an upper body workout.
PS I will let you know how I feel over the next few days.
4 hours after the operation I was moving around on crutches and also took a shower the same day.
I stayed in hospital overnight and went home the following day.
At home 2 days post op I was moving around the house on crutches without a problem.
With meals and making myself things to eat, drink and carry I used a swivel office chair, rested my knee on the chair a crutch in my left hand and then I had my right hand free to pick up things and carry. If you can adjust the office chair so that you are standing upright without leaning, this will be better for you posture. I found this way helped me with my independence and sanity. Some people use a wheelchair but I thought I would be doing enough sitting on my backside when I'm elevating my leg, so this way was better for me.
Just remember 'SAFTEY' with the office.
Today 17 Sep after FWB yesterday a little pain on the inner ankle and heal area but otherwise feels good.
I had a delayed repair of my right achilles tendon feb last yr (2007) with FHL or Big Toe Tendon Transfer - the rehab was hard but you do get there in the end - I would say though however you dont get as much strength back from FHL transfer - id say the operated leg is say 30% weaker as compared to the other side.
I am in the UK so they don't do the achilles allograft operation here where you have a donor graft taken from a cadaver to replace the torn tendon - but i do know they do it in USA - probably will get it replaced one day when I have the money to get more strength back in right leg.
The FHL transfer however does work for someone who wants every day use and who isnt too athletic - i do karate hence the need for greater strength but for someone who only needs walking and the ability to run out of the way of a bus it is sufficient.
Hope you all recover from thsi frustrating injury guys.
One more week in hard cast, then fitted with a walking cast. QUESTION: Why does calf have what feels like a constant cramp in it when I am awake? Toes are a good color, can move them, a little swollen. I just get very tired too quickly. Had a high rupture and Doc said everything looked good. comments are greatly appreciated. I love this site. Nice to read what others have gone through. I am now officially retired from sports other than golf and working out.
I’m not a Doctor or an expert, I can only speak from my own experience and what other people have told me and I have read on the internet.
I am just short of 5 weeks post op and still in a Cam Walker Boot. I found that if I tighten the boot too tight I get cramps and like pins and needles in my calf and foot area and find by readjusting the tension on the Velcro straps it seems to alleviate the problem. Also if I don't elevate enough it causes swelling hence more pressure on the Velcro straps. I know you mentioned you are in a cast but if your cast is tight or you are not elevating enough maybe this could cause the problem.I was aslo told to drink plenty of water helps with the cirulation. To be on the safe side I would suggest you speak to your surgeon. I’m always on the phone to mine asking questions.
Hello ... I have just been diagnoised - after 14 days - with complete rupture of the Achilles Tendon.
Based in France, I have access to nearly everything I need. Coming across this brilliant set of blogs, I am unable to determine whether or not I can still go the natural healing route.
Being of a positive and sound mind - I really want to go the natural route AND if it does not work - then surgery should be the final option.
Can anyone out there can tell me if the natural healing route is possible for a complete rupture?
My recovery is going well and I’m now 5 weeks post op FWB. This is a fantastic blog site and there is so much information and it's good to share experiences.
Jace, I was 17 days before I had surgery. My injury was partial/full rupture only a few fibers holding the tendon together and also old scar tissue. My surgeon explained surgical and non surgical methods and risk factors associated. All the information posted and people I have spoken to suggest that surgery is the way to go if you want to return to full normal function and with less chance of re-rupture. The healing process can take many months and I would never want to go through the process again, so for me I opted for surgery. But good on you if you are strong willed and wanting to go the natural way. Best of look with your decision. Check out my blog site http://paulrachillesrupture.blogspot.com/
My surgery is scheduled for 9/29/08, ruptured on 9/21/09 leaving the Eagles stadium after watching my Steelers get destroyed by the Beagles, so bad day all around. My question is, has anyone tried the "I-walk-Free" crutch device mentioned on the main web site? The thought of being on crutches for 8 weeks or more is killing me. I had 2 ACL's replaced so I know what to expect from the surgery and the masochists in ReHab. Thanks and best wishes to all.
Anybody out there had problems with their incision. I’m week 5 post op and had appointment with surgeon yesterday. He said it should have healed by now. Basically the tendon was good but he wasn't happy with the incision, there was no infection, redness or swelling but the outer skin {epidermis} had not butted together properly causing it to overlap. So now I have to go and see a Plastic Surgeon, which may be another day in hospital to re -open the incision. I'm beginning to think the problem may have been caused by the surgeon using staples. Any help will be greatly appreciated.
hi everyone well you know what im now 17 weeks post op and im in so much pain its unbelieveable since i had the boot taken off am still on crutches cant get nowhere fast and it is doin my bean in . go back to consultant on 13th oct and he expecting to see me walk in with no crutches well he gonna have big shock not sure why it still so painful anyone else having the same problems plz let me know .am still gettin swellin too boo hoo thought things were coming along ok when it was in boot now gettin horrible pains up back of legs and really painfull to walk on sharon
How amazing! A blogging site for Achilles Ruptures! I'm a 26 year old woman and I completely ruptured my achilles in January. All doctors looked at me like I was from outer space at the concept that someone as young and of my gender did such a thing! I'd rather have broken my leg! At least that's a "normal" thing to do! I did mine shooting baskets a the local recreation center. A night I like to refer to as my $20,000 night at the rec center! (Although it ended up $2000 after insurance.) For that June 3rd childbirth vs. achilles rupture question-the intensity of the the experience is the same, though not similar in pain. I actually didn't have much pain but had gone into semi-shock immediately. I even walked myself off the court (slowly and knowing there was a BIG problem), to the locker room, called my yoga instructor to let my daughter spend the night, drove myself to the ER, and calmly mentioned at the desk, "I've injured myself." Sitting there I though maybe I was silly and should go home, but my leg didn't work properly so I decided to stay. That was at 9:00 at night, had MRI at 8AM next morning and surger consult, then surgery the following day. I was in the best shape of my life. I ran miles daily, participated in yoga 3 times a week and lifted more than most men. I think that was my problem. I'd say the worst thing for athletes with this injury is the mental stress of being set WAAAAAAAYYYYYY back in there training and the fear that this would happen again. I think I might just lose my mind if it happens again! I wore a cast or boot for 6 weeks post surgery and right after getting out partially injured my tendon again trying to hurry to cross the street. I nearly passed out clutching a street sign in the median of Dunlap in Pheonix because I thought I had injured it again badly! What an experience this has been!
Dear friends, I am writing from Valencia-Spain, like you I had a break of Achille`s Tendon, the last 2 of August. On 11 of August I was in the operating room, speaking with my doctor about mu injury. Now,I am in my 47´s day after operation. Now I take an orthopaedic device in order that the tendon stretches. I have photos of the device in my space. And you have an oportunity to learn spanish.
Great work with the Blog!! Thanks for all the helpful info for all phases of AT recovery. I am One week post surgery and am still in shock as to how quick the injury happened and it's severity. Mine occurred while running for a fly ball from the outfield. I heard a loud POP and fell flat on my face. I seriously thought that my shoe must have broke because my foot just didn't work. I'll be moving from a partial cast to a full cast, then into the boot with graduating heels/levels. Feel like a crutch athlete, as this is my 5th time(2 bunions and 2 ACL). The ACL replacement total recovery time was about 9 months to full use/sports again. Looks like another long haul for the AT. I appreciate all the physio insight on this blogg, and although I had to learn to walk again with all the above injuries, the ankle is a new one for me. Gotta keep a positive attitude and keep sights on walking/sports and getting back into my pumps! But first we R.I.C.E!
Well after my last posting I managed to get a cancelation re my visit to the plastic surgeon. On Tuesday I rocked up at the surgery expecting to be given more bad news but the surgeon said there was no infection and the only thing stopping the wound healing was the steri strips and the dam boot. Basically because I was told to wear the boot as much as possible this was delaying my recovery, no air was getting to the incision. 2 days later the incision is already looking a lot better. Have a look at the pictures http://paulrachillesrupture.blogspot.com/
Hi everyone, I'm new to this site unfortunately (though I do consider it fortunate I found it) I tore my achilles almost completely on the 28th of September, my birthday no less, playing basketball. Same kind of story no real reason why, it was at the end of the game so my muscles weren't tight and just overall a mystery. I elected to have surgery on Oct 1st, and am now in a fibre glass cast with my toe still pointed at a 45 degree angle. I've read a lot of the posts. not all of them yet though, but I'm interested to hear from someone younger what they're recovery time-line has been like. I'm only 21 and in the midst of university and work and such and I'm trying to let people know how much longer I'll have to do everything from the comfort of my own bed. I'm also curious as to what those of you who elected for surgery were told to do for the first few weeks, I'm worried I've been too ambitious as I've made a few trips by bus to write midterms and hand in assignments. Thanks in advance for any words of wisdom!
I am so happy to have found this page. I am almost 6 weeks post op and just got my boot the other day. I start PT on Monday, not looking forward to it after what I have heard. Getting optimistic, although with some trepidation,(oxymoron?) can drive now and will be walking within 6 weeks with no help. Took first shower, no more baths, yeah! Hoping it gets better. Thanks to all of you who have given me advice.
I am 27 years old and managed to rupture my achilles whilst playing rugby on the 27th of September. My doctor suggeted surgey, which I agreed to on the 30th. I have just had my first cast off and have been put into an air boot. Over the next 4 weeks I am meant to slowly lower the heel until I am back at 0deg. I am curious (like Cate) to find out what the expected recovery time line is. Can anyone who has been through this injury please provide me with a breakdown?
I too am very happy to have found this site. I ruptured my left achilles tendon on Monday 9/29, and had surgery Thursday 10/2/2008. Having never had surgery before, I was a bit worried. I'd sprained and strained ankles and knees, partially tore a shoulder muscle, and had a couple of concussions, but nothing like this. The pain was exactly as everyone described. I was playing volleyball, took a step too my left, and there was a loud pop, and it felt like I got hit in the back of the leg with an axe- everything went black, and I was trying to figure out who was close to me to have tripped me. Surgery went very well- 45 minutes. I had to be at the hospital at 8, and surgery was scheduled for 10- they took me up right on time. We were home by 1:30 that afternoon. The pain in the first 24 hours post surgery was unbelievable- no sleeping. I was taking percocet, but they didn't seem to work. My wife called the next day, and they upped my dosage. I got ahead of the pain, and then haven't really needed any medication since that Saturday- it was amazing how the pain reduced noticeably day after day. I still pretty much live on the couch with my leg propped up on 2-3 pillows. I am fortunate that I can work from home quite a bit, and my job is behind a desk anyway- so even when I am there, I can have my leg propped up. The main thing to remember is that it's ok to ask for help. My father came over an mowed the yard. My wife has been a saint- doing all the stuff I normally do- walking the dog, taking out the trash, doing the laundry, and bathing our son. I did get a stool for the shower- quite helpful. I try to stay off my leg and crutches as much as possible. People at work have been great as well- getting me sodas, making me copies, scanning items (I don't have an assistant). My follow up appointment is this Wednesday. I hope they take the cast off- even for just 5 minutes of fresh air for my leg. No real problems now- just a lot of itchiness. I was originally told to expect about 6 weeks in the cast, then the rehab and boot- but I'll know more after Wednesday morning. Any one else going through this now that wants to chat about it, drop me a line- david.franz95@gmail.com
Hi my name is Jebo, I am a police officer and a very active athletic person, Narcotics office, S.W.A.T. Commander among coaching/playing various sports. On April 3, 2007 I ruptured my Achilles Tendon for the first time. I had Tendinitis in it for 2 year prior and the Dr. told me that the rupture would more than likely happen. well it did, I just stepped back during a softball game and it happened. The Dr. opt to go non-surgical the first time. I was in a cast for 8 week and the day the cast came off, I was still on crutches, I stepped on a dog toy and fell re-rupturing the tendon. Well I went back into the cast for 10 weeks the a boot for 4. One week after the boot was removed I had the third rupture while stepping off a curb. So I had surgery. The surgery went fine and i progressed quickly. I was walking fine in about 8 months with some swelling on busy days. I started doing some light jogging in about 11 months. Then out of the blue i was walking normally when it ruptured for the forth time. Now I am having surgery tomorrow. They are doing a tendon transfer from my foot. I now have four Dr's. working on me and preforming the surgery. good web site on the surgery I am having. Update, the tendon transfer went great but fell onn step Rupture #5....just last night, 2 weeks post op.
Hi ... thank to you all & paulrachillesrupture .... I took the surgery because I want to get back to sports again. Though after reading some of the latest inserts here - it looks like I am going to take my time getting there. I have to remember that I have had solid tendons since I was born and a few months, is not going to put that strength in so fast. Anyhow, this is 15 days after the operation - and I kept a partial log - especially to remind myself how amazing every human being is on the planet.
Great site...I ruptured my AT on Oct 14th playing softball, just like the SWAT officer, I took 3 steps back (in the infield) to catch a flyball. I thought the first or second baseman ran into me since I didn't call for the ball. I looked back and found no one was there. I didn't feel any pain, just heard the infamous "SNAP". I didn't play the rest of the game but had 3 Advils. When I got home I wrapped my AT area and rested it on an ice pack.
While getting ready for work, my wife noticed that I was missing my AT. I went to work anyway after wrapping it and I thought that I would be in major pain but oddly enough, it wasn't that bad. After work, my wife and I went to the Urgent Care Center and they varified my ATR with a Thompson Test. They gave me a splint and ordered me to see an Ortho doc.
The ortho doc saw me and ordered an MRI and after reviewing it, said that I would need surgery. I had an open surgery 9 days after I injured it. When I woke up it was on a different splint and found that I really wanted something to drink. I was home 5 hours from the time I stepped foot in the hospital.
I was on pain meds every 4 hours for the first 30 hours. After that I only took the pain meds when it starts to hurt around every 18 hrs. 54 hours after surgery I didn't have to take my meds anymore.
I'm going back to work tomorrow (6 days post op) and hope for the best. I am an electrician but will have a trainee with me to be my helper and will try observe at the buttom of the ladder.
My first appointment back to see the doc is on Monday (10 days) post op, to check on my progress.
I will check back in after every Doctor's appointment
Been a few weeks since I updated. I'm now 5 weeks post surgery, and have gone from a partial cast, to a hard cast and just got my aircast yesterday. There are 3 wedges which will be removed one at a time every 2 weeks. Dr says not to weight bear until the last wedge and even then only slightly. He says I'm in Phase 2 Recovery. Phase 3 will be when the foot is 90degrees, and then we'll discuss PT. Wonder if I should be going to PT now, even just to do some Non AT exercies and muscle strength? Since the boot now has my foot at a new angle I am experiencing real pain for the 1st time since the injury. Lots of twinges and now throbbing across the front of the foot, while in the boot. Suspect its the repositioning, but hope it subsides soon.
This site has been really useful for me. I ruptured my achilles on 22nd September this year and had surgery on the 26th September. Am now in 5th week post op, and foot is at 90 degrees - this has proven to be very painful. Will have this final cast removed in 10 days. Am supposed to be WB now but it is sooooo painful, I am trying though!
Am a really intrigued by the CAM boot which everyone is talking about, my surgeon has NEVER mentioned it. Can anyone enlighten me as to what will happen when this cast is removed? Any comments greatly appreciated.
Hi Elaine, I don't have a Cam boot, but do have an AirCast boot (you can google it). It looks like a ski boot with 3 velcro straps to keep foot snug. There is quite an aggressive/tough tread on the sole. There are heel wedges that are removed every few weeks to bring the foot from 45 to 90 degrees. I was told Not to weight bear until possiby the last wedge.
Surprised you are at 5 weeks and already 90 degrees. Did you tear or completly rupture? What type of cast do you currently have that will even allow weight bearing? Must some type of solid sole. It's interesting that your dr has not mention transition to a type of boot...might be an idea to ask.
I'm still sleeping with the boot on, but am 'airing' my leg after bathing and again in the evening while watching tv. Incision seems ok, but it sure is ugly and long - 5 inches.
I'm a 39 year old married farther of two, that after 9 years of not playing squash started playing again and in my first week managed a total rupture of my Achilles. I did it on the 20th September 2008 so I am now nearly 7 weeks post rupture. I had surgery 1 week after the rupture and was then in a full cast for 3 weeks. For the last last 3 weeks I've been in an AirCast boot which has been great apart from the fact that it makes my foot sweat and is a pain in the backside to sleep in. I was walking in the AirCast without crutches pretty much from the second day, I'm not sure I was supposed to but I don't seem to have had any negative effect. I started physio and daily exercises just last week and took my final wedge out last night. I've set up a MySpace page to document my experience and to help stop me going mad while off work! The link is below if anyone is interested. I should also say I live in Shefield England so my experience is a UK one! Best wishes to anyone recovering from an Achilles injury.
My story: i ruptured my Achilles June 17th. I was playing Ultimate Frisbee in a league setting after being a couch potato for 2 years. After 2 hrs of 5 on five I was about to make a cut felt a sharp pain in my left ankle and went down like rock.
At first I just figured somebody had kicked me in the ankle but when I couldn't put any weight on my foot and practically had to crawl off the field I knew something was wrong. Within 30 minutes on the sideines I had figured it out.
The amazing thing to me was that even though I knew my Achilles was ruptured I felt minimal pain. I called a Surgeon in my network the next day and was shocked when they suggested I come in that week - I din't realize that time was of the essence.
I had surgery Wed June 25th. I've never been seriously ill and I was amazed at how much being cut on, intubated and recovering for anesthesia truly truly sucked. The first 24-48 hours were miserable. They didn't warn me that the nerve block would leave me numb and unable to move my leg for 12 plus hours. I couldn't pee normally for better part of the day (not sure why). My throat was raw. And I just felt washed out till the weekend.
Thank God for my wife, she took care of me and our two young children (1.5 years and 3 months).
Luckily it was my left foot as I was able to go drive and was back to work on July 7th. I was pretty limited at work on crutches but I was worthless at home and needed to feel semi-productive. But even though I was almost 2 weeks post-op I need to take the Friday off cause I was worn out.
The hardest part about the 6 weeks on crutches? Not being able to lift, carry or move anything. I got very good at putting my 3 month old on my chest and pushing us with my good leg across the wood floors at home.
I wish I had tagged dates on Google calender but from memory my cast came off and boot went on mid July. PT started Aug 25th. I was essentially walking without the boot 24/7 by early September. I got discharged from PT on Oct 9th.
I still can't jog easily but I can jump go up stairs and walk without a limp... I'm essentially pain free 95% of the day.
I feel very good about my decision to go the surgical route and think that I would have gone crazy with the serial casting needed for the conservative non surgical approach.
Hey all, I ruptured my achilles two days ago, and after the ER visit yesterday and finding this blog, I was prepared for the orthopedist to tell my to get ready for surgery. I saw him this morning and he said that based on my decent range of dorsi flexion and plantar flexion, and my limited swelling, he thinks it is a partial tear, and that I am not a case for surgery. We are going to reevaluate in 6 days, see what my deficits are, and go from there. Maybe an MRI, maybe not, but definitely a lot of physical therapy. I am 28 years old, and far from a weekend a warrior. I make my living from physical fitness, and being in shape, so he said that factored into going almost straight to rehab in a month or so.
So I guess my question to all of you out there couch bound like myself, is - what was your range of motion like before surgery? Like I said, the Doc said mine was decent, but I still lack the ability to raise up on my toes. He said part of that is because it is indeed torn, and it is less than 48 hours out. What did it feel like before surgery? And did you know you had a partial tear and had surgery anyway?
I am just a little skeptical of not operating, as I have to make a 100% recovery regardless of the time scale.
Thank you for your information, advice, and your help. And good luck to everyone in there recovery, I feel for you all.
My range of motion was nill...none...nada...complete rupture... Surgery Oct. 20 -
I guess I should elborate a bit. Oct 13, 2008, a day I will never forget. I was playing raquetball and BAM - I was on the floor. I really thought the injury was a torn calf muscle similar to an injure I had several years earlier. Like an idiot I drove home. Went to the ER next day and cussed like a salior when they told me I had a complete rupture and surgery would be required. Oct 20 I had the surgery. Most friggin pain I have felt since childbirth.
I was given a partial cast and wrapped up to go home same day. The next few days were the worse, but with ice machine and pain killers, things got better. At week 2 I went back to the doctor, the stiches were removed and I was placed in a huge boot which allowed my foot to move up and down within certain degrees set by my surgeon.
The next two days I religiously moved my foot by hand to experence the range of motion and have been moving it on my own as well. I suffered in the evening with increasing pain. Maybe I overdid -anyone out there think I did to much? Why the pain?
I woke up this morning a little depressed about the long haul ahead. I want so badly to go outside and run around in the cool weater and falling leaves. My mother in law helped me take a shower (I had been taking baths which the doctor chewed me out for because of blood clots) - which made me feel better. I also stole my daughters laptop and discoverd this site. I decided to give my foot a rest...stay in bed and ice it - I'll move it later and take a pain killer if necessary.
My heart goes out too all of your experiencing this little bit of hell on earth. Must be a lesson in it some where. First would my daughter can do laundry! :-)
Well to answer an up-thread question - I was able to dorsi and plantar flex about 20 degrees from 90. If I recall correctly my surgeon suggested it was acessory muscles that were providing that motion.
By the way although I'm in the medical field, this is just my personal experience and not medical advice. Listen to your surgeon, and if you don't trust him/her seek a second opinion.
I had my first visit back after surgery last Monday. I finally got to look at the cut the ortho made. It doesn't look that bad. The only thing that felt weird is that my leg was twitching a lot and it felt cold. I was able to move my toes (but I was always able to) and move my foot slightly up and down. The doc had a nurse put on a cast at about the same position as after surgery. According to the doc the next step for me is a boot.
I can't wait to get rid of the crutches especially with the snow comming soon.
I'll check back in about 2-3 weeks after the cast is gone and have something to say about the boot.
Michael
I had sleight movement on my foot even though I had a complete rupture as the MRI showed and confirmed by the doctor after surgery. I was able to move my foot up but had a hard time pushing down.
I ruptured (fully tore) my achilles tendon playing basketball earlier this year.
After the surgery, I googled to find other people who are recovering from their achilles injury as well, and I found lots of blogs here and there, including this one.
It’s been helpful reading about other people’s experiences with the same injury, especially those further along on the road to recovery. It’s good to know that I am not the only one making sure to keep my leg elevated, using a shower chair, and limping around on crutches.
I’ve created a community site so that people who injure their achilles tendon can create their own blogs and share their experiences as they progress toward full recovery. There's close to 250 people on the site now!
My AchillesBlog is: http://achillesblog.com/dennis
You can create your own there too.
I’ve also been gathering and posting a list of external blogs related to achilles injury here, as well as other useful resources. If you find some other good links, feel free to email them to me, and I’ll add to the list.
I am constantly working on the site, so any feedback will be great.
Hello All- I am 6 weeks post op today. I ruptured my achilles playing flag football. I had played organized sports at a high level all my life with no prior injuries, besides minor ankle sprains here and there. I am 25 years old and still in very good shape, I lift weights and run on the treadmill 4 days a week, so to me this was very difficult to grasp as to why it happened. Anyway, I am 6 weeks post op and have been in a boot now for 2 weeks. I am getting very frustrated with using crutches and would like to drop them completely to make my life easier but my doc seems hesitant to let me do this. My achilles feels like its healing good, and I have walked in the boot without crutches and have had no pain whatsoever. When exactly has anyone been given the green light to FWB in a boot and drop the crutches in your recovery process? -Bob-
Hi everyone out there...I am one week post op having my AT reattached to a tendon in my big toe. Ortho said he drilled through a bone to make the connection. No pain though...gave me a nerve block that lasted 36 hours. Have crutches and a scooter..no kidding...rest your knee on one side and push off with your foot...just like a kid!! Can't really get far in the house though. I am glad to hear all of your experiences...not your pain though. I actually severed the AT 46 years ago..slipping on a broken shampoo bottle. It was reattached..no rehab though...and it has come back to haunt me..just out on a simple hike. Hope it will all be worth it in the end...interested in what rehab lies ahead...and what we do in the snow. I ski and ride and feel like I am lugging a 200 pound weight around! Cast is off in a week....Lily
wow-am I glad I found all of you-I am 37, mother of two little boys, work full time and am now a part of the AT rupture club. Saturday morning, while in step aerobic class, completely enjoying myself and working out hard, I went down. I thought the lady next to me ran into me- she helped me out of the aerobic room( I was quite embarassed) and I had no idea what the heck happened- went to the ED where they said achillies strain and use RICE- good thing I listened to a family member who said get a consult- went today, had the Thompson test and was told it's a rupture- my dr. friend said an MRI should have been ordered and id concerned I am being rushed to surgery but from what I am reading it sounds like the guy was right on and I don't want to waste one day that I could be moving forward-THIS SUCKS!!! Sorry- had to get this out - I am sooo bummed out, we have a puppy coming next week, alrerady paid for and I worry about weight gain from lack of movement in the healing process which sounds really long as well as missing out with my kids- I wish you all a speedy recovery- Sandy
Hi Sandy, Sorry to hear you've joined our club. I ruptured mine Oct 8, surgery Oct22. I'm still in a cast and on crutches and will be for the next 4 1/2 weeks. I wanted to address your concern with weight gain. I've actually lost weight (maybe 8 pounds) since my injury. I've always been slender, and now I'm closing in on skinny. I think it's all the crutching and hopping around. My hips, butt, arms, and stomach have all gotten a bit smaller. Balancing on one leg all the time has also been good for my core muscles (a bit like yoga). Who new not being able to walk could help you lose weight! Hope this offers you a tiny bit of comfort. Hang in there.
After a full rupture I’m at week 12and walking with a slight limp.
I’m on an aggressive rehab with FWB at about 7 weeks. I had a few minor hiccups along the way, but once you get rid of the crutches and start getting mobile it gets easier.
There are times when you think you are never going to get better, times when you get depressed and down in the dumps, but stay positive. Set yourself a goal each week to achieve and make the most of the down time with your 2 boys.
This injury does get better, just takes time, patience and motivation and before you know it you will be back to finish of your step class.
Hello all. well here is my story, on august 18th 2008 I was playing basketball with a friend and was going up for a jump shot when I felt a pop in my lower leg. I didn't think much of it until I tried to put weight on it that's when I collapsed right there on the court.My friend helped me up and I was able to walk to my car with a severe limp. Because I could walk on it I assumed I sprained my ankle or something so I just went home. I discussed what happened to my wife. luckily she is a nurse and convinced me to go to the er. thats when I found out that I had complete rupture of the tendon. most of you know the rest, splint, nwb cast(3wks), walking cast(3wks) and removable boot(5wks)funny thing was doc advised against surgery. and in between all of this we bought our first house and my poor wife had to do 90 percent of the moving. and this only three weeks after having our 3rd child. (I officially refer to her as superwoman) that was probably the lowest point of the experience for me. but I was careful and patient and have enjoyed all the extra time off of work by bonding with my newborn and two older children. I am now walking on my own with a limp and going through i month of pt I am so grateful to be where i am right now. for all those who are unfortunate to just start this experience I have a peice of advice for you. cherish the extra time that you have with your family and friends. and take it easy, the last thing you'll want do is have to repeat this horrible experience all over again. sites like this really helped me through as well, good luck, stay positive, and try to remember that old saying. THIS TOO SHALL PASS:)!
thx for all the words of encouragement-you are right- the time I need to rest is prescious time that I really would never spend with the kids bc there's always chores to do. Got the 2nd confirmation today that it's a rupture from my physician friend who came by. He votes no surgery, the ortho I saw yesterday has me scheduled for Tues. a.m.- I have a 3rd and final opinion set up for monday - I think I'm really worried about the pain after surgery or the possibility of no surgery and a never healing achillies- been running around with this boot trying to finish up at work and holiday shop prior to Tues- my foot hurts now- gotta prep mentally that it will pass, it could be worse and I can get through this and still be in shape for the rest of me- thx for the support-Sandy
The one thing that convinced me to do surgery was my surgeon quoted a re-rupture rate in the teens for non-surgical management vs. below 5% with surgery.
Surgery sucked, but being immobile after a rupture sucked more and anything I could do to reduce that risk was worth it to me.
Sandy - I was wondering how your consult went today and what your decisions were on the surgery. Ok - I posted the pain was as bad as childbirth, but I never had any doubt about getting the surgery. I wanted to make sure that I had the best recovery possible - and surgery was presented by my ortho as the best option. The pain was bad - but that's what all those pain pills are for!!! I think the pain is different for each of us - and the extent of our injuries. Don't let fear cloud your decisions. The worst for me was over in a few days - I have had some bad days since then -but that was due to me overdoing - and not following the RICE principle. I am 4 weeks post op now -and actually have been having good days - I am up and about, doing work, house work, and getting out of the house when someone will take me!! There is hope!! As far as weight gain - I've actually dropped a few pounds. I had no appetite when laying in bed all day eatting pain killers. This past week I have been making an effort to get on the floor and do push ups - sit ups and leg lifts... I also have some free weights and a bo-flex I've been using for upper body (doc said no leg work). This had increased my appetite - and now the pounds could add on again -but I'm trying to stay away from the sugar and processed food (difficult when your not the one going to the grocery store).
Well - gotta go elevate....hope all is well Stephanie
I have found this site very useful after rupturing my left Achilles tendon on Thursday whilst taking a step back playing badminton. Bit fed up after the full reaslisation of the time taken to heal but the pain is not too bad. tried to go to work yesterday but slipped and split my cast so yet another trip back to a and e a slight stretch on the back of my ankle and waiting for my appointment on monday when hopefully I get the option of surgery.
Surgery is tomorrow after rupturing my achilles playing basketball (after a 10-year hiatus). Apparently a 47-year old out-of-shape body can't cope with what I think it should be able to do.
I'm looking for anyone who has experience using the iwalkfree crutch. The blogger posts a link to the site on his section about crutches but I don't see anyone that has used it. If anyone has successfully used the crutch, I'd like to know as I think it would be a lot better than traditional crutches.
hi guys- it's Sandy- had a 3rd opinion and it was strongly recommended to have surgery- surgery was yesterday- went well, on pain meds, cannot put the foot down or it throbs so badly- hate sitting around, patience, patience, patience...i'll keep you posted, glad I'm at least moving forward now-Sandy
Hi Sandy, I'm glad to hear your surgery went well. I experienced the painful throbbing in the ankle when standing after surgery as well. Luckily, this was pretty much completely gone after 3 or 4 days. I just had my second post-op appointment yesterday (4 weeks out), and they put me in a new cast. They've started moving my foot into more of a 90 degree angle (stretching the tendon), and this did hurt a fair amount. Wow was my tendon tight! Luckily the pain didn't last too long. Four more weeks to go until I get a walking boot. I can't wait!!!
hi everyone long time since i been on here but thought i would give you an updated i am now 33 weeks since i did the injury and 26 weeks post op . i had my boot taken off in september and i wish the hadnt i am still in lots of pain still on crutches and morphine and i get to start physio next week how good is that. they think i have complex regional pain syndrome in it now and they cant tell me whether it will go away or not i suppose the good news is that the hospital have admitted liability to the situation seen as my injury was missed by not one but two senior house officers and are no longer in there employment so shipped off somewhere else to damage other people . but the mad thing is i new what injury i had done the night i did it but they didnt believe me . oh well just have to get on with it but its not nice as i still cant even drive either , has this happened to anyone else would like to hear from you sharon
I'm 4 days postop for a full achilles rupture, which I waited WAY too long to deal with but insurance etc etc.. nuuff said. Took me 4 months before I got it dealt with, so I did.
Before surgery the doctor said that my waiting would cause the surgery to be more invasive so I kinda knew what I was getting into.
When I got to the outpatient surgery center they hooked me up to the machines, did all kinds of tests, doc came by told me that again because of my wait this was going to be a rough surgery but he was going to take good care of me. Yay!
Into the operating room I went. I did not receive the below the knee numb thing. They placed a tourniquet on my upper thigh (very intimate for a woman staring at a man in scrubs and a beard cover!) and out to lala land I went. I couldnt even countdown from 10, I was gonzo.
Woke up 4 hours later in the recovery room in a fiberglass cast, toes were numb and tingly but movable. Ankle in mind bending pain. I was told by my doc they had to use a full graft and he gave me delaudinum (hydromorphine I learned later) for pain while in the hospital.
He wanted to keep me overnight but I really wanted to be home. I kept complaining about my numb toes, but rub them, everything felt better. Doc came by again and said the numb feeling was because he had to move the nerve bundle... I still think its because of the tightness of the cast. Anyways, went home.
REALLY wish I had stayed the night The pain the first night was incredible. I was given percocets for the pain and was snarfing them down like candy. I was in a perpetual zombie state from the morphine and percocet mix. I was sleeping but I was awake if that makes any sense. Elevating my foot which was what I was told to do, sent me into pain orbit. Doc said do it as much as I could tolerate. Foot up HURT! Foot down... managable. Called doc again just to be sure, said it was fine.
Second day, excrutiating mind bending pain again. I'm no pain wuss but this hurt. My lovely payback for waiting so long for surgery.After wimpering and snivelling on the couch for two days... I was ready to move into the bed
Day 4, am off of the couch, can elevate my ankle, and not be wanting to claw my eyes out. Crutching around isnt too bad. But the constipation from the percs is SOOOO bad. I'm trying to keep hydrated, and my appetite isnt so good but the pain of the constipation was.. more seeing stars. I had wished I had started on a laxitive earlier and I hope what my doctor suggested works now.
The pain today is still sometimes star seeing but its getting less, so I dont have to take the percs as much. I hate the way I feel on them, and cant wait to stop needing to take them to ebb the pain.
I see the doc again in 2 days for my first postop talk so I can find out exactly what was done described when I'm not in a medicated haze.
Just to update from my upthread questions about operating or not. I sought a second and third opinions last week, and had my suspicions confirmed that the advice of my first doctor was incongruous with this injury. After seriously weighing my options, I decided to go ahead with operating. Being in Health and Fitness for a living, nothing less than 100% is acceptable for me, and 110% would be nice. I had the operation yesterday, and it turns out what was thought to be a 40% tear, was actually about 90%, and had I not operated, I never would have run or jumped with the same gusto again. Relief!! It's nice to be on a clear path to recovery now, despite the pains of surgery.
Thank you all for your posts, it is so nice to hear about everyones experiences with this. I wish everyone the best of luck and the best of healing.
I'm now eight days post op and recovering pretty well - I think. My soft splint was removed, the incision checked on Monday and the doctor said no swelling, infection or residual bleeding, all looks good, and she then replaced it for another week. I've still got some irritating pain at the surgery site, but it seems to be getting better. I get a hard cast this coming Monday which I will wear for four weeks and then begin rehab.
I use a knee walker to get around and thank God every second for it! I've only used crutches one time in eight days. Whoever invented the knee walker will have my eternal gratitude.
I also discovered that there are certain bodily functions that are not done as easily on one foot as on two! At 67, I hadn't figured on becoming either a contortionist or magician, but maybe I'm a little of both right now.
At this point I'm looking forward to being able to rest my foot on the ground (NWB) and be able to get outside and move around more often.
The only pain med I'm currently on is Hydrocodone, but I'be been taking that for about five years for problems unrelated to my AT.
Week 1 Postop. Wow I cant believe its been a whole week already. Crutching around has been much fun and I'm really contemplating getting one of those knee walkers everyone's talking about. My arms are getting tired! Went back to the doc today for my first postop visit. Had my cast removed and I could see my staples. WOW that was a little intimidating looking. I did not realize they went over halfway up my calf. But then again I keep reminding myself, this is the punishment I get for not having dealt with this earlier. The doc removed the first 6 staples from my leg... ow ow ow ow ow... not too bad, no need for a needle, but.. yow. Little pain nothing earth shattering. He recasted my foot in a slightly closer to 90 degree angle, ok the pushing hurt. Went back home, and I am so grateful for nice people opening doors and watching me down steps. Kind of feels good. Once home and 2 hours after the doc played around with my ankle YOW!! Pain pain pain ow ow hurt pain, make it stop pain! Not quite tear the eyeballs out pain, but it hurt. Percs helped but not eliminated the pain. So took a nap, least if I'm sleeping not in pain.
Least I talked to the doc while not in a drugged out haze. Was told that the gap in my achilles had grown to about 3 inches judging by how he held his hands apart. So I have a graft, which is kind of interesting, another tendon in my body. Still coming to terms personally with having something foreign in my body. Going to experiment with the getting in and out of the bath procedure tonight. Woo hoo more adventures
299 comments:
Day 2 post surgery, glad to have found this site. I tore my achilles at the muscle, has anyone else experienced this? Overall, not to much pain, but occasionally have an itch where I think the sutures are...
AT Rupture 11/30/07
AT Surgery 12/9/07
I am glad that I found this site while I am recovering from my own achilles tendon rupture. I wanted to go on here and post my experience with my own injury as, come to find out, each person has his/her own rehabilitation and recovery rate.THIS POST IS ONLY TO SHARE MY OWN EXPERIENCE AND I CANNOT EXPRESS ENOUGH TO NEITHER TAKE MY EXPERIENCE AS MEDICAL ADVICE OR RECOMMEND YOU DO WHAT I HAVE/ OR AM DOING. FOLLOW YOUR OWN DOCTORS INSTRUCTIONS AND ADVICE. I KNOW WHAT MY PERSONAL LIMITATIONS WERE AND KNEW WHEN NOT TO DO SOMETHING.
I ruptured my achilles tendon playing football on November 12th 2007. That day will forever be burned into my mind as the most excrusciating day in 27 years. Well I heard the infamous loud POP! and I thought someone had hit me on the leg from behind and when I turned to see who it was, hmmm no one there. I still had my leg in the air and when I put my foot down, needless to say, my entire body followed and as quickly as it happened, the pain arrived. wow. I cant explain to anyone what that feels like. Reminds me of the movie HOSTEL. if you seen it you know what Im talking about. Well it felt just like it looked. anyway I get to the hospital and they keep pressing it and rubbing it and Im about to pass out from the pain. but sure enough they say its ruptured. I get referred to my Orthopedic Surgeon and get an MRI. Sure enough. right at the base of the heel. tendon, tendon, and then nothing. a week later I get my surgery. I hobbled in on crutches and get the whole this is what we are going to do one last time and if I had any questions blah blah blah. I was ready to rock and roll. well we get into the pre op room and they decide they are going to give me a popliteal block from my knee down. I agreed. what that is, they inject you with a needle on the back of the knee to find the artery leading down to your foot. the process to find the artery was a little painful, with electrodes that make your foot twitch and other things Im not really sure about. I was really uncomfortable with the pain. anyway they inject some numbing stuff and a couple of minutes later, I couldnt feel anything below my knee. So I get the mask on and count backwards from 10. I dont even know if I got to 8. Im out. I come out of anesthesia and I get my first drink of water in about 20 hours. I have a cast on and I still cant feel anything. Im fine. (the block last from 36 - 48 hours)I get in the wheelchair and they wheel me into the car. Im starving and we go to Sonic Drive in to get a hamburger. So here I am not even an hour post op and Im at Sonic eating a hamburger in the front seat crutches and all. When I get home I get out of the car and I realize how heavy this cast is. everytime I move I feel like Im pulling a cinder block. leg still numb. so 4 days go by and I can wiggle my toes. there is no pain from the surgery, I just have this itch that if I cant scratch it right then and there, Im going to go crazy. I wait it out. day 7, one week from surgery and I go back to the doctor. the cast comes off and I can scratch. nice. the doctor checks the stitches, everything looks great. The boot goes on. Only I have a wedge in there to point my foot down. after the doctors office we stop by the mall to get some clothes for the kids picture day the next day. while walking around, I tend to put some pressure down on my foot. no problem. no major pain. fine. I get home and during that day the wedge is the only thing making my foot hurt. out it comes. it feels so much better. the next day however, some pain when i wake up but nothing to serious. pain went away within a half hour and decide to ditch the crutches. walking in the boot 10 days post op. no problem. day 12 I decide to see if I can walk around without the boot. Im out of work and bored mind you. boot comes off and other that some minor discomfort. no big deal. walking without the boot 13 days post op(inside only) 2 weeks post op I go to the doctor again and is surprised how quickly the incision healed, out come the stitches. YAY i can take a shower again! ( as opposed to baths )doctor says I can try walking without the crutches if I can (haha) well for a couple of days I get to go do things and Im wearing the boot to the stores and stuff. living my normal life minus both feet. week 3 post op comes around and I decide I can walk outside without the boot. the boot comes off. It was hard at first and I would have to sit down after a while and could only walk a short distance before it got uncomfortable. but after some getting used to, mission accomplished. It feels great tobe able to drive again. I still have a slight limp but hopefully physical therapy should fix that problem. Week 4 post op comes around and back to see the doctor. I dust the boot off and put it on for old times sake. Doctor is really surprised to see that I have full range of motion, absolutely no pain and very strong with hand pressure. (still working on body weight pressure. So here I am 32 days post op and strutting around like I own the place. I start physical therapy in a week and a half and hopefully regain the strength in my achilles and calf muscle that I lost during my out of commission time. Again thank you for this site. It was great to associate my experience with others.
------ Mike
Hello all...glad to find this site! Helps to know what I am feeling is pretty normal - like everyone else who is recovering from surgery for an achilles tendon rupture....only I believe age and physical ability makes a big difference!! My rupture occured 12-7-07 and surgery (3 hours long) was 12-11-07. My tendon was completely ruptured as well as split. They re-attached my tendon with a metal anchor in the bone. I have on a cast above my knee. My other leg - that is now my "good leg" ... is the one that I have arthritis in my knee...bone on bone....so getting around has not been easy. I would like to find some friends to commiserate with! Not sure how to go about doing that...so any help will be greatly appreciated. Kathy
Thanks so much for this extremely informative AT site. I am currently at week 13 post op and wanted to share my experience. My achilles tendon completely ruptured on September 29th 2007 during a tennis match. The following day I had the surgery to reattach the achilles. Had to keep the leg elevated for 21 hours per day for the first week. At 2 weeks post op, the stitches were removed and I was informed to begin physio. At this time, I also got rid of the splint and was given an "Air cast" boot. I got around on 2 crutches and wore the boot at all times except when taking a shower. I have attended physiotherapy twice a week since then and have found it to be helpful. Several sets of exercises were recommended and the therapist stretches and massages the calf and achilles region. At 8 weeks post op, I began using just one crutch while still in the boot. At week 12 post op not using crutches any longer and occasionally walked around the house with boot off. Achilles was very stiff and walking is quite awkward. Walked with quite a big limp. I am hoping to stop using the boot by week 14. The orthopaedic surgeon advised that you want to be able to walk but you also do not want a rerupture that would set you back. Thanks again for this excellent site. This injury forces you to slow down and be quite patient. This site lets you know what to expect and relate to others that have gone through an achilles tendon rupture. Hang in there and you will get through it!
Canadian AT survivor.
I ruptured my left Achilles in 1996, while playing basketball. Looking back on it, I stretched everything that morning, except my calf muscles. My rupture was a clean razor like cut for 90%, but the remain 10% splintered up into my calf muscle, tearing away the muscle. That caused my medical team to take the rehab with extreme caution. One of the nice things about my injury, it happened on a Saturday, I saw the doctor the following Monday, and had the surgery the next day. The surgery happened on the 30 of Jan., and I played basketball again for the first time on Oct. 30th of that same year. My doctor is a sports medicine guy, and he wanted me back living an active lifestyle as quickly as possible, but within reason. He also warned me to listen to my rehab team, BECAUSE I DIDN'T WANT TO RUPTURE IT AGAIN, AND IF I DID, CHANCES ARE IT WOULD HAPPEN A THIRD TIME. I ended up not being able to drive until the end of June of that year.
It was over 18 months until the tenderness of the area went away, and that matched the time frame my doctor mentioned.
Now, almost 12 years later, I still have the twinging you will hear about. Sometimes it feels almost like I ruptured it again, other times not as bad. When a twinge hits, you will know it. It comes on fast, with me there isn't a warning sign, just quick pain. Rest, ice and more rest is all I've ever been told to take care of it.
I hope this helps someone else, that may be going through the same thing.
I ruptured my achilles about 6 - 7 weeks ago and have just recently been diagnosed. (long story as to why I waited so long - I just wore the boot another heel issue.) Anyway, I am scheduled to have an MRI this week to determine the extent of the damage. I have been seeing a podiatrist. Should I be seeing an orthopedic specialist instead? Who is better qualified? Any advice would be much appreciated?
Thanks!
Robin
Robin --
Hi, I had the surgery about 5 1/2 weeks ago by my podiatrist. A GOOD ONE (mine is outstanding) is just as good as an orthopaedic surgeon. If you have confidence in the person you are seeing, you are fine. Many podiatrists treat athletes and specialize in sports injuries. But as with any doctor, each one has different skills -- so in this case it's not the type of doctor --but the doctor's skills. In any event, good luck to you!
This site has been very helpful. Glad it was set up. I am going on two weeks post op, 3 weeks since I ruptured my achilles tendon. I cant wait to get this thing off and start walking. I wish the docs would start experimenting with how quick we really can get the walking boot on. I sometimes wonder if they are just too careful.
Hi to all whom have experienced a ruptured achilles tendon and surgery. I am into my fourth month of recovery and I am having a few problems. My wound has puckered and dipps in at the top where the muscle joins..the wound has adhered to the tendon. No help from doctors....physio wants me to continue with lifting heel exercises. I have been having acupuncture regularly and find burning the moxa (chinese herb stick) really helps. My strength is weak as I am struggling to lift the heel still. I stretch out and massage which is helping..soreness in heel is developing.....any helpful hints......can walk well slight limp. My injury occurred whilst playing netball.my opponent accidentally trod on heel and pinned it down as I lunged forward...I chose to remain awake through surgery as to prevent feeling unwell from anesthetic which was a good choice as my legs were numb for 8 hrs after surgery and I couldnt feel pain..I feel pain in the inner ankle joint beside the wound and I am very stiff in the front of my ankle.. Anyone else feeling like this.. I am beginning to worry that my ankle will not recover well. Any suggestions.
Greetings from sunny Australia to all you Achilles rupturees. It's been 2 weeks (seems like 2 months) since I snapped my left AT playing indoor soccer. The classic case of the 50 year old who jumps on to the court without any training or warm-up and tries to play as hard as he did when he was 15. In retrospect... not a good idea.
I was very lucky that, soon after the accident occurred, I was able to contact an orthopaedic surgeon who is a friend of mine. He was able to organise the surgery for the following morning. Sometimes it's not WHAT you know but WHO you know!
At the moment I am in a fibreglass cast which will be replaced in 2 weeks with a gortex boot. Stitches will be removed then as well. I am getting around pretty well on critches and, using them as support, I can do stationary activities like washing the dishes, cooking simple meals etc as long as I am not standing for too long. It is also a blessing that I can drive (auto tranmission). No weight at all to be carried by the injured leg at this stage. When I wiggle my toes I can feel the pads under my foot have swollen a bit. This is alleviated by elevating the limb. There is minimal pain overall.
Of course all of my plans for the Christmas /New Year holidays have been destroyed but hey...it could have been worse. It's now a case of doing the time and getting stuck into a few projects that can be done without too much physical activity. After some years I've started drawing and painting again.
It is comforting to know from a lot of posts and blogs I have read that the old leg will be functioning well again in a few months. However I think my soccer days might be over.
Good luck to you all and Happy New Year.
I tore my Achilles while playing basketball on Nov. 16th. I had surgery 14 days later and now am in week 5 of post op. Physical therapy is going well and I'm returning to work on Jan. 7th. I'm walking with one crutch now and of course wearing "the boot". I am supposed to be full weight bearing in week 6 post op. I'm finding that my achilles is feeling fine, safe inside the boot, but my knee is really sore when I try to walk on the boot with weight. It's really awkward to walk because I can't bend through my foot. I'm basically walking on my heel mostly. Also, my ankle ligaments are really sore. There is swelling every day around the toes, foot, and outside ankle. But not around the achilles. I ice and elevate each evening + night and it goes down, but then swells back up again during the day. I guess this is pretty common, but I can't wait until that ends! Range of motion in my affected foot is really limited, comical really compared to my healthy foot. Really like this site by the way. It helped me feel reassured and prepared when I read it before my surgery.
Hi from Cathy (from Australia, Qld.)
Since my last blog, I have been consistently using Moxa each morning, stretching out my achilles and rotating and stretching my foot and ankle (quite rough actually and loosening the joint by using my hand to lift and rotate foot and shake it abit as well) this is working. Heat seems to bring relief to sore spots apparently getting the blood into the joint assists the healing. Can be a slow process but I was reminded to crawl before I can walk as it is a significant injury..get a little stingy under the wound for a few seconds and then it goes away...I use bio oil on the wound each morning an night and I massage into the sides of the wound...which seems to assisting with eliminating the puckering as the wound is smoothing out..maybe i have expected a quick recovery reading and after reading rob's blog ...18 mths of tenderness seems more of a reality check for me...any way ...it is important to be comfortable and be cared for...it is hard to do everything for yourself in the initial stage ..I hired a wheelchair as I felt it difficult to rely on others for cuppas and meals...even cleaned the house in the wheelchair...need this for about a month....anyway good luck with recovery..it is not an easy experience to go through..and it makes you appreciate your mobility when you get it back especially when you start to walk. Swelling can be a problem just know when to stop and rest and ellevate...I used arnica cream..herbal...it definitely helps and repairs.....bye
What a relief to find I am not alone in the world of ATR. I ruptured my left Achilles on November 14th as I was playing a rousing badminton doubles set. I raced in for a killing shot and the next thing I knew I was on the floor wondering what or who had fallen on my leg. My wife and daughter came to pick me up from the gym but I thought it was just a sprain or small tear so waited for several days before going for medical help. I got some crutches and went back to work in a couple of days and even tried to teach my Sunday School class the following week (standing on one leg) but after the class I asked my wife to take me to Emergency. After waiting there for 4 hours and an X-ray the doctor told me it was just tendinitis and sent me home. The pain and swelling just continued to increase so I saw my family doctor on Monday. He booked an appointment with an orthopedic surgeon the next day and I had surgery the following Friday. Evidently I tore the tendon up where it joins the muscle so that made surgery a bit more complicated. So now, after 4 long weeks in a fiberglass cast and 4 more long weeks in a cast-boot with wedges under my heel the surgeon saw me yesterday and told me I needed to keep the boot on for another 4 weeks - and not to put too much weight on the foot yet. That was quite a blow.
But discovering this site and reading all of your experiences has definitely softened the blow somewhat!! :)
I trust you all recover well!
God bless.
Loren (BC Canada)
I am 61, tore AT late November 07.
Had to wait(underlying surgical risk problems, diabetes etc) for surgury till January 15th 08. Now 4 days later post op,full cast up to the knee for at least 4 weeks. Very little pain, getting around on crutches awaiting the spring.
A Bad Day in Belgium
I was racing in the Cyclocross World Cup in Hofstade, Belgium on Dec. 26th when halfway through the race as I was dismounting my bike I heard POP and it felt like someone had hit me from behind. When my foot touched the ground I was immediately on my knees. I knew something was really wrong so I hobbled to the side of the course and asked the spectators to get medical. I knew someone there spoke english so they would know what I was asking for. It was only a matter of a minute or two before I reached down and found no tendon in my right ankle and I knew this was bad. After climbing over the fence under my own power and sitting on the ground for a while medical took me to an ambulance and the ambulance took me to the ER. My bike took it's own journey around the course before it was announced on the loudspeaker to 30,000 people that my bike was wanted at the start/finish. Once in the ER the doc confirmed my diagnosis he offered surgery in less than two hours. I sat in the foreign ER alone and cried for a few minutes before deciding on surgery. About an hour later I was meeting my ortho and being put under. Everyone at the hospital was super nice and they all spoke good English. This was especially helpful as I don't speak Flemish. Three days post op I hobbled around the cobbled streets of Brugge in search of the ultimate truffle. My racing friends were super helpful and I couldn't have survived my last week in Belgium without their help. The flight home was awful, with only tylenol and advil to keep the pain at bay I was in a terrible mood after 25 hours of traveling. Things have been going fairly well since then. The staples are gone, I'm into a boot and can shower again. Almost four weeks post op and I've ditched one crutch(my gimp sticks) and am searching for a nice looking cane (a pimp stick). I can ride a stationary bike and look forward to swimming in another week. What I want the most is to properly heal my achilles and stregthen my leg so I can return to racing.
Barb
Thank you all who have posted on this site. You have all helped me through understanding an injury I knew nothing about. Until I ruptured my AT 10 days ago I did not know how bad of an injury it was. I had my AT surgically repaired 3 days after rupture. I have just finished my first week Post op and went to my doctor.He removed my stitches as he said he was surprised how well my wound had healed. I spent my entire first week in bed with my leg elevated. I have to say the absolute boredome was the most difficult part. Traded my plaster cast for the moon boot and was sent home and told no weight bearing for 2 more weeks but I can start PT than. I actually went to 2 surgeons for diagonosis. I can not tell you how important it is to find a good sports orthopedic for this injury. I have come to learn that there has been much progress made in the surgery and post-operative treatment for achilles..
The first surgeon I went to see explained more of the traditional post operative recovery. 6 weeks in a cast followed by use of a moon boot and PT to start around week 8 to 10 based on how well you are healing. I was set to use him when A good friend of mine called. he ruptured his AT a year earlier and was refered to a well know sports orothopedic that was actually the consult for a couple professional sports teamd in my area. He was able to get me an appointment that same day and I had surgery the following day. my friend was able to run a marathon less than a year after his surgery and his leg has been great. I know everyones recovery time is based on their individual circustances, but I can not tell you how comfortable it made me feel.
Again, thanks for all the posts and this site has been great. Good luck to everyone and I will post how my Rehabilitation progresses
Hello everyone.
I have started Physio (Im around week 9) and am in the moon boot. I had started feeling really good and (with crutches) was putting a good amount of weight on my leg whilst still having the last wedge in. I was going for long walks with crutches and walking around the house without crutches and in the evenings icing any swelling. Its amazing how little of my calf is left! All of a sudden last night I woke up in the middle of the night in absolute agony, it was like someone was sticking hot knives in the back of my leg! Crazy!!
Has anyone felt this? Is it a normal part of the healing process? I feel fine now, but am obviously a little worried that I might be pushing it a little. I do feel like pushing more, but wonder if I can do some damage if I do.
Im cautious of resting and resting when I could be rebuilding my strength -as my leg is getting weaker and weaker and this will hinder my recovery if I wait too long. Then again I dont want to damage anything by starting recovery too soon!
Confused and bewildered!! Im back in to see the surgeon next week, but wondering if anyone has any similar experiences?
Thanks,
Ryan, UK
Ryan:
As long as you have the boot on, I wouldn't worry too much. However, the pain you feel is probably a signal that you're pushing too hard (I used to have severe cramps at night when I put too much weight too long). Try three or four days putting some weight with crutches, then four or five days with only one crutch (on the opposite side of the injury) and finally start putting full weight without crutches for a few steps. At 9 weeks the leg is very weak and you have to be careful. Right now, I'm at the one year mark and the injured calf is still not as wide as the other one, although I'm now walking normally. Just take things gradually, one day at a time, and don't try to do too much at once.
Hi guys, hope everything's going well. Well, today is the big one: one year since my Achilles tendon surgery! Feeling great and walking normally, although I haven't gathered up the courage to finish that tennis match yet. Off I go to my brother's birthday, the same one I missed a year ago. Good luck to everybody and glad you enjoy the site. Good healing,
Mario.
I ruptured my achilles tendon, however my experiences have been a little different.
http://a-thousand-thrills.blogspot.com/
I ruptured my achilles after falling down and landing feet first from about a 6 foot embankment while hunting on 1/12. I had intially felt as though I had broken my ankle. Thankfully where I fell was close to the vehicle. I did not hear any popping sound or anything but it burned like nothing I had ever felt before. It felt to me like someone poured scolding hot water down the back of my leg. My buddy and I loaded the deer that I had shot earlier in the morning into the back of his vehicle. Kind of amazing considering I had a ruptured achilles. After being officially diagnosed I had surgery on 1/24 to repair it. I am now a little over two weeks post op and go to have the 21 staples removed from my ankle on 2/11.
I have experienced gradual increase in pain and stiffeness of both ankles over a long (36mo.) period. Went to Podiatrist first, who started me with othodic inserts, then special shoes, then ultrasonic treatments as well as physical therapies. None helped, and the pain increased dramatically. Finally frustrated to the point I saw an orthopedic surgeon, who did an MRI. I have severe scarring of both Achilles tendons. He has scheduled me to do surgery on left side first, but with conflicting schedules with family and doctor, that will not happen now until April 7.
After reading through the blogs, it sounds like I have a long road to recovery coming up. Dr. said there is a good possibility he will need to utilize tendon replacement by havesting from my big toe. Has anyone experienced this procedure? It sounds like no fun at all.
Have any of your guys heard of someone who came well through the achilles rupture? that is went back to the sport activity they used to do, and on which level?
And after how long time?
I try to think of some sports stars who had the surgery, but I cannot think of any, it would be so nice to hear that it IS possibly to go pass this big thing withot having to miss out on the sport that one love to do.
I play beachvolley on a high level competing etc, and I fear that I'll never play beachvolley again.
Best regards, Bettina, Denmark.
I tore my achilles tendon 5 days ago, and I had my surgery yesterday. Looks like it'll be one long road to recovery. Thanks for the info. I am chronicling my experiences as well on: www.valuemavens.com
I'd appreciate your comments.
Barb and Bettina,
I read your comments and felt the same sadness, as I am an avid snowboarder and mountain biker. these are not just activities for me but connect me to the outdoors which is an important part of my life and spirituality!
I ruptured mine while snowboarding - I'm not even sure how - just a freak act of nature. been snowboarding for 15 years and am pretty experienced so it happened for some reason. and we are having a great snow year here in Colorado when of course I can only stare at it and not play in it!! I am on week 5 of my recovery.
my focus is to strengthen it while mt. biking this summer, I'll have to go slow at first but at this point I will be so happy to pedal on dirt, that I won't mind doing the easier trails.
good luck getting back to racing Barb, and Bettina, I'm sure you will play beach volleyball again, just be patient. remember why you love it, and you will get to it again.
Regards,
Maya, Colorado, USA
Hi Maya
Thanks for your encouraing words, they all help. I know how you feel about your sport, it is such as big part of one's life and identity, so it is a struggle to be without.
The good thing about your situation is that you also like to do mountainbiking, and my doctor said to me that one of the first things one is able to do, is swimming and cycling - so at least you'll be able to fairly quickly to go back to one of your beloved sport activities.
But maybe snowboarding will take just a little longer time. Yes, snow in Colorado sounds wonderful. But I agree with you, my passion for the sport will make me take the rehabilitation program very seriously.
I talked to a physiothearapist, and asked him to evaluate my chances of playing beachvolley again. And his short answer was, Yes, but it will take time - probably 1½ years. And he recommended me not to start to quickly because it is quite and explosive sport.
But in time the achille will strengthens it is possible to go back to the level one used to be at.
But then I'll be 35 :( and perhaps that will decrease my chances of being a champion for example.
Well one has some goals. :)
good luck to you!!!
And let us know how you are doing.
Next mondag I'll be two weeks post operation, and will wear the CAM walker from then. Hope to be able to go to work thereafter, it is a little sick just to sit at home - all day long :)
Best wishes for all achilles rupture patients.
May we overcome this!!!!!!!
Bettina
Hi Everyone:
I ruptured my AT exactly one month ago today. I had surgery about a week later.
I am about 3.5 weeks post surgery, and have started to feel some tingling in my toes that comes and goes - nothing painful. Last night, I straightened my leg in my cast all the way and felt a pinch on my heel. Not sure if the 2 are related?
Has anyone else experienced this toe tingling?
Thanks.
Toe tingeling...
The last couple of days I have also experienced toe tingeling, I am 2 weeks post operatione, and still in plaster - but also get the tingeling - especially when I stretch. So I guess it is quite normal, maybe it is the nerves or something.
I feel it in my toes, and on the outer part of the foot as well as in the heel, and it is weird feeling. But glad to hear I'm not the only only one.
Bye bye, Bettina
Feb 10th, Decided 2 days before my wife is giving birth to our new Daughter I should go play ball...BIG MISTAKE. Heard the POP! Now 1 week later...in bed with the inlaws here!
Does not hurt too much except when I get up off the bed and initially when put leg down...
Going to the doctor Friday to look if the stitches can come out and perhaps get this cast off me!
My other leg is starting to bother me from the crutches...
How was the doctor appointment, Bettina? I am jealous of all you who are in the CAM boot already. I am entering Week 6 of this dumb cast and can't get it off until 8 weeks are complete. If he doesn't prescribe PT by then I will seek another doctor maybe, but I think he will.
Aren't you all sick of people telling you how long it will take to heal?? "it'll take at least a year, blah blah." or how nasty of an injury it is? I KNOW THAT already you stupid people. How about just some encouraging words or wishing a successful recovery? Besides, I am not you and it may take me 6 months, who knows? You don't need to emphasis worst case scenario every freaking time.
Sorry, I had to vent, cause I know you guys understand. I don't need a reality check, I am living it you idiots, is what I want to tell these people. I need positive words ...I am breathing the negative 24/7, for yes, maybe up to a year.
Maya
I am the guy who previously posted that I tore my achilles while hunting. I had my staples removed at 17 days post op. I had my first physical therapy session at 21 days post op. In my second session they had me riding stationary bike which is somewhat painful and really stretches the tendon. Most of the other exercises are much less painful. Therapy ends everyday with a good ice down and electrical stim. I am walking around without crutches in the Bledsoe boot. This Thurs. I am told that they will be lowering the heel in the boot. This puts me one step closer to recovery and being able to get back to enjoying the great outdoors of Pennsylvania.
John in PA
Hi
Why are you still in the cast, Maya ? I thougth everyone got the CAM walker a couple of weeks after surgery. Havent' you had the surgery yet or what?
Actually, sometimes I'm a little confused; I have read a lot about the steps that one goes through after surgery, - but the methods all vary.
So in my case I had to be two weeks in the cast after the surgery, and now 4 weeks in the CAM walked. I read somewhere that patients spend up to approx. 8 weeks, so I don't understand how I can miss out on two whole weeks.
Well, I must say the the CAM boot is both good and bad. Its' great finally to be able to walk around a little and have a "life" - (eg. went to see my colleauges at work today), but from there to having an independant life, there is a long way...
The boot is very heavy, and I was told that I have to sleep with it wearing it at night as well, which is quite a big struggle (I think) compared to the cast. It was lighter and I could sleep more free. And this first week in the walker I'm not even allowed to take it off while showering. So life doesn't become so much easier with the boot. But of course there is a value in being able to get more around and doing more social activities...
Well, that's the status with the CAM walker. It's both good and bad, but it's always great when something new happens, because then you know proceed. Patience is still the clue word.
Have any of you guyes worn the cast longer than 2 weeks? and what was the idea do you think?
Good luck to everyone, and Maya great to hear from you. I will recommend to see "Million Dollar Baby" - a movie I saw on video the other day. It makes you think that we are quite lucky for at couple of hours :-)
Bye bye, Bettina
Hi Bettina,
that's a good question. I don't understand either why every doctor's method is so different - yes every patient is different, but my doc didn't do a comprehensive study of me to find out how I'm different - he just went with the way he heals AT patients (he is an ortho specialist who deals with many mountain sport injuries).
The guy who made this site was non weight bearing until Week 9, and then finally got off his crutches at Week 10. In a way I don't mind the crutches because it is building my upper body strength like I've never had before! it will make me a stronger mtn. biker.
After 8 weeks total I will lose the cast and use the boot - without crutches. Yes Million Dollar Baby is a good movie to watch in our condition. By the way, Mario, thanks for making this site. Are you totally back to sports now?
Maya
P.S. Yes I had surgery, two days after I tore it. It's so weird - I feel like I'm the longest wearer of a cast on this site!
Maya
Maya, dont feel liek you are the only one because you are not!! I am 5 weeks post op and i am in my 3rd cast!! I have to go back to the doctor next Monday and then I will have my last cast put on. I will be in that one for another 2 weeks. So that will make a total of 8 weeks post op in a cast. Then I have a boot on for another 2-6 weeks, then I can start rehab..so dont feel bad I might have you beat!!
Hi!!
I totally understand it must be hard to be in the cast for so long. But on the other hand then you'll probably wear the CAM walker shorter time.
I must say that even though it is quite nice to walk around A LITTLE, then it is very heavy and WARM - and since I'm also wearing it a night, it is not very pleasant. At night I would prefer the cast! But okay one cannot choose.
Apart from that I'm at the moment 2 weeks post op. experiencing a lot of tingling in my heel and in the toes. The doctor said that it may be the nerves, the left side of my heel was numb when the took of the cast two days ago. SO I really hope it will pass.
And I really hope I can find something else that brings happines apart from Beachvolley. It is such a wonderful sport, and I'm so sad I can't play for a YEAR!!! at least probably.
I wish there was another sport activity I enjoyed doing just as much. But of course there isn't.
Well, Have fun in your casts - and CAM walkers. !!! (which is a little ironic to say)
Bettina, Denmark
I originally posted this in another section, but I thought I'd repost here to share my story. It's so great to read stories from others that are in a similar situation and compare rehab plans.
I ruptured my right Achilles tendon on Jan. 3 while playing volleyball. Just a slight lunge forward was all it took to hear the “snap”. I knew right away what happened.
Anyway, I had surgery on Jan. 9 and I’m now completing week 6 of post-op. My ortho surgeon performed a less invasive procedure, making 3 horizontal incisions, each approx. 2 cm in length, as opposed to the longer longitudinal incision. I haven’t had any complication from the surgery.
My ortho has taken me on a slightly more conservative rehab path. I was in a plaster splint for 2 weeks following surgery with my foot plantar-flexed about 20 degrees and NWB. My leg was then placed in a fiberglass cast, just below the knee, with my foot plantar-flexed about 10 degrees, continuing NWB. 2 weeks later I was placed into my current cast with my foot back in a neutral position. I’ve been allowed to PWB for the past two weeks and have even been able to get around a bit on one crutch this week.
Today I go back to see the ortho to have the cast removed and get fitted into the walking boot. It sounds like I’ll be in the walking boot for another 4 weeks, which will take me to 10 weeks post-op. So, a total of 6 weeks in plaster/fiberglass and 4 weeks in walking boot.
It’s definitely a long road to recovery. I’m a fairly active person as I’ve been doing a lot of long distance running over the last few years including 2 marathons. I also do a lot of biking, hiking, softball, volleyball, etc. It’s been hard to be sedentary over the last 6 weeks, but I want to make sure everything heals strongly so that I can return to my pre-injury activity level. I’m hopeful to be running again by the end of summer, but I think I’ll avoid any activities which require explosive starts for the rest of the year.
Thanks again to you all for sharing your stories and good luck with your recoveries!
Tom, MN, USA
Hi Bettina and Maya,
I fully intend to return to racing my bike in the pro field. It seems that if you are careful about recovery you should be able to be 100% again. The CAM walker is a huge improvement over the cast. Yesterday was the two month anniversary of the rupture and surgery. I ditched the boot a few days ago because I just couldn't stand it anymore. I've been doing therapy for about two week and both the doctor and therapist are impressed with my increased range of motion. It will be at least another month before I'm allowed to ride my bike outside. To maintain my sanity during recovery I've been swimming and lifting weights with my bad leg. The good leg seems to get enough of a workout making up for the bad leg.
I had many days where the darkness of winter and the pain in my leg left me nothing but hopelessness. Sometimes it feels like you're going to be crippled forever. The good news is that you are healing and although the signs are often small (suture scabs disappearing, reduction in swelling)they are signs of getting better and each day you are one step closer to normal. So hang in there take good care of you leg.
Barb
Hi Barb,
it was very encouraging to write your letter. Thanks. I totally envy you ditching the CAM walker. I have worn it about 4 days, and am quite sick of it already. It is just so heavy and warm, and my foot wants to be washed :)
I just realized that I'm not allowed to take it off, not even at night during the next 3½ weeks!
...
But I have a love/hate relationship to the CAM walker because even though I'm alreay sick of it, it still allows me to get around a little, which is very nice, and not as boring as wÃth the casts. Today I have done washing and even prepared a very nice meal to my lover! Hope he appreciates it.:)
All the talk about full weight beiring or not concerns me these days. Because my doctor told me on Monday when I got the CAM walker on two weeks after operation that as long as I wear the CAM walker, I can do nothing wrong - which means that I have been full weight bearing since I got the CAM Walker, - and I'm still only 2½ post surgery.
When I read other comments here, I think I am going to be treated with the fastest method at all, so I just cross my fingers that I'll be fine afterwards, - and that I will get to play beachvolley again.
Write I liked to go bycycling or something else. Volley is not a good sport when having achilles problems unfortunately :)
Well, back to preparing the dinner.
bye Bettina
Hi All....
Im 2 weeks post-op and went to the doctor to take the stiches and staples out....He put on another cast for 2 weeks, and will start PT in 2 weeks when I get a CAM Walker.
When can I ditch the crutches?
Is anyones other leg or foot hurting?
Sean
Hi Maya:
Sorry for answering back so late (I was traveling and didn't check the blog). I am back at sports (I'm past the 12 month mark already), but I'm mainly doing swimming, bicycle and aerobics.
I haven't tried more demanding sports like soccer or tennis yet. My main problem is that my calf muscles are still weak and I'm afraid they will not provide adequate support to the tendon in sudden and strong efforts. Totally my fault, though, since I'm really not a sports nut I've gotten lazy exercising the leg.
The tendon, though, is fine and I'm able to do everything I need to do on a daily basis.
Hope you feel well!
Mario.
Hi,
I ruptured (fully tore) my achilles tendon playing basketball on 02/08/2008.
After the surgery, I googled to find other people who are recovering from their achilles injury as well, and I found lots of blogs here and there, including this one.
It’s been helpful reading about other people’s experiences with the same injury, especially those further along on the road to recovery. It’s good to know that I am not the only one making sure to keep my leg elevated, using a shower chair, and limping around on crutches.
I’ve created a community site so that people who injure their achilles tendon can create their own blogs and share their experiences as they progress toward full recovery.
My AchillesBlog is: http://achillesblog.com/dennis
You can create your own there too.
I’ve also been gathering and posting a list of external blogs related to achilles injury here, as well as other useful resources. If you find some other good links, feel free to email them to me, and I’ll add to the list.
I am constantly working on the site, so any feedback will be great.
Dennis
NUMB foot
Has anyone here experienced that part of their foot was numb during the recovery time???
I'm still in the CAM Walker, and last night I realized that the left side of my foot is NUMB...
I'm quite worried and sad, because not be be able to feel one's body is horrible, and I hope it will not LAST..
When the doctor took of the cast 2 weeks post op., I first realized that something was wrong. But the doctor did'nt seem to take much notice of it. Said it might go away, but here 1 week afterwards, it is still numb...
Has anyone tried this or something similar??? And what happened afterwards?
Best regards, Bettina
Bettina,
Are you experiencing the numbness on the outside of your foot? It sounds like you may be experiencing sural nerve damage, one of the risks of surgery. The sural nerve relays sensation along the outside of the ankle and foot. The nerve runs in close proximity to the Achilles tendon and can be damaged during surgery. It’s my understanding that numbness usually goes away on its own, but it can take up to 3 months. The numbness could also just be poor circulation. It is probably best to contact your surgeon and let him know you are still experiencing the numbness.
Tom
Hi Tom,
Yes exactly, the numbness it on the outside of the foot, and just as you describe it :( unfortunately.
Actually I was in a lot of pain during the surgery, and the doctor mentioned at one point that he might have hit a nerve!.. I'm a little angry, because what if I never regain the "feeling" in the foot.
I will contact my doctor on Monday, but I'm afraid he can't do anything. But hope you are right that it may go away in time...
Bettina
Bettina, I'm sorry to hear about your numbness! I'm keeping my fingers crossed for you that everything will come back to normal...aren't doctors the pits sometimes?? I mean, sometimes it's so frustrating at how unconcerned they are ... like my doctor, using this outdated method of healing me by casting me for two months. I have started to put partial weight on it with a flat foot anyway, just to give my poor calf muscle some movement. And it feels just fine when I do that ...Monday I begin week 7 post-op. I am two weeks away from throwing my crutches in the river and getting my hands back. It would be nice to be able to hold my own beer again at a party :)
Hang in there everyone,
Maya
Hello all...I did a complete rupture on 1/13 and had surgery on 1/16. Went today for my six week check up and even though i was supposed to have my last cast put on the doc went ahead and told me that he was going to put me in the CAM boot, needless to say I was the happiest man in the world. (I have had 5 casts in the past 6 weeks.)
Question for those that are already in the boot..how did you transition from non weight bearing to trying to walk in the boot? I am having a really hard time "trusting" that the boot will support the weight. I have been waiting for this day to come to take back a little of my independence for 6 weeks. The doctor said that within the next 2 weeks he want me to go from using 2 crutches to walk down to 1 and then to none by the time that I see him next. I am just looking for tips/hints from everyone that has used this thing on ways to walk with it.
LaMont
I had a complete rupture 11 months ago. This was followed by surgery, a walking cast, physiotherapy and massage therapy. At this point I have most of the strength back and only notice the injury when it comes to stretching. Can anyone comment on when or if full flexability is recovered?
Great site, thanks for taking the time.
Bill
Canada
LaMont,
You just have to trust the boot. I've been in the boot for a week and I was able to ditch the crutches after 2 days. I was already starting to get around a bit on one crutch prior to the boot, so I think that helped. Try taking very short steps while still using the crutches and slowly place more weight onto your leg. Then try taking a very small step, still holding the crutches, but don't put the crutches all the way down. If it's too uncomfortable, you just drop the crutches back down. After a few steps you'll gain more confidence.
Also, remember how frustrating it is to walk around and not use your hands. Think about how great it will be to carry a beer (or whatever) from the fridge to the couch. That can provide a little incentive to get off the crutches.
Tom
Hey CAM Boot people this question is for you.
I am exactly 2 weeks out of surgery today for a fully ruptured upper achilles. Two days ago the Doc took off the full leg cast and put me in a cast below the knee. They tried to get my foot to neutral but there was not much movement. I am sure that it will come around soon.
So here is my question. I have booked a beach/pool spring break vacation with my wife and kids for March 21. They deserve a break from taking care of me. My next Doc appointment is a couple days after we get back from vacation. That is when the Doc will remove the cast an put me in a boot.
I will be in the 6th week post op when we leave for vacation. I really want to be able to get in the pool with the kids. Are you all taking off the CAM Boot when you are relaxing or sitting around the house? Has anyone at this time frame taken off the boot to just sit in the pool or for that matter to take a bath? If so, I want to ask my Doc to remove the cast prior to the trip.
Thanks for your comments.
Philip
Phillip, I havent been in a boot but for a few days but I think that taking it off just to lay around in ISNT the thing to do. From my understanding you are still in the process of strecthing the tendon out so that boot needs to be on at all times other than taking a shower/bath etc..
Philip,
I've been in the boot for a week now after 6 weeks in casts - similar to your situation. My ortho gave me the okay to remove the boot as I wish. I remove it for periods of time while I'm at work, during the evening while watching TV, while sleeping at night, and while showering. I try and do some simple range of motion exercises to loosen up the tendon and ankle ligaments. But, I'm careful to not too make any quick movements or apply much pressure on the tendon. My ortho even gave me the go-ahead to do some pool exercises, but I haven’t tried as of yet.
This is just my experience and you'll want to consult with your doctor to determine if it is okay to remove the boot while realizing. The severity of your injury may require a longer healing time.
Tom
Tom,
That is exactly what I was looking to hear. I really don't have an interest in taking off the Boot for any other activity except to get in the pool for 10 to 20 minutes every hour or so. I hate the idea of not being able to at least splash a little with the boys in the pool or to take a quick dip when it gets too hot. I am going to contact my doctor tomorrow and see what he thinks.
I've been seeing some questions about taking the boot off or not taking it off. I'm 5 weeks post op and my PT has encouraged me to take off the boot whenever I can and move my foot around and stuff to regain my range of motion. As for walking in the boot, mine is the Bledsoe boot with the heel wedges. I've had no problem at all walking without crutches. Usually use them for a day or so after they take out a wedge. I am able to get my foot to a 90 degree angle at 5 weeks post op.
PA Hunter
What a wonderful site! Reading all these contributions from folks in different stages of recovery has been extremely helpful.
I'm in week 7 myself, having completely ruptured my right AT on January 11. Had surgery January 14: full cast, elevation, we all know the drill. Fortunately for me, my work is all "knowledge/communications" using email, phone, IM, and teleconferencing with clients in various locations and timezones, so I basically "went back to work" via laptop and headset the next week. Have to say that the Percocet made some of my more challenging clients a lot easier to deal with. 8-}
My ortho surgeon took the approach of an initial cast with the ankle in "equinus" position, then recasting every week or two with the ankle being moved each time a few degrees toward neutral to minimize shortening of the tendon as it healed. My last cast was on for two weeks in neutral position and then I got my walking boot last week.
I've used crutches the whole time, but have gotten quite good at using just one for most in-home navigation, which has allowed me to make coffee, fix dinner, wash dishes, etc. I've also lost weight and built up my shoulders, pecs, and triceps, which has been a nice boost to the ol' self-image.
This whole experience has forced me to slow down and to gain patience, which is all to the good. One cannot force healing or speed up the calendar; all we can do is what each day presents to us.
That said, I have to admit that I'm really looking forward to moving from Boot to regular shoe at some point, and eventually to walking without a limp.
My thanks to each of you for sharing your journey.
hello, i also had achilles tendon rupture.
surgeon sewed tendon back together and was wondering if the sutures loosened or came apart wouldnt everyone agree that we would feel that.
i feel good so far and god bless you all and good luck.
this site is really great
Well, my ortho (and the PA) advised against me going into a boot at week 2. He put me in a cast again since he wanted to make sure that I wasn't taking the boot off. He didn't want me hopping around without the boot and re-injure the tendon.
I agree with his approach, and I have 1 more week to go until I get into a cam-walker.
Morning all
Just had my surgery yesterday and found this site today...great place to find out what I have in store for myself..
complete rupture while playing Virginia State racquetball tournament...
dropped down like the rest of my AT friends out there...
I am a chiropractor and on my feet all day...
Was wondering if there is anyone out there that is also on the feet all day during the NWB stage and what they used to get around..
Also what about plane travel...We have plans to go to London on the 15th that we have scheduled for over a year..so any input on airline travel would also be appreciated..
Thanks in advance
Doc Ross
Hi everyone. Thanks for sharing your experiences. I am 6 days post op from a full tear of my right AT. I have little to no pain but today my leg (calf and foot) started twitching just slightly. It is not a visible twitch but definitely something that I feel. Has anyone else experienced this? Also, I am back at work (desk job) with my leg elevated on my desk. Has anyone else gone back this soon? Thanks!
Drew in MD
Drew...
I had the same twitching in my calf muscles.. I asked my doc about it and he said that it was natural. So no worries. I am happy to announce that I am 8 weeks post op and the doc had cleared me to start rehab, too bad the PT dept at my docs office is back up 2 weeks so I have to wait until the 21st to start rehab. He also told me to start walking around in the house WITHOUT the boot for 3 hours a day!! Its tough and I find myself walking more on my heels than my entire foot. I just know that I have to push myself bc i am very tentative bc of the tightness back there but I am slowly making progress!!To everyone that has recently had theirs injured, hang in there, better days are coming!!
LaMont
Anyone have any sort of infection or fluid coming out? If so, did it go away with antibiotics?
I just popped my left Achilles tendon on Saturday playing a game of indoor soccer, because that was safer than playing basketball.
Still in a splint, I will see an orthopedic surgeon tomorrow.
Interesting about my injury is that I have not experienced any pain with my AT rupture. Either when it happened or in the three days since...
bullnav,
I had the same experience as far as the pain goes. It felt more like a minor sprain, but it did feel like someone kicked me in the leg though.
This site has been very helpful in helping me along with recovering from ATR. There is also a good group of people who are recovering from achilles tendon rupture at: http://achillesblog.com
There are lots of resources (physical therapy exercise guides, exercise at home guides, early weight bearing vs. traditional rehab protocol..) there as well as many individuals sharing their achilles rupture experiences on their blogs.
I hope it helps in your recovery.
anonymous:
I know that Simon Barratt had problems with infections. You might want to checkout his experiences on his blog: http://apps.fmc.com/Blog.nsf/dx/achilles-tendon-post-surgery.htm
Lamont,
If you are waiting for physical therapy, make sure you do some exercises at home.. (just clear it with your doctor first, to make sure that it's okay).
Here are some exercise guides with illustrations: http://achillesblog.com/physical-therapy/
Has anyone else experienced a somewhat sharp pain down near where the AT meets the heel? I only feel it at certain times when I move around. I am almost 3 weeks post surgery. Thanks.
Drew
Has anyone experienced little knots, or dimpling you could call it I guess, where the tendon is? I have this little knot, esp. right where I know the tendon was sewn back together, that I can really feel when I push my thumb down on it...I wonder if the sitches haven't dissolved yet?
I am 11 and a half weeks post-op and will be pedaling my bike soon...yahoo! besides the little knots, all is feeling great...
Maya
Maya - You are probably feeling the collagen/scar tissue that has formed around the rupture site. This is normal, and your repaired tendon will probably always feel slightly thicker. Massaging the area with your thumb may help break down some of the scar tissue.
It sounds like I'm right behind you on the road to recovery. I'm starting week 11 post op. You can see my progress at http://achillesblog.com/tomtom/
Tom
My husband's achilles tendon ruptured playing basketball. The surgeon who saw him recommended immobilization with a cast and not surgery due to potential complications. I wish we would not have taken his word for it and done more research earlier. My husband is in his late 30's, active and healthy. By reading articles, we found that surgery is actually recommended for him and not immobilization due to the higher chance of re-rupture. It has been about 5 weeks and are going to get a surgery consult and 2nd opinion, hopefully it is not too late to do surgery. In addition, if you have a cast there is a great product they sell to cover it while taking a shower. It works great and can be found at www.medcareproducts.com/cast cover.
Gosh i am definately the longest cast wearer on this site - my experience has been so very different here in the UK. and because i'm australian and out of my own country i just went along with what was suggested which was this: Cast for 4 weeks in FULL leg cast, cast for 6 weeks in below knee and now on crutches which at week 13 i am now on one and attending physio. No operation - just casts. i am walking on one crutch now in my shoes with heel lifts and am walking at home without crutch but still in shoes. Without shoes i still cant walk but i can weight bear fully. am i the only one in the world treated so conservatively?
susan
I ruptured my right achilles tendon playing indoor soccer - not at the heel, but a few inches above - had surgery 17 days later - plaster splint for the 1st week - fiberglass splint for the 2nd week - had sutures removed and placed in a boot. I keep it on when I shower and are still on crutches - NWB. I do however remove it when I sleep - I have an Ace bandage on all the time. Next week (week 3), doc wants me to start range-of-motion exercises. Will see my him week 4 for checkup. He's thinking I'll be off the crutches by week 6, maybe sooner - of course I'll still be in the boot.
Great site, tore my left AT on 3/29 playing basketball. Surgery planned for 4/8. Waiting to start the healing process is the worst. A lot of swelling and bruising thus far. With two small children, elevation and rest is pretty hard at this point. I plan on doing my first week of recovery at my parents, away from my two boys. My goal is to be weight bearing in a cam walker 4-5 weeks post-op, this will hopefully allow me to go back to a light-duty desk position at the fire department where I work.
Any other firefighters,cops, or anyone else whose job requires them to be 110% on here. I would like to hear how long it took to get back to full duty.
What a wonderful website! I am a 50 year old-thought to be in great shape when I ruptured my achilles playing basketball. Even jogged a marathon last fall. Long story short is had the surgery and am in the casts for six weeks before the boot. Last week (Easter morning) woke up with some chest pains. Turned out I had a pulmonary embolism as a result of the surgery? Luckily it didn't lodge in my heart but in my left lung instead. Never had so much pain and worry in my life. After two days in the hospital and now six months of rat poison (coumadin) I am back working on the leg issue. Just a suggestion for anyone having this done. If you feel any chest pains get it checked out right away. It is a rare occurence but I for one never thought it would happen with me. Puts this achilles issue in more of a perspective for me now. Good luck to all and thanks again for all this great information. PS Not a firefighter but a Deputy Sheriff, back to work after two weeks on desk assignment, beats sitting at home.
Thanks for the response Steve! Unfortunately my dept has issue with Light Duty personnel being on crutches, so I have to wait until the boot with no crutches. I envy your two week turnaround.
Hi - I am almost 8 weeks post-surgery and just came across this great blog, thank you for creating it. My achilles was not yet completely ruptured when I had my surgery, instead it was nearly torn off the insertion point and I also had a bone spur that my surgeon fixed. I was NWB on crutches for the first 4 weeks (first in a cast, then in the boot) and for these last 4 weeks have been gradually weight-bearing in the boot. At week 6 my doctor unhinged the boot so that I can plantar and dorsi-flex when I walk. I have been walking quite a bit in the boot - at least 5 miles every morning at a pace of 15 - 20 minutes per mile - but am not starting PT until next week. I'm having very little swelling and no pain in the achilles, but I'm still worried that maybe I shouldn't be trying to power walk at this point. I'm curious whether anyone else has done a lot of walking in the boot and if so, how has it felt. Thank you!
Initial Post-Op sucked. Spinal Block took 8hrs to wear off, which led me to be admitted overnight. Also, my inability to urinate after surgery caused more issues than I wish to mention. Anyway, 1 week post-op now, nearly pain free. One more week of cast, then two weeks of boot(NWB). I'm pretty optimistic at this point.
james
great to here all the stories-reassuring.....
i am 3 and a half weeks into my second tear-happened on vacation in LA- operated on 48 hours after the tear! only drag is i changed doctors(back home) and the new one is not very enthusiastic since he was not the surgeon
1st tear was 8 years ago at 40 years old
that is definitely it for BBALL- ill settle for a game of horse!!!
the good thing is,
now i have matching scars!!!!!!
In a boot since 2weeks post op... 90 degrees 2 weeks -80 degrees 2weeks then on to the real thing...patience......
ist tear i played golf after 12 weeks
hope this time it will be earlier - spring is a rotten time for this type of injury... waiting all winter to get out and move ...im from montreal---tuns of snow this winter-
well i wont rush it
thankyou for the posts
good luck to all!!!!!
welcome to the club
jg
I ruptured my achilles tendon in April 2008 and I am due to lead a group of 35 students skiing in 12 weeks time. Read about my recovery here and see if I make it !! http://rupturedachillestendon.blogspot.com/
This is a great site. All the different experiences give good insite as to what one may expect.
As for me, I had a tendon transplant on my left Achilles on April 7. The tendon was so scarred and torn, the Doc said this was my only option. So the tendon from the big toe was used to replace the damaged area of the Achilles. Also had a bone spur removed which was most likely the cause of all my troubles.
So no it is two weeks later, I have had little pain and got of the Oxycodone within 24 hours of being home. NWB cast gets removed on Tuesday for suture removal, then I am supposed to go back in a NWB cast for another 5 weeks.
We will see how that goes as I am anxious to get going again.
Hi there. I have just discovered this site. I ruptured by achilles almost 3 weeks ago playing netball. I had my right leg immediately put into a plaster cast. Day 5 I saw the surgeon who recommended surgery (I am an aerobics instructor). In hospital that afternoon all prepped and ready to go when the operating surgeon (who was different from first surgeon) ran me through the risks of surgery eg infection, nerve damage etc. Anyway after he painted quite a grim picture and being NIL by mouth all day I decided against having op. I am now taking the non surgical 'agressive' recovery. Two days shy of 3 weeks since I did it I have been removed from my fibreglass cast and placed in a moon boot. This is so I can remove it and do very mild exercises (toe points). I still will do be able to weight bear for 6 - 8 weeks.
So far all the blogs I have read have opted for surgery. Feeling a bit nerovus about not having surgery now. My ortho said it's not too late hmmm any thoughts?
Surgically fix it, the chance for serious complications is small. Your recovery will be much quicker and tendon stronger if you opt to fix it. Being your occupation what it is, I would be scheduling my surgery today. Chanc of re-rupture for a non-surgical repair is anywhere between 15%-30% depending on what study you read. Do yourself a favor and go get it fixed. You'll be thankful you did. Check out my blog.http://achillesblog.com/colinpd/
Thanks so much for your comments Colin, I really appreciate it. Unfortunately here in New Zealand it appears we are far more conservative and the non surgical approach is preferred (we have a public ACC system - although I do have med insurance if it's an accident you still go through the public system).
After reading many of the blogs on this website and other American sites it is obvious things are very different. If I was to have the operation here I would be put on the acute surgery waiting list, admitted to hospital and have no idea who would perform the surgery until a surgeon/operating theatre was available.
Had the original surgeon (who I am now back under) been available to perform my surgery I would have had it done. Because the surgeon who was going to do the op was not very positive at all about surgery I was left feeling very uncertain and not confident in the surgeon (not good on an empty stomach at the best of times ha!).
I now wish I did have surgery but being 3 weeks post accident & the fact that if I did opt for surgery I would have to go down the same road and not know who would be operating, I have decided to carry on down the non surgery road and hope for the best! I am very nervous but will do all that I am told and go through a good rehab programme. Oh and I have officially retired from netball - well at least at this stage ;-)
Anyone else gone for the conservative option?
Many thanks
Tracey
from Kiwiland
Wow, your situation is more complicated than it appears. Its sounds like the surgeon who spoke of the risks was not very confident in his skills. This worries me because I have heard Achilles repair described as the appendectomy of Orthopedics. It sounds like your stuck between a rock and a hard place. Good luck and with patience you'll do fine!
Hello all,
I ruptured my achilles tendon on March 1 of this year, and yes i had some of the same symptoms as a lot of you (loud pop, mushy achilles area, couldn't walk properly). My surgery was on March 10th and everything went really well according to the doctor. After surgery i was only in pain for a couple hours and didn't really need any pain pills (ok maybe two or three). I was in my initial post op cast for 2 weeks, then my stiches were removed and i was placed in another hard cast for 4 more weeks, which sucked (especially with the foot pointed). Nevertheless i made it through that HORRID time. I then went back to the Dr's office (April 22nd) and recieved a walking boot with three heel lifts inside. I was then told to come back in 3 weeks, and each week i should take a lift out of the boot and attempt to wean my self from the crutches. It is now May 6th and I'm in the last of my three heel lifts, AND BEARING MY FULL WEIGHT!
It feels great to walk agian! Yes, i am still in this boot, but moving without the crutches is wonderful. As soon as i got out of my cast, i immediatly started stretching and icing my achilles several times a day. The ice really helps; being a former college football player i'm completely sold on it. As soon as my hard cast was removed, my routine was stretch, ice, and elevate as much as i could. I can now get my foot past the 90 degree mark, and the occasional swelling is becoming a thing of the past.
I know this is very long winded, but this is the first time i've been on a blog and read stories just like mine. I'm definately not rushing things because i'm still scared that dreaded POP will happen again. However, i have to say i took some steps barefoot (just a few) and surprisingly it didn't feel bad. Surgery was March 10th and it's now May 6th approx. 8 weeks post op and i hope I'm on schedule for a full recovery. Although, the thing that really discourages me is all the sckeptics. Everytime I get excited about my range of motion, or the swelling going down, or how good it feels, someone is always there to tear me down. Comments like: your moving too fast, you must be rushing the injury, or my favorite -your just going to hurt it again, really get ON MY NERVES! Everyone heals diferently and i'm following the doctors orders. Ok, i've vented enough - Is there anyone out there whose healing experience from this injury has been smooth? Or on the same pace as mine for that matter? (and i still have a long way to go) Is physical therapy after 9 weeks post op out of the question?
Bye the way, my scar was to the left of my (right) achilles, not directly in the back of my leg like i have seen others. So far it hasn,t been a problem with healing or anything like that. In fact it's about 99% healed. Finally, I wish for everyone to have a speedy and problem free recovery and keep your heads up because i know how depressing this can be; especially for us active people.
hi slogan,
i have posts all over this and i wrote one almost just like yours a few months ago - yes the ones who always point out the worst are the worst! it's like, hello, i know it's a rough injury (i'm living it) but i'm dealing, and i'm champing it!
anyway, i started PT in my 9th week post-op but it was very mellow, move foot back and forth, not even with a big rubber-band yet (but the massage and electric stim was good i guess). I reach four months post-op today and walking properly in shoes with the correct gait has been my latest challenge (a lot of pain around the heel). there's a big gap to cross between FWB and walking the way you did pre-ATR. I should ice it more like you do. good luck!!
Maya
Hi Slogan
Your timescale sounds very similar to mine. i had my ATR on 7th March, helping my sons football team, i had my operation on 14th march, originally, i didn't realise i had ruptured my achilles tendon, and i went into work the next day, however, i began to realise it was pretty serious and went to hospital.
I was in a cast for 4 weeks, a boot for 2 weeks, then was told to gradually put full weight on.
I am managing to get around OK now,and am FWB, but as Maya rightfully pointed out, the next stage is learning to walk properly again without a limp, i haven't started Physio yet, but hope the hospital tell me to start it soon.
For now i am walking more and more and going for daily walks in the park, which is great especially now we are getting some sunshine at last!
Best wishes to everyone with your recovery, its so good to get other peoples views/experiences.
Steve
Good morning All,
First let me start by saying thanks for your responses and experiences. It does help when you have others who can feel your pain and frustrations (literally).
Now for the reason i'm writing today. This question is for those who are at my stage in the healing process, or beyond. When does walking without the boot become more physical than mental? What i'm trying to say is: I've tried walking regular without the boot and it feels fine, however i start to limp or put less pressure on it because i'm more or less scared, not because it hurts. In addition, I walk around the house without the boot, but as soon as i think about leaving, I strap up "ole trusty". It's like now the boot is a part of my daily routine - "i can't function without it".
Hi Slogan
When my doctor told me to start walking without the boot and crutches, i was also frightened in case all the work was undone.
I started walking around the house without boot and crutches, and gradually started walking outside,but took my crutches-just in case.
i still use my crutches to go uphill but i am getting more and more confident,
Your confidence will come, step by step, but i understand your apprhension, when i told my doctor about my concerns about a rerupture, he said that if you don't have problems in the first 7-8 weeks, you should be OK-hope he is right!
Good Luck
Steve
Just hearing some of your Dr's aggressive treatments makes me angry. My doctor is very very conservative(i'm talking cast, cast, cast, boot), and would have definately chosen a more agressive doctor (in terms of walking faster, and getting out of the hard cast sooner) if i didn't think the surgery had to be within a week for the best recovery. Anyone now of some good doctors in the Baltimore area, Specifically OwingsMills, MD
What a great site for all the questions that I have. Like Colin I work in the Law Enforcment community and maybe could have avoided the injury by paying attention to my body a little more. Months before my injury I started running hills on a treadmill while increasing the speed each time to prEpare for a work Gxt(physical) I noticed some soreness in both achilles tendons but would stretch them before my workout but seldom after it. i also just bought a new pair of softball shoes for the season(high tops no less) While preparing just to take off for a flyball, I heard a pop and down I went. My injury occured May 1st and I had surgery today. I had the bloc and now it is wearing off 15 hours later. Thanks for all your stories! My doctor is treating this agressively and I have to thank all the staff at Grant Medical Center in Columbus, OH who were awesome today. I am 32 and I look to forward to this challenge and overcoming it. Labor Day will be much better then Memorial Day. Like Colin, I will be on light duty after two weeks if all is well. Sounds like alot of TV in my future though. This is Day 1 and I will keep you guys and gals posted
Day3 post surgery and what a difference 24 hours makes. I am off the pain medication all together and my foot feels much better. Still just lounging around all day resting and elevating my foot. I want it to heal the right way the first time. I have been off of my feet since May1st when the injury began and I am bored to tears already. Does anyone know when you are allowed to do push-ups and sit-ups to pass the time and does that cause any undo pressure on my achilles.-Matt
I am returning to work (desk only and elevated) tomorrow, which is Day 6 post-op. Is this too soon? I don't have any pain, just get tingling and purple toes while standing - is this normal (I am in a fiberglass cast)? I keep my foot elevated at all times while sitting. When will I be able to stand (NWB with crutches) without having my toe tingling problem for long periods of time?
Hello fellow sufferers
I tore my AT, at the back of my heel. It’s a slight tear and I presume I got it when I skid on ice around Feb 2007. I ignored the swelling and pain, which was on and off. Last few months I aggravated the injury by working in the Gym. It came to a point where, walking after sitting for a while was painful and took my heel at least 200 steps till it loosed up. Saw a physician in Sep 07’ who recommended pain killers and exercises, which did not help at all.
This April, finally saw a podiatrist, who immediately put me in a Cam Walker, and crutches and suggested I put no weight on the foot. Last few weeks with the Cam Walker have been great; I am able to tolerate it very well, and undergoing Rehab sessions with Ultra Sound and exercises. The prognosis seems on the brighter side. I am still using the Cam Walker on my regular work schedule, but wear an ACE bandage with good supporting sneakers to support my heel and am gingerly walking around the house.
Miss going to the Gym, sometimes walking to the bus in NYC seems painful and am exhausted and do look forward to my normal life.
Questions I have are:
1) What do you recommend in the future
2) What is the best way to warm up my heel and feet before exercise
3) I plan to get a sports M/Cycle, suggestions on care and fitting shoes and riding
Many thanks for this blog !!!
Neil
This site is GREAT. I tore my AT 4 days ago and I will have surgery tomorrow. I am an American who is living abroad in Europe so the whole procedure is a bit more complicated for me...Just wondering if anyone can recommend a workout DVD or something to exercise the upper body and my "good" leg while I am recovering? I can't imagine being inactive for the next 8 weeks?
I have to share my story as it is somewhat fresh. It happened during a volleyball game, a sport that I've played since I was 9 (50 now). I did the classic thing. I planted my left foot and I thought someone ran into me; it felt like someone hit my leg with a bat. I didnt have any real pain. It just felt loose and that sometHing was wrong. The other team had a player who was an athletic trainer plus there was an ER doctor on another team. They quickly told me what had happened and that just sucked. Summer plans out the window. Athletic career on hold or ended. Being self employed doesnt help either. Anyway, there was no pop sound for me and the swelling took about 12 hours or so to kick in. I had minimal discoloration. No real pain though some areas were tender. I did take some Advil and I'm trying to bond with my crutches. AS for rehabing, I plan on working out the rest of me that still moves, including my right leg. I read somewhere that working out the "good" leg can have a conditioning effect on the inactive leg. I'll have to look that up again and reference the source. I'm still in shock over the complete disaster that it seems to be. My surgery is in 3 days which is not soon enough. A good blog though;I'm looking forward to posting a few more comments as I progress.
Pete
good luck with your recovery. i ruptured mine 11 weeks ago,i am 47, and did it playing football (soccer) with my sons junior team, i have been walking without crutches/boot for the past 3 weeks. you do go through different emotions, but it will make you stronger as well, and you learn to appreciate things that you may have taken for granted before.
I started physio yesterday and will return to work next week, hang on in there and things will get better.
Steve
Hi all hope evryone is doing well.I have found this site so helpful in the sitting around time.I am just 1 week post op and doing well I think.I completely ruptured my achilles whilst Irish dancing in Rwanda(dont ask). It took 40hrs travel to get home for surgery.I am determined to go the aggressive route of rehab where possible.I took Cipro an antibiotic for 2days and apparently the side affect is that it weakens tendons.No shit!!Well I wont be taking that again.I am 42 and have trained hard in many sports,skiing,surfing,cycling and my surgeon fully expects me to return(slowly) 95--100%. I fully expect to be with care. Good luck to everybody on here! Euan
I had a heal spur removed, and the surgeon (I had my Podiatrist do the surgery as opposed to an Ortho) had to sever most of the achilles to get to the spur. So although it wasn't a rupture like most of the stories I am reading about, the healing process is the same. They used a plate and screw to reattach the achilles. I am a lifelong athlete, and being inactive was incredibly difficult, physically and emotionally. When you are active your body naturally releases pheromones and it is totally natural to feel a little depression kick in during this period of inactivity. Brace yourself for it. One other thing no one prepared me for: muscle atrophy. When muscle degenerates, it leaves a horrible cramping like feeling. This went away as I got ambulatory. But to cope with it, use your Vicodin and Ibuprofen, because it is damn near intolerable. Here is/was my timeline: Week 1-2 - I had a cast on my right foot for 4 weeks. Allow yourself to be taken care of. YOu are on crutches, and you are wobbly and not super coordinated. You cannot do anything other than get up and pee. You cannot even get your own meals. Take some fiber if you are on Vicodin. I was one Vicodin for a full week, then weaned myself off it on week 2. Ice and elevate all of week 1 and 2. Watch your toes for swelling and bruising. This is kind of a tell as to how the healing is going. On your other/good foot, wear nothing other than those house socks with the little gribby/nubby things on the bottom. Lots of sleep still. I have a little plastic stool in the shower along with my packing tape and trashbags. Vanity is not thy name. My surgery was on April 18, and I got my cast off on May 19, four weeks later. That was when I got my walking cast. Week 2-3, the muscle atrophy pains started kicking in. They would keep me awake at night. They were crippling. Week 3, I had to get back to work. I have a desk job. So I used my left foot to drive (both gas and brake). Crazy enough, just those little moments of being upright (still non-weight bearing), got rid of the muscle atrophy pains. I was still elevating when I could on week 3-4. Still NWB, but now vertical a little more, week 3-4 I had swelling in my ankle and foot (not painful through). So each night I was icing the swelling down, and it was fine by morning. I can wiggle my toes now! Week 4 I got a walking cast. I am now able to take the boot off and shower that skanky foot. God that feels good. I sleep with nothing on my foot at night. The doc said to slowly transition to weight bearing, using my crutches, as my body would allow (without pushing it). Yeah right. Within 2 days I was hobbling around my house i my walking cast, without my crutches. New to walking, the bottom of my my heel is super-sensitive. I was able to do little jaunts, but still using my crutches to get to and from the longer distances (house to car, car to office, etc..). Being weight bearing is very emancipating. It was so nice to be able to take out the trash, carry my coffee to the bathroom in the morning, etc. When you are on crutches, you simply can't do anything for yourself. I totally dumped my crutches at week 6. I am totally weight bearing with my walking cast. Don't get me wrong, I am slow, and it isn't pretty to watch. I am not at week 6, and I took my first jaunt to the gym and did that sitting, hand peddle machine, shadow boxing (standing, no moving), abs, and some free weights with arms. The other thing big adjustment you have to make is your diet. Being inactive, especially if you are over 30, you really have to adjust/reduce your caloric intake. Women expecially. Trust me, it is so much easier to make little diet tweaks while you are inactive, than to try to deal with depression and weight gain a few months later. And no alcohol for a while, especially while you are on crutches.
Good Evening,
I completely ruptured my Achilles on March 27, 2008. I had surgery the following Thursday on April 3, 2008.
I was in a cast for six weeks. Currently, I am going into the third week of being in a boot (today is May 30, 2008).
I have tremendous flexibility, but I have a question. This week I rode the exercise bike on two days for 10 minutes, and I was on the elliptical machine for 5 minutes. Also, I walk around the house without a boot for "stretching" purposes. I am also doing leg extension (4 sets of 12 with thirty pounds) and leg curls (3 sets of 10 with 20 pounds).
Does anyone think I am overdoing it? I am trying to stay in bounds of taking it slow, but I am scared that I may overdo it. The only side effects I have is swelling and normal pain, all of which are gone by the next morning.
PLEASE let me know if I am doing too much. I can be reached at reginald_41@yahoo.com (my e-mail address).
Thank you
After reading this blog a few times I thought it was my turn to share my experience here in New Zealand.
I ruptured my Achilles on the 4th April - in my first (and last) game of the 2008 soccer season. I was placed in a cast at an A&E (Accident & Emergency) clinic and told to see a specialist 3 weeks later - ideally 2 weeks, but none were available. I went back a day later and told them it felt heavy and tight, but - since I had not worn a cast before - I was told this was normal.
About a week later I went back with a very sore calf muscle. After a blood test I was rushed to Auckland Hospital with a suspected blood clot in my leg. This was confirmed at the hospital. I was given a shot of clexane - which I reacted to - so I got to spend a couple days in Hospital. My poor wife was holding my hand when I went into shock and she later told me all the warmth drained from my hand and all she could feel was cold sweat - all in a few seconds. All that I remember is the room swimming. So I was placed on medication for this, got a new cast and off I hopped.
After 3 weeks I saw a specialist in the original A&E clinic. He did a brief examination and told me all was good - in fact very good. They place me in a "walker" - a rigid fibreglass cast with a spiked heel to walk on. Again, off I hopped.
This was so painful that after only a few hours I had it cut off (the cast that is, not the leg). It was digging into my leg and was very painful. They placed another soft plaster cast on and again off I went. The clinic wanted me put into another "walker" and I told them what they could do with their walker.
At this point I decided to seek a second opinion and a week later saw another specialist. He thoroughly examined the leg and told me that after 5 weeks I was not healing, there was still a rupture, I failed the Thompson test and I needed surgery - followed by 2 months of rest.
You could have knocked me over with a very small feather. I was totally shocked. I had gone from "very good" to "very bad". The second specialist placed me in a moon boot as my leg muscles were wasting away and there was no point me being in a cast.
I declined surgery. I had decided from day one I was going to heal naturally and I stuck to my plan. The specialist was not happy - he stating that declining surgery was a bad option, but I was unmoved.
Two weeks later I went back to him. Another examination and I was up and walking around his office - no pain and only a slight limp - 2 weeks in the boot and 7 weeks after the rupture. Passed the Thompson test and much to the specialist surprise, I am healing much better than expected.
It is now about a week later and while at home or in the office I am wearing normal shoes and getting around in no pain and only with a slight limp. Away from flat and stable floors I am in the moon boot and I in due to go into the raised heel shoes in about 2 weeks. After that I am not sure what happens but things are looking better.
How do I summarise my experience to date. Most important of all - have faith. Focus on healing - mind, body and soul. I was going nuts in the cast, stuck at home, bored, relatively immobile. In the boot I was up and walking, working and working out again (upper body weights) and it all starting coming right. I felt 300% better on my own two legs and I believe this positive energy has boasted my recovery. Interestingly throughout this experience not one medical person asked me how I felt - other than physical pain. I believe the mental /emotion aspect seems to be ignored and it does make a difference.
Finally, if in doubt get a second opinion. Take ownership of your old health. Unfortunately we cannot sue in New Zealand for the misadventures I have had - otherwise the original specialist would be right in my sights!
Cheers
Peter
Today I hit 5 months post-op, and the tendon is well on its way to being its old self! What have I learned from all this? One, as soon as you learn you've done this injury (Thompson test yourself) before you agree to anything with your doc, research all recovery methods and protocols so you know what questions to ask and have a discussion with your doctor about what's best for you (not them just telling you). I agree with Peter's post above: it is up to us to heal ourselves b/c sometimes docs only treat the injury (and only the way they know) and not the person.
Looking back I would also combine my PT with holistic therapy (like acupucture, diet changes etc.) cause that's what fits ME. I think my recovery may have been less painful and little quicker if I had done so.
My advice is also to stick to the PT exercises, ice it a lot and self-massage the heck out of it (your PT should show you how). And listen to the tendon - it tells you when you do too much too soon. However, there is a normal amount of pain that comes with walking properly again (you know if you overdo it if it hurts while sitting).
About the cast/blood clot thing, my doc had my take an aspirin a day just to help avoid that.... and even with surgery, I was casted for two months! that sucked, but my calf muscle is coming back nicely...
Anyway, I am mt. biking again and I will be snowboarding next winter (at least once a week), just as I always have. Stay positive, remember your own power to heal, and keep the faith!
Maya
in Colorado
I NEED YOUR HELP!!
I was hoping someone (well, actually, it must be a FEMALE that has GIVEN BIRTH)could settle a debate between me and my boyfriend. My boyfriend snapped his achilles tendon last year. he is a football player and has had many injuries in his life. he is pretty tough and can handle pretty much anything, but has said that rupturing his AT was the most pain he has felt in his life. I mentioned that it was probably not as bad as would be giving birth (I have not as of yet, nor am I pregnant, I should note. Alhough this is a comparison he could never know himself, he thinks that a ruptured AT is more painful than giving birth. Of course we both realize that there are many factors involved (ie. one's pain threshold, female anatomy size (ahem..)and severity of rupture AT.
G-d willing I myself will never be able to make a personal comparison, but we were wondering if there are any women that have experienced both and if you could assist us in the comparison of the Pain Factor.
Your feedback will resolve our debate and we would really appreciate your time.
Thanks!!
Hi, Ruptured mine 2 weeks ago today playing a field sport. Im 31. In full cast, with toes sticking out. Due to have stitches removed next week and then back into cast until the 6 week mark.
I find i still need to keep my foot elevated a lot cos if i'm crutching around the toes get purple and my ankle feels heavy. Also get a lot of tingling and some pain from around the ankle and incision area. It's annoying when u read that some people are up flying around and even back to work after 1 week - I feel like I'm way behind or being too soft.
By the way i didn't find the initial pain that bad at all, initial shot but then it went kind of numb and I iced it a lot pre hospital. Don't know how you could comapre it to child birth, that's just being silly.
Well, I am now 2 days post-op. I is a huge relief to have the healing underway at last after a week of getting everything squared away with the insurance company and getting the pre-op exam. The surgeon said that the damage was more extensive than anticipated. The surgery went 2 hours and I was in some pain before surgery due to soft tissue damage and swelling. Post-op the pain is manageable with Vicodin and my leg is in a splint until the swelling goes down and then I'll get a cast. I have to stay in bed until the I get the cast and that has not been a problem, believe me. My spirits are good and now it's time to let it heal. So far so good.
I partially tore my achilles during the final weeks of my second pregnancy-- I felt it, but didn't think anything of it, as my body was huge and uncomfortable and I just figured it was something to do with pregnancy. About 7 weeks after my c-section I got out to do an aerobic walk. The pain was pretty incredible. I assumed it was my shoes, socks, etc. Changed all those things and it still hurt. Figured I was out of shape, worked out harder (unknown to me, hurting it worse). About 2 months into the pain I saw a doc. He referred me to a podiatrist. I opted (since I had two young children and only a partial tear) to go the non-surgerical route. After almost a year of dealing with the pain and wearing a boot, isolating movement, steroid cream physical therapy,etc. I decided, after an MRI, to have the surgery. My surgery was May 9. My doc removed about a 2cm portion of damaged tendon and left about a 5-6 inch scar. I decided to have a spinal instead of general. I didn't want to be fully out- just scared me. So, I was in the hospital for 5 hours after surgery. Went home and when everything wore off, the meds weren't working. The pain was bad. Real bad. The meds were making me dizzy and when I made my first attempt at using the bathroom I lost my balance and fell onto the toilet, ripping the TP holder out of the wall and smashing my splinted up ankle into the floor. Around 3am I went in and emailed my doctor to call me first thing. He had me come in and took the splint off to check the incision and try some new meds for the pain. In the end, Vicodin (which I already had in the house from my c-section and from breaking my elbow about a month before this surgery) was the trick that worked. The stronger meds weren't doing it. Weird. After I got the pain under control it wasn't that bad. I went in every week for a new cast and to stretch the tendon back into position. I am in a boot now and go back in on Thursday for my 6 week check-up. My hope is that I will be able to start walking. Truth is, I already have been limping around without my crutches b/c the boot makes it too tempting not too. It is almost better to have the real cast if they don't want you to walk. But, I was starting the stretching and PT at home the past week. Just last night I slept without the boot and woke up feeling great. In fact, it felt better when I put it back into the boot than it ever has. So, I think I am at that point...
This is a rough injury. It is a rough recovery. I wish someone would have told me to just do the surgery. It seems that almost all cases end in surgery anyway. Hindsight is 20/20, and everyone has to make their own choice, but if I had just done it I would be back to normal by now. Instead I feel like I finally am close to starting the rest of my life with activity again. Good luck to anyone starting your journey with this. You're not alone.
-Lisa
I'd like to add a few things. Vicodin was the painkiller the only thing that I took post-op for pain and it worked well. It made me groggy but that didnt matter as I was in bed anyway. After the first week I stopped with the Vicodin and now just take Advil as needed. I've had the cast for about 10 days now and will have it taken off in a few days to remove the stitches and then I'll have another put on. The cast did itch at first and the doctor suggested to take an antihistamine such as Benadryl and it worked. Has not itched since. So far so good. I'm looking forward to getting a boot..
What a great site. I ruptured my achilles tendon playing netball on 3rd June - I felt the kick at the back of the heel sensation but then my leg went completely dead and and I didn't feel any pain.I underwent sugery on 5th June and am now into my third week in plaster with a much awaited visit to the consultant on 1st July. Will let you know how I get on.
Wishing all fellow ATRs a speedy recovery.
About AT rupture vs childbirth. I have had 3 children, natural childbirth with NO pain medication. Last one only 9 months ago. Full rupture of right AT on June 8th, and surgery one week ago on June 13th. Tell your boyfriend to suck it up. There is no comparison at all. I ruptured my AT playing baseball, and after being carried off the field, sat and watched the rest of the game with an ice pack. Hubby dropped me off at the hospital by myself so he could find a sitter for the kids. Surgery was a little worse and the incision site hurts some now but still no comparison. Perhaps he has a low pain threshold.
Hi Jenny,
Thank you for your reply!! Perhaps you are right, maybe he has a low pain threshold...LOL
I appreciate you taking the time to give us your input.
Congratulations on your baby and I hope you AT heals quickly.
Does anyone have any help for me? I am 7 weeks post op. At about 5 weeks post op I started having EXTREME fire in my foot and SHARP needle pain. I can't sleep at night. All day it feels like my foot is on fire. Massage helps but only for a few minutes. I still have numbness on the top of foot on the stip that goes from the ankle to the big toe. Any thoughts? I would appreciate an email at tstanley@bryanisd.org.
Thanks.
to terrystanley, I am only 10 days post-op and have had burning pain all over the surface of my foot running from my ankle to my little toe. It hurts more than the actual incision site and feels like a blow-torch on my skin. I also have no feeling on the top of my pinkie toe, but can feel on the bottom of it. Chances are pretty good that you and I both have had some nerve damage. As the nerves start to fire back up when swelling decreases etc., it can be quite painful. My husband had a similar experience after a different type of surgery and it lasted for about a month. Hope that helps.
hi everyone, hope you are all recovering quickly. I am 10 days post-op and having trouble with nerve damage (see previous anonymous posting). My real concern right now is that although I ruptured my right AT, my left foot is doing some weird things. I am NWB right now and hobbling around on my crutches but every time I step on my left foot I have the sensation like a small bubble is bursting right on my AT. I am terrified that my left AT is about to blow out. Anyone else have problems similar?
As someone who 11 years ago snapped his right achilles and had successful surgery I have now snapped the left one and been advised at the age of 47 I'll be ok without surgery. Nature will take its course and a range of plaster casts and boots will sort me out.But, after reading all these blogs and loads more info, can anybody other than my consultant give me any comfort for the non-surgery approach?
Peter, I think I read the same articles as you regarding non-surgery vrs surgery. It seems like surgery is the way to go. In my case there wasnt another option. As for the nerve problems, the tops of my big and middle toes have been numb since the injury though the bottoms of these toes have feeling. I'm about 4 weeks post op and will get my cast off for good in about 10 days.
It has now been 11 weeks post rupture and nearly 4 weeks since my original post. Since then my healing has progressed extremely well. At the 10 week mark I went back to see the surgeon. I had been in the moon boot for 3 weeks and my modified “raised heel” sports shoes for 2 weeks. The surgeon stated my progress was “fantastic” and I would now make a complete recovery. I was correct in choosing not to have surgery and he had been wrong in recommending that I have surgery. There was no further need for me to see him. I can start “no impact” cardio – cross trainers, cycling, etc – though avoid running. I could go back to weight training after week 26 (early October) and back to sports after Xmas.
In the morning I walk with almost no limp, though as my legs get tired during the day, I do limp a little bit. I am back to wearing normal shoes. There is still some swelling around the tendon, but no pain and definitely more strength and flexibility.
I have a theory on why I have healed so quickly. I have been doing powerlifting for nearly 15 years. My body is used to lifting heavy weights (I regularly bench 200kg +) and responses quickly and efficiently to the demands and strains of weight lifting. Once I was in the moon boot and back walking, everything came right. My body simply responded to pressure of walking again, my leg muscles began to strengthen and the tendon began to heal. I theorise that my body is “programmed” or conditioned to naturally heal a soft tissue injury as if I was recovering from a hard weights session. Of course it takes longer and is a slower process, but I have gone from still having a rupture after 5 weeks to nearly walking normally after 11 weeks. Not bad for a 38 year old.
Of course I am no doctor, this is only my theory. I always felt I was going to heal naturally and I was going to heal completely. I could not stand the idea of being cut open and then being on crutches for another 8 weeks. I got up, I got walking, I got lifting (upper body only weights), I got energetic again, I got what I wanted. Healed.
Peter
Your response is excellent comfort. Should be compulsory reading for all those who don't have surgery, particularly all those in New Zealand whose entries seem to indicate that only an All Black would be offered the op.
hi there i ruptured my achilles tendon on 6 th april while out dancing . i went to hospital twice and docs twice third time of going to hospital 7weeks later they decided that i had ruptured it so i had emergancy surgery and am now 5 weeks post op and only one week to go till i get the boot. i have been told that this surgery may not work as i was left too long . all i say is well done nhs and i hope it does work because i will be devastated if not as i have a disabled husband and child that i have to look after and it has been such a strain tryin to look after them aswell as myself. was wondering if this has happened to anyone else ? and did you recover ? plz let me know cheers
Like others, I was very happy to have found this site. I ruptured my AT on June 29th and was referred to an orthopedic surgeon on June 30th. This injury was unexpected as I was warmed up, sweating profusely, and enjoying a good game of long toss frisbee with my two sons in law.
My ortho surgeon took xrays, and performed several tests and diagnosed my injury as a complete rupture of my right AT. Oddly, it did not hurt too much.
On July 3rd I had surgery to repair the torn AT which took 1.5 hrs. I had general anesthesia and my leg was fitted with a cast/splint to allow for swelling. After the anesthesia wore off, I experienced a fair bit of intense pain which I alleviated by taking 7.5 mg of percoset. I was also given a specially coated aspirin to prevent clotting.
I'm on Day 3 of my post op recovery. The repaired ruptured AT hurts when it's not elevated...even with the percoset. My daughter who is an anesthesiologist tells me that pain should subside in a week.
Before this injury, I enjoyed walking my English Springer spaniel, Abby, around the neighborhood and park. I hope we can resume these walks soon!
Jim from Rhode Island
This site is great! I have a partial tare in my AT and I did this on July 1st. I saw the orthopedic today and I am having surgery since my tendon is too weak to point my toes to the ground. I have surgery on Thursday (July 10). I am really nervous and this is helping. I guess I will be icing and laying in bed for a long time. Hopefully I will be able to work from home for a while. Thanks for the info!
-Jess, Wi
hi there its sharon again from 2 july. well had my cast off on mon and now have the walkin boot oh my god how different is that from a cast . nice to be able to walk properly on it but have alot of pain this is the 1st time since op i have felt any so think i done quite well. have got to have this on for 6 weeks for now and i have 3 pieces of foam in it which i have to go back to hospital every 2 weeks to have 1 removed to lower foot down. am alot happier now that i can walk proper again even if i do have to use crutches still
Another inductee! I am a foot-mate of Rhode Island Jim, I too tore my achilles on 29th June. I was at a company barbeque and we played a pick-up softball game and while I was running between bases I think I got hit by the ball as I felt a searing pain in my right achilles area.I could only limp from then on.
I reported to hospital on Monday and was given an X-ray and the Thompson test and I was pretty quickly diagnosed as having a torn achilles. Apart from when I put weight on it I didn't have a lot of pain.
The doc said it was very common to think you have been hit, as others on this blog attest. I was in shock when he explained the choices and the post-op recovery time of 10-12 weeks. I said this is terrible, and he said its pretty normal around here. I think the surgery was really the only way to go. I am 62 and fairly active but obviously not as fit as I thought.
The op took place on 2nd July, now 10 days ago. I still have not had a lot of pain but my toes turn blue and I get a heavy throbbing when the leg is down. Also, I get some stabbing pains around the site of the incision. So in general I am trying to keep my leg raised up. I haven't thought it necessary to take any medication, although sometimes it just aches and I can't get comfortable
I believe my doc has me on a conservative protocol,next week the splint and bandage get repaced by a cast for four weeks and then its on to the cam boot. As it is my right foot I guess it will be a while before I can drive again.
Good luck to all members and thanks for the advice from those ahead of us.
DaveC
Hello - last July (2007) I had a complete rupture of the left achilles. It separated approx. 6 cm above the heel as well as completely detaching itself from the ankle. Doc said it was the worst he'd ever seen. Anyways, had it fixed with some screws, lots of surgical wire and a X-Y pull down (cut the calf to reduce tension on the tendon). All's well, right? Went in a cast for 6 weeks, then a boot for 6 more, all the while doing two days of therapy a week for 2 months. September 25, while walking on the treadmill at the physical therapist's office, POP - it completely ruptured a 2nd time - this time in a higher spot. MRI - revealed complete rupture.
2nd sugery on October 2nd, 2007 - doctor goes in and reconnects the tendon while "wrapping" it in a pericardium valve (derived from Mr. Ed). This time no therapy - just 8 weeks in a cast and 8 weeks in a boot. Then slowly, I can begin walking on it.
All's well, right? Then on March 7th, 2008 - at my 2 month follow up to my last post-op appt, the doctor is leary and orders an MRI. Results: the valve (graft) did not scar over with the tendon and has disintegrated. Not to mention the tendon had severed again and was scarring over on it's end, thus rendering the achilles irreparable.
Solution: See another doctor.
On March 31st, at the advice of a specialist (he's the ortho surgeon for the Men's US National Soccer Team) I had my 3rd surgery. This time, I had a cadaver tendon, coupled with a big toe tendon transfer. It's been two months in a cast and almost 2 months in a boot - I start therapy tomorrow and I am leary about it breaking again - this time if it happens, my choices are ankle fusion or amputation.
Now - my concern - I've put on 25 lbs this year (a result of 3 surgeries and ordered to a wheelchair - my thought is that when I get stronger, I can try bike riding. has anyone had successful bike riding with AT ruptures (re-ruptures)
Thanks!
3rd time's a charm
Hey Gang,
I am a fresh rupturee of my right Achilles tendon (12 July 08). I have surgery scheduled this Monday.
I live alone and in a house w/ multiple stairs, so I thought I would share my experiences so far.
My right leg is splinted and I have crutches.
I follow the described methods for stair navigation on this blog.
I have set up several chairs in my living room to navigate w/out crutches from my couch to my kitchen and dining area.
I use a rope attached to a rolling cart to move items (food, laptop) from the dinner table to/from couch.
The showering is tricky! I bought two $15 folding stools from Walmart for the shower and for use in the kitchen. I rest my right knee on it (added a skateboarding knee pad for extra comfort) to wash in shower or when washing dishes. The chair is lightweight and has a handle on top so when it folds you can use it as an improvised crutch. CAREFUL in doing this though!!!
Also, I have a second normal folding chair next to tub to transfer in/out of tub (as suggested in this blog). Be very careful w/ transfers. Think before you move!! I have already had a couple close calls!
I have pretty much learned to drive w/ my left foot (my car is automatic). Be very careful w/ this, but it can be learned. I either fold my right leg under my left leg or hang it over my center console while driving. Again be VERY alert and try to anticipate braking (using appropriate food pressure is the hardest part to learn). I obtained a handicapped driving tag for my car from the DVM w/ a note from the Ortho doc.
When out and going up/down stairs, I carry a backpack to transport my stuff.
I use a blue tooth head set w/ my cellphone.
Hope these ideas help. Of course use them at your own risk. :-)
UU
Hi, I'm now in my second week with the cam walker or Franken-boot, and the progress has been good. Each seems to bring an improvement. The swelling is almost gone but there is still some numbness in the big toe. I've started physical therapy and the strength is coming back. I can almost walk without the boot and its great to be able to take the boot on and off on these 90 degree days. I have about 2 more weeks with the boot and next Monday I can take out one of the heel lifts in the boot( there are 2). The end is in sight though. I think after reading the above I will be a litle more cautious. Good luck to you and let's hope the third time's the charm!!
Pete C.
I am now on Day 13 post surgery. I went to my orthopedic surgeon today who removed my cast/splint. He performed several tests on my AT/foot/calf muscle. He informed me it was a textbook operation with excellent results. The scar was about 6" and completely healed. He used a plastic surgical technique to close the incision and it healed very nicely. I was fitted with a Aircast Pneumatic Walking Brace (tall-almost up to my kneecap). It has two inflation valves to increase/decrease the pressure on your leg.
The intense pain stopped about Day 8 and I reduced my percocet to two a day. By Day 10, I stopped taking percocet. I had three nurses (my wife and her two sisters!) which is soooo luxurious! I did not have to "do anything" but play video games on my XBox 360/PS3/Nintendo Wii with my 10 year old nephew. (He whipped me on most of the games) and watch my investments deteriorate. I kept my rt leg elevated most of Day 1-13.
Dave C from RI: Sorry to hear about your AT rupture! FYI, my doctor is Paul Fadale of University Orthopedics who I think is the BEST! Dr Fadale informed me my AT rupture was complete and low on the AT with enough tendon to attach from the bone to the tendon attached to the calf. I had virtually no adverse "symptoms" like discolored toes, tingling, or pain, etc. so I was put in a walking boot described above.
I am now walking with one crutch slowly putting weight on my affected ankle. I have another appointment on July 28th. I am considering returning to work in August depending on how my walking adventure progresses.
Jim from Rhode Island
hi there again have had my boot on for a week now and i am in alot of pain with it am back on the painkillers again which i hate takin. next week i get a piece of my foam out which i am not lookin forward to but am tryin to keep positive and hope the pain wont be as bad it just feels like constant chinese burn inside will let you know how it goes. this is a message for uuayne try a computer chair in the kitchen thats what i used to get about as you can use your good foot to wheel yourself around it was great .
Hi
I haven't posted on here for a while, but for anyone feeling low, i hope my experience of an ATR will help in your recovery.
One of my main fears when i ruptured my achilles tendon 4 months ago, was that it would be ages before i could go for a long walk in my favourite part of the country in the Lake district.
i have been gradually increasing my walking each day,(i began walking after about 8 weeks post op) and last weekend walked for 16 miles in the Lakes and i felt great afterwards. I know i have some time to go, i still get some swelling, and now and again i get a little pain, but am happy with my progress, and would like to wish everyone the best of luck in your recovery
Steve
Manchester
Brief update from Jim of Rhode Island: I'm 18 days from post op and have been in an Aircast tall walking boot for 5 days. (BTW, the Aircast boot has 3 pneumatic inflation valves not 2 as I previously reported.) I still keep my leg elevated about 75% of the time because it feels secure. I can walk around (with one crutch) my condo for short periods without any discomfort. I also sleep without the boot but use a large goose down pillow to support my ankle and leg. Everyday, I try to put more weight on my foot. I have no pain in the area where the incision to repair the ruptured tendon was repaired. However, yesterday I did feel a slight pain in the heel of my foot after walking around. I also ventured outside to start up my Vespa and Nissan 350Z Roadster. I also wanted to ascertain if I could drive with this boot on. I don't think its possible or safe to drive a six speed manual transmission vehicle with an Aircast boot due to space restrictions between the accelerator, brake and clutch pedals. No problems driving the Vespa though. Thanks to everyone for sharing your AT experiences! I find all of the posts very helpful!
I received my first bill from this injury this week and will summarize all of the expenses when I get all of the medical charges to date.
Best regards, Jim from RI
11 weeks post op now. Doing physical therapy. 2 problems - having to take heavy doses of nerve pain meds. Appearantly, the surgeon placed a turniquet on my leg during surgery to stop bleeding. This cut off the blood supply to my foot too long and damaged the nerves. The neurologist says it could be two years until the nerves grow back.
Secondly I am having minor sharp pains when walking at times so I have to back off of physical therapy at times.
hi - its susan again - australian woman treated conservatively under NHS in the UK - no surgey, just 10 weeks of casts in different positions and crutches when the cast came off.....its now almost 7 months since i snapped my AT and i have been SWIMMING for 45 mins almost every day for the last week, and on the weekend we went to london and i walked all around, all day - yes i walked slow, yes my kick in the pool isnt as strong but hey i REALLY am getting there...i can fel my body working again wholly and as my body....maybe the conservtaive approach aint so bad and maybe the NHS isnt so bad either :)
well how impressed am i with this airca. three weeks into havin it and i can do loads even walkin with out crutches. had piece of foam takin out last week and that did hurt for 24 hours but i really am on an upward buzz now cant wait for 18 th aug when it should be removed yippee . it has felt at times as never ending but all that seem s to have changed now . so onward and upward and time to sue the hospital now for medical neglegence . will let you all know how it goes
sharon
Hi i'm a 34 year old man from scotland. I snaped mt AT nearly 10 weeks ago playing football (soccer) with my son oh the famous bang inside your head i thought one of my sons friends had found a gun and shot me. I snaped my AT on the Saturday night and went to A&E on the sunday morning. Soon as the doctor seen my leg he said right away its your AT will have to put it in a fiber cast. He told me to return the next day to see a consultant at the fracture clinic. So following orders back to the hospital next day the doctor recomended surgerie due to the nature of my job i'm an electrician he said the chances of the AT snaping again after surgerie were reduced compaired to just keeping the leg in plaster. After the op i was in a fiber cast again for 4 weeks with my foot in the full equine position then 2 weeks in the natural position. And then came the darth vader boot what a relief that is oh to wash your poor stinking foot again. So next for me in a few days is back to the hospital to see the consultant and to start my physio. So can any one tell me what can i expect on the physio front in the uk have heard as many horror stories as i have good one's.
for the electrician in scotland....i'm the australian teacher in the UK.
i didnt get any physio on NHS - had to pay for the two sessions i had - £28 for each session.....couldnt really afford it so i started treated myself (hope i dont get things thrown at me for this)..
after seeing the physio twice i followed his advice but did not go back - he said: use a stationery cycle, which i did, every day, do the calf raisers against window sill which i do and start walking without crutches and then start swimming - all of which i have done AS I FELT ready....so far it has worked....nearly 7 months following the rupture and i can walk all day (at my own pace) without a limp, i am swimming every day and i have started using gym equipment.... i also jog in the pool.... i just figured i could work out myself when i was ready for stuff....so far so good...i went back to work in a full leg cast, after one week following the rupture using a wheelchair and crutches AND we were regularly being inspected by OFSTEd cos my school were in special measures.....i think the kiwis are right when they say 'heal yourself'.
susan
To the Scottish guy and Susan, i live in the UK (Manchester) i snapped my AT playing football with my sons team (trying to keep up with the 16 year olds wasn't a good idea!)
i went to the NHS physio for a few weeks, but now do exercises myself such as the stationery bike, i'm walking quite a lot, and a plus for me, is i have been eating more healthier since my accident,since i didn't want to gain weight being inactive, and feel better for it, so i feel that something positive has come out of my accident
Good luck to you all
Steve
I tore my achilles on July 16 playing soccer. Had surgery on 7/19 and was sent home that day with a soft cast. Five days later I was put in a hard cast with my foot pointing downward. Two weeks later I was put in a walking cast and was told by the DR to walk with the crutches for a few days and then I could ditch them, but I imediatly started walking without the crutches and having been doing fine. I'll be in the walking cast for a total of 10 days and then I'll be put in the boot for 6 weeks during which time I'll be going to PT twice a week. I have had very little pain throughout the healing process.
It's been almost a year since I ruptured my AT while playing badminton at the Y in London. I'm not a fan of surgery so after having had a plaster cast slapped on, I immediately went to check the literature on op vs. non-op AT methods. I found some good literature on AT from the Netherlands and Germany, so, apart from being squeamish about having 3 inch cuts on my ankle, I'm also under the care of the UK NHS, which does not use cutting edge technologies and practices. On day 2 I convinced the Belgian doctor to put me into the CAM boot with 4 wedges. On the 5th day I was weight bearing (carefully), but by the 20th day my doctor insisted on putting me into a cast for 4 weeks. After a few days I "dynamized" the cast so I could "walk" on it. But admittedly, life was harder with a damn cast and crutches! At first the injury did not hurt much, but during the first week the pain ratcheted by the day. I was not prescribed any medication whatsoever, so I bought lots of ibuprofen and took about 800 mgs 2 or 3 times per day. A word of warning: although I have/had no regrets about opting for NON-operative treatment, the risk for re-rupture is approximately 11%, which is quite high. I admit that this has motivated me to carry out the physio (most of which I also paid for out of pocket), go swimming, steady walking, and cycling. My problem now, after almost one year, is my lower heel: sometimes while walking the pain is a stinging, burning pain. Does anyone have similar non-operative experiences? I tend to use flat shoes as well as trainers and, although heels are probably advantageous! I choose still to not tempt fate and stick with the more comfortable shoes. All the best.
Hi Folks,
I had an ATR on 12July08. I had surgery on 21July08. I was placed in a FULL leg cast for 3 weeks. During this time my foot swelled immediately if I did not elevate it. So I kept it above the heart 20 hours each day.
I got a Bledsoe boot (w/ 3 heel inserts)this past Monday. I will be NWB for another 3 weeks in the boot. It is great to be able to have a proper shower now and to be able to drive, etc. However, as long as my foot is not elevated, it swells up pretty bad. Is this normal? I also noticed a dark area (pooling of blood?) on the inside of my ankle, just below where the tiba connects to the heel. I am waiting for a call back from my Ortho surgeon, but thought I would check w/ my fellow ATR comrades.
Kiwi in London,
to anonymous on 3 June... Your comment made me laugh. I'm a female, who HAS given birth and I sustained a complete rupture of my right AT on July 6th whilst playing netball. Now, for someone who used to cry like a baby when I sprained my ankles playing netball (numberous times), when I felt that 'kick'in the back of the leg and the waves of pain taking over all I could think of was "why am I not blubbing this time?" Thats right "becuase I've given birth, so harden up!" ha ha.
I've rolled my ankles, I've torn my calf muscle, but this time I knew I'd done something really serious. Carried off the court, having to ring my husband to come down and pick me up, I couldn't believe what I was about to tell him - especially after I'd suggested he give up rugby after the many shoulder injuries, broken nose, damaged knee after playing so many years. I could only imagine what his response was going to be after I'd told him I think I've torn my achilles.
So, I'm a kiwi in London. I get introduced to NHS. First impression, not good. Got to A&E where I had to wait for about 4 hours while they looked after a drunk person, only then to be finally looked at, (No Thompson test) with a diagnosis of "Hmmm, it looks intact to me, but I suggest you see your GP tomorrow and get some physio - oh, and start putting as much weight as you can on it". Idiot. Went to GP the next day, she said the same thing and booked me in for an "urgent" physio appointment. - 4 days later. Went home, still not happy so found an excellent private physio up the road. After actually looking at my foot/ankle/leg, checking range of motions, thompson test etc, he knew I'd ruputred my AT and wrote me a referral and demanded I get back to A&E and to see an orthopeadic person straight away. He was brilliant. Got back to hospital, saw a doctor, had an ultrasound and heard the famous words "and this is where she snapped it". I think thats when I first cried - only because I knew I wasn't going on my holiday to Portugal a week later. Although, the first diagnosis sucked, once they realised what my injury was, they moved pretty fast. I got to hear my options - surgery, or no surgery. I opted to have surgery. I'm an active person, netball, gym, touch rugby etc, also have a 3 year old which I run around after, so having that 'stronger push off strength'and a greater increase of this injury 'not' happening again, it seemed the best solution to me.
I was booked in for surgery the next day (3 days after original injury) but got bumped a day due to more serious injuries coming through the hospital.
Surgery went well and I went home the next day with my foot pointed down. Went back to the surgeon 3 weeks later and it's healing really well and got put into cast no.2. Going back again on Tuesday to either get another cast or a 'boot'. By that stage I'll be almost 6 weeks post op. I'm hoping for the boot. I want to start moving without my crutches and start stretching out my AT, but hey, I'll listen to what the experts have to say when it comes to rehab. Yep, I've given birth and that was more painful, but I'll do it again. Do I want to rupture my AT again? Hell no - wouldn't wish it on anyone.
This was a complete new injury to me, and I only knew of one person who has done it and she had only partially ruptured hers - oh and she's also back home in NZ. This blog was fantastic, so imformative and reading everyone's comments and experiences has given me some sort of insight of what I should expect in the next 6 months.
Now my comment / story may have bored you, amused you, or basically just lulled you to sleep - whatever your reaction may have been, all I hope is that you do take away, the notion to nag the doctors when you have to take someone you know to the hospital with a suspected AT injury. If you think something is up, don't be fobbed off - ask them to do the simple Thompson test, they should know what it is, I wouldn't think an AT rupture is a rare injury.
To all those who are still getting through their own healing process, I wish you all the best in your speedy recoveries!!
Hi, in addition to this great website, there is a blogging community for Achilles Tendon Ruptures.
Please check out: AchillesBlog.com
Hi All-
I'm 42 - ruptured (shredded according to my orthopedic surgeon - he had to take a graft from another nearby tendon) my right achilles tendon playing tennis on August 2 - had surgery the next morning. I'm in a splint right now and had the staples taken out last Friday. Now going on almost 3 weeks post-op - tomorrow I get a fiberglass cast put on and my orthopedic surgeon (who is fantastic) said I'll be on crutches a total of 6 weeks post-op and then will move to the boot. Sometimes I get really depressed and angry - I have been playing competitive sports for more then 30 years and I guess my time was up in avoiding any major injuries.
I'm really grateful that my wife and children have been here to help me out - not sure what I would do without them! Anyways - I'm going to keep my spirits up and work hard at rehab so that I can walk normally again - and I'm officially retired from sports : )
I wish this or any blog existed in 2006 when I ruptured my left achilles tendon. I was 37. I was doing a turn while dancing on what turned out to be a wet floor. My foot slipped, my ankle torqued badly, and I heard the pop, felt the slam against my ankle, and hit the floor. I tore mine in March 8, 2006 and had the surgery on March 10. Many of my surgery/cast/boot/walking details are the same as those of you who have reported your story so I'm writing to give any who are going through the early stages hope.
When it happened and for many hard months after, I thought my "exercise" life was over and I've been physically fit and active since I was a kid. It was devastating. But I took all the PT guidance seriously, not only going for 6 months but also doing stretches and exercises at home every day.
With all the immobility during the first few months I worried about the rest of my body atrophying so after 3 months I started doing pilates once a week then twice a week to keep strength and flexibility up so that when my left leg was ready to move, the rest of my body could support it. By 6 months, I was dancing at about 70% capacity and performed in a show (although not at my best) by 7 months.
Now 2 1/2 years later I dance full out several times a week but I also balance with pilates and yoga at least twice a week of either. I want to be active and stay fit for many years to come and for me--especially because I don't want the injury to recur or occur to my other leg--careful stretching goes hand in hand with strengthening.
I still think about the achilles/ankle just about every day because I marvel that I can do so many things --some even better than before--after what seemed like a catastrophic injury. Of course, I also have a 3 1/2 inch scar to remind me. (I think mine is longer than most because the surgeon I went to was used to working on big male professional athletes.)
By the way, the silicon strips (Cur-Ad strips adhere better than others) helped my scar. It helped smooth out the scar and diminish the redness. It's still not pretty but it's much better than where I started. I agree that massaging the scar tissue (once that's OKd by docs) is a good idea. I still have a small area of thick scar but it has reduced a lot and I still work on it.
I would say that I have 95% capacity of my left ankle/achilles although my left leg is still weaker than my right. I still work on strengthening my left calf muscle.
I have had some residual issues with pain and injury on my right side because it is tighter than my left and the right side (ankle, knee, hip) has had to bear more of my weight for the last two years.
Once you're past the critical recovery stage and can start general exercise, keep working on stretching the opposite side.
Most importantly, keep the faith! You WILL get better, resume a normal life, and can return to sports or some form of exercise that you enjoy.
Had surgery 3 days ago, 9/2/08. They have me on anti-biotics and percosets for the pain. More dull pain than sharp, shooting pains unless I stand up for extended periods of time on crutches. Is this normal? Have been reading a little bit on this blog and am now more nervous than I was before. This was my first major injury. Dumb question: Is elevation the most important thing I can do at this time?
Any feedback would be appreciated for a 39 year old athletic guy who had a fluke blow out.
Yes sir! RICE is key, although...icing it is not easy if you are in a cast. Try to keep it elevated as much as possible. My foot and calf would feel like it was about to explode in the cast if I had my leg down for longer than 10 minutes.
Hi everyone,
I have chosen the nonsurgical treatment and am now on week 6 of recovery. I am very active and fit so I was quite shocked when it happened. I was in complete denial, hopping around doing all me errands on one leg for 24hrs before going to the hospital. I had no control or motion of my foot so i new i had to face reality. The orthopedic surgeon diagnosed a complete rupture. Personally, nonsurgical treatment was the only option. I was placed in a 30 degree angle cast for 4 weeks which went well (aside from the mental breakdowns caused by boredom and frustration of being on crutches!). The cast was then removed and I was put in a walking boot with my foot flat. It took me close to one hour to get my heel down but I did it (the other alternative was having 2 attendants do it for me!). The pain of stretching the tendon convinced me that it had reattached. This was a big worry as no test was done to check. I walked with crutches for 2days,followed by a cane for 4 days, and have been walking unaided now for 1 week. I walk the dogs 1 mile daily and have returned to work. I remove the boot every day and do small rotations and stretches. Only 2 more weeks to go. The doctor said i will be able to return to yoga at that time. Needless to say I will be very cautious and wear some kind of ankle support. Small tip for both recoveries: zinc and lots of vitamin C for collagen production and tissue repair.
P.
I had my surgery at the end of March of this year. Wondering if anyone else had the symptoms that I have while recovering. For the last few weeks the bottom of my heel is very numb. My tendon repair is very wide now and very tight in the morning until I have taken about 30 steps. My other tendon, my good leg, has been very sore and is now also very tight in the morning and has to loosen up as well. That is worring me. I certainly don't want to rupture another one.
Any input is welcomed. Thanks.
Rupture 6-23-08 Surgery 7-8-08 Spent 1 week in plaster (weighs a ton cast) then 5 weeks in fiberglass casts and crutches of course. Was then moved up to cam boot and no crutches... 3 weeks later at follow up Dr was Not happy as the tendon seemed to not be healing properly. I.E. A possible cyst was forming... so I a now back in a fiberglass cast for 4 weeks and possibly facing a repeat surgery with possible tendon transplant.
I’m 47 years old and new to the site.
I ruptured my Achilles on the 2nd August, went to my doctor on the 4th August who diagnosed it to be a sprained ankle. On the 6th August I thought I would get a second opinion so I went to my physio who did the Thomson test and confirmed it was an Achilles tendon Rupture. On the 12th August had an ultra sound and confirmed a complete rupture right Achilles.
Had surgery on the 19th August, a nice 3 ½ inch scar and 16 staples.
I’m now 3 1/2 weeks post op in a Cam walker boot and applying a small amount of weight. At week 4 the angle of the boot is set to 0 bringing the foot to 90% and then hopefully if all goes well I will be full weight bearing.
I have an appointment with my surgeon on the 24th September so I will see how it goes I’m hoping to be out of the boot by about week 7.
Ps I’ve been reading a few of the comments in relation to driving with your left foot. I work in Law Enforcement in Australia and driving with your left foot is ok ‘AS LONG’ as you have full control of the vehicle and capable of making an emergency stop.
I would suggest finding a nice quiet street where there is no traffic and have a practice before driving on busy roads.
IF in doubt Just check with your local Law Enforcement agency
Hope this helps
Paul R
How long after surgury can you walk with a boot and crutches, I have surgery9/18
Hi juj,
I'm now in week 4 post op.
I had an open cast below the knee after surgery NWB and then at day 11 the staples came out and I went into a Cam Walker Boot set at 45%. I had the boot NWB for 1 week and on the 2nd week the angle of the boot was changed to 10% and I could start PWB about 20%. This morning the 16th Sep I had the boot changed to 0. so my foot is now at 90 degrees. I took about 10 steps at the physios and then ditched both crutches and could walk without any pain. It felt strange at first especially on my heal. After a quick pit stop for a nice coffee I was off to the gym. I did 10 minutes on the stationary bike which was ok no pain and then 10 minutes on the rowing machine which also felt good no pain and of course finished off with an upper body workout.
PS I will let you know how I feel over the next few days.
Regards Paul R
Paul how long did you have to be before you could stand or move about the house. or were you confined to a bed or wheelchair.
from juj
Hi juj,
4 hours after the operation I was moving around on crutches and also took a shower the same day.
I stayed in hospital overnight and went home the following day.
At home 2 days post op I was moving around the house on crutches without a problem.
With meals and making myself things to eat, drink and carry I used a swivel office chair, rested my knee on the chair a crutch in my left hand and then I had my right hand free to pick up things and carry. If you can adjust the office chair so that you are standing upright without leaning, this will be better for you posture. I found this way helped me with my independence and sanity. Some people use a wheelchair but I thought I would be doing enough sitting on my backside when I'm elevating my leg, so this way was better for me.
Just remember 'SAFTEY' with the office.
Today 17 Sep after FWB yesterday a little pain on the inner ankle and heal area but otherwise feels good.
Will keep your posted Paul R
Hi All
I had a delayed repair of my right achilles tendon feb last yr (2007) with FHL or Big Toe Tendon Transfer - the rehab was hard but you do get there in the end - I would say though however you dont get as much strength back from FHL transfer - id say the operated leg is say 30% weaker as compared to the other side.
I am in the UK so they don't do the achilles allograft operation here where you have a donor graft taken from a cadaver to replace the torn tendon - but i do know they do it in USA - probably will get it replaced one day when I have the money to get more strength back in right leg.
The FHL transfer however does work for someone who wants every day use and who isnt too athletic - i do karate hence the need for greater strength but for someone who only needs walking and the ability to run out of the way of a bus it is sufficient.
Hope you all recover from thsi frustrating injury guys.
Dan W, Surrey, England, UK.
One more week in hard cast, then fitted with a walking cast. QUESTION: Why does calf have what feels like a constant cramp in it when I am awake? Toes are a good color, can move them, a little swollen.
I just get very tired too quickly. Had a high rupture and Doc said everything looked good. comments are greatly appreciated.
I love this site. Nice to read what others have gone through.
I am now officially retired from sports other than golf and working out.
I’m not a Doctor or an expert, I can only speak from my own experience and what other people have told me and I have read on the internet.
I am just short of 5 weeks post op and still in a Cam Walker Boot. I found that if I tighten the boot too tight I get cramps and like pins and needles in my calf and foot area and find by readjusting the tension on the Velcro straps it seems to alleviate the problem. Also if I don't elevate enough it causes swelling hence more pressure on the Velcro straps. I know you mentioned you are in a cast but if your cast is tight or you are not elevating enough maybe this could cause the problem.I was aslo told to drink plenty of water helps with the cirulation. To be on the safe side I would suggest you speak to your surgeon. I’m always on the phone to mine asking questions.
Hope all goes well Paul R
Hello ... I have just been diagnoised - after 14 days - with complete rupture of the Achilles Tendon.
Based in France, I have access to nearly everything I need. Coming across this brilliant set of blogs, I am unable to determine whether or not I can still go the natural healing route.
Being of a positive and sound mind - I really want to go the natural route AND if it does not work - then surgery should be the final option.
Can anyone out there can tell me if the natural healing route is possible for a complete rupture?
Thank you for your kindness.
Jace
My recovery is going well and I’m now 5 weeks post op FWB.
This is a fantastic blog site and there is so much information and it's good to share experiences.
Jace,
I was 17 days before I had surgery. My injury was partial/full rupture only a few fibers holding the tendon together and also old scar tissue. My surgeon explained surgical and non surgical methods and risk factors associated. All the information posted and people I have spoken to suggest that surgery is the way to go if you want to return to full normal function and with less chance of re-rupture. The healing process can take many months and I would never want to go through the process again, so for me I opted for surgery. But good on you if you are strong willed and wanting to go the natural way. Best of look with your decision.
Check out my blog site http://paulrachillesrupture.blogspot.com/
My surgery is scheduled for 9/29/08, ruptured on 9/21/09 leaving the Eagles stadium after watching my Steelers get destroyed by the Beagles, so bad day all around. My question is, has anyone tried the "I-walk-Free" crutch device mentioned on the main web site? The thought of being on crutches for 8 weeks or more is killing me. I had 2 ACL's replaced so I know what to expect from the surgery and the masochists in ReHab. Thanks and best wishes to all.
Jim
Anybody out there had problems with their incision. I’m week 5 post op and had appointment with surgeon yesterday. He said it should have healed by now. Basically the tendon was good but he wasn't happy with the incision, there was no infection, redness or swelling but the outer skin {epidermis} had not butted together properly causing it to overlap. So now I have to go and see a Plastic Surgeon, which may be another day in hospital to re -open the incision.
I'm beginning to think the problem may have been caused by the surgeon using staples. Any help will be greatly appreciated.
hi everyone well you know what im now 17 weeks post op and im in so much pain its unbelieveable since i had the boot taken off am still on crutches cant get nowhere fast and it is doin my bean in . go back to consultant on 13th oct and he expecting to see me walk in with no crutches well he gonna have big shock not sure why it still so painful anyone else having the same problems plz let me know .am still gettin swellin too boo hoo thought things were coming along ok when it was in boot now gettin horrible pains up back of legs and really painfull to walk on
sharon
How amazing! A blogging site for Achilles Ruptures! I'm a 26 year old woman and I completely ruptured my achilles in January. All doctors looked at me like I was from outer space at the concept that someone as young and of my gender did such a thing! I'd rather have broken my leg! At least that's a "normal" thing to do! I did mine shooting baskets a the local recreation center. A night I like to refer to as my $20,000 night at the rec center! (Although it ended up $2000 after insurance.) For that June 3rd childbirth vs. achilles rupture question-the intensity of the the experience is the same, though not similar in pain. I actually didn't have much pain but had gone into semi-shock immediately. I even walked myself off the court (slowly and knowing there was a BIG problem), to the locker room, called my yoga instructor to let my daughter spend the night, drove myself to the ER, and calmly mentioned at the desk, "I've injured myself." Sitting there I though maybe I was silly and should go home, but my leg didn't work properly so I decided to stay. That was at 9:00 at night, had MRI at 8AM next morning and surger consult, then surgery the following day. I was in the best shape of my life. I ran miles daily, participated in yoga 3 times a week and lifted more than most men. I think that was my problem. I'd say the worst thing for athletes with this injury is the mental stress of being set WAAAAAAAYYYYYY back in there training and the fear that this would happen again. I think I might just lose my mind if it happens again! I wore a cast or boot for 6 weeks post surgery and right after getting out partially injured my tendon again trying to hurry to cross the street. I nearly passed out clutching a street sign in the median of Dunlap in Pheonix because I thought I had injured it again badly! What an experience this has been!
Dear friends,
I am writing from Valencia-Spain, like you I had a break of Achille`s Tendon, the last 2 of August.
On 11 of August I was in the operating room, speaking with my doctor about mu injury.
Now,I am in my 47´s day after operation. Now I take an orthopaedic device in order that the tendon stretches. I have photos of the device in my space.
And you have an oportunity to learn spanish.
http://myowncloud.spaces.live.com
See you guys.
Jose luis
Valencia-Spain
huertjs@netscape.net
Great work with the Blog!! Thanks for all the helpful info for all phases of AT recovery.
I am One week post surgery and am still in shock as to how quick the injury happened and it's severity. Mine occurred while running for a fly ball from the outfield. I heard a loud POP and fell flat on my face. I seriously thought that my shoe must have broke because my foot just didn't work. I'll be moving from a partial cast to a full cast, then into the boot with graduating heels/levels. Feel like a crutch athlete, as this is my 5th time(2 bunions and 2 ACL). The ACL replacement total recovery time was about 9 months to full use/sports again. Looks like another long haul for the AT. I appreciate all the physio insight on this blogg, and although I had to learn to walk again with all the above injuries, the ankle is a new one for me. Gotta keep a positive attitude and keep sights on walking/sports and getting back into my pumps! But first we R.I.C.E!
Well after my last posting I managed to get a cancelation re my visit to the plastic surgeon. On Tuesday I rocked up at the surgery expecting to be given more bad news but the surgeon said there was no infection and the only thing stopping the wound healing was the steri strips and the dam boot. Basically because I was told to wear the boot as much as possible this was delaying my recovery, no air was getting to the incision.
2 days later the incision is already looking a lot better.
Have a look at the pictures
http://paulrachillesrupture.blogspot.com/
Hi everyone,
I'm new to this site unfortunately (though I do consider it fortunate I found it) I tore my achilles almost completely on the 28th of September, my birthday no less, playing basketball. Same kind of story no real reason why, it was at the end of the game so my muscles weren't tight and just overall a mystery. I elected to have surgery on Oct 1st, and am now in a fibre glass cast with my toe still pointed at a 45 degree angle.
I've read a lot of the posts. not all of them yet though, but I'm interested to hear from someone younger what they're recovery time-line has been like. I'm only 21 and in the midst of university and work and such and I'm trying to let people know how much longer I'll have to do everything from the comfort of my own bed.
I'm also curious as to what those of you who elected for surgery were told to do for the first few weeks, I'm worried I've been too ambitious as I've made a few trips by bus to write midterms and hand in assignments.
Thanks in advance for any words of wisdom!
I am so happy to have found this page. I am almost 6 weeks post op and just got my boot the other day. I start PT on Monday, not looking forward to it after what I have heard. Getting optimistic, although with some trepidation,(oxymoron?) can drive now and will be walking within 6 weeks with no help.
Took first shower, no more baths, yeah!
Hoping it gets better.
Thanks to all of you who have given me advice.
I am 27 years old and managed to rupture my achilles whilst playing rugby on the 27th of September. My doctor suggeted surgey, which I agreed to on the 30th. I have just had my first cast off and have been put into an air boot. Over the next 4 weeks I am meant to slowly lower the heel until I am back at 0deg. I am curious (like Cate) to find out what the expected recovery time line is. Can anyone who has been through this injury please provide me with a breakdown?
Andy
You'll also find that there are others who've ruptured their achilles at: http://achillesblog.com/
I too am very happy to have found this site. I ruptured my left achilles tendon on Monday 9/29, and had surgery Thursday 10/2/2008. Having never had surgery before, I was a bit worried. I'd sprained and strained ankles and knees, partially tore a shoulder muscle, and had a couple of concussions, but nothing like this. The pain was exactly as everyone described. I was playing volleyball, took a step too my left, and there was a loud pop, and it felt like I got hit in the back of the leg with an axe- everything went black, and I was trying to figure out who was close to me to have tripped me. Surgery went very well- 45 minutes. I had to be at the hospital at 8, and surgery was scheduled for 10- they took me up right on time. We were home by 1:30 that afternoon. The pain in the first 24 hours post surgery was unbelievable- no sleeping. I was taking percocet, but they didn't seem to work. My wife called the next day, and they upped my dosage. I got ahead of the pain, and then haven't really needed any medication since that Saturday- it was amazing how the pain reduced noticeably day after day. I still pretty much live on the couch with my leg propped up on 2-3 pillows. I am fortunate that I can work from home quite a bit, and my job is behind a desk anyway- so even when I am there, I can have my leg propped up. The main thing to remember is that it's ok to ask for help. My father came over an mowed the yard. My wife has been a saint- doing all the stuff I normally do- walking the dog, taking out the trash, doing the laundry, and bathing our son. I did get a stool for the shower- quite helpful. I try to stay off my leg and crutches as much as possible. People at work have been great as well- getting me sodas, making me copies, scanning items (I don't have an assistant). My follow up appointment is this Wednesday. I hope they take the cast off- even for just 5 minutes of fresh air for my leg. No real problems now- just a lot of itchiness. I was originally told to expect about 6 weeks in the cast, then the rehab and boot- but I'll know more after Wednesday morning. Any one else going through this now that wants to chat about it, drop me a line- david.franz95@gmail.com
Achilles tendon re-rupture
Hi my name is Jebo, I am a police officer and a very active athletic person, Narcotics office, S.W.A.T. Commander among coaching/playing various sports. On April 3, 2007 I ruptured my Achilles Tendon for the first time. I had Tendinitis in it for 2 year prior and the Dr. told me that the rupture would more than likely happen. well it did, I just stepped back during a softball game and it happened. The Dr. opt to go non-surgical the first time. I was in a cast for 8 week and the day the cast came off, I was still on crutches, I stepped on a dog toy and fell re-rupturing the tendon. Well I went back into the cast for 10 weeks the a boot for 4. One week after the boot was removed I had the third rupture while stepping off a curb. So I had surgery. The surgery went fine and i progressed quickly. I was walking fine in about 8 months with some swelling on busy days. I started doing some light jogging in about 11 months. Then out of the blue i was walking normally when it ruptured for the forth time. Now I am having surgery tomorrow. They are doing a tendon transfer from my foot. I now have four Dr's. working on me and preforming the surgery. good web site on the surgery I am having. Update, the tendon transfer went great but fell onn step Rupture #5....just last night, 2 weeks post op.
Hi ... thank to you all & paulrachillesrupture .... I took the surgery because I want to get back to sports again. Though after reading some of the latest inserts here - it looks like I am going to take my time getting there. I have to remember that I have had solid tendons since I was born and a few months, is not going to put that strength in so fast. Anyhow, this is 15 days after the operation - and I kept a partial log - especially to remind myself how amazing every human being is on the planet.
Jace
Great site...I ruptured my AT on Oct 14th playing softball, just like the SWAT officer, I took 3 steps back (in the infield) to catch a flyball. I thought the first or second baseman ran into me since I didn't call for the ball. I looked back and found no one was there. I didn't feel any pain, just heard the infamous "SNAP". I didn't play the rest of the game but had 3 Advils. When I got home I wrapped my AT area and rested it on an ice pack.
While getting ready for work, my wife noticed that I was missing my AT. I went to work anyway after wrapping it and I thought that I would be in major pain but oddly enough, it wasn't that bad. After work, my wife and I went to the Urgent Care Center and they varified my ATR with a Thompson Test. They gave me a splint and ordered me to see an Ortho doc.
The ortho doc saw me and ordered an MRI and after reviewing it, said that I would need surgery. I had an open surgery 9 days after I injured it. When I woke up it was on a different splint and found that I really wanted something to drink. I was home 5 hours from the time I stepped foot in the hospital.
I was on pain meds every 4 hours for the first 30 hours. After that I only took the pain meds when it starts to hurt around every 18 hrs. 54 hours after surgery I didn't have to take my meds anymore.
I'm going back to work tomorrow (6 days post op) and hope for the best. I am an electrician but will have a trainee with me to be my helper and will try observe at the buttom of the ladder.
My first appointment back to see the doc is on Monday (10 days) post op, to check on my progress.
I will check back in after every Doctor's appointment
Happy healling and fast recovery for all.
Been a few weeks since I updated. I'm now 5 weeks post surgery, and have gone from a partial cast, to a hard cast and just got my aircast yesterday. There are 3 wedges which will be removed one at a time every 2 weeks. Dr says not to weight bear until the last wedge and even then only slightly. He says I'm in Phase 2 Recovery. Phase 3 will be when the foot is 90degrees, and then we'll discuss PT. Wonder if I should be going to PT now, even just to do some Non AT exercies and muscle strength? Since the boot now has my foot at a new angle I am experiencing real pain for the 1st time since the injury. Lots of twinges and now throbbing across the front of the foot, while in the boot. Suspect its the repositioning, but hope it subsides soon.
This site has been really useful for me. I ruptured my achilles on 22nd September this year and had surgery on the 26th September. Am now in 5th week post op, and foot is at 90 degrees - this has proven to be very painful. Will have this final cast removed in 10 days. Am supposed to be WB now but it is sooooo painful, I am trying though!
Am a really intrigued by the CAM boot which everyone is talking about, my surgeon has NEVER mentioned it. Can anyone enlighten me as to what will happen when this cast is removed? Any comments greatly appreciated.
Elaine
Hi Elaine,
I don't have a Cam boot, but do have an AirCast boot (you can google it). It looks like a ski boot with 3 velcro straps to keep foot snug. There is quite an aggressive/tough tread on the sole. There are heel wedges that are removed every few weeks to bring the foot from 45 to 90 degrees. I was told Not to weight bear until possiby the last wedge.
Surprised you are at 5 weeks and already 90 degrees. Did you tear or completly rupture? What type of cast do you currently have that will even allow weight bearing? Must some type of solid sole. It's interesting that your dr has not mention transition to a type of boot...might be an idea to ask.
I'm still sleeping with the boot on, but am 'airing' my leg after bathing and again in the evening while watching tv. Incision seems ok, but it sure is ugly and long - 5 inches.
Good luck Elaine!
I'm a 39 year old married farther of two, that after 9 years of not playing squash started playing again and in my first week managed a total rupture of my Achilles. I did it on the 20th September 2008 so I am now nearly 7 weeks post rupture.
I had surgery 1 week after the rupture and was then in a full cast for 3 weeks. For the last last 3 weeks I've been in an AirCast boot which has been great apart from the fact that it makes my foot sweat and is a pain in the backside to sleep in. I was walking in the AirCast without crutches pretty much from the second day, I'm not sure I was supposed to but I don't seem to have had any negative effect. I started physio and daily exercises just last week and took my final wedge out last night.
I've set up a MySpace page to document my experience and to help stop me going mad while off work! The link is below if anyone is interested. I should also say I live in Shefield England so my experience is a UK one!
Best wishes to anyone recovering from an Achilles injury.
http://blog.myspace.com/index.cfm?fuseaction=blog.ListAll&friendID=424197956
This is a great site.
My story: i ruptured my Achilles June 17th. I was playing Ultimate Frisbee in a league setting after being a couch potato for 2 years. After 2 hrs of 5 on five I was about to make a cut felt a sharp pain in my left ankle and went down like rock.
At first I just figured somebody had kicked me in the ankle but when I couldn't put any weight on my foot and practically had to crawl off the field I knew something was wrong. Within 30 minutes on the sideines I had figured it out.
The amazing thing to me was that even though I knew my Achilles was ruptured I felt minimal pain. I called a Surgeon in my network the next day and was shocked when they suggested I come in that week - I din't realize that time was of the essence.
I had surgery Wed June 25th. I've never been seriously ill and I was amazed at how much being cut on, intubated and recovering for anesthesia truly truly sucked. The first 24-48 hours were miserable. They didn't warn me that the nerve block would leave me numb and unable to move my leg for 12 plus hours. I couldn't pee normally for better part of the day (not sure why). My throat was raw. And I just felt washed out till the weekend.
Thank God for my wife, she took care of me and our two young children (1.5 years and 3 months).
Luckily it was my left foot as I was able to go drive and was back to work on July 7th. I was pretty limited at work on crutches but I was worthless at home and needed to feel semi-productive. But even though I was almost 2 weeks post-op I need to take the Friday off cause I was worn out.
The hardest part about the 6 weeks on crutches? Not being able to lift, carry or move anything. I got very good at putting my 3 month old on my chest and pushing us with my good leg across the wood floors at home.
I wish I had tagged dates on Google calender but from memory my cast came off and boot went on mid July. PT started Aug 25th. I was essentially walking without the boot 24/7 by early September. I got discharged from PT on Oct 9th.
I still can't jog easily but I can jump go up stairs and walk without a limp... I'm essentially pain free 95% of the day.
I feel very good about my decision to go the surgical route and think that I would have gone crazy with the serial casting needed for the conservative non surgical approach.
Hey all, I ruptured my achilles two days ago, and after the ER visit yesterday and finding this blog, I was prepared for the orthopedist to tell my to get ready for surgery. I saw him this morning and he said that based on my decent range of dorsi flexion and plantar flexion, and my limited swelling, he thinks it is a partial tear, and that I am not a case for surgery. We are going to reevaluate in 6 days, see what my deficits are, and go from there. Maybe an MRI, maybe not, but definitely a lot of physical therapy. I am 28 years old, and far from a weekend a warrior. I make my living from physical fitness, and being in shape, so he said that factored into going almost straight to rehab in a month or so.
So I guess my question to all of you out there couch bound like myself, is - what was your range of motion like before surgery? Like I said, the Doc said mine was decent, but I still lack the ability to raise up on my toes. He said part of that is because it is indeed torn, and it is less than 48 hours out. What did it feel like before surgery? And did you know you had a partial tear and had surgery anyway?
I am just a little skeptical of not operating, as I have to make a 100% recovery regardless of the time scale.
Thank you for your information, advice, and your help. And good luck to everyone in there recovery, I feel for you all.
Michael
My range of motion was nill...none...nada...complete rupture... Surgery Oct. 20 -
I guess I should elborate a bit. Oct 13, 2008, a day I will never forget. I was playing raquetball and BAM - I was on the floor. I really thought the injury was a torn calf muscle similar to an injure I had several years earlier. Like an idiot I drove home. Went to the ER next day and cussed like a salior when they told me I had a complete rupture and surgery would be required. Oct 20 I had the surgery. Most friggin pain I have felt since childbirth.
I was given a partial cast and wrapped up to go home same day. The next few days were the worse, but with ice machine and pain killers, things got better. At week 2 I went back to the doctor, the stiches were removed and I was placed in a huge boot which allowed my foot to move up and down within certain degrees set by my surgeon.
The next two days I religiously moved my foot by hand to experence the range of motion and have been moving it on my own as well. I suffered in the evening with increasing pain. Maybe I overdid -anyone out there think I did to much? Why the pain?
I woke up this morning a little depressed about the long haul ahead. I want so badly to go outside and run around in the cool weater and falling leaves. My mother in law helped me take a shower (I had been taking baths which the doctor chewed me out for because of blood clots) - which made me feel better. I also stole my daughters laptop and discoverd this site. I decided to give my foot a rest...stay in bed and ice it - I'll move it later and take a pain killer if necessary.
My heart goes out too all of your experiencing this little bit of hell on earth. Must be a lesson in it some where. First would my daughter can do laundry! :-)
Well to answer an up-thread question - I was able to dorsi and plantar flex about 20 degrees from 90. If I recall correctly my surgeon suggested it was acessory muscles that were providing that motion.
By the way although I'm in the medical field, this is just my personal experience and not medical advice. Listen to your surgeon, and if you don't trust him/her seek a second opinion.
I had my first visit back after surgery last Monday. I finally got to look at the cut the ortho made. It doesn't look that bad. The only thing that felt weird is that my leg was twitching a lot and it felt cold. I was able to move my toes (but I was always able to) and move my foot slightly up and down. The doc had a nurse put on a cast at about the same position as after surgery. According to the doc the next step for me is a boot.
I can't wait to get rid of the crutches especially with the snow comming soon.
I'll check back in about 2-3 weeks after the cast is gone and have something to say about the boot.
Michael
I had sleight movement on my foot even though I had a complete rupture as the MRI showed and confirmed by the doctor after surgery. I was able to move my foot up but had a hard time pushing down.
Thank you all for your reply's, it is so good to hear from someone going through this at the same time.
Exley - Did you have an MRI to confirm a total rupture? I decided to not wait, and go get one done, but I can't get one for 4 days.
Thanks again, and I'm sure I will be here frequently from now on. This is a great blog for all of us going through this.
Hi,
I ruptured (fully tore) my achilles tendon playing basketball earlier this year.
After the surgery, I googled to find other people who are recovering from their achilles injury as well, and I found lots of blogs here and there, including this one.
It’s been helpful reading about other people’s experiences with the same injury, especially those further along on the road to recovery. It’s good to know that I am not the only one making sure to keep my leg elevated, using a shower chair, and limping around on crutches.
I’ve created a community site so that people who injure their achilles tendon can create their own blogs and share their experiences as they progress toward full recovery. There's close to 250 people on the site now!
My AchillesBlog is: http://achillesblog.com/dennis
You can create your own there too.
I’ve also been gathering and posting a list of external blogs related to achilles injury here, as well as other useful resources. If you find some other good links, feel free to email them to me, and I’ll add to the list.
I am constantly working on the site, so any feedback will be great.
Dennis
Hello All-
I am 6 weeks post op today. I ruptured my achilles playing flag football. I had played organized sports at a high level all my life with no prior injuries, besides minor ankle sprains here and there. I am 25 years old and still in very good shape, I lift weights and run on the treadmill 4 days a week, so to me this was very difficult to grasp as to why it happened.
Anyway, I am 6 weeks post op and have been in a boot now for 2 weeks. I am getting very frustrated with using crutches and would like to drop them completely to make my life easier but my doc seems hesitant to let me do this. My achilles feels like its healing good, and I have walked in the boot without crutches and have had no pain whatsoever. When exactly has anyone been given the green light to FWB in a boot and drop the crutches in your recovery process?
-Bob-
Hi everyone out there...I am one week post op having my AT reattached to a tendon in my big toe. Ortho said he drilled through a bone to make the connection. No pain though...gave me a nerve block that lasted 36 hours. Have crutches and a scooter..no kidding...rest your knee on one side and push off with your foot...just like a kid!! Can't really get far in the house though. I am glad to hear all of your experiences...not your pain though. I actually severed the AT 46 years ago..slipping on a broken shampoo bottle. It was reattached..no rehab though...and it has come back to haunt me..just out on a simple hike. Hope it will all be worth it in the end...interested in what rehab lies ahead...and what we do in the snow. I ski and ride and feel like I am lugging a 200 pound weight around! Cast is off in a week....Lily
wow-am I glad I found all of you-I am 37, mother of two little boys, work full time and am now a part of the AT rupture club. Saturday morning, while in step aerobic class, completely enjoying myself and working out hard, I went down. I thought the lady next to me ran into me- she helped me out of the aerobic room( I was quite embarassed) and I had no idea what the heck happened- went to the ED where they said achillies strain and use RICE- good thing I listened to a family member who said get a consult- went today, had the Thompson test and was told it's a rupture- my dr. friend said an MRI should have been ordered and id concerned I am being rushed to surgery but from what I am reading it sounds like the guy was right on and I don't want to waste one day that I could be moving forward-THIS SUCKS!!! Sorry- had to get this out - I am sooo bummed out, we have a puppy coming next week, alrerady paid for and I worry about weight gain from lack of movement in the healing process which sounds really long as well as missing out with my kids- I wish you all a speedy recovery- Sandy
Hi Sandy,
Sorry to hear you've joined our club. I ruptured mine Oct 8, surgery Oct22. I'm still in a cast and on crutches and will be for the next 4 1/2 weeks. I wanted to address your concern with weight gain. I've actually lost weight (maybe 8 pounds) since my injury. I've always been slender, and now I'm closing in on skinny. I think it's all the crutching and hopping around. My hips, butt, arms, and stomach have all gotten a bit smaller. Balancing on one leg all the time has also been good for my core muscles (a bit like yoga). Who new not being able to walk could help you lose weight! Hope this offers you a tiny bit of comfort. Hang in there.
Hi Sandy,
Welcome to the ATR club.
After a full rupture I’m at week 12and walking with a slight limp.
I’m on an aggressive rehab with FWB at about 7 weeks. I had a few minor hiccups along the way, but once you get rid of the crutches and start getting mobile it gets easier.
There are times when you think you are never going to get better, times when you get depressed and down in the dumps, but stay positive. Set yourself a goal each week to achieve and make the most of the down time with your 2 boys.
This injury does get better, just takes time, patience and motivation and before you know it you will be back to finish of your step class.
Happy Healing paul r
Hello all. well here is my story, on august 18th 2008 I was playing basketball with a friend and was going up for a jump shot when I felt a pop in my lower leg. I didn't think much of it until I tried to put weight on it that's when I collapsed right there on the court.My friend helped me up and I was able to walk to my car with a severe limp. Because I could walk on it I assumed I sprained my ankle or something so I just went home. I discussed what happened to my wife. luckily she is a nurse and convinced me to go to the er. thats when I found out that I had complete rupture of the tendon. most of you know the rest, splint, nwb cast(3wks), walking cast(3wks) and removable boot(5wks)funny thing was doc advised against surgery. and in between all of this we bought our first house and my poor wife had to do 90 percent of the moving. and this only three weeks after having our 3rd child. (I officially refer to her as superwoman) that was probably the lowest point of the experience for me. but I was careful and patient and have enjoyed all the extra time off of work by bonding with my newborn and two older children. I am now walking on my own with a limp and going through i month of pt I am so grateful to be where i am right now. for all those who are unfortunate to just start this experience I have a peice of advice for you. cherish the extra time that you have with your family and friends. and take it easy, the last thing you'll want do is have to repeat this horrible experience all over again. sites like this really helped me through as well, good luck, stay positive, and try to remember that old saying. THIS TOO SHALL PASS:)!
thx for all the words of encouragement-you are right- the time I need to rest is prescious time that I really would never spend with the kids bc there's always chores to do. Got the 2nd confirmation today that it's a rupture from my physician friend who came by. He votes no surgery, the ortho I saw yesterday has me scheduled for Tues. a.m.- I have a 3rd and final opinion set up for monday - I think I'm really worried about the pain after surgery or the possibility of no surgery and a never healing achillies- been running around with this boot trying to finish up at work and holiday shop prior to Tues- my foot hurts now- gotta prep mentally that it will pass, it could be worse and I can get through this and still be in shape for the rest of me- thx for the support-Sandy
The one thing that convinced me to do surgery was my surgeon quoted a re-rupture rate in the teens for non-surgical management vs. below 5% with surgery.
Surgery sucked, but being immobile after a rupture sucked more and anything I could do to reduce that risk was worth it to me.
Sandy - I was wondering how your consult went today and what your decisions were on the surgery. Ok - I posted the pain was as bad as childbirth, but I never had any doubt about getting the surgery. I wanted to make sure that I had the best recovery possible - and surgery was presented by my ortho as the best option. The pain was bad - but that's what all those pain pills are for!!! I think the pain is different for each of us - and the extent of our injuries. Don't let fear cloud your decisions. The worst for me was over in a few days - I have had some bad days since then -but that was due to me overdoing - and not following the RICE principle. I am 4 weeks post op now -and actually have been having good days - I am up and about, doing work, house work, and getting out of the house when someone will take me!! There is hope!! As far as weight gain - I've actually dropped a few pounds. I had no appetite when laying in bed all day eatting pain killers. This past week I have been making an effort to get on the floor and do push ups - sit ups and leg lifts... I also have some free weights and a bo-flex I've been using for upper body (doc said no leg work). This had increased my appetite - and now the pounds could add on again -but I'm trying to stay away from the sugar and processed food (difficult when your not the one going to the grocery store).
Well - gotta go elevate....hope all is well
Stephanie
Hi
I have found this site very useful after rupturing my left Achilles tendon on Thursday whilst taking a step back playing badminton. Bit fed up after the full reaslisation of the time taken to heal but the pain is not too bad. tried to go to work yesterday but slipped and split my cast so yet another trip back to a and e a slight stretch on the back of my ankle and waiting for my appointment on monday when hopefully I get the option of surgery.
Surgery is tomorrow after rupturing my achilles playing basketball (after a 10-year hiatus). Apparently a 47-year old out-of-shape body can't cope with what I think it should be able to do.
I'm looking for anyone who has experience using the iwalkfree crutch. The blogger posts a link to the site on his section about crutches but I don't see anyone that has used it. If anyone has successfully used the crutch, I'd like to know as I think it would be a lot better than traditional crutches.
On to surgery...
hi guys- it's Sandy- had a 3rd opinion and it was strongly recommended to have surgery- surgery was yesterday- went well, on pain meds, cannot put the foot down or it throbs so badly- hate sitting around, patience, patience, patience...i'll keep you posted, glad I'm at least moving forward now-Sandy
Hi Sandy,
I'm glad to hear your surgery went well. I experienced the painful throbbing in the ankle when standing after surgery as well. Luckily, this was pretty much completely gone after 3 or 4 days.
I just had my second post-op appointment yesterday (4 weeks out), and they put me in a new cast. They've started moving my foot into more of a 90 degree angle (stretching the tendon), and this did hurt a fair amount. Wow was my tendon tight! Luckily the pain didn't last too long. Four more weeks to go until I get a walking boot. I can't wait!!!
hi everyone long time since i been on here but thought i would give you an updated i am now 33 weeks since i did the injury and 26 weeks post op . i had my boot taken off in september and i wish the hadnt i am still in lots of pain still on crutches and morphine and i get to start physio next week how good is that. they think i have complex regional pain syndrome in it now and they cant tell me whether it will go away or not i suppose the good news is that the hospital have admitted liability to the situation seen as my injury was missed by not one but two senior house officers and are no longer in there employment so shipped off somewhere else to damage other people . but the mad thing is i new what injury i had done the night i did it but they didnt believe me . oh well just have to get on with it but its not nice as i still cant even drive either , has this happened to anyone else would like to hear from you sharon
I'm 4 days postop for a full achilles rupture, which I waited WAY too long to deal with but insurance etc etc.. nuuff said. Took me 4 months before I got it dealt with, so I did.
Before surgery the doctor said that my waiting would cause the surgery to be more invasive so I kinda knew what I was getting into.
When I got to the outpatient surgery center they hooked me up to the machines, did all kinds of tests, doc came by told me that again because of my wait this was going to be a rough surgery but he was going to take good care of me. Yay!
Into the operating room I went. I did not receive the below the knee numb thing. They placed a tourniquet on my upper thigh (very intimate for a woman staring at a man in scrubs and a beard cover!) and out to lala land I went. I couldnt even countdown from 10, I was gonzo.
Woke up 4 hours later in the recovery room in a fiberglass cast, toes were numb and tingly but movable. Ankle in mind bending pain. I was told by my doc they had to use a full graft and he gave me delaudinum (hydromorphine I learned later) for pain while in the hospital.
He wanted to keep me overnight but I really wanted to be home. I kept complaining about my numb toes, but rub them, everything felt better. Doc came by again and said the numb feeling was because he had to move the nerve bundle... I still think its because of the tightness of the cast. Anyways, went home.
REALLY wish I had stayed the night
The pain the first night was incredible. I was given percocets for the pain and was snarfing them down like candy. I was in a perpetual zombie state from the morphine and percocet mix. I was sleeping but I was awake if that makes any sense. Elevating my foot which was what I was told to do, sent me into pain orbit. Doc said do it as much as I could tolerate. Foot up HURT! Foot down... managable. Called doc again just to be sure, said it was fine.
Second day, excrutiating mind bending pain again. I'm no pain wuss but this hurt. My lovely payback for waiting so long for surgery.After wimpering and snivelling on the couch for two days... I was ready to move into the bed
Day 4, am off of the couch, can elevate my ankle, and not be wanting to claw my eyes out. Crutching around isnt too bad. But the constipation from the percs is SOOOO bad. I'm trying to keep hydrated, and my appetite isnt so good but the pain of the constipation was.. more seeing stars. I had wished I had started on a laxitive earlier and I hope what my doctor suggested works now.
The pain today is still sometimes star seeing but its getting less, so I dont have to take the percs as much. I hate the way I feel on them, and cant wait to stop needing to take them to ebb the pain.
I see the doc again in 2 days for my first postop talk so I can find out exactly what was done described when I'm not in a medicated haze.
Just to update from my upthread questions about operating or not. I sought a second and third opinions last week, and had my suspicions confirmed that the advice of my first doctor was incongruous with this injury. After seriously weighing my options, I decided to go ahead with operating. Being in Health and Fitness for a living, nothing less than 100% is acceptable for me, and 110% would be nice. I had the operation yesterday, and it turns out what was thought to be a 40% tear, was actually about 90%, and had I not operated, I never would have run or jumped with the same gusto again. Relief!! It's nice to be on a clear path to recovery now, despite the pains of surgery.
Thank you all for your posts, it is so nice to hear about everyones experiences with this. I wish everyone the best of luck and the best of healing.
Michael
Hi All,
I'm now eight days post op and recovering pretty well - I think. My soft splint was removed, the incision checked on Monday and the doctor said no swelling, infection or residual bleeding, all looks good, and she then replaced it for another week. I've still got some irritating pain at the surgery site, but it seems to be getting better. I get a hard cast this coming Monday which I will wear for four weeks and then begin rehab.
I use a knee walker to get around and thank God every second for it! I've only used crutches one time in eight days. Whoever invented the knee walker will have my eternal gratitude.
I also discovered that there are certain bodily functions that are not done as easily on one foot as on two! At 67, I hadn't figured on becoming either a contortionist or magician, but maybe I'm a little of both right now.
At this point I'm looking forward to being able to rest my foot on the ground (NWB) and be able to get outside and move around more often.
The only pain med I'm currently on is Hydrocodone, but I'be been taking that for about five years for problems unrelated to my AT.
Good luck to all in your recovery.
Denny
Week 1 Postop. Wow I cant believe its been a whole week already. Crutching around has been much fun and I'm really contemplating getting one of those knee walkers everyone's talking about. My arms are getting tired!
Went back to the doc today for my first postop visit. Had my cast removed and I could see my staples. WOW that was a little intimidating looking. I did not realize they went over halfway up my calf. But then again I keep reminding myself, this is the punishment I get for not having dealt with this earlier. The doc removed the first 6 staples from my leg... ow ow ow ow ow... not too bad, no need for a needle, but.. yow. Little pain nothing earth shattering. He recasted my foot in a slightly closer to 90 degree angle, ok the pushing hurt.
Went back home, and I am so grateful for nice people opening doors and watching me down steps. Kind of feels good.
Once home and 2 hours after the doc played around with my ankle YOW!! Pain pain pain ow ow hurt pain, make it stop pain! Not quite tear the eyeballs out pain, but it hurt. Percs helped but not eliminated the pain. So took a nap, least if I'm sleeping not in pain.
Least I talked to the doc while not in a drugged out haze. Was told that the gap in my achilles had grown to about 3 inches judging by how he held his hands apart. So I have a graft, which is kind of interesting, another tendon in my body. Still coming to terms personally with having something foreign in my body. Going to experiment with the getting in and out of the bath procedure tonight. Woo hoo more adventures
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