I didn’t go back to the office until week 6, when I was already finally feeling confident about the healing process, and I was pretty good with the crutches. At first, I went to the office twice a week (my dad and my wife would do the 45 minute trip in the morning, and a co-worker would drop me off in the evening). I worked the remaining three days of the week from from home. By week 7 I increased the frequency of days in the office to 3 times a week.
I had an appointment with the doctor at week 7, for which I had the high expectations of starting weight bearing and maybe also physical therapy. My doctor is pretty conservative so he said “not yet”, and gave me two more weeks of N-W-B before allowing me to start putting 50 pounds of weight at week 9.
195 comments:
Hi all,
Im just past 3 weeks and have had the stiches out, but a couple of days ago started getting massive amounts of pain! I was in agony, and having been happily hopping around the place for the previous 3 weeks was really unsure of what to do.
After a few days rest, Ive discovered that it was entirely the lack of elevation and rest that caused this, so Ive really slowed down and am taking it easy..
This is a great site - there are not too many out there - so thanks very much to everyone for all their comments and helpful hints.
Best wishes,
Ryan, UK
Hi. I'm in week four and I'm just getting the rest of the stiches out! (There were 30.) They tried at week 2, I was't ready. At 3 weeks they took out 2 stiches and I opened up and started to bleed! I go back this week (at 4 weeks) and expect to have them all out! So I'm still in the dressing and hope to finally get in a cast this week to begin the full process of healing. My doctor originally said he has a special technique and he believes in a faster pace to get you walking. Before the surgery he said in 2 to 4 weeks I'd be weight bearing. After the surgery, he said it was a really bad ruputre and difficult to repair so it would be 4 to 6 weeks. Now he is saying I'm another 3 to 4 weeks before we can attmep to be weight bearing and that he wants to slow things down to a more coventional pace. I'm not really in much pain as long as I sit with my foot elevated. If it's down for any length of time it's quite uncomfortable. The nerves have finally calmed down from 24/7 pain to just the occasional twitch. I do feel burning sometimes at the opening still. I'm just going nuts -- I can't wait to be able to walk!!! Do you start walking with crutches or totally on your own? I have no idea what to expect. Also he originally said I'd go into a traditional cast first - then a moon boot. Now he said I'd go right into the moon boot directly. What are you experiences? Have most of you been right into the boot or a tradional cast first?
Hi Cherubarb,
That does sound like quite a major rupture. I was told that they would think about me being weight bearing after 6 more weeks at 2 (eight in total). I was straight into a plaster cast when I did it, and had the op the next day. After that put into a polymer cast until the stiches came out and then another polymer cast which will take me through until the new year. I think it is an aquine (?) cast.
They then change the angle of my foot - and if that goes well I will be weight bearing. That will be 17-18 Jan, and I had the injury on the 24th Nov.
Elevation is really helping my pain. I just like to get up and around and every time I spend a length of time doing stuff, it starts hurting again! I know what you mean about wanting to get walking again.. but from all accounts taking it easy at the start pays dividends at the end..
Hope this helps.
Ryan, UK
Hi Ryan, thanks for the encouraging words. I saw the doctor yesterday (week 4) and the rest of the stitches finally came out and I'm in a moon boot (cam walker). He said he was going to skip the plaster casts. The boot is so heavy and it makes the surgical site uncomfortable, but it's tolerable. I guess after 4 weeks in just a "dressing" it was a bit of a shock. Doctor said if all goes well in 2 weeks I will be able to put partial pressure (walk using BOTH crutches) and begin physical therpay. He thinks about 2 weeks after that I may be able to walk without crutches. But he did say I would need 3 months of physical therapy 3 times a week! My insurance won't cover all that, but what choice do I have? At least I'm starting to mend and I feel like there is a light at the end of the tunnel. But at this point, I really have to keep the foot elevated all the time still -- down just a little too long and ouch! Good luck :)
Hi cherubarb,
Glad to hear things are moving forward pretty quickly for you now. I have been really taking it easy (its driving me insane!) and everything seems to be going okay - though like you say, if its down for any prolonged length of time, the pain gets pretty bad!
Im not sure what I am to expect with physio (I will get some) - as I wont be at that stage for another month probably, but luckily I dont have to worry about insurance/payments etc as here in the UK the good old NHS takes care of everyone!
Its funny how the mind plays tricks on you during the healing process, as sometimes when it feels a little sore I think its going terribly wrong, and other times it feels as though I dont need a cast at all!
Happy healing!!
Ryan
Hi Ryan--
You are so lucky to be in the UK. I used to travel to England regulary for a previous position (in fact my daughter was conceived there!) and I learned how fortunate you are when it comes to health coverage. That really makes a difference because you don't have to worry about the high cost of care. I don't know what hurts worse -- the injury or the bills!!
I know what you mean about the mind playing tricks. I'm going through the same thing -- you feel so much better and then whammo -- you have these strange pains. As long as I haven't done anything (the pain/feelings can hit when I'm just sitting with my foot up) I've learned not to worry about it. It's just part of the healing process according to my doctor. But I am going bonkers -- I want to get up. I can't beieve I even want to do housework. Anything to be up and about.
Well, I hope your healing continues well and that your injury doesn't interfer too much with your holiday plans.
By week 8 post op. the doctor gave me the okay to ditch the boot. I have been reading everyone’s experiences on the internet with this injury and they all appear to have different recovery times. Some orthopedic surgeons are conservative and some, like mine, are very aggressive. Every time I visit with my doctor I ask him, “When can I play basketball again?” Every time he gives me the same answer, “six months.”
The atrophy of my calf was bad, but I have noticed it is improving. When I first started walking without the boot, I walked with a severe limp. Now it has improved greatly.
Check out my experiences with a ruptured Achilles tendon at:
http://a-thousand-thrills.blogspot.com/
Hello,
I ruptured my AT on Jan 8 2008 and had surgery on Jan 10. I was placed in a splint for two weeks and then placed in a "bledsoe brace" walking boot with full weight bearing after only two weeks. I am going on 4 weeks now.
I go to therapy approximately 4 times a week which includes stretching, electric stem, and low light laser treatment.
I am kinda concerned about the fast track the ortho has me on but I will take it as long as it works. I am told I should be out of the "bledsoe brace" and into my shoes by 6 weeks total. I was just wondering if any of you have heard of a program like the one I am on.
I am experienced with this type of injury. I ruptured my left AT 12 years ago and was in a no weight bearing cast for 8-10 weeks (including a rerupture after 2 weeks).
Anyway, I know technology improves every year, this just seems like such a drastic improvement from my last experience.
Best to all of you,
Craig
I had my surgery lat week on Jan 31st. Today Feb 5th they took of the splint and put me in full weight bearing cast and told to start walking in it gradually. I took pain medication for only 24hrs post surgery but now have to start again. It hurts too much to put weight on the leg. They will remove this cast next Monday and put me in a walking boot. They'll adjust the angle on it one week at a time for three weeks I believe. Then to walking un-aided. Looks like fast track is the way to go- Much less muscle atrophy.
Matt, Dallas TX
Matt,
Glad to hear you are also on fast track. I had terrible pain in the back of my calf the first week, felt like really bad cramps. Initially was worried blood clots but it only occurred when I stood up on crutches. It just so happened to go away prior to my two week appointment.
Ortho said everything looked good, now I am going on 4 weeks. I have not had any pain since. I got to tell you, this bledsoe brace is the way to go. I was just worried Ortho had me going too fast. I saw him at two weeks and don't see him again until 6 weeks. He said I sould be in a shoe then.
Hope all goes well for you
By the way, not sure if this is something new also. I still have the stitches in. At least my therapist said there are stitches under the tape. She said they would dissolve on their own
Hi Craig,
Sounds like you are making good progress too. I had my 2nd post Op. visit yesterday. They removed the cast and all the stitches 11 days after surgery. I also started light therapy. All looked good. I am now in a walking boot. I am having more pain walking with the boot and am having to use the crotches to ease the pain. I can't tell if the pain is from the incision or what. I'll see how it goes next couple of days. Good luck to all....
Hello all fellow AT rupturees,
Just want to express mild shock at how fast your doctors seem to get you walking....how active are you all?
Well, even tho' my doc. is taking the slow route, I trust him as he is an ex-mountain guide and very active person, and treats injuries in a very active community here in Colorado. I am NWB in a cast for 8 weeks, then I can do gradual WB in that crazy looking boot, for 4 weeks. I am very outdoorsy and active and this is driving me nuts, but I will do what it takes to achieve lowest risk of reinjury. I know it may take a year to feel right again. I plan to bike a lot this summer to help restrengthen the calf. Good luck to all in your recovery...
Maya, CO, USA
Well I was somewhat concerned too and asked my Dr. to explain what could go wrong. He said that basically unless you do an explosive movement or repeated stretching of the tendon too fast you can not cause damage. This is why a quick move to the boot can make sense. It provides protection from abrupt and/or continuous over stretching of the AT. It also allows the patient to start exercising the leg in a mild controlled way, which not only reduces muscle atrophy it could result in more blood flow which could speed up healing. The only thing he emphasized repeatedly was not to pull the toes up other than what I am told for therapy. This is to avoid over stretching the AT. All this seems logical enough for me so far. Let's see how I do over time.
good luck
Matt
Thanks for the response, Matt. It's interesting how different doctors are in their approach. I do move my calf muscle by moving my foot as much as my cast allows. The first time I pushed down the ball of my foot and felt it in my calf was a great day!
I am on Week 5, cannot bear weight until 8 weeks, then I'm in that boot for 4 weeks. I wonder though how much pounds of weight pushing on a clutch takes? I have a stick and not being able to drive is driving me bonkers!! Anyone know if that is too much of a risk? and with that CAM boot, would I be able to drive a stick or is it just too big? my doc said no to it all and to just borrow an automatic, but easier said than done!!
Keep me posted on how you do Matt...
Maya
Well Matt and Maya sound like you both are going great. I completed 5 weeks today. I feel like an expert at this, you see 10 years ago I ruptured my left AT. I tore my right AT this time. I almost cried when I did it because I knew it was a slow process.
The last time I was in a non weight bearing cast for 8-10 weeks with a rerupture at 2 weeks, then waited for second surgery another week.
It's hard to believe the different procedures and opinions with Dr.s on this. This time I had surgery and was in a splint for 2 weeks. I was then placed in the "Bledsoe Boot" for the past 3 with full weight bearing. I do therapy 4 times a week which includes electric stem, low level laser, massage, and light stretching. I have to admit, the boot has been awsome, just being able to walk around without crutches has done a lot for me mentally. I went through the normal stages when I tore this second one. I was upset, then angry, and depressed. Now I am just counting down the weeks to be able to take a shower without double bagging the boot.
I was told I would be able to wear a regular shoe when I go back to ortho (which will be 7 weeks).
I wish you all the best and a speedy recovery.
Craig
I am 5 weeks post op and in my boot. All seems to be going well as I am beginning to get mobile.
I have a question. when I feel the back of my leg where I had the sugegery, I can feel the tendon all the way up but there still seems to be a small depression. Is the where the tendon was repaired.
yeah I believe so. I have the same thing. That area also seems more tender than the rest of my scar. How long do you have to wear the boot?
I am in the boot for 8 weeks. My suregeon Prescribes an aggressive rehab protoco. I was in the boot since the first week after surgery and have been in PT since 2.5 weeks. I am able to walk in the boot without crutches pretty well at this point.
Just always worried I may be doing too much
Hi all,
Day 18 after surgery and my 2nd time at P.T. So far so good. I am having less pain and can walk in the boot most of the day. I am taking he boot off at night and take showers without. I have to be very careful and make sure the foot does not go past 90Deg angle w.r.t the leg. FYI, my incision is quite small compared to most. It is less than 2". I have not had much swelling either. Hope this all means a fast recovery. Either way I am a believer in getting things moving early but the right way.
Fast recovery and patience to all.
Matt
Matt,
Great to hear you are doing well. The boot is a life saver, at least mentally. I will have 6 weeks completed Friday. The next Thursday I go to ortho and hopefully get to go back to my shoe. I went to the boot after two weeks also with full weight bearing. I can only do full weight bearing with the boot so I am jealous that you can already take a shower without it. I am still having to double bag the boot before getting in which is a pain. I have mastered it though and have a dry foot every time now.
I have heard about your procedure. Heard only good things about it. Seems like they are learning something new every day.
Good luck, and remember you will be out of that thing before spring.
Craig
Hello,
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 complications 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. It’s been hard to be sedentary 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
Craig,
Interesting to read about your rehabilitation, because it is 100% similar to mine; Surgery followed by 2 weeks in the cast, and finally 4 weeks in the CAM walker with full weight bearing from week 3.
I was a little worried, because it seems as if I was the only one in this forum who has such a speed program to follow. Worried because it may go too fast, and the leg cannot follow. But glad to hear what you doctors said about it.
I talked to the nurse at the hospital today. She said that it is only 6 weeks in total from surgery, and it can vary from hospital to hospital.
I hope this is the right procedure for my leg. So I can get out and play some beach volley Summer 2009!! at full speed :)
And finally, maybe there is a big difference between Europeand and US rehabilitation programs.
Cross my fingers for the right treatment.
Bye, Bettina.
Bettina,
Sorry to hear about your injury, however glad to I am not the only one with the aggressive treatment. Like I said in an earlier post, I have been through this before years ago on the other AT. I had the conservative plan back then and it reruptured after only two weeks in a cast. That sucked.
My ortho said the way he tied this one up, it's almost impossible to rerupture. (knock on wood). I complete 6 weeks this Friday, go back to ortho next Thursday hopefully for some good news.
I am very active and cant wait to just wear shoes again.
Not sure if I understood the part about the "I talked to the nurse at the hospital today. She said that it is only 6 weeks in total from surgery, and it can vary from hospital to hospital."
Did she mean you could be walking in 6 weeks without boot? Man that's great news to me. That's what I am hoping for.
Craig
Hi Craig!
Uh.. Yes, that must have sucked back then. Re repture only after 2 weeks! I cannot even imagine how hard that must have been.
But interesting that you have tried two programs; one conservative, and one agressive (the latter apparently mine).
And since I'm not a doctor (and you are obviously neither), it is very difficult to say which program is the best...
One just trusts the doctor - and hope for some good luck.
Well, from what I 'deduced' from the conversation with the nurse was that achilles rupture was not SUCH a big thing. She said, I'ts ONLY 6 weeks altogether including the CAM walker. After the 6 weeks, one throws out the CAM walker, and starts the walking program with just a normal running shoe, (with a little heel on), and from then on it only just progresses regarding speed, steps etc.
So in that, it was good news !! meaning that after 6 weeks you get your freedom back.
No big stinking heavy CAM walker any longer. :)
I just hope that they know what they are doing - and recommending :)
I get nervous because I read all these different stories about how long time it takes elsewhere. And nobody really knows who is right. But your story with both legs being injured is a good one!
Lucky you - getting out of this CAM Walker already on Friday! Let us know how it is!
Best regards, Bettina.
Hi All, I have gotten concerned about the Aggressive Rehab my doctor has put me on as well. I had my suregery on 1/15 and had a splint on for one week and than had the sutures revmoved. I was immedietly put in a cam walker with my foot placed at neutral position as that is how I Was placed in the splint after surgery.
I am to wear the Cam walker for 7 weeks than go directly into a my regular shoe. I was NWB for the first 2.5 weeks than slowly was put weight on until I am FWB at week 4. I am now just over 5 weeks post op and walking without any use of crutches.
I have been going to my PT since 2.5 weeks and that has been a huge help. My PT also tells me that most Achilles patients he has seen use a fairly similiar protocol that I am on. I asked him why so much of a difference between the conservative and My protocol. The PT told me that it really depends on the doctors experience with injury and the patients they serve. I also asked my surgeon about the diffeneces and all he said when I brough it up to him was "Outdated process". The surgeon I used is quite well known as as a Sports Orothopedic and that is all he treats...
Mario - NYC, NY
Hi everyone,
I have been reading everyone's blogs with interest. I am a 45 year old female and I ruptured my left achilles 2 weeks ago playing tennis and unlike most of you I am being treated conservatively with a below knee plaster by request.
I chose the immobilisation in cast as I knew of two friends who had been treated similarly and have had good outcomes. Although surgery was discussed I decided that I would prefer to be treated conservatively as I had read about a lot of post op wound infections and sural nerve damage and was keen to avoid surgery if possible. Conservative treatment does carry a higher risk of re rupture so I am going to be extremely cautious returning back to sport.
I have a family of 3 kids and run my own business which has had to come to a standstill whilst I can't drive or walk as these are esential for my job. The frustration and boredom and financial implications of not working are the most difficult to deal with and I'm only in week 2. I have had little or no pain, only swelling if I don't keep my leg elevated.
What I don't know is how long I'm likely to be in plaster and have had conflicting advice of 8, 10 or 12 weks and I also don't know when they start to raise my foot back up to normal position as it's currently in equinus (foot pointing down). Has anyone out there had the same treatment and what has been your outcome.
Thanks for all the tips and comments, it's good to know there's a light at the end of the tunnel.
Hi All:
Im 30 years old, and got the cam boot today after 3 weeks post op which I see is normal for alot of you. Start PT this week and Im scared of the pain! Any responses would be appreciated.....
Welcome, however I am sorry for you that you are here. I am sure you have seen my post and I have been on the fast track. I was in splint two weeks, 4 weeks in the "bledsoe boot" and now I am walking. I am stiff and my heel is really tender, feels like I have walking on rocks bare foot for a mile or two. It feels great though to be walking in shoes.
I am taking it easy, dont want a rerupture. Hang in there and take it easy, the time will be gone before you know it.
Craig
hi everybody i tore my achilles tendon about 5 weeks ago and its still not healing. should i have had surgery by now?
ummmm yes you should have had surgery by now!! It has been noted that people that did not have surgery it will take them as long as a year to heal correctly. There is about a 2 week window between getting hurt and having surgery should otherwise you are putting things in jeopardy.
Here in the UK the treatment of choice seems to be the non surgical route and although it may take a bit longer to heal the results are good. There are disadvantages to both methods - surgery carries a risk of wound infection, damage to the sural nerve (which can give you numbness and pins and needles in the foot) and deep vein thrombosid (DVT)whereas the conservative treatment has a higher rerupture rate.
I am now 4 weeks after AT rupture being treated conservatively and am due at the docs tomorrow to have the plaster changed and my foot more level. The risks of rerupture, although greater after conservative treatment, are a worry whether you have had a surgical repair or not and I am told to be careful once the cast comes off and not overdo things too soon, which is sensible whichever route you are taking.
I hope your healing goes well.
Hello ,
I am also going the non-surgery route and im going into the end of my6thweek in a hard cast and my doctor said as of monday (which is 42days)i should go into a walking boot( i origionally injured my tendon in france and was recomended about 45 days in a hard cast from doctors there)
Surgery was not really an option in my case because i did not rupture my AT all the way but almost the surgen said it was about %80 and that because my tear is a higher tear it usually is not recomended because of the muscle that is there)I ama dancer so the non surgical route makes me feel a bit more calmer.
In the end i was told by doctors in Frane it is about 6 months recovery but it is also a slow process and one needs ot be patient also here in the us the doctors told me it is usually a year untill most peolpe feel they are back at their maximum.
Luckly i did not have too much pain with this i think due to the fact i did not rupture it 100%. My rupture occured on 12feburary and if all oges well i hope to be walking without crutches or a boot by june!
optomistic and looking foward to begining the re-education process with the walking boot
... RD
Hi
So glad to find this blog!!! I ruptured my right AT after cortisone shots for a large bone spur on the back of my heel. I was at the gym and went to step up on to the second level in the sauna and wham....four days later i had surgery and thank the Lord they were able to remove the spur while doing the AT repair. Post op was horrible for me, I had a panic reaction after I got home, never realized how clostrophobic I was until then...Im in a plaster cast and get it taken off the day after tomorrow. My Dr. told me preop after two weeks that he'd take out the staples and depending on how well ive healed how he'll cast me. This is tough. The anxiety of the unknown....Wed will tell
Hi
I have read and re read everything on this site to mae me feel better about my injury! I ruptured on 9th March and have chosen the consevative method of recovery. I have now been in a cast for 6 weeks at various degrees (currently at 90 degrees) I have changed my ortho though (from NHS to private) simply because the 1st ortho I saw was uninterested in my injury and spent no longer and a minute with me each time I saw him. i have since found a great private consultant and he bothered to feel the tendon and confirmed it was attatched!!! Great news.
He is seeing me again tomorrow (6 1/2 weeks post rupture) and is taking off the cast and allowing me to walk without the use of a boot, but still with my crutches.
Seems a bit fast, but we will see...
Anyone else had this?
Hi i ruptured mine on the 27th Feb and had surgery on the 6th March, was in plaster for 7 wks in total and experienced quite a bit of pain. Ive just gone in to the moon boot at 6wks post op and was worried it might be to early, but it feels a lot better theres a bit of pain in the heel but generally its ok, im a lot happier as i can walk round. I still rest it regularly and keep it elevated, im waiting to start physio so i can hurry back to work.
hi all
I have just had my cast removed (after 7 weeks) and been told to start putting pressure on my foot and try to start walking (I don't have a boot or anything...)
My calf and ankle have swollen up and are very sore and tender. Its difficult to flex my poor tendon due to the pain.
Has anyone had this and should I rest for a while or still try to walk around a bit??
Bit of a nightmare really!!!
A small part of my heel is numb and I can only fel it if I press really hard. I have only just had the cast off after conservative treatment for my AT.
Is this normal and will I get feeling back does anyone know??
Thanks for this site, its a great help
Hey Everyone,
I just wanted to give everyone a warning about the important of protecting the surgery area. I had my stitches taken out at 4 weeks and notice that one area didn't heal properly. I was told to cover the area but still continue wearing the boot. The only problem was the boot was rubbing against the problem area until it got infected. I was forced to go back under the knife for stitches and an addition two weeks on the crutches. The wound healing is the most important part of this experience. I am now in my 8 week and everything is healing nicely. I can now put on a shoe and walk with a lump but this is better than the crutches. For anyone this is a very mental injury and can really make you depressed. It is a slow process so stay encourage.
Hi All,
I have not been updating my status for a while now. My surgery was almost 3 months ago (1wk short). I was in a cast for 1 week and in the boot for 5 weeks after that. My recovery has been good so far with just once a week of PT though I started swimming after my stitches were removed 2 weeks after surgery. I think that was helpful with the recovery because it provided gentle movement of the foot without stressing it. I got on the stationary bike soon after and 2 weeks ago managed to do what I call baby like jog meaning I could not put all the weight on the toes. Today I did the elliptical machine at the gym for half an hour and tonight did some light jogging. Better form this time. I needed to Ice the leg afterwards to keep the swelling to a minimum. The only negative so far is that I now have a noticeable bump where the tendon was ruptured. Doc says it's scare tissue and most of it should go away. PT guy says I need to message it hard to get it to go away. I guess we'll find out who is right when I see the doc again this week. Lesson learned for me is that one should start very light but to increase it consistently. Hope it goes well for all of you. be patient and positive, it will get better...
Matt
HI all... I just had surgery last Sat and am now in a cast. I tore my achilles tendon as well and I believe I have this cast on for 2 weeks with my toe pointed down and then in a cast for another 3 weeks with my foot changed to a 90 degree angle. It hasn't been too painful to the say the least, but more uncomfortable if anything. I do have a question and was wondering if anyone could explain this to me. I have a cast on so I can't see but at times it seems like it is swollen or gets tighter where the surgery was. Almost like i have a knot down there or it won't stretch out. Has anyone else experienced this or do you know why I feel this sensation? I have been doing somethings but for the most part,I think I have been pretty good about keeping it elevated. Let me know if anyone has any advice. Thanks!
Sara
I'm six weeks out from total Ach T repair. In a walking boot and it was adjusted today to allow some ankle movement. Not much calf muscle response yet-- frustrating! Sounds like I'm still in the boot for another 4 weeks. Am walking without crutches. My heal gets sore at the end of each day. A long process!
It's all down hill now, it will get better. Mentally was the worst. I am jogging now and I can remember sitting back in your shoes. I had very aggressive treatment. Splint two weeks, boot for four, then started walking with limp of course. I know it seems like forever but hang in there and it will be over before you know it.
my doctor has been quite aggressive in his approach to my recovery from ATR. Its now nearly 9 weeks since my operation and i am walking more and more each day, and managed to get my garden done yesterday.
All in all, i was in casts for 4 weeks, a boot for 2 weeks, then told to gradually begin to walk more and more with FWB.
my swelling isn't as bad either, and i am beginning to start thinking about returning to work.
my advice is, keep your chin up, and folow your doctors advice and listen to your own body, be patient, and keep positive.
Best Wishes to everyone.
Steve
Tore mine playing tennis. I'm 37 years old. Had to wait a week for surgery. It's been one week since surgery and the doc said that the stitches will be ready to take out next week (2 weeks after surgery). Get this: he also says that when we take the stiches out, that I can start weaning myself off the crutches. I'll be in the rock star boot for 3 or 4 weeks after that. It seems like being able to start walking only after 2 weeks since surgery is sooner than many people. What's the deal?
I think aggressive is good. I have had it both ways and this last time I was full weight bearing in 6 weeks without the boot. They have come along way. I have had no problems and I am sure you wont either
Craig,
who is "they"? my ortho argues that the general consensus for ATR repair is still the more conservative approach (he used that approach on me of course). He told me that studies five years out are not long enough to deem long-term effects of a more agressive recovery protocol (he says they have to be 10 to 15 years). But I am curious to know from you, since you said you've been treated both ways, which method got you walking normally again (full gait cycle) without heel pain, faster? other differences in treatment that you noticed?
Thanks!
Maya
Maya,
They being the surgeons. I tore left one 12 years ago and was in non weight bearing cast for 12 weeks. Took forever to come back. Tore Right one Jan 08, splint 2 weeks, walking boot for 4, now I am running. Mentally and physically getting the walking boot was 100% better. I can speak only from my experience
Hi all,
I am 51 years old and had a complete rupture of my Achilles tendon during a game of squash on April 5th 2008. After doing an MRI for confirmation in Shanghai I flew to Bangkok (Thailand) for medical treatment. I went by taxi from the airport to Bangkok General Hospital, was able to see a specialist within 1 hour and was on the operation table 3 hours later. The operation took 75 minutes. (with a fantastic service in the hospital including a Starbucks in my ward)
In many of the comments I see people mentioning the large size of the incision. I was however operated in accordance with a new technique with the Ahillon device, they also call it a mini or percutaneous operation (have a look at the following website http://www.foot-ankle.co.uk/content/disorders/achilles) In fact I have only a 1 inch horizontal incision. After 2 weeks in 2 plastic half shell I got my leg (bottom part) in cast with a slightly adjusted angle and in 2 weeks it will go off, after which I will have spent a total of 7 weeks in a cast.
I don't know if it is this new technique, but I had almost no pain, was able to walk on crutches within 3 days after the operation, had a very fast healing of the (small) incision. In 2 weeks the cast will go off and the specialist promised a faster recovery than with other techniques. this seems great considering the fact that my tendon was 100% torn.
Does anybody have experience with this?
Best wishes to all,
Peter B., Bangkok
Thanks for the response Craig; being treated conservatively (well, NWB 8 weeks and cam walker for 4), I am feeling that "forever" you spoke of above. Heel pain is still part of my walking life. (I was walking better, then I rode my bike too much and over-stretched another part of my heel, so I am back to limping. the fascia tissue around my heel just feels so scabbed and torn in there, etc.)
I keep seeing the light at the end of the tunnel then it gets shut to pitch black again. Hopefully soon (it's summer and I am sick of being a GIMP) it will be open! I feel cheated my by doc that I was not at least informed of both methods and given the choice to pursue another option. but all they care about is keep their non-RR record - more than they care about the patient's healing experience. It makes sense that the longer connective tissue (which hates inactivity) stays dormant, the longer it will take to heal!
M
Hi all,
I tore my AT april 14th playing soccer. I went to the doctor and he put me in a cast for 2 weeks. Then I decided to get surgery on April 30th. 2 weeks later the doctor took off the cast and removed the staples. I have been in a Rom Walker for a few days now and it sucks. I am not allowed to put any weight on my leg yet. But the problem is that my foot, ankle and heel have been extremely swollen, numb to the touch, and have a constant feeling of severe pins and needles which is quite painful. Is that normal? I keep my leg elevated and take NSAIDS to reduce the swelling and I ice it all the time. I dont know what to do anymore, the pain is unbearable. I have learned a lot from everyone and I am so glad that there is some place where I can go and find that I am not the only one who is suffering this by myself.
Good Luck to ALL
Mo
Mo,
I am not a DR, however I have heard all different types of reactions after the surgery. Some have no pain at all and some are like you. I had horrible pain for the first two weeks after. Everytime I stood upright after being elevated I got the worst pain ever. I am now about 4 months post op and my ankle still swells after being on it all day. It will get better
So I got back from the doctors yesterday and he said all the numbness and pins and needles are a result from nerve damage. To all who are feeling those symptoms make sure you tell your doctor so we can quickly figure out a course of treatment. I am starting out on a medicine regime and may need to have more surgery if it doesnt go away in a few weeks. If you are in a cast or a boot make sure ur not laying down on ur side where you can pinch the nerves.
Wow, after reading all of these comments, my experience seems unique.
I'm a 33 year old male and ruptured my achilles 4 weeks ago (Apr 24) playing indoor soccer and had surgery 4 days after the injury (Apr 28). It was a complete tear. At 1 week post op, my doctor said I could ditch the crutches as soon as I was able. I couldn't at the time due to swelling but at 2 weeks post op, I was walking without even a cane. I get my stitches out next Tuesday (4 weeks post op) and to be honest, my foot and calf feel great. No pain whatsoever. I have a 3 inch heel lift in my boot (no cast) and go to a 2 inch next week and a 1 inch lift in the 3rd month. I air out my boot whenever I can (on the couch, at work, etc). I even have started sleeping without it. I generally only wear it getting from point A to B. Anyone else have a similar experience?
I see that most people have been able to start walking and putting weight on their legs. My doctor told me that I would have to be NWB for at least 8 to 10 weeks. Has anyone have been told that or is my doctor being extremely conservative and over protective.
Claylay,
Just becareful walking too early. You might be able to and feel fine just take it easy, because you dont want to re rupture your tendon. Trust me it sucks. I tore mine is 3 different places plus tore my calf muscles off the tendon on top of rupturing my tendon itself.
Has anyone here used the Iwalk free crutch? I am looking into buying it but wanted to know how anyone who has used it likes it or is it better to use regular crutches.
Mo
mo i feel your pain I ruptured completly and tore some muscle as well. im about a week and a half post surgery and my pain is terrible in my lower back my from all the sitting around anybody have any ways to relax that doesnt hurt your lower back?
Hi all who have gone in for the conservative method
I ruptured my AT on 26th April playing badminton & thought that it was a sprain. Limped on it for 2weeks & since the swelling did not reduce went to the dr. He confirmed that it was complete rupture & asked me to go in for a surgery. Was a bit scared & decided against it. Then read all abt AT on the net & asked to be surgicaly treated after 3 days upon which he said that it was too late. I have now completed 3 weeks in plaster. I still go to work & find that my leg swells a lot by the end of the day. I am a scared that it is not healing at all. thinking of getting a second opinion.
Any reassurance from anyone who has gone in for the conservative method will be welcome.
I am 27 years female & living in Japan. I do not speak Japanese & my current dr does not speak english. I am feeling very frustrated.
Hi all,
I`m 30 years old an I`m from Bulgaria.I was very happy to find this site and see the experience of many people of AT rupture.I`m on the 6-th week, I started phisiotherapy this week for now only with ultrasound.My ortho told me that from next week I can start walking without the splint which i`m with now and with one crutch.From what I`ve read here I`m afraid if it`s not too eary to do that.My operation was with some new non blood method and at the moment the wound is almost totally healed.In fact what I`m afraid of is of rerupture.
I will be happy to receive your opinions and advices.
Best wishes
Millen
Hi all again,
I`m Millen from Bulgaria again.I`d like to leave in addition my e-mail and skype name and I`ll be happy to get in touch with anyone of you in order to share experience and advices.It`s true that it`s a very long period of recovery for which everyone needs mental strength and patience!And sometimes it`s not that easy.
So my e-mail is-kuncheff@yahoo.com and my skype is-kuncheff\Millen Kunchev\located in Varna, Bulgaria.
So I`ll be happy to get contact with you and wish you all the best to all of you guys!:)
Millen
It is great to read about everyone's experiences and how differently we have all been treated. I was operated on 10 days after my injury. I did it playing basketball and I am 38. Never experienced any tendonitus or anything. I had a complete rupture, but only 4cm of retraction. I was in a splint after surgery for two weeks. After that, the Dr. took the stitches out and put me in a cast. To my surprise, my scar was only about three inches long. They attempted to get me neutral at two weeks! I was close but didn't quite make it. I had to go back a week later and had that cast taken off and attempted neural again....this time I made it. Did one more week in cast (two weeks total in cast). Went to a boot with a two heel blocks. At that time (four weeks post-op), I started physical therapy. At seven weeks PO, I was without heel lifts and today (eight weeks PO) I'm doing calf raises and tomorrow the PT puts me on the treadmill. She said next week I should be out of the boot. Nine weeks post op out of everything.
Holla
It's great to read everyone's comments. Hearing about other people's treatment has been really helpful...so here's mine:
I am on the agressive-track, and it's nice to hear that my Ortho and PT aren't pushing me too hard. Re-rupture is my worst nightmare.
I tore my AT playing tennis on May 11. Had surgery on 5/12. One week in a splint at 35 degrees of planar flexion, then I went in to a boot at 25 degrees.
Had the stitches out after 10 days. At two weeks I went to 15 degrees, and I just recently (at 3 weeks) went up to 7.5 degrees of planar flexion.
It has been 3.5 weeks, and I'm starting to put as much weight on it as I can while I walk with my crutches. It sucks and it really freakin hurts, but my PT said I don't need to worry about re-rupture if I'm in the boot. She is encouraging me to take my pain pills and walk on it as much as possible.
Mike
hi everyone, i have been about 8 weeks post op and i have been able to weight bear with my boot on. Its summer time and I cant stand not swimming or not doing anything. Is there a way that I can go into the pool or ocean where I wont hurt myself. I mean do I have to wear the boot in or is there a shoe i can buy where I would be ok? Please if anyone has any suggestion please let me know.
As you are in the 8-th week your achilles should be almost totally healed!Do you go to phisiotherapy?I am in the 8-th week as well and I walk with the help with one crutch and I`m going to see my ortho in two days.I think that swimming is OK for sport but it`s better to talk to your ortho first.It depends on how well the operation was and how well is healed the wound after that!
Best wishes,
Millen
Hi everyone:
I ruptured my AT on 5/31 and had surgery a couple of days later. First week or so post op. have been mostly keeping foot elevated and hopping around or using crutches. Pain was not a big deal -- vicodin for a couple of days and then extra strength tylenol worked. One week post op., got a boot. Just got my stiches out a couple of days ago. Biggest problem/inconvenience has been mobility. Just today compared calf muscles and the AT leg is already smaller than the "good" leg. I fell this morning in the bathroom and while it was painful, I'm hoping that the boot on limited an further problem (my biggest nigtmare is rerupture). I was told to start PT in 2 weeks and am looking forward to it -- I want this thing to get better. Bottom line: so far I would charaterize the experience as some pain, major inconvenience, but it seems to be getting better day by day.
Joe
Hullo all
Like everyone else I'd rather not be here, but since I am, I'd like to say how reassuring it is to find that my frustrations are widely shared.
Briefly, I'm a 65 year old Londoner, who when fit swims 2 or 3 times a week and plays golf. Last monday (june 9) I tore my achilles taking evasive action on my bike. 24 hrs later I had surgery, and the following day was back home (unlike private hospitals, the NHS try to get shot of you asap). I came home with crutches, which take a lot of getting used to, and a Zimmer, about which I feel no shame! I go up and down stairs on my bum.
All was going well until yesterday, when I took a tumble and jarred my bad leg. It's still sore, but I'm hopeful the damage is minimal. Luckily I'm a writer, and so work from home anyway. Plus I have a very patient and caring wife, without whom life would be very tricky, to say the least. Next week I return to hospital for the first time, following which I hope I can start some form of rehab. It's a long road ahead, but all the better for having some fellow-travellers.
Best,
Michael
I'm 45 and tore my left Achilles on June 1st playing basketball. Surgery on June 11th. Foot wrapped until casted on June 13th. Incision is less than an inch. NWB until cast removed on Jun 25th. Crutches and boot allow partial weight bearing until June 30th. FWB with Boot started June 30th. Taking some Advil to help with pain but all in all it has gone well. Firt physical therapy session is tommorow July 2nd. All I can say is hang in there and stop when you feel pain. I believe my regime is probably considered aggressive, but at this point I am pleased.
Hi fellow ATR sufferers!
I ruptured mine on 8 June playing tennis, was put in half a cast for a week then had the op. Went back a10 days later to be fitted with a lighter cast and have wound checked (is apparently doing ok and I have dissolvable stitches anyway) and then given the bad news that I would be a further 3 weeks like that, another 3 weeks with the foot position brought up and then finally 3 weeks with my foot in the neutral position at which point I should be able to hobble around. Think will have gone mad by then, so in total will heve been in cast for over 11 weeks - keep hoping that maybe at my next appt, they will reduce the next 2 periods to 2 weeks (fingers crossed). So frustraing as was originally told 6-8 weeks so 3 extra weeks is a long time with your feet up!
Good to have found this blog though and to read all your experiences but 11 weeks seems a really long time compared to a lot of you. Am sure it doesn't help seeing a different doctor every time as they all have their own preferences I guess and can just add a week here and there!! On the plus side, luckily so far I haven't really been in too much pain, the worst was when I came round from the op - that hurt! But generally apart from throbbing a if I overdo it on the crutches its ok.
Will keep watching this space. Has anybody tried using a 'protectacast' for showering/bathing? - thinking of ordering one.
Rachel, UK
THANKS to everyone recovering from AT injuries for sharing their experiences! Its reassuring and very informative to learn about the different AT treatments. I am in Day 5 after surgical repair of my completely ruptured AT. The first three days, the ankle and wound area were extremely painful even with 7.5 MG of Percocet every 4 to 5 hrs! I used crutches to navigate from my bedroom, reclining chair and the bathroom. The pain was very sharp when my foot was not elevated. Today, the pain is noticeably less.
I took a shower with a medium size towel wrapped around by leg with a rubber band at the knee and a plastic bag secured with a second rubber band secured above the knee. No water intrusion whatsoever! Remember to enter and exit with the "good" leg!
I've read that one's mental state is important in dealing with this injury, so I have stocked up on books, magazines and new video games for my WBox 360, PS3 and WII systems. My wife has been very understanding in helping me with meals, meds, etc. She's a jewel!
I have an appointment on July 16th to be evaluated and to find out if I will be put in a cast or boot. I am 64 and fairly active...and am anxious to get back to walking my English Springer, riding my scooter and playing frisbee!
Thanks again everyone for your comments and recommendations!
Jim from Providence, Rhode Island, USA
Hi All,
I am 48 years old and I tore my AT back in September and saw my family doctor since there was a lump on my heel. I waited until April to see the foot doctor. He put me in a boot that day. I had surgery on May 16th. The doctor performed the Topaz procedure. I was on crutches for about 10 days. Then I was allowed to go back into the boot without weightbearing. I started physical therapy about a week after surgery. I have very tight AT on both feet so I do stretches on both. As of June 24 the doctor told me to start walking an hour a day and add an hour each day. So as of July 1 I have been walking without the boot and doing pretty well. It is still painful somewhat and the lump is still there. I am massaging it so it will do away. The doctor said it may take 6 months. So anyone afraid of this new procedure, it worked for me. I only took off 7 days of work with weekends and a holiday I was off 12 days only due to finances. I still have a ways to go but I'm almost there. Hang in there everyone!
Hello all!
Into my 7th week and all is well.
Ruptured mine playing football (soccer) in June.
Full cast for one week, then after seeing specialist lightweight fibreglass half leg cast. Surgery took place 12 days after it happened.
I've been in an Achilles boot for just over 3 weeks and I'm flexing my ankle all the time to build it up. I see the specialist again next week. Already had my first consultation with physiotherapy. They want me to build the strength in my upper leg and more importantly my knee area before anything heavy duty is done. The scar on the back of my leg is barely 2 inches. My ankle is pain free and only a little swollen.
I've started a blog myself, but nowhere near as good this one. Nevermind!
Regards
Christian, UK
There has been some debate about agressive vs. "slowly" rehab.
Having reached the 6 month mark, I must say that the agressive rehabilitation programme I have been on, seemed to have worked very well.
I now do almost everything what I used to do before the rupture, have even started to play volleyball again - (just without jumping), I jog, I walk normally. My achille is stiff though, so I train everyday to stretch it.
But SO nice is it to gain mobility again, and do sport - which I love.
My advice is take the rehabiliation program very seriosly, do the exercices every day, and you' get there.
I am still numb though in part of my foot, hope the "feeling" will come back gradually. Have someone some experience with that, they could share??
best regards, bettina
Frazer says
G'day from downunder Australia. Im a little bit different from many of the sufferers. I didnt have a actual rupture but severe insertional achilles tendonitis includning bursitis, calcifications and heel spurring. To remove all these they had to detach the AT from the heel and after removing all the problems reattach the tendon by anchors to the heel. I was in half plaster for two weeks after surgery and now Im in a below knee fibreglass case for 4 weeks. Then its a boot. I've found it hard. Being 50 and overweight makes crutches hard...maybe a lesson there. Hasnt been painful...just uncomfortable. The boots will include wedges and reducing the wedges over weeks. They say 3 months primary recovery and 12 months secondary recovery. Cant run for 9 months. Im looking forward to the boot .. hopefully I will be able to get round better. Thanks for the feedback form you all...appreciated.
Frazer
Hey there. I had a complete rupture of my achilles tendon playing tennis on July 1st. I had surgery on July 16th (that's 7 weeks ago today). After surgery I was immediately put on a splint with the foot pointed for 2 weeks, no weight bearing and pretty much in bed or on couch with foot elevated during this period. Then, I was put on a more durable fiberglass cast for another 2 weeks, no weight bearing and still keeping the foot elevated. After that I had that cast removed, the stitches removed and got another fiberglass cast with the foot adjusted slightly so that it was less pointed. 2 weeks later (which was just last week)I had that cast removed and went on to the boot and was told that I could start putting 25% weight on it using the crutches. Well, I was pretty excited about being able to put weight on it and over this past weekend I think I over did it. I got too confident because it really didn't hurt at all and was pretty easy to get around in the boot and crutches. I also think I was putting more than 25% weight on it. The past couple days my foot has been swollen and been hurting. The pain is not unbearable but still I think I need to back off a bit. My doc warned me that if I over do it my leg will definitely let me know and it sure has. I also noticed couple days ago (I know this is kinda gross) that I have a bad case of athlete's foot. My general doc said it is common after being in a cast for a long time because of the moisture and put me on antibiotics and ointment. So now i'm kinda bummed out cuz I have to back off of the weight bearing and now I have this athlete's foot to deal with (altho i know it will go away). I go back in couple weeks for a follow up. My doc said I will be ready for physical therapy on Oct. 15th (apx. 3 months after surgery). I can't wait to be walk without having a boot or crutches! Well, good luck to everyone!, This definitely is not an easy injury to deal with!,
James
Hi everyone,
I have chosen the nonsurgical treatment and am now on week 6 of recovery. I am a 44-yr old female and injured myself dancing. 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 1km 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.
Hey everybody,
I'm 39 and ruptured my left AT playing raquetball. I was immediately casted since it was a Friday evening, saw the ortho the following Tuesday and had surgery on Thursday. I never felt much pain from the injury, just pressure in my calf and it was really loud when it snapped.
I see my doctor in two days and it will be my first appointment since surgery three weeks ago. Before surgery my doc said I would be NWB for 10-12 weeks in casts and then in a boot and walking/physical therapy for another 12 weeks. I was training for a marathon that's happening next month and I'm determined to run the race next year!
Based on what I'm reading it seems that my doc is being very conservative with rehab. I'm extremely athletic and now I'm thinking that he and I might need to revisit the "when can I walk" topic. I have two young kids, one is 18 months, so I would really like to get off crutches. I'm not in pain, but I ice a lot because when I get up and move around I get a lot of uncomfortable swelling. Mostly I'm just frustrated that I can't walk, carry things, chase my kids, etc. I'm encouraged reading all the more aggressive rehab stories.
Thanks!
Shanie20,
Believe me, you will be walking and running before you know it. I definitely think your doc is taking the conservative approach. I have ruptured both of mine. First one was non weight bearing 12 weeks that sucked. I ruptured the other one Jan. I am 42 and was walking in a boot in two weeks. Still have some scarring but things are back to normal. Always think "It could always be worse". Thats the only way I got through it. good luck
Tore mine playing soccer on 7/13. Had surgery on 7/16. Was in a hard cast for 3 weeks, walking cast for 2 weeks , then the dr wanted me in the boot for 6 weeks. Stared PT in week 6. Therapist liked my range of motion & overall strength at my initial visit and encouraged me to start walking carefully without the boot for short periods, as well as ride my bike for 15-20 min a day w/out the boot. It's now two weeks later (week 8), and I am walking around most of the time without the boot. My next visit to the dr is in two weeks, at which time I expect to be out of the boot completely. It's had been tough mentally while I was in the cast, but now I am extremely pleased whith where I am today. My advice is to take it easy at first, rest, eat right and stay positive. You will get better soon.
Ok, so this is my second posting in one night, on the first I felt quite positive and buoyed up by everyone's comments; now I have scoured this site in search of anyone else who has ruptured both left and right tendons at similar times, found no-one and feel just a little terrified about the future of my legs and ever walking again!
I had surgery on both at the same time, 11 days ago, and am now NWB in 2 casts and am meeting my consultant for the first time tomorrow (had surgery whilst on holiday, so have been transferred home). Really wish I had found this site sooner, as I have just spent a full day out and about with my 2 year old boy, in my Red Cross wheelchair (god bless the red cross!). I didn't elevate my legs enough and when I took off my wooly socks this evening I found purple balloon like toes!(much more healthy colour and size now.)I imagine I'll feel more able to see the light at the end of the tunnel after my appt tomorrow, but if anyone knows of someone who has been in this rather ridiculous but very 'pants' situation before, please, please let me know.
Thanks, and remember 'It could be worse!' as someone told me, 7 hours after my right AT ruptured ... and 3 minutes before my left one went! (Sometimes you just have to laugh!)
Numpty, Midlands England
Oh dear! I really feel for you. I had a complete rupture of my left, but my right has been very sore. I saw the doc yesterday for my first post op and she said that it's a good thing I'm stuck on crutches because it will prevent me from doing movements that could rupture my right. I guess I'll be doing bi-lateral PT when I start. I had no idea!
I've been pretty bummed at the idea of being on crutches and NWB for 12 weeks, but I got great news yesterday at my post op. My stitches came out and the incision looks great and I was able to put myself at 90 degrees so it looks like I'll be going into a boot in 3 weeks and possible weight bearing then or shortly thereafter. If so, that reduces my NWB from 12 weeks to 6-8 weeks! My mood is greatly improved.
It's so tough being on crutches with a toddler ( I have an 18 m. old), I can't imagine being in a wheelchair. Hang in there. I wish I had more helpful words for you. The only thing that has been consistently useful for me has been elevation and ice.
Best - SHanie
Thanks SHanie,
Had my first casts and dressings off yesterday. Stitches have disolved and the scars are good (thank goodness!) but my consultant wants to go very conservatively and for my feet to be pointing down for 6 weeks in total, with re-angleing up to 90 degrees taking 4-6 weeks. He is very concerned that having done both I have a greater risk of re-rupture when the casts come off. I guess I would rather longer now than rerupture, but I think I might go slightly potty! Thinking of learning spannish while I'm laid up, better than rotting my brain with daytime TV!
Hey ho, chins up!
Numpty
Complete rapture playing football -Had surgery - Six weeks in cast - Now in first week of three weeks on my normal shoe fitted with heal, though unable to walk and put much weight on it. Will start physio after three weeks on healed shoe. - Seems too agressive.
By the way is the boot used instead of a cast? only learnt about the boot here
Hayden - Zambia
hello folks,
im vicky, 6 weeks & 6 days. i had my incident 31/08 dancing to abba- mama mia- dancing queen im not & close friends & family had recently been likening me too julie walters from the movie !! life crazy life as bank manager , mum of three & step mum to three mum. did this day got back from france with them all! feel like gone from hero to zero overnight, although feel for sufferer whos done both!! its a worry other one twinging alot, start pyhsio tomorrow & can walk in low heels & no crutches! worried if i should be doing this yet?. hope to hear from any other abba lovers- who arent dancing at the moment. x
Hi all. What a great site...very helpful, informative and supportive. I completely ruptured my left achilles while running for a fly ball. Heard the infamous loud POP and fell flat on my face. I am now 5 weeks post surgery, having had a partial cast first 2 weeks, 12-15 staples removed then a hard cast for the last 3 weeks. Just got my Aircast boot yesterday. 3 Wedges which will be removed one at a time every 2 weeks. I'll be allowed to slightly weight bear with the last wedge. Dr says I'm in Phase 2 of recovery. Phase 3 will start when my foot is at 90 degrees, and then he'll discuss PT with me. So I have a couple of questions for you guys. I had a fitful and painful sleep last night with this boot (and lots of twinges). Dr said I could take it off for sleep but I was just too nervous to have it exposed. Any one else sleeping sans boot? Problems? Also, wondering if I should start seeing a PT now, even if just to get some exercise and muscle strength. It seems like a valid and good thing to do, just not what the dr ordered...
Hi Catherine in BC. I am Laura in NS, in week 4, in a cast with foot at 90 degrees, was told I can start to practice slight weight bearing to get used to the movement of walking and will get the "boot" in 3 weeks. Am still swelling alot and lots of burning if I don't elevate at least 80% of the day. Dr told me I can start physio in a month. Not working yet(I am a therapist) because of the swelling and need to elevate and I also cannot drive because I have a manual transmission. Good luck with your healing.(heeling, ha)
Hi everyone, my name is Debbie 43 and live in tasmania australia, I love this blog because I am not the only one out there feeling isolated and frustrated with this dam disability. I ruptured my AT 24th Sept 2008 and had it surgically repaired on the 11th October once all the bruising and swelling subsided. Have been in a Cam boot since then, its heavy and drives me nuts. I take it on and off during the day to do passive foot exercises as well during the night to sleep in. My wound is healing slowly I only was steri striped together. Had my first physio last week, but only gentle leg and foot massage and so toe twiddling exercises. I go back in a fortnight as he said it was still to swollen to begin anything to full on.
well I suppose I had better go back to the couch as I am studying for exams soon so really this injury has been of some benefit I suppose.
Cheers everyone and hope all a speedy recovery.
Deb
Hi All,
I am 3.5 wks after surgery for A.T rupture. The hard cast was removed two days ago and I am on air boots. The doctor has asked me to partially W.B on the ruptured foot. I will be starting physio as I could not get a slot this week.
Q: How oes one walk with the boot? My ruptured leg is taller b'cos of the boot with wedges. So should I elevate my other leg too?
I am walking around with a walker.
I greatly appreciate any inputs.
cheers!
Hi Debra fromTasmania Australia, I live in Perth WA.
Your right about the Cam boot it drove me mad too.
I wore mine for the first 2 weeks most of time until I had a problem with the incision healing and ended up going to see a plastic surgeon. His advise "when you’re at home take the boot off, the thermal sock and the dressing and get some air to the incision." I took his advice and within a week the incision had healed and I was able to start Hydrotherapy at the local pool which is helping heaps. By By Cam Walker boot hello 2 shoes. I am now at the end of week 10 and today started walking at a normal stride without a limp, a slight pain but it feels good.
To anonymous,
It had me baffled with the boot I never understood why it had to be so high. It would be easier to give you a shoe for your good leg set at the same height. It gave me terrible back and knee pains for the first 2 days so I ended up using the crutches to take most of the weight when out and at home I didn’t use crutches much, but I was also very careful.
I hated the dam boot but at least you have the freedom to take it off.
Happy healing paul r
http://paulrachillesrupture.blogspot.com/
Thank you Paul for the info abt the boots . I am given the boot, with wedges. I have started to wear my trainers on the other foot, which is helping a bit. Can we remove the boots during sleep?
Anonymous,
I took mine off from day one, but I left the thermal sock on just for a bit of support. If you haven’t got a thermal sock with boot supplied I would suggest wearing a long tight sock just to support and help with any swelling and to stop catching toes on bed sheets. I found the first few nights a bit strange not having the weight of the boot and through the night I would get a few spasms and twitches around the incision/Achilles area, but apparently this is common. I didn't sleep well for the first few nights, but after a week I was sleeping well with no sock and on my side.
If in any doubt run it past your Doc first
Hope this helped paul r
Hi all,
I'm another rupturee living in Perth Australia (south of river) - same city as Paul R. I had a full rupture in a soccer game last Monday and surgery last Wednesday.
And yes, being a normally active person I was going mad sitting around and started overdoing things within days, getting lifts to parties, watching soccer etc and putting my foot up there or taking a wheelchair with an elevated fotorest. I'm changing my attitude now after much pain and am going to take things easy, but there have been a few occasions where my boot has hit something, or my calf muscle has tensed with pain around the surgery/ injury area.
I have my 2 week appt next Thursday, but I'm worried that somehow I might have re-ruptured the tendon. It feels like my calf muscle doesn't exist anymore, like it is paralized How do you know if you have re-ruptured it at this early stage? Is there any test you can do while using the boot?
P.S. Great blog site
Cheers,
Paul T, Perth, Australia
Yes, it can be quite frustrating for an active person. I am facing this challenge by getting lost in cooking...yes cooking and the lost art of traditional dishes are revived now :-) And I have strted toknit again after 20 yrs :-)
It is also making me stronger knowing that mine is a normal family with a lot of love, which I had failed to note being lost in my busy activities.
My suggestion is, take it easy, read a book, reflect on life and now since we all know how important it is to be walking about without support...Plan for all the must visits that you have on the list be it The Great Wall or the Nepal Buddist temples. I realized that time and health waits for none. So crossing my fingers for the recovery and looking forward to life after AT
Cheers!
Thanks Paul :-)
I'm into my 7th week post surgery, and have another week before I take out my first wedge. The first few days with the boot was agony, but things are better now. I'm getting used to sleeping with the boot, but I do 'air' my foot and incision area a few times a day. The incision is long and curves a little from the outside base of the heel in and up the back of the left leg. Looks like it's healing well, and so far I've not had any pain from rubbing it in the boot. The twinges and jolts of nerve spasms have subsided somewhat, but I expect that to pick up after the removal of the next wedge...oh joy!
I'm grateful to all that write in this blog, as it's really great to read that what we're going thru is 'normal' for AT recovery. It still blows my mind how long this will take in total. To not weight bear and not be active for this long is so really tough.
I get the guilts (too) often and think I should be doing more and doing better by now. My husband is wonderful to keep me in check, infact he was the one who found this blog for me.
Like alot of you, I've read tons of books, watched a few movies, done alot of research on the internet. Sorted thru digital photos and even posted some on Flickr. Played guitar and recorded a few songs. The best to date has been researching and ordering a 50" TV. Who says we can't be productive? (Hope that last bit put a smile on your face, cuz we all need a good laugh now and again.)
Happy healthy healing everyone!
Catherine, good to see that there is a light at the end of the tunnel.
I'm feeling physically sick after just speaking with a guy who has had not one, not two but three achilles tendon ruptures. He did his right foot, then 8 weeks later ruptured it again, then a few years later did his other foot. Said that the third time he went home and couldn't stop crying for days.
Don't know how I would handle that, but I guess people who get spinal injuries have to deal with the fact that they'll never walk again. At least we'll be able to even if there are setbacks.
Now, books, must find some books...
Paul T from South Perth,
Welcome to the ATR Blog.
I’m now at the end of week 11 and walking with a very slight limp. Some days it’s pretty good, no pain or swelling and other days it feels like I’ve ruptured or damaged it again. There were a few times whilst in cast and Boot that I slipped and hit the floor. It hurt like hell but after a few days with rest elevate and ice it was good again. Your body is pretty good, it lets you know if you are doing too much. Paul T!! There’s plenty of time to party just take it easy and make the most of the down time, all though Party time sounds good!!!!! I’m only jealous.
PS If you’re ever down at Hillarys dog beach just look for the guy with the limp chasing the 7 month old crazy dobermann pup
Happy Healing paul r
My blog http://paulrachillesrupture.blogspot.com/
Hello everyone,
I just found this site because I was looking for some exercises or something to help speed up this process. I am feeling a lot better now AND worried.
I am 4 weeks out of surgery and am already full weight bearing (in the boot). The doctor said I could go down to one crutch, but I was stumbling so much I just gave it up. The tendon doesn't hurt at all, but my calf gets tired. Because of this I alternate between a wheelchair and walking.
I am teaching so giving up the crutches was wonderful. The children like pushing me in the chair - needless to say they don't want me to give that up.
I was hoping that the doctor would say I could start therapy on the Nov. 20 when I go back for my 6 week follow up. I am now worried I will have to wait another 6 weeks. Oh well, I guess I am doing better than some.
Best wishes to anyone who has this temporary disability,
Christy, VA
Hi again Paul R,
Will definitely keep an eye out for a limping doberman walker at Hillaries! My girlfriends parents live not far from there so we do go to the dog beach to walk their little dog sometimes (but it could be a while before I'm walking in sand again!).
Hey, you mentioned that you put ice on your foot while it was in the cast or boot. How do you do this? The boot seems to insulate the foot very well and the cold from the ice doesn't really get through to the foot from what I've tried.
Back to the surgeon on Thursday to get the stiches out (and see my poor little foot for the first time in 2 weeks) - however, looking forward to any progress, even the painful rehab.
Cheers,
Paul T.
Paul T
I should have explained a bit better!!!!!!!
After my operation I was fitted with a rear splint like cast which was open at the front and secured with a bandage to allow for swelling. I used to apply gel ice packs to the front and sides. The ice used to penetrate through the bandages, not 100% but it helped and it felt good. With the boot I used to take of completely and ice. If you have a full cast it would be pretty hard to ice. I would suggest lots of rest and elevation.
So you have your first post op appointment on Thursday. You will be surprised at the size of your chicken leg, but keep your chin up your calf size will improve once you start FWB. My calf was like a tooth pick, but at week 11 it’s just about back to normal, just lacking strength
Let me know how your appointment went and what your Doc had to say.
Happy Healing paul r
Hi All,
I am in week 6 after surgery.
Day 2, I was taught ROM, where I had to do straight leg ups and side ups[Hope I have worded it right :-)]
Week 3 my hard cast was removed, and the staples came out. I was given a aircast boot and allowed PWB.[I am getting good at acronyms]
The conservative physio therapist was not too sure if I should start PT so early?? However I just wanted to share the following links which I have found very useful.
1. Week by week procedure with exercises.
http://achillesblog.com/files/2008/03/achilles_tendon_rupture_mass_gen.pdf
2. A Good HandBook for recovery
http://www.worksafebc.com/health_care_providers/Assets/PDF/achilles_tendon_repair_protocol.pdf
3. Core workout ...You can do it with the cast/aircast.
http://uk.youtube.com/watch?v=edUFqkWSve8
4. Upper body workout sitting on a chair and pressups on a stability ball.
takecare while working out
Good Luck!!
Hi Paul R,
Thanks for the tips.
Had my 2 week post op appointment today - man it was nice to have my foot out of the boot! I found that most of the pain was being caused by blisters from the boot rather than the surgery or the tendon themselves, which are painless!
The surgeon was not very helpful and quite rude when I tried to ask him some questions, although he has a reputation of being quite a good surgeon (which is important). I've learnt a hell of a lot more from this blog site and from talking to others who have recovered than I have from my specialist, who basically just wanted to look at the stitches and get me out as soon as possible.
As it is he doesn't care what I do, as long as I keep the boot on, I can go running with the boot on as far as he cares.
Anyway, enough of my gripes for the day, I'm glad there are others out there with good advice and thanks, it's been really helpful.
Cheers,
Paul T.
Hey Paul T
I hear what you’re saying about the surgeons, they don’t care much about after care just as long as the operation was successful with little problems. I’m afraid if you aren't persistent with your questions and don’t leave until he's given you answers you’re on your own. Like you said you get more information from these blog sites.
At least he was happy with your recovery and the incision.
I had my 12th week post op today I was in his office for about 3 minutes max, but I wasn't leaving until Id asked my questions.
THIS WAS THE RESULT:
ROM is very good
Strength is very good
Double leg calf raised good and I should be doing single leg by 5 months mark.
Drop the 2 Hydrotherapy classes and swap for 2 extra days at the gym strength training.
Light jogging no sprinting or pushing of quickly.
Back to work full time on light duties in 4 weeks time and then back to normal aggressive exercise end of February {Bummer}
Yep this is one hell of a long recovery!!!!!!!!!!!!
Happy Healing paul r
Paul R, Good to hear that everything is improving for you. Based on the same schedule as you I should be getting back to full recovery just as winter hits next year.
So, how did you manage to stay not working for so long? I've gone back to the workplace (albeit it is an office job with lots of travel to the city) - I think I'd become mad (and probably unemployed) if stuck at home all day.
The foots gradually starting to feel better, but some pain now from the wound area as it heals (but no infection luckily). I've been taking to boot off to wash the foot as instructed by the surgeon, geez it feels nice when I do it!
Cheers,
Paul T
Hi all, I am 7 weeks post op, got my cast off 2 days ago and no boot because I have developed a neurological condition called Complex Regional Pain Syndrome which attacks the skin, bone and muscle. My surgeon was TERRIBLE as he did not even tell me about this, he simply said that I had to start physio right away and go aggressively with it. My GP diagnosed the issue and has me on a series of meds to attack the progression of the damage. My work is to do all my exercises and walk, walk, walk. Any one else there experience this condition???
I fully ruptured my achilles tendon on Nov 1 and had surgery on Nov 4. I'm a 34 year-old woman and very athletic; had been training for a half marathon and playing ice hockey for several months leading up to the injury, which occurred while playing basketball.
Here's my timeline and experiences:
--------------------
- Weeks 1-2: In a plaster splint, non-weight-bearing (crutches). Quite a bit of pain the first couple of days following surgery, but diminished after that and by day 4 no pain when resting / elevated. At about the one week mark, I started experiencing cramping in my calf/achilles/foot when standing which was very uncomfortable...but this went away after a few days. Stitches out at the end of week 2; splint replaced with an "aircast" boot -- with heel lifts inside the boot to keep my foot angled slightly downward -- still NWB on crutches.
- Weeks 3-4: Still non-weight-bearing (crutches). Incision is healing well and no pain at all, still some swelling. Very tempting to try to do more than I should at this stage, but I'm trying to be good and rest / elevate as much as possible.
- Weeks 5-6: The doctor says I'll start walking (full weight bearing) after week 4, still with heel-lifts in the boot to keep my foot pointed slightly downward.
- Weeks 7-8: At the end of week 6, some of the heel-lifts will come out of the boot, getting me closer to 90 degrees.
- Weeks 9-10: At the end of week 8, the remaining heel lifts will come out and my foot should then be at 90 degrees.
Not sure when I'll start physical therapy; hopefully sooner rather than later. So far, 3.5 weeks post-surgery, this hasn't been as bad as I expected. Very much looking forward to walking (normally) one day.
One question -- has anyone else walked in a boot with heel-lifts? If so, what kind of shoe did you wear on your 'good' foot to elevate that heel to an equal height?
I just want to add my experience and hopefully help others in any way I can.
This is my 4th surgery on legs and
had ruptured my right AT playing volleyball. It was my stupidity since I wore rather hiking stiff shoes and thought I was in twenties.
After an injury I went to shower and sauna and got a few shuts at home. A few days later I schedule a surgery with head of medicine for Celtic Boston team. I knew it was bad since my Achilles was gone. He stitched back my AT and put on cast for 7-10 days.
I am on 4th day after surgery. I do things around the house all myself including: entertaining my little boys, working out with bowflex and long outside walking on crutches.
I do a lot of static leg exercises and upper body low weight.
I am going back to my office tomorrow on the friend's car.
I don't feel any pain may be because I am tolerant Russian.
I take some pain killers only because they work with my cigar.
In a week will switch to the boot and start learning some driving techniques.
What can I say? Just be positive and in a few month you will look back and smile as a life lesson.
Best luck to everyone! Please ask anything.
Hi
The Good feet:
I asked my doctor if there is any logic in not elevating the other leg too...he said NO however he was not very encouraging when I wanted to bring the good leg to the sameheight. I always wear my trainers on the other foot..it makes PWB and FWB easier with the aitcast boot. And after a coupleof days we just get used to this uneven legs...cheers!
I ruptured mine on the 27th Oct - just before Anonymous (Nov 22nd post).
I had surgery on Oct 29, and woke up already in the walking boot (no cast for me). For the first 24 hours there was some pain, but nothing intolerable, although I did (and still do) find the boot unconfortable.
For those first two weeks I was mainly at home working from the couch with my foot elevated. It was quite painful getting up for just a few minutes to go to the toilet, as my foot swelled each time. By the end of the 2 weeks, when I had my next follow up appt with the Orth. Surg., it OK to sit for several hours without the foot elevated.
The surgeon was no help really and rudely refused to answer any questions I had. He seems to have an aggressive program (i.e. remove the boot 6 weeks post op permanantly)and said I shouldn't do any physio at all as it may re-rupture the tendon. I'm sceptical and considering changing surgeons as everyone else seems to wait significantly longer.
At 2 weeks post op he said I could put weight on my foot, which I tried but it was very painful. It is now 4 weeks post op and I am getting around fairly well on crutches and zipping around the office kneeling on my trusty office chair (which has wheels). I only elevate the at at night.
I have also been taking off the boot and washing my foot the last 2 weeks on surgeons instructions. Jeepers, my boot stinks so much that random dogs in the street stop and try and roll in it!
There are some pros I've discovered from this situation - my good leg, shoulders and arm muscles are getting quite strong and I've lost some weight as it's too much effort getting food out of the fridge (plus using crutches is hard work.) Plus I'll really appreciate doing some of the simple things in life when I'm back onto my feet again!
I'm fortunate to have a lovely lady looking after me and driving me around everywhere and being generally very caring, I reckon this temporary inconvenince affects our loved ones as much as ourselves in many ways. Thank god it's only temporary!
Paul T
Greetings all,
Just entering week 2 post surgery. Experience similar to others regarding post op recovery... However, I've been hopping around quite a bit in lieu of full dependence on crutches. I am noticing some mild pain in my right achilles tendon. Anyone know if the hopping motion puts too much strain on my remaining good AT?? I really don't want to lose another one.
Thanks,
Garick
I am in week 7.5 after surgery. It really helped consulting a doctor specializing in sports injury, he seemsto know exactly how to treat and answer my queries.
Now I am on a single wedge in aircast boot. Can walk without any support and climb the stairs up and down.
Trust me...I feel asthough I have been gifted with A Pair Of Wings...just to be walking around.
From my experience, there is so much fear as 1. We willnot be ableto walk
2. Crutches...you lose use for your hands as you are literally walking on them.
Now I know that
1. The problem will be only for the first 8 weeks
2. You must be able to walk after thisperiod
3. Physio and ROM is very important
4. Continue to massage your calf muscles and feet
Even before you realise you will be recovered and with good appriciation for life and limbs
Dont panic Be Happy
Good Luck!
Dear All, As mentioned, it is really nice to hear from fellow-rupturees. I am now 5 weeks post-op for left achilles complete rupture repair from playing squash. I have been fortunate in that my recovery has been very smooth. My question is how fast can I push myself. I was placed into a roboboot 10 days post-op and walking without crutches since week 3. My wound has healed very well and I can dorsiflex to more than 90 degrees although it remains tight. I have 2 questions for the group: 1) once you start walking, was there a weaning period where you would walk without support for small periods ot time working your way up and 2) when should you book your first physio appointment? Thx to all. VWY from Canada
Garick,
I had the same concerns as you with my good achilles tendon, and spoke to a few friends who had gone through the same experience about it. Funny enough they had the exact same pain and concern as me, but have made a full recovery without rupturing the good tendon.
For me the achilles tendon on the good foot ached in those first 2-3 weeks post rupture. I think the main reason is that it was getting so much use compared to what it is used to, in a non familiar way.
I'm now 5 weeks post op for me and the left tendon doesn't hurt at all - in fact it (and the rest of my good leg) feels a lot stronger than previously. Don't worry too much about it.
Cheers,
Paul T.
hey,fellow rupturees,ruptured mine on 27.10.08. i couldnt believe id done it as v active snowboarding moto x cycling eat well only 35 years young and of all thhings slipped on an escalator!thought just a sprain after two days on the couch and an engineer by trade did some research and found and performed the thomson test.it bust alright.visit to hospital and was given a choice of either surgery or long term casting.think they give you a choice to avoid future litigation!luckily research whilst on the couch pointed me the way towards surgery . simply asking the doctor which he would choose personally he deffo favoured surgery.3 days post op killer pain in the night lots of paracetemol! think as the anasthetic wore off! week later in plaster cast no pain just awkward.more info gleaned off net leads me to believe tendon made from colligen,found something called serepetese which targets scar tissue,found somethin else called cissus quadrangularus which aids tendon repair,found all this out on athletic and body bulding forums.off to local health shop and bought collagen shake powder serepeptese,and cissus.2 weeks later cast off and boot on.couldnt believe how swollen!been to physio for three weeks now and the guy there v helpfull gave me exercises to do at home.he comment how the swelling going down is it the suplements? may never know but the serrepetese sure has a following even its own newspaper!walking quite well with crutches now six weeks on,boot mainly staying on for safetey.eat healthy and do mild physio,research pros and cons of either non or pro operation initial traetment,it does appear an operation is best but its up to you. good luck.
Can anyone tell me when they started taking off the aircast at night. I am 4 weeks post op and still am sleeping with it but hate it at night.
My surgeon said I could take it off at night after 5 weeks. Still, I'm very reluctant to do this until my foot strengthens just a little as I move around quite a lot while asleep. I'm planning on taking my off whilie sleeping at 6.5 weeks post op (after my first physio appt).
PS - can't wait to give my boot a wash and leave it out drying overnight!
hi all,took my boot off for sleeping about 5 weeks post op backon during the day though,my nhs protocol sheet suggests complete boot removal after 8 weeks then onto walking stick.gonna burn my boot in ritual if local authority not want it back!
Hello All, I am 4 weeks after surgery and I am still having a lot of swelling even in my good leg. Has anyone else had this? I wonder if it is just inactivity. I am in a cast and no PT yet. My pain is managable still worried about blood clots. I am 62 and feeling every bit of it.
Good luck to us all!
Jan
hey,my swelling seemed to last soooooo long i think we all not realise just what a serious injury this is!my physio assures me would have been a quicker heal if broken my leg!my healthy leg not swollen,just sore where been taking all my weight .did you damage other leg when ruptured tendon jan?
Hi les,
No my good leg wasn't damaged but I think all this bed rest has put the good leg in a tizzy.
The swelling is good one day and not good this next. What a merry go round we are on! I guess all in all I am doing pretty good considering I am no spring chicken. I am in a hurry to be well again. But aren't we all?
I do wonder how long it will be before I don't have to be concerned about getting blood clots? Does anyone else worry about that?Has anyone had blood clots?
Jan
hi ,not seen too much talk of blood clots on all pages ive looked at,any particular reason why you worried? you not really all that old as there loads of people at my physio loads older than you and becoming more and more active!
Hi Jan,
I'm now at nearly 7 weeks post op. Still have swelling in the bad leg, and a sore achilles tendon in the good foot due to overuse (no swelling), but I gather this is common amongst us.
After 3 weeks I started significant 'crutching' about the place - down to the shops, around work etc - and this really strengthened my good leg (it's much stronger than pre surgery on the other leg). Also helps with your upper body strength and getting some exercise. Recently I've started going to the gym also (didn't go much pre rupture). It's amazing how good exercise makes you feel after weeks of inactivity! There's also machines in most gyms that enable you to work out the upper leg of your bad leg without putting pressure on your tendon, which has really helped me to reverse some muscle atrophy even before removing the boot or seeing a physio.
Cheers,
Paul T.
Hi Paul T.
Thanks for the good info about working out. Haven't done much of that but good idea on working out the upper part of bad leg. I'm gonna check that out.
Thanks again to all.
Hello, I'm 36 and had surgery 2-weeks ago. My doctor already has me weight-bearing in a boot that has my heel substantially lifted --- yesterday he gave me the green-light to do so as he removed my cast, and switched me into the boot.
I've spent hours reading through this fantastic blog and many of the comments. The most striking difference in treatment is the drastic variance between doctors in how quickly they encourage weight bearing, and walking.
My surgeon (Andrew Haskell) is one of the top foot/ankle specialists in California. He believes in an aggressive rehabilitation --- not letting the lower leg muscles weaken too much by many weeks of inactivity.
He wants me to fully walk with the boot and no crutches as soon as my balance permits this (I feel like it will take approx 3-6 more days for me to fully get rid of the crutches --- I'm down to one-crutch walking around the house). He is quite adamant about keeping the boot on almost all the time including sleeping (except showering and 2 light foot exercises per day). If I slip without the boot + bear weight (in shower or whatever), then I risk re-rupture.
In 4-weeks (which is 6-weeks past surgery), he says I will be walking in a normal shoe (although I will have a limp for a while)
At that 6-weeks point he wants me to start some physical therapy exercises...although he does not recommend having a physical therapist (another notable difference from many doctors). He feels that the exercises are relatively simple for me to do myself --- and that physical therapists worsen this rehab as often as they help b/c they push too hard.
From 6-weeks to 6-months past surgery, I will continue some exercises (at some point begin low impact exercise like swimming/biking). High impact exercise will not be recommended until 12-months timeframe (maybe a little sooner)
Hope this helps. I am getting married at 10-weeks past surgery, so I'm very happy to have this relatively fast path to walking.
Will update my experience on the blog + answer any questions that I see posted for me..
Hi All,
I am 44 yo male in New Zealand...I have competed at the high level in endurance multi-sport for the last 8 years but 100% ruptured my Achilles playing "serious" tennis for the first time in 12 years about 4 weeks ago.
I had the option of surgury but got a second opinion and chose a fairly aggressive non-surgical route.
1. First 2 weeks in a equious cast
2. 3rd Week : Cast is removed and check for no palpable gap in tendon and fit NWB moon boot at 30 degrees for 1 week BUT told to remove boot for 5 min every hour for range of motion ROM exercises. Boot on for sleeping but can remove for the shower (I sit down :))
3. Weeks 4-6...as above with foot angle reduced 10 degress every week
Weight bearing begins on week 7 (and cast can be removed at night) and by 8 week should be fully weight bearing.
4. 8 weeks can come out of the cast and commence a strengthening programeetc
This protocol was designed by a top NZ surgeon (Bruce Twaddle) and has been tested/published with results showing no difference in re-rupture rates/lost of strength etc. I was afraid of the complications/infections that can follow surgery.
I am 4 weeks in and this injury TOTALLY sucks BUT I try yo look at as a learning experience. I know I will appreciate my fitness and have a deeper understanding of what the physically challenged must endure...both powerful things.
All the best to the others out there!
Cheers,
Neal
New Zealand
annon
had rupture 13 dec surgery two days later.Stitches out 2 weeks later and change of cast.2 more weeks to when I expect to go into boot.Never any pain!
I am 62 and have always been very fit and active.Worried about poor rehab exercise advise.My doc has great reputation,I would hazard to say conservative.I am working on crutches visiting clients family and friends drive me.This sight has been very helpful,but the treatments are all over the place!
Hello
I moved out of the US almost 2 month ago to a new Job in the Middle east and 3 weeks ago I ruptured my Achilles tendon, and had sergury the same day, my doctor kept me in the hospital for 4 days then I moved to my Own place alone where I had to feed, wash and go to the bathroom all alone my leg is in a boot and using 2 crutches I'm trying to limit my movement but it can be hard in a new country with no one to help, am I doing the right thing using my crutches and moving I still feel slight unconfort but the pain is not that bad... I have to go back to work within a week or I lose my job and ship to the US with no insurance and job... Life is great :o) I was wondering if I would be able to go to work 5 days a week staring the 30th which is 33 days after my sergury, and how should I handle my movement.
Thank you very much your blog was soo helpful to me in my yough times.
Mark
Hi Mark,
Sorry to hear about your story - I've often thought how much harder this would have been for me if the timing was different!
What sort of job do you do? I was working back in the office 1.5 weeks after surgery - but with a hired wheelchair to keep my leg elevated. About 1 week later I didn't need the wheelchair anymore and was just using the office chair as a way of 'rolling' around the office instead of using crutches all day.
I know it feels bad and swollen right now, but if you are not doing a manual job you should be fine going back to work after 33 days (as long as you can get there!)
NB - I actually started working from home the day after surgery - wouldn't recommend it when doped up on painkillers though!)
Paul T from Australia
Thank you Paul
I'm actually in Retail which requires me to be on my leg most of the day I have an office and may be able to sit down once a while, I washed the wound for the first time last week and again yesterday the wound looks clean but my leg looks weird I guess the pressure and all but the problem now is that I cant stand for a long time using the crutches and jumping on one leg, I'm suppose to see the Dr at the end of the month where he will adjust the foot to a 90 Degree angle and according to him I will be able to start working, What can I do to speed things and get back to being able to walk again? or even start walking.
hi.. it's good to see that lots of people have had an achilles rupture and after time seem to be walking and jogging again. I am one day 2 of my post op for a full rupture and apart from when i have to lower my leg (and it throbs and is painful) its not too bad apart from in certain positions where the forces put upon the cast at the top of the leg transfer down to the ankle area and causes a bit of pain. You adapt and find positions which are ok.
I'm a little worried after coming to this site, informative as it is, it's left me a little confused because alot of people seem to have a cast on for 2 weeks and then move to a boot and some are even walking with crutches around week 6 if not earlier.. Now, Ive a cast on from the knee down with my foot at an angle to reduce tension on my newly stiched tendon which makes sense, BUT, my next appointment isnt for another 4 weeks, at which point ive been told the cast is removed, the foot repointed to gently stretch the tendon, then back in cast for 1-2 weeks, after all that, i move to an air boot...
im from the UK, and HAVE had the operation, yet the post op treatment seems a bit lenghtier.. is this just how it is?
Richard,
Sorry to hear about your injury. I feel your pain. I have torn both, left one 12 years ago and right one a year ago. the first one was horrible and I was in a cast 14 weeks with a new cast every two weeks. It was a horrible experience and very depressing. I ruptured my right one last year and after surgery only in cast 2 weeks then boot. I was walking in my shoes at 6 weeks. I like the aggressive approach and have no problems since. Been a year and feel great.
Thanks for a helpful blog site.I'm just at the 6 week point of recovery. I live alone so moving anything like a dinner or drink is nearly impossible. I have found it helpful to position tables or chairs about 6 feet apart. I can pass the food or drink from table(or chair) to another table(or chair)so I can watch tv and eat out of the kitchen. I have found a swiveling chair with roller feet to make preparing meals easy. I hope this helps someone else.
Mike
Hi Mark,
Yeah, your leg will look weird for a while - mainly because of the swelling, but also your calf and foot muscles will atrophy, and your skin will become really soft and peel off when wet. It improves quickly when you get your cast off but the swelling will be around for a long time.
How long before you can walk properly will depend on how disicplined you are with the rehab after you get out of the cast or boot. Certainly, I'm now about in week 12, and have been 'walking; since week 7, but am so slowly limping that 90 year old ladies overtake me walking down the street.
But, I wouldn't say I've been diciplined, some people at week 12 are walking much better. If you can afford it, go to a good physio a couple of times a week.
Good luck mate,
Cheers,
Paul.
Hi AT bloggers!
I ruptured my achilles tendon while dancing in Mexico! No, not too much tequilla...apparently not enough? This has been a very humbling experience for me that's for sure. I had surgery 7 weeks ago and without going into detail as we all know the varying treatment but I had a cast for 4 wks and walking boot for 3 wks. I've had one visit which was TODAY with physio whereby they manipulated my ankle, applyed TENS for 20 min and by the end of my visit I was standing for the 1st time unassisted by crutches. When I got home I hid my boot for good and I'm perservereing with my shoe only. In one week I removed 2 wedges and now I'm in a shoe. The best thing for me is I'm able to walk with no crutches but I feel pain in the knee. I need to build up my muscle. I went back to gym 2 wks ago and started on the stationary bike with my boot..that was at week 5. I took it real easy though and didn't tell my surgeon. When I told him yesterday, he said "Oh well, you're body will tell you!" Make sure it's the upright bike and if you get tired push more with the other foot but at least I was able to get my cardio going. So tired of lying down. I rub my scar hard with vit E..`don``t be afraid to push hard and rotate my ankle and use the rubber bands for strengthening as much as I can...yes, it`s uncomfortable but advil work great. I want this thing stretched, I hate the tight feeling! The sooner you get out of that boot, the better to build your strength up!
Good Luck Everyone
This is going to sound so unrelated but I'm humbled by the amazing and wonderful people on this blog, your experiance have trully made my pain much less, I have to say I admire all of you for seeking help and advise from strangers, and I dont think its the pain killers but this world could be so amazing if we all just talk and care about each other the way we do sharing this trauma... I'm going to be a completely different person going forward with so much sensetivity towards what others are going through.... Thank you all for your amazing support for each other and get healthy soon.
Mark in Bahrain
Hey Mark, I agree with you. If it wasn't for this blog I wouldn't have know what questions to ask my orthopedic surgeon, infact, I know he's very gifted and intelligent but I think I've taught him a few things(heehee). This blog allowed me to fill in time reading the first 4 weeks while lying on my back with the leg in the air. I am so thankful to have my leg of that darn pillow...feels good to have two legs sids by side again and my hips aren't aching anymore! By the way..so much for walking in my show and showing off around my house yesterday, I'm certainly paying for it today...more advil and elevation. That's ok..no pain no gain?? This is over rated!
Cheers everyone!
hi, i broke my right ankle on jan.5 and had surgery on jan. 10, on jan 19 i had the staples removed and was placed in a cast. what a surprise to see what the ankle and foot looked like after surgery. horrible! two plates and two long screws to hold my ankle together. anyway, i received a cam boot on the feb. 16 and am relieved that i can take it off. so much better than a cast. and i can actually take a bath!!actually get in the bahttub!! but i need to ask my doc for clarification as to whether or not i can walk using the crutches and partial weight bearing? between speaking with the doc and the nurse who placed the boot on, i admit i left extremely confused by the time i was on my way home!oh well glad to see that i'm not alone. take care!
I ruptured my dang achilles tendon on Jan. 3rd playing basketball, I went to the Dr's office and they misdiagnosed that it was a tear (said it was a bad sprain), so I went back and saw a specialist and he said I tore it good and had Surgery to repair on January 14th. It is now exactly 5 weeks later I starting physical therapy just three days ago and I am in the boot and using crutches, I cannot go back to work because my work will not allow me to use crutches. Dr. and P.T. both say I should be full wait bearing at 6 weeks and be able to go back to work, at PT just two days ago I was able to put 70 pounds pressure on it with no pain at all. After ditching the crutches at 6 weeks I will be in the boot for another three to four. I think the secret to quick recovery is the first two to three weeks do nothing but elevate it, ice it, and rest it.
I ruptured my achilles on December 27 plyaing tennis. I had surgery on January 6 to re-attach. I was in a slpint for 2 weeks and then a cast for 4 weeks. This past Tuesday(2-17-09) the doctor took off the cast and handed me a walking boot and said to start walking with the aid of the crutches. Here it is Saturday(2-21-09) and I'm not comfortable with putting total weight on it. I feel that I need to push myself since therapy starts in 4 weeks and he said at that point he does not want to see the crutches. My foot swells so big by the end of the day. Does anyone have any thoughts on this timetable since doctors approach it differently?
HI I'm a 50 yr old male total rupture playing b ball. Surgery 12/31/09, so over 7 weeks.
First week splint followed by cast for two weeks then boot.
Week 5 Doc told me to start stetching carefully to loosen tendon.
Doc told me start weight bearing with crutches on week 8.
I have been putting some weight on it carefully and it seems ok but I am careful. I go to work amd when I come home at the end of the day it still is pretty swollen. So far no pain just tightness.Thankful for this blog makes the time go by.
Best to all
Art
I finally can see a small light at the end of the tunnel...I am now in my black boot, weight bearing and working full time. I can walk in the boot without help but I am very slow. I started last week with therapy and that was quite a shock...The put my foot in a hot whirlpool and I start movement. After the whirlpool I ride a bike for 15 minutes, then I write the alphabet 2 times with my big toe(printing of course). I end my stretching , bending ,pulling with electric stimulation and ice..I will be doing this three times a week. I hope I can keep up the good work and I am trying to keep a positive attitude. I go back to my doctor on Feb 27th and I know he will be surprise how well I am moving around..Rhea Sue
Hi all, I ruptured my Achilles on Jan. 26th. I was in a back slab cast for 4 weeks and I now have the air cast boot. I found that it is rubbing on my incision and making it red. Anyone have any suggestions to stop this? I want the incision to get air...but now I feel like I should put a padded covering on the incision because it hurts. Also, I found during recovering that getting some gardening knee pads helped immensely in freeing up my hands to get things. I really appreciate this blog. Cheers. AMF
I seem to be having quite a different experience from many others. Mine ruptured January 30 and my surgery was on February 4. I spent the next two weeks in bed, "ankle above the heart" to prevent swelling. This was good advice. I went off pain meds after four days. My stiches were removed 15 days post surgery and my splint was replaced with the boot. The same day I started very mild physical therapy, and have been doing it three times a day since. The purpose is to work some of the muscles but not stress the repaired tendon. I am allowed to point my toe, but am not supposed to let my foot get past 90 degrees relative to my calf. It has worked well, I can see real results. And my surgeon told me my tendon was in pretty bad shape, so he is being conservative in my therapy. Two days ago (four weeks post surgery) I was told I can 50% weight bear, so can stand on both legs and when walking with crutches can put half my weight on the boot too. Relative to most this seems like a faster approach, which I am hoping will lead to a quicker full recovery.
My doctor is the conservative type and I am nwb until week 6 ( I hope) It has been difficult to get info from him. He keeps pawning me off on his ancillary staff, who seem to know nothing- everything they have told me is wrong. My wound looks ok- I am at week 5 and would have thought it would look better by now. any thoughts?
One helpful tidbit I have is regarding exercising. I have been doing little for too long. I went to the healthclub and the trainer gave me a great aerobic option. Use the rowing machine with a slider (looks like a frisbee) under the bad foot. Yeah my heart actually worked for the first time in 5 weeks.
Hello. I'm a 32 year old female. I completely ruptured my left achilles tendon playing soccer. I am currently 3 1/2 weeks post op. I was in a cast for 1 1/2 weeks, then straight to the boot. I am still unable to get my foot to 90 degrees, is this normal? I also have severe numbness on the left side of my foot and a lot of painful pins and needles if i put any pressure on my foot at all. My Dr. hasn't really described my rehabilitation plan to me, but I have an appointment this Friday.
Has anyone else had the numbness and pain on the outside of their foot? Does this go away? I can't even imagine being able to walk in this boot right now.
Any insight would be appreciated!
Thanks!
Cristie
Hi all, so glad to have found this blog, really great to read all the comments. I fully ruptured mine 2weeks ago playing netball. Had the op and due to see the consultant again next week. Everything was fine with no pain, but have been experiencing burning sensation around the wound area for the last two days. I have seen odd mentions of burning on threads here but wondered whether it was something to be expected or something to be concerned about??
That burning sensation was the main source of pain for me post op until I took the boot off - feels kind of like a massive blister on the back of your foot, right? For me it wasn't a blister, but the boot gently ribbing against the swelling surrounding the wound.
I helped the situation by putting some padding the the back of the boot and elevating the foot when possible. But it was still painful, even when lying in bed.
The good news is it went away, and the only pain I have now (4 months post op)is in the other foot as I just trod on something sharp. Note sure which foot to limp on now...
Paul T.
Hi from Denmark! :)
I am just past the 3rd week mark for my fully achilles tendon rupture two fingerbreaths (is that a word?) above where it is attached to the heel. I was so fortunate to have surgery done no more than 7 hours after the volleyball accident, so I am hoping for a speedy recovery.
Like most, I spent my first 3 weeks in a cast (got it off yesterday), and I only had a bit of pain during my first week, after that everything was perfect... Up until a few days before getting my cast removed. Suddenly, I started getting that almost cramp-like pain in my calf muscle. Not where it tore, but further up. I think it was because the cast became to big for my lower leg, so there was too much pressure on a smaller area when I had my leg elevated. However now, to days after having the cast removed and wearing CAMwalker, I still have that severe pain in my calf muscle. I have read a few others felt the same thing. I suppose it's just normal? I have my CAMwalker in a 20 degree position, meaning my foot is closer to 90 degree angle than in the cast. I suppose added angle stretches the tendon more?
When I asked my phsyician about this, he basically said that if it was not pain where the incision and the rupture+stictches were, I shouldn't worry. But it hurts like a bitch (pardon my french), sometimes it almost makes my toes tingle. Anyone else felt something similar 3 weeks post-surgery when the cast is off and the CAMwalker on?
Anyway, thanks for the site and the (mostly) successful recovery stories.
Henrik, 25, Denmark
Hi. This site have been a great help when I ruptured my A.T. I didn't know what to expect and have many questions. Thanks to this site, I was much more knowledgable, know what to expect and know what questions to ask my doctor. With that said, I wanted to post my experience and hope it will help others with this injury. I ruptured my A.T.(right feet) playing basketball and it felt like someone step on my ankle, meanwhile my friends said no one was around me. I immediately check my ankle and try to see if I was ok. I compared my left ankle with my right ankle. My good left ankle's tendon was erect, strong and in tension meanwhile my right ankle's tendon was visibly missing and dented in. Right then, I know something was wrong, so I immediately went to the emergency room. They checked it out, did a few X-rays, and confirmed it was a ruptured AT. They put me in a soft cast, crutches and gave me an ortho doctor to see. For some reason, my feet didn't feel that painful. It was just sore and was fine if I don't use it. I didn't have to take any pain killers. My insurance covered all the expenses, but I have to pay $100 copay. It depends on what type of insurance you have.
Off to my ortho doctor. I was lucky to get a surgery date 2 days after visit. On the day of surgery, I arrived at 6AM, changed my clothes and waited for the doctor. They first explained to me that I will be put to sleep and my right leg will get a nerve block(local anasthesia to right leg). I was told to lie on my stomach and they attached some tube to my left arm. They start talking to me and me talking back and then the next thing I know, I am waking up in the recovery room. They told me the surgery is done. I ate and drank something and was sitting up after a while. I didn't feel any pain because my leg is still under anesthesia. I can't even control my toes. It felt like, i guess, paralyzed. I was told to take extra strenth Tylenol for pain. They also gave me a prescription for some stronger pain killers. I was told to elevate my feet as much as possible, even in my sleep. It is around 12 noon and I was ready to go home and no hospital stay is needed. I was there for a total of 6 hours. They told me the nerve block would wear off around 6 hours, but it didn't until ~10PM at night. That is almost 12 hours. after the nerve block wear off, I can start feeling my toes and control some movement. This is when I start to feel some pain from the surgery. I started to feel burning pain. I immediately start taking the tylenols and keep my feet elevated. The pain was not that bad if I keep it elevated and not move. When I have to get up and go to the bathroom, I feel the pain from the blood rushing down to the leg. This is probably the most painful part of this whole ordeal, the pain from the blood rush when standing up. It was painful but I didn't need to take the strong pain killers. I just keep my feet elevated. I keep taking tylenol every 4 hours, even getting up at night. Next day, I took tylenols for the whole day also. By the second day, I was ok enough to stop taking any pain killers. Just the occasional pain from blood rush of standing up. I lost track, but after like a week, I don't feel any more pain. Today, is 3 weeks after surgery and got my cast and stitches taking out. I am giving a CAM walker. Here is the great part. This boot is very light (~2 lbs) and it is called "aircast FP walker" by aircast company. This is not the heavy boot that some people are talking about. after I put it on and pump in some air, it felt great and light. Maybe this is newer technology. My doctor said, I can start weight bearing of 20lbs on my feet also. This is different then some others on this site also. Some people said they have to wait 6 to 8 weeks before weight bearing. I guess it depends on your doctor. I live in NYC and my ortho doctor is affiliated with Beth Israel Hospital. His office is in 10 Union square East, Beth Israel medical center, NYC. I will continue posting about my progress. If anyone have questions, I will be glad to answer. Good luck to all.
Henrik,
The reason for the pain in the calf is because the doctor had to pull down your achilles down from the calf. Remember when you repair the achilles, you have to cut the frayed ends and pull the cut ends back together. At this point your two ends are actually shorter now. As you pull down to stitch up the achilles your calf will obviously be sore after the surgery especially after the first few weeks. This is normal.
I'm currently 7 weeks post op and have been full weight bearing since week 5 while in a walking cast. What ever you do, do not put full weight on your achilles until your doctor says so. I had a fall and thought that I had reruptured it, but it ended up being fine. It was a total scare. My atrophy is very definite. My leg is about half the size of the other. I'm looking forward to getting in the boot so that I can shower like a normal person.
Best of Luck in your recovery.
LEN,
Seattle, WA
Hi all,
You guys will not believe it but, true. This is my second Achilles tear...tore my right leg in 2001 and the second happened last Friday...both happened playing squash....I'm looking forward to new developments from the last time....will have questions/suggestions moving forward..
sandeep
Seattle, Wa
I am starting my 13th since my surgery. My doctor took me out of the boot last Friday and I am now walking in tennis shoes...I am limping but he said this would take awhile before I walk correct. I am going to therapy 3 days a week and they are adding new activities each week. I have noticed this weekend that the back of the leg is very sore and hurting...I still feel like I am going to fall especially if someone bumps me..I need to work on balance. This has been quite a journey and I know that I have much more ahead of me...I enjoy this site every much..57 year old school secretary..rheasue
Not Looking fine....
Hi All!
I ruptured my Achilles Tendon 3/10 and surgery on 3/16. I was doing a program at my local gym called "Looking fine in 2009" I was running backwards and felt and heard the loud pop. I am in the boot and still on crutches. I am terrified of the atrophy. I want to walk sooo bad! I tried some this weekend in the boot but no luck for long...
Any hints or tricks for a speedy recovery??
Hi everyone!
I have been taking Arnica Montana for the bruising and soreness! It has helped alot.
MaryAnn, you are the 1st person who injury your tendon exactly like I did, in a 5 week body boot camp program (I should have gotten a tummy tuck and called it a day after looking at expense even with insurance, time off needed, independence snatched away, having to ask everyone and their mama for help! That bothered me more than anything else; I was so dependent on others and couldn't get up and go like I usually do!) When I tell people I was exercising, they seem shocked. But after reading the blogs here, it can happen much more easily than people realize. I've sure learned alot, today is 8 wks post op and I actually went into work today for the 1st time. I was ok, but I sat alot. I am total WB, but it does swell at end of the day and I then ice it up and elevate it as much as I can. Very careful with it, as liberating as it is to finally walk and drive (I take boot off, put on tennis, put boot back on at destination and I drive really slow to make sure I don't have to hit brakes suddenly) and I don't go very far, luckily my job is 8 mins away. Good Luck to all, this is a wonderful and valuable source of information with us in the unique group!
Hi Lady Jewels!
I apreciate you sharing your story with me!
Hi Everyone!
I went back to work after 9 days and crutches are my life! I drive with my left foot! I roll my right foot on a rolling chair at the office but make rounds on crutches. My lower leg looks so bad! It is skin and bones. The atrophy stinks a big one! I will be 30 days post op on the 15th of April! We will start some PT on Monday the 13th. What advice do you all have? Any lessons learned? for a fast recovery? I am soooo impatient! I am a runner gooing nuts!
Has anyone bought any gadgets for healing. I have the big ugly black boot on. The doc says to sleep in it!
I am ready to scream!
MaryAnn
Hi MaryAnn,
Don't rush things or you'll find yourself back where you started, i.e. with a rupture.
My tip is to take up another sport that doesn't require use of your leg, such as kayaking. This won't reduce your atrophy but at least you can keep fit and active (and sane) while recovering.
I also found swimming really quite easy from the moment I was out of the boot, and could swim faster than I could run.
I also went to the gym 3 days a week while still in the boot - there's a machine where you can lift weights while supporting on the shin of your bad leg that puts no pressure on the achilles, but very quickly builds up the atrophied thigh muscles and prepares you for the day that you will be walking again.
Paul T
old Ken
Get 2nd achilles oper. on 23rd. Last 10 days walk around house no boot, swim, stat. bike, no pain & flex it some... would be in good shape I think If hadn't torn near heal just standing.. Think maybe it would have went even if 3 weeks later cause think achilles little rotten... hope he reinforces it good everywhere this time.. damn go 4 wks cast ect all over again.. Going to try those crutchs that brace just below your elbows.. they may be tougher than the others?? See all later & keep stretching... carefully...
Hi All,
I am 5 weeks post op...I am finally sleeping without the boot. My heel bottom is very painful. I was told to massage it every day and night. I bought a gel heel pad. When did everyone walk without a boot?
MaryAnn
Ken, you said you re-ruptured because you stretched it to much after 10 days post op? So sorry!!!
Maryann
I am almost 8 weeks post-op. I have been in the boot for two weeks (tomorrow) and I am fully weight bearing. I still have a touch of swelling, but I experience very little pain. I keep a bike on the trainer in the basement and I have (with Doc's approval) started riding it with the boot on. To manage this I replaced my clipless pedal with an old-school top-clip pedal. I then stretch the strap around the boot. Works like a charm, but you might have to set your seat back a bit to keep pressure off the front of your knee. I start physical therapy next week.
March 10th 2009 Tuesday – A Day to remember!
So there I was playing badminton and after 45 mins, its seemed like someone kicked me in the ankle. I could feel my foot swell up and my foot could not be placed on the floor. I took my shoe and sock off and all I know is it hurt.
I said bye to my friends and rushed off to drive home, before I couldn't’t. I came home told my wife and put some frozen peas on it and took some ibuprofen. Not understanding the full implications of this injury.
I asked my wife to Google and Achilles tendon for me, and suddenly I became slightly concerned. Partial tear…. Broken who knows
March 11th wed – The Verdict
Went to see my GP in the morning, and he pinched my calf muscle whilst I knelt on a chair and no response from my foot. I was told I needed surgery and an appt for consultant was made.
My Dad took me and I was told the benefits of surgery and the risks, the same with non surgery. I opted for surgery, hey I was still young and wanted to run and kick a ball etc…
5 Days passed before my surgery…. That was too long to wait reading all there was on this surgery I frightened myself.Surgery pictures were bad and also re-rupture was my greatest fear!
Sounds like you shouldn't push yourself to fast too quickly.
16th March – Surgery Day – The waiting over
Scheduled between 6-9pm, at the hospital for surgery. Mum and Dad took me. I had general anaesthetic and was knocked out. I have a half a cast on my leg. I stayed over until Tuesday and was given a crash course on crutches.
Been at home now for a week, can’t wash, shave, carry anything, stairs are a nightmare. I slide down the stairs and pull myself up. I sit down all day…. Nothing to do but work. Laptop on my lap and getting on with it.
No pain killers…. They make me sick. My wife has to do everything and she has been great, quite stressful for one person.
Trying not to get down… long road ahead. Getting P'd off already.
March 24th – 1st Check Up
Went to see the consultant - Nice guy.
I had the cast removed and had the stitches cut and removed… boy did that hurt luckily my wife was there to help me, and I needed her hand…. Colourful language would have been expressed loudly otherwise. I have a new cast on now and another two weeks to wait. Can’t wash properly, or go to the toilet or make a cup of tea. Stairs are a nightmare. No pain though! lucky
Ordered a cast protector to allow me to shower cant wait…….like waiting for a Christmas present.
April 7th - Feeling
Well lets just say I wanted to see my leg and foot and touch it. This is hard work.
They changed the cast and now I have a new one, two more weeks and the cast comes off permanently.
My leg looks terrible no muscle left just skinny legs…. Oh why…..???
I am slowing getting down; I cannot do anything for myself…. I think this is getting me down. . Just plodding on…. That’s all you can do….
This is Easter break,
Who the f* knows! Why this happened…. I am a good guy trapped in another world
Had enough now! 21st April roll on. Been out about twice in a month! What joy!
April 21st - All change - Cast Off
Well today I went hospital they took my cast of saw my leg not a pretty sight. They put me in air cast boot damn heavy. I will begin to walk now with crutches still.
Leg looks bad, no movement in flexing my foot. I will try hard to do exercises and move it. Long way to go bit scared about popping it.
Air Cast Boot - At Last
26th May is a long way off.
Using the walking boot seems ok , no pain but I have to sleep with it . I can at least shower well and walk with one crutch. Next visit the 26th May….. Physio starts soon, so let see. Started flexing my foot, what a mess it looks….
When I get out of this I want to run like Forest Gump!..
So it seems 5 weeks with Cast and 5weeks with walking boot, but can walk with one crutch and slowly start to flex my foot..
Wow! I too ruptured my achilles on March 10th running sprints n the GYM and had surgery on March 16th. I was out of half cast on the 25th and air boot as of then. I went back to work on crutches and then after 3-4 weeks hobbled on boot alone. I am now at 6 weeks and the point where I went to GYM and work out. All but right foot. Amazing difference as each week goes by. I am not a home body and no way could I stay home like others. I prop my foot up everywhere. I have found massaging it to be the biggest help. I do the physical therapy exercises such as alphabet with foot, curl toes etc.I am wishing I could run like Forest as well!!!!
MaryAnn
I posted my story here so that it can help others. I have had no pain, no pain killers.
My sole is saw and I have swelling still. My hands and fingers hurt from the crutches... eager to get back to the gym, but no rush.
Re-rupture is not an option so all of you becareful. I have this air cast boot on till the 26th May.
My physio starts on wed the 6th, so I hope to know where the limits are and what exercises I can and cant do, will keep you all posted.
Howdy Yall,
Sooo glad I found this blog. Great to hear what others are going through so I didn't freak out when I started feeling certain pains etc. I'm 36 years old and very active. I play in various sports leagues, practice martial arts, run 6 miles at least 3 times a week and swim about 3000 yards 2 to 3 times a week. I'm extremely active. SO I'm here to say, ruptured Achilles aren't just for the weekend warriors or couch potatoes that decide to play a game of basketball after 20 years of sedentary life! I ruptured my Achilles while playing American Football in a city league game on March 31st (full rupture). I ran forward and really felt like my foot slid over a rock. I felt and heard a big pop. I yelled some explicatives at the rock that screwed up my route running. I knew the play was designed to go to me, so I was only concentrating on the route and the ball. The QB threw a duck (horrible looking pass) and it was a little high. Somehow I managed to jump (off one leg) and catch the ball. When I came down all I wanted to do was turn and run, but my body had other plans. I rather ungracefully fell straight back and banged my knoggin' on the ground losing my balance. I wondered how on earth I lost my footing. Then I got up and walked around a bit. I had plenty range of motion but once I tried to raise myself on my calf I knew I was done. Of course I did make the catch! It would have been 10 times worse if I'd dropped the ball and snapped my Achilles. Glass half full.... It was obvious it was a full rupture. The pain was strong but I'm very good with pain. I once had emergency surgery on my hand without anaesthesia and even got cut on to remove a staph infection (more on this later).
The first doc I saw wanted to do surgery the next day and planned on putting me in a a full cast for 2 months (8 weeks) and then moving me into a boot with crutches etc.. I asked around and found a well respected specialty doc at the Houston Bone and Joint Clinic instead. I was so glad I did. Surgery was scheduled for a week after the incident. He put me in the split cast for two weeks and then a boot with crutches. He kept recommending that I get a pain pouch (IV with a catheter attached to the back of my leg) for after the surgery. I hate taking pain meds of any kind (I don't believe in them) and really didn't want to do it. Not saying I'm a "tuff guy" and eat glass in my cereal every morning... I just hate the way they make you feel (like you are at a Pink Floyd Concert if ya know what I mean); plus they can be addictive as can the behavioral aspects of popping a pill whenever you feel pain. The doc was pretty adamant about taking the pain pouch, so I agreed to it.
Surgery went well and I was awake and ready to go home in a little less than an hour. I hate to burden any friends etc. with anything and asked my parents instead to stay with me for a few days. Great decision to do so. I wanted to do this on my own but am so blessed to have a great family that didn't mind taking care of their son. You can get through the first two weeks on your own if you absolutely had to, but it is 1000 times harder to do so if you don't have someone to cook for you, do laundry, bring you drinks etc. You must have someone with you for at least the day of the surgery and the day afterwards incase anything is seriously wrong. The day of the surgery I was in a crazy amount of pain. I hadn't planned on taking any meds since I was talked into the pain pouch thing. I found this blog and read so many stories about no pain after surgery etc. Plus I'm a champ when it comes to pain. Not so much in my case. The pain was unnnnnnnbeleivable. I was popping pain pills just like I had planned NOT to do. A good friend of mine that's a nurse, said don't try and tough it out. Your body needs to heal properly and you will get nowhere if you are wrestling in pain. Amen to that. Those are words to live by. I didn't want to take pain meds, but I'm glad I had them. After 3 days of popping pills and being drugged up like Keith Richards... I finally ripped the catheter out and stopped taking meds. It felt awesome to be able to think with a clear head. Much less actually use the bathroom (TMI I know this...). The pain was still there but tolerable. This blog was very beneficial of knowing what to expect. I cannot stress enough the importance of rest and elevation for the first couple weeks at least after surgery. After the first week of surgery I got out a few times on my crutches and it felt great. Very liberating! But your body lets you know when you I've done too much. My leg was throbbing really badly (the pain was on top of my foot not in the Achilles area), I had to elevate it and ice it to get the swelling down. I attended a wedding 1.5weeks after my surgery and it was great to be out, but my leg once again let me know it was time to go home and elevate! I stayed on my back pretty much most of the two weeks after surgery aside from going out a handful of times. I also live in a 3 story home and the bathrooms are conveniently located on floor 1 or 3. The main living room is on the 2nd floor. It was a pain but going up and down the stairs did get some blood pumping through my leg and kept me at least somewhat active. Cabin fever does settle in. Thankfully I get every movie channel known to man so I watched a lot of movies. Plus I plowed through many Seasons of 24, Heroes, and a few other TV shows. I recommend buying some seasons of TV shows like that on DVD. Every episode leaves you hanging wanting to know what happens next. And since it's a full season... there are a tons of episodes. It makes the days go by.
After reading this blog I had my parents buy me one of the chairs with the handles for showering purposes (picture is shown on this blog). It was a godsend as I'd nearly killed myself maneuvering around the shower. Apparently Bed Bath and Beyond are very proud of these chairs and charged about $50 for this seat. My recommendation is even if you are of the frugal variety, spend the money!!!! It's the best $50 investment I've made in a looooong time. Much better than that Enron stock I bought back int he 90's... Plus you are looking at using this thing quite a bit for showers until you can place full weight on your now "mini" leg (atrophy sets in at an incredible rate). The other purchase that came in handy was a children's swivel chair with rollers. I had my parents pick me up a cheap little kid's chair from Ikea. It was something like $10. But when I was on my own (after week 2), I bent my knee and rested it on the swivel chair. Then I was able to cruise around the kitchen, cook, do dishes and move stuff from the fridge. Basically everything that I couldn't do while using crutches. It was a great $10 investment. After two weeks I had my stitches taken out and the doc said everything looked great. I got the Herman Munster 80 lb boot that we have all come to know and love. It was great because you didn't have to tape up your leg in a bag to take a shower anymore. The first day with the boot felt awesome! Then the new pain settled in. Kinda like I bunch of tiny knives were cutting at the back of my Achilles. Scary and brutal the pain in not so many words... sucked! I drove to work the next day using my right foot (boot foot) on the gas and my left foot was placed on the brake at all times, since that is the one you really need quick reflexes for. At the end of each day it hurt like a mother! Again it felt like someone was cutting into my skin. After the 3rd weeks that pain started to subside. My doc said at weeks 4 he wants me to try and start walking in the boot without the crutches. So I started trying to take a few steps at about 3.5 weeks (that's where I'm at right now). I feel like a fool and cannot walk at all. So I'm trying to get my balance and everything down using one crutch first. Again my body is letting me know when I do too much.
So far some things that have really helped. Obviously, do the stretches that the doc tells you to do. This helps your range of motion; but I've also been soaking my foot in a hot tub (set at a cold temp). The water and flow serve a great purpose of increasing circulation and also keep the swelling down since the water is cold. I'm not sure if this is entirely true but I've been a competitive swimmer/water polo player most of my life (including college) and I've found that whenever I had nasty cuts that had scabs, whenever I would get in the pool the combination of water and chlorine seemed to help those wounds heal up must faster than when I wasn't in the water. Another tip I read on here was to let your foot breath and take it out of the boot and remove the protective sock. This has been a great tip. I found that whenever I showered I had tons of skin falling off of my foot. I felt like a leper! Naturally it's going to happen when you leave that foot moist the entire time and don't let it breath except when you shower. Leaving it open to the air dries it out a bit and my skin returned to more of it's normal self. So now I'm a few days away from when I'm supposed to be walking without crutches. 4 weeks in on the non-conservative side. We'll see how things go. I've had a ton of injuries in the past so my mental state is pretty clear. DO NOT GET A TIME TABLE IN YOUR HEAD!!!! It will drive you mad if you have your heart set on golfing in 3 months or need to be crutch free for a wedding. Thoughts like that lead to pushing to much too early. They also can lead to mental let down when you don't achieve the ridiculous goal of running the Boston marathon 6 months after surgery. Just trust the doc's time table, be patient, and just think that many many others out there are dealing with MUCH worse than what you or I are going through. I tore my hamstring (same leg playing football) a few years ago. I was out of commission for 9 months. I had it in my mind to be better by the start of the new season and pushed really hard. I ended up making it back during the season but pushed way too hard. I later tore my hamstring again, this time off the bone. It was brutal! Sitting around thinking why me and feeling sorry for yourself gets really old when you see people at PT that only have one leg or are paralyzed. My second round of PT, I had just that. I was complaining left and right about "why me?" and "When will I ever get back to playing sports?" "It's killing me inside!" My PT had me observe a session with a young man trying to use prosthetics. It puts things in perspective really really fast. Just think this is temporary. I will walk again. So you miss this or that during the months of recovery. We will walk again and do all the things that we love. Just be patient and appreciate all that we actually do have.
Hello everyone. So I'm about 1.5 Weeks post-op. Had my surgery 4/30. Popped my left achilles playing squash, like many others it seems...squash is so hard on the joints. Now I'll have to play the angles like the old dudes instead of running for every ball...
I spoke to two surgeons before my procedure and decided to go with an AMAZING surgeon at NYU Hospital. He's an old hand and really put me at ease. He scheduled my surgery the day after I saw him, and off we went.
The OR was a little freaky, and I was scared, but once the first bit of relaxation drugs took effect, it got a lot better. They set up the nerve block, which was more than a little uncomfortable at first, but a GODSEND post-op. Then they numbed me and hooked up my epidural catheter. I rolled over on my stomach, then I was out.
When I woke up, they had put me in an aircast and hooked me up to epidural pain meds. I stayed the night in the hospital, which if you can, I highly recommend. They nurses were really helpful, and it was pretty easy to deal with everything when you have someone checking on you pretty regularly. The nerve block kept the pain pretty minimal, and the epidural drugs made sure it stayed that way. Only downside = very hard to pee and you can't really feel anything below your waist. Weird, but worth it.
The day of the surgery they put me in an aircast with instructions, to my surprise to put weight on it as soon as I felt comfortable. I'm not sure if this was a result of the fact that they used a neighboring tendon to reinforce my achilles, or just a very aggressive outlook by my surgeon, but nonetheless, I was in enough pain to basically say whatever, no way. They shot me with a small injection of morphine for the journey home, and I was on my way.
The first few days sucked. No joke. The nerve block and morpine wore off, and I was chomping down percoset like crazy. That was probably for a week. I was in a haze. Didn't get out of bed. Tried to work and keep my mind off of it but I was a little hazy so it was hard to focus.
As it stands now I'm 9 days post-op and I'm feeling pretty decent. Off my pain meds and onto OTC tylenol and Advil as needed. I'm crutching around just fine, but as I live in NYC and don't have a car, it's been hell getting around on the subway. It's getting hot, so even a 4 block trip is a sweaty, breathless affair. I'm a reasonably fit guy, but I still struggle.
Anyway, I see my surgeon on Monday and hope to have my stitches out by then if it's not too early. I've been elevating my leg like a champ and icing it when I can. The doc gave me a night splint that's a bit lighter and less bulky than the AirCast to sleep in, and I was able to start using that maybe 3 days after surgery. I wear it around the house too. Less of a pain in the butt. I can wiggle my foot up and down, but my achilles feels very stiff, like i've just run 5 miles the day before. I'm not trying to move it much, just a bit to know I can/it's attached.
From what it sounds like, my soft, removable cast/weight-bearing instructions seem pretty aggressive. Hopefully I'll get some insight from the doc when I see him on Monday.
I'm pretty young, 24, but have very, very short achilles tendons and big calf muscles, which one surgeon told me was the underlying cause of my rupture, and that given that I should consider having the tendon on the right side lengthened to avoid the same problem as I age. The surgeon I eventually went with poo-pooed this, and said don't fix what's not broken, but has anyone heard of this?
Hey everyone I am in the middle of week 7 after my surgery. I just had a question about the surgical wound. My wound did heal quite slowly and is just not starting to close up at the top, which seems to be the most sore place. Anyone else with something similar happen to them? I went 1 week on crutches, straight into the boot with weight bearing, I am also studying in China so I walk around quite a bit, my doc says that could be it but having an open wound this long is driving me crazy. Any advice would be great.
Thanks,
Michael, China
Hi Michael,
I am a nurse and agree that stress on that leg can prevent normal healing.
Here are a few things you may try.. mine healed up in a few weeks.
-elevating as often as possible to include everynight
-A multiVitamin before bedtime and extra Vitamin C
-Ice massage to reduce any swelling
-Ibuprofen
-Pad the area very well inside the boot...don't let anything rub on it
i am struggling with my ruptured side healing extremely well and walking well in the boot but my left achilles has a knot nd now very painful... tendonosis and i have to have physical therapy on it... I am terrified it will rupture as well. I stretch.. do calf exercises and it is extremely painful... I am masaging with ice...The Doc says he would put me in a boot if I didn't have one already on my right side.
So many people talk about rupturing their otherside... scary!
MaryAnn
Happy healing
-
Hey y'all,
Bad news - I have blood clots, 3 weeks post surgery. I noticed that my right foot/leg had swelled up and the discloration was approaching a fairly even tan.
Good thing I got it diagnosed quickly and i'm now on blood thinners.
Just wanted to post since I'm fairly young (32) and active. I don't think there's anything I could have done to have prevented it, for I was on aspirin already.
hi everyone, this is so fantastic, ive been feeling so scared about my seeming lack of recovery, im 8 weeks post op for a partial rupture repair and calf lengthening. i have been out of plaster now for 2 weeks, but i seem to be the only person without a boot. i have been told to start taking a few steps from today, but to keep it minimal. im now terrified that as i have no boot, i wont have adequate support. anyone have any experience of this?thanks, rachel in brighton uk
It's scary, but important to walk in your shoes. I started walking (shuffling is a better word) in my shoes 2 1/2 weeks postop, and it went fine. I never had a boot. The thing to avoid is not to fall forward over your bad foot, so, for starters, keep that bad foot out front, and have good hand support in easy reach. I think you will find your confidence will grow quickly. Good luck!
Hi Rachel. I went to see a great physiotherapist last night and she told me to be very careful when trying to walk. I am 5 weeks post op and in a boot and have been walking a bit without my crutches which she advised me not to do until the 6 week mark (and 5 weeks post op now).
She suggested I get on the bathroom scales with my good leg on the ground and my injured leg on the scales. She said press down with injured leg until scales read 40% of my body weight. That will allow me to feel just how much weight I can put on it right now. Every 2-3 days, increase an extra 20% of body weight until I get to 100% by the end of next week. Perhaps you could try this in your shoes and use 1 crutch for 1 more week.
thanks so much for your comments, i realised that this injury is as much mental as physical when i read back my own comment!! im only six weeks post op, it just feels like 8!! anyway, i have tried the shuffle with the aid of crutches, and it felt ok, im trying to flex more, but it swells up so quickly that i have to elevate afterwards. i managed to get to the pub unaided with a mobility scooter which i borrowed, and was able to shuffle to the loo!! what a great achievment, it felt like such a huge step!! its amazing how a small step when you are fit is like a marathon when you cant walk. i know i will have such a lot more patience with old people from now on!!! if i can locate the scales, i will have a go at that as it sounds a really sensible way of figuring out the pressure allowed. thanks so much, rachel
Rachel,
Congratulations on your triumph at the pub! To contain swelling while up and about, you might want to look into compression socks or tubes, or even a simple stretchy ace wrap. I find such devices keep me much more comfortable when I'm up for an extended period. Elevation is fine for treating swellling, but it obviously limits your mobility.
hey doug, thanks so much for that thought, i have still got a couple of those from when i was in hospital. as ive no one else to ask, does the tendon gradually stretch back to normal over the next few weeks ? i seem to have a couple of good days where it feels quite flexible, and then suddenly it seizes up when i get out of bed. i have no pain which is great, and im hoping it will just improve with time. thanks , rachel
Hi Rachel,
Yes, it should loosen up over time, and it is quite common to have stiffness in the morning, or any other time the ankle has been inactive. It can be stiffer after heavier than usual use, too.
Best wishes,
Doug
Coming together
Physio started around the 6th May
Guy started bending my foot back and fourth and massaging my ankle. I have some foot flexes to do with a band, and am slowly starting to see it loosen up.
Today is the 26th May - I had the aircast boot taken off, I am now in my trainers for two weeks with heel raises, feels very light, So far no pain or swelling, doing seated heel raises and continue to go for physio once a week.
In two weeks I can take the wedges out and drive.... let see that should be around the 10th June, so we will see. Can’t wait to go to the Gym again....
See website : http://michaeljayachillestendonsurgery.blogspot.com/2009/04/achilles-tendon-story.html
I feel your pain what a jorney
Hi Everyone!
I am 10 weeks out and out of the boot now for a week. The ankle is extremely weak. I am doing heel raises and balancing on one leg. I can walk on treadmill for a brief time. My shoes all hurt and I wobble but great to be more active.
MaryAnn
well, 8 weeks post op. had my check up at the hospital. i am hobbling well with the aid of crutches. i am really starting to feel a difference now, though the consultant really put his foot down (excuse the pun!! ) about over doing it. its basically really slow and gentle for a few more months whilst gradually increasing the flexing and distance i walk. lets hope its a scorching sumer then, as im running out of dvd series to watch!! good healing to you all!! rachel.
Please Help - Fell while on crutches.
This is Javier again, I posted a few weeks back. Things were going well. I am 6 weeks post opp and my doctor said she would start partial weight bearing now. Everything was going fine until last night. I got up to go the bathroom around 2am and my crutch slipped on a piece of paper on the floor. In my sleepy state I used my bad leg for balance and put all my weight on it. It immediately got swollen and hurts like week 1!! I am really worried about it. Has anyone else fallen down or had something similar happen. Is the tendon strong enough to handle this impact?? Really stressing out thinking about this. Any comments or advice will be greatly appreciated! Thanks everyone. Love this site!
hi javier, i know its hard but try not to panic. ive had a couple of really heavy trip ups when i thought my wound was going to re open and undo all the healing.rest it completeley and apply ice if swollen, if it gets worse then call your surgeon. its really scary and painful, but hopefully it will have healed enough to stand up to it. i have a zimer frame indoors which is more stable, try one of those. good luck rachel
Javier,
Those trip ups are scary - I had one on a wet tile floor that sounds very similar to yours, putting all my weight on the bag leg about 3 weeks post op. It hurt too, but didn't re-rupture or open the wound. All's good now 7 months on.
I agree that a wheeled kneeling walker is good around the house - I used an office chair, kneeling on it as I whizzed around the house, even used one at work. This way you can carry cups of coffee too and it's pretty stable.
Good luck!
Hello everbody,
It is my 4. week after getting the surgery. Everything was alright until today l saw the doctor. He opened the cast and we saw the area around the taken stitches that was dropsy like a burned body part.Is there anybody here who experienced the same problem? Also, I have been feeling so itchy my leg in the my cast. What can I do about the itchy area? I am afraid of getting increased injury in my leg becaues of my sweated itchy leg.
Best wishes
Murat,
Hello everbody,
It is my 4. week after getting the surgery. Everything was alright until today l saw the doctor. He opened the cast and we saw the area around the taken stitches that was dropsy like a burned body part.Is there anybody here who experienced the same problem? Also, I have been feeling so itchy my leg in the my cast. What can I do about the itchy area? I am afraid of getting increased injury in my leg becaues of my sweated itchy leg.
Best wishes
Murat,
well, im now 10 weeks post op and things are really starting to feel better now. i am walking with crutches like someone who has lost all control of their left side!! but i feel much more confident when faced with stairs and wonky pavements. i still cant walk far without total exhaustion and a feeling that the achilles is really pulling, but, my independance is returning super quick, which has been the most distressing part of this journey. i think at the beginning you feel that you are never going to be the person you were before, you cant imagine not having to ask for help with everything. but, it makes you appreciate it all the more when you come out the other side. im going to continue with absolute caution as advised by my surgeon, but i can see the light at the end of the tunnel , thanks to this site and all the fellow sufferers, good luck, rachel xx
Hi,
I was lucky enough to have a neighbour who is an ortho surgeon when I did my AT after a fall.
He used below the surface disolving stiches: great stuff as you only see a neat scar line on the surface.
1 week half plaster. Then moon boot. Leg elevated first 2 weeks (very important for pain and infection risk). Angle adjust boot over 4 weeks back to 90deg. About 70% weight bearing at 6 weeks.
Hello All. I am 3 days post surgery. I am feeling better, but know the worst is still to come. I am in the military and hurt myself while playing softball. I am a very active person, and already am itching to get up and do things. I have to force my self to stay down and take care of my injury. My second day lying in bed and it was no more exciting than the first. Well I look foward to talking more as I progress in my recovery!
hi big tex, take it easy, catch up on some dvd series and chill. it will be over before you know it. i am now 11 weeks post op and although it seemed to drag at the time, looking back, the time has flown. you have to look on the positive side, and think long term healing!! good luck and enjoy the summer!! rachel
Thanks Rachel. I love Sports Center, but not this much...LOL! I am feeling better, Cant wait until my appointment on the 29th. At that time I am supposed to go into a cast for 6 weeks. I am looking foward to getting back in shape. I am 32, but this is going to give me that extra drive to get back to where I was at 22. So I am going to try and use it as a postive and get ready for Summer 2010...LOL!!
Hello out there, I'm at the 4 1/2 week mark after post OP. Is anyone get neck and trap pains from the crutches. I'm starting to get around more but my neck and traps are starting to ache ? Bobby G.
I tore my achillies 5 weeks ago...my ortho doctor confirmed this and he told me to do surgery...I said no to all treamtments and betted him it would heal on its own....so..I didnt do anything but rest no elevation, no ice, just walking with a limp..I can now almost walk normally..full weight bearing early is key...if it hurts bear the pain until it subsides..people often have sugery bcause the doctors scare them into doing so..fully knowing that the tendon can heal on its own..its a business folks..it replaces tendon with other strong materials!..dont believe me? follow the links!
http://sciencelinks.jp/j-east/article/200017/000020001700A0434295.php
http://www.ingentaconnect.com/content/klu/264/2004/00000028/00000006/art00013?crawler=true
http://www.sciencedaily.com/releases/2009/04/090423132910.htm
http://www.arthritis-glucosamine.net/article-detail.php?ID=154
http://www.treatingpain.com/medlibrary/Non-Surgical-Repair-Achilles-Tendon.pdf
Surgery is not always needed!
Regarding the above note from "Anonymous," who is advocating "no treatments" and "just walking with a limp," not one of those references you quote supports what you are doing. They say that surgery is not necessary, and that is true, but they all immobilize the ankle with the toes pointed down for weeks, to allow the tendon ends to heal together. This is not the same as walking around with no treatment at all. I could walk around between my injury and my surgery, (I chose the surgery option, due to the lower risk of rerupture), without much of a limp as long as I walked slowly. I could put no weight on my toes, however.
I hope your tendon is able to heal, but I think it's way to early to declare victory. Walking with a minor limp is possible with no tendon or calf function at all. Let us know when you can support your body's weight on your injured foot with your heel off the ground, which means your calf and tendon are working fairly normally. That is useful evidence of good tendon healing.
Frankly, I fear your tendon will not heal this way, and you are headed for a big disappointment. I highly recommend you talk with an orthopedic doctor about nonsurgical options that have been tested, such as splinting for weeks, and see if that is still possible.
Good luck!
As far as the post about not having surgey to repair the tendon. You are right in the fact that the tendon over time, will heal with rest. But the quality of flexibilty u will have will be low. If all you want to do for the rest of your life is just walk, than it is a vialble option! I guess! I want to be able to live the same lifestyle I was living before my injury, so for that reason and the greater chance of a rerupture I chose surgery.
Good Luck...Let us know how it goes!
I'm not sure exactly what bigtex means by low "quality of flexibility," but a big risk here is that the tendon will eventually heal, but will be too long.
Nonsurgical treatment generally means keeping the ankle plantarflexed (toes pointed down) with some sort of immobilizing splint for a few weeks. That immobilization keeps the two ends of the tendon close together, so the tendon heals to the proper length. If the tendon ends are kept separated by regular walking, however, the tendon may eventually heal, but could easily end up too long.
A tendon that is too long is similar to a bicycle's brake cable that has stretched too much. You can squeeze such a brake until the brake lever is stopped by the handlebars, but the brake pads do not squeeze the rim as they should.
If the Achilles tendon is too long, the calf muscle can shorten as far as it will go, but the toes are not pushed all the way down.
This would be an unsatisfactory result for most people. Walking may be fairly normal, but running (especially sprinting) and jumping would not be normal. Having walked around on this leg for five weeks may mean it is too late for proper nonsurgical healing, as the too-long healing may be too far underway.
Is it possible that a tendon that heals too long initially can shorten over time on its own? I don't know if that is possible, but avoiding overstretching the tendon and wearing heel lifts could, possibly, help this occur, as might anything else that keeps the toes pointed down much of the time.
Again, I strongly encourage "Anonymous" to see a doctor, preferably one very familiar with nonsurgical treatment of Achilles tendon ruptures. Such a doctor might be a physical medicine and rehabilitation doctor, not necessarily an orthopedic surgeon.
Good luck,
Doug
Hi Everyone!
It is week 14 post surgery and I was given the blessing to run! I felt like I had a foreign object to drag along! Wow! Very Strange!
I ran for 10 min Monday and Tuesday walked for 20min. I am still limping some... but feel a little stronger...no pain and little to no swelling.
How have the rest of you felt when running the first time? What exercises have you done to strengthen the calf and ankle?
MaryAnn
Hello everybody, mt cast comes off in 4 days and I go into my boot. What can I expect as far as feeling in my foot and leg if they allow me to put wgt. on it. A couple of days ago I put a little wgt. on it and it felt like pins and needles on the bottom of my foot. I cant wait to get rid of these crutches because there killing my neck and traps. whats the earliest do you think I can ditch the crutches. Stay positive everyone!!!
BG.
Hi BG
I had my half cast off in 9days but wore the boot day and night for 8 weeks!
Crutches:
I was off crutches after week 4 but in the boot.
My foot, ankle and leg:
My heel hurt horribly. I developed bursitis. The fat pad was excruchiatingly sensitive. Ice and arnica gel worked wonders as well as massage. My ankle and leg were so weak and skin and bones! YUK!! Physical therapy helped with toe raises and a squat machine. I also do them on a mini-trampoline. (I started running there first). I also do the mini stepper.
Shoes:
When I finally went to try shoes. None of them really felt good...I found a pair of foam sandals with a 1 1/2 " heel that I loved. Work shoes were backless.
I am still struggling with the feeling that my leg isn't my own!!
Hang in there! Time heals and due diligence!
Pros:
Great massages from physical therapy!
MaryAnn
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