Im hoping they send me on my way and i can return to my own gym routine and continue my progress. and what youre comfortable with. It made rehab this second time around, dare I say, enjoyable. I already have mine ready to go from my original AT partial rupture that was more like a full rupture. As i was pushing down, he was pushing up. Felt like someone slashed me as hard as they could on the back of my ancle (much like many of your stories). Best wishes, Do keep us posted, and good luck and good healing and Watch Your Step, too! The problem with Brians plan to go UWO now, is that youve missed the time window when youre body did the most frantic inflammation and healing, immediately after each rupture. I guess this means the heal attachment must have been pretty strong since it held. Thanks for the info. One quick question: did everyone sleep with the boot ON? The surgery consists of making a small incision in the back part of the leg, and using sutures to re-attach the two ends of the ruptured tendon. Good luch. Eva Umoh Asomugha, MD, is a board-certified orthopedic surgeon who specializes in all conditions involving the foot and ankle region. Page (still up) entitled Swelling (& elevating) is getting OLD! The good news is that is that it didnt last a lot longer, but I was already WAY tired of it. Did the pain intensify or lessen? Also received my Aircast Cryocuff yesterday and within a couple compressed icings my swelling went down to almost nothing. Apparently, youve re-ruptured. Which is a University linked hospital, meant to give evidence based care, but I do not feel it does in truth. Hope this story helps in your rehab. Conclusions: . That evening I was very uncomfotable with the cast. Seems like I had the same scare that others have had with it. So, is it a tear or not I wonder. This has been really interesting to read all the re-ruptures. I had my checkup today on my rerupture. It would be great to have definitive trustworthy diagnosis, but X-rays are useless for ATRs, and I am very suspicious of both Ultrasound and MRI (or the people who use them), based on personal experience and some other info. However now on friday when I got back, the Doc was saying something that I might need a second surgery, however, because the tendon is swallen he is not doing an MRI. If you suspect you may have an Achilles tendon rupture, symptoms will be hard to ignore. No pain at all previously. And I was wondering if its possible that the cortisone shots missed, or what the next step might be. I didnt notice any popping or anything specific and did not slip and fall. Hi Debbie, It is very unlikely that you have re-ruptured with a cast on they are so strong, I had lots of scares and trips with mine on without any damage. I returned to work about six weeks after my surgeryI work in a bank and spend most of my days sitting at a desk. Anyway dr. that owns my office building treated me (podiatrist). Or is that kind of carpet pulling lengthier sensation also common? However, I am still wondering if maybe it partially torn? only a few studies?? Today I went back to the compression socks, this time making sure the compressed part went all the way out to my toes, letting the loose/non-compressed part of the sock hang over and wrap under the toes so that my entire (swollen) foot and beyond were compressed. This is about 1 per 100, or 1%. I was in it for 10 weeks. I see, would ultrasound be safe in a wound? I believe I did do a lot of damage but prayer and support really helped me out. Find and work with a doctor you are comfortable with. Or not. Fortunately, its not hard to find ATR folks who are very happy where they are right now surgical, non-op, recovering from re-rupture either way, in boots, even in casts. I am not sure if a rerupture means the exact same place or just another rupture while still healing. I forgot whether the Army (maybe only the Marines?) I found your site last week as I was searching for answers about starting PT in one week. This past spring I started playing soccer again, and then the worst happened. Achilles tendinosis is a degeneration of the Achilles tendon. The doctor rang me up the next day and says I have re-ruptured. A lot of the weakness can be addressed with physical therapy and appropriate training, especially with sports-specific training after the surgery. Well, as of this past Monday night, you probably know WHY Im making this post. Tenex works by getting rid of binding scar tissue that causes a lot of tendon pain and it does it without major, invasive surgery. This injury is bad, but you can come back given time. 4. played my first mahjong game since surgery. Cant remember any others offhand. I remember that night I tried to put weight on it and it would just give way but still no real pain. The re-injury could have happened well over a year ago but I dont remember any particular event when it happened. I read above about just tearing scar tissue? Wants me try casting for four to six weeks, with PWB. Here in UK is seems we have quite different regimes to over in America. I dont think that I tore it this time as bad as I did initially, so I hope for a shorter period of time in this cast. BTW, if you think the scientific evidence on treatment of an initial and total ATR, dont even bother LOOKING for statistics on different treatments for partial tears or re-ruptures! Boy am I going through the emotions. I hope the surgery goes well and keep us posted! It is so tough to know what is best. Some people have commented that Doctors dont like the boots because some patients just take them off when they are not suposed to but they offer every bit as good protection as a cast. November 14th was a great day. I was too much devastated. Otherwise, it seems like we have a lot of similarities in our protocols. Patients may hear a 'pop' or a 'snap,' and will almost always say they feel as though they have been kicked in the heel (even though no one has kicked them). That would have scared the hell out of me, so I am sure it is a relief. Getting an ultrasound tomorrow to see to what extent (might not be full as I still have some range of motion). - one week after surgery, was finally feeling good, but crutch slipped on a wet floor and I landed hard on my foot - had surgery and was fitted with a half cast for two weeks before getting a full cast First consultation with a top sport surgeon150, MRI scan 650. If he gets offended then that is his problem and he shouldnt make it yours. I have joined your feed and look forward to seeking more of your fantastic post. My rehab was simply three different plaster casts at different angles and a CAM boot for weeks 11 and 12 . We ventured out today to the local strawberry festival and found a great walking stick for him to use as he has not used crutches for almost 2 weeks but is a little unsteady. leg was still weaker than the other. My tendon was really stiff thou. marianne - I am very sorry to hear that youve re-ruptured your achilles. Surgical management of chronic Achilles tendon ruptures using less invasive techniques. As they put a new cast on I immediately felt the constriction and started to feel hot (flushed). So I am walking on egg shells. Stuart, Claudia, It folds up easily and is super easy to move around on. You dont mention when your rerupture happened, or whether you were immobilized in equinus immediately or if not when. . We went to away when I still had a cast on last year without it causing any problems. Still no heel raises, running or jumps yet but should be back by September. The doctor re-wrapped my ankle in a soft cast and sent me on my way. 3 ACHILLES TENDON RUPTURE Description of Injury The Achille's tendon is the largest and strongest tendon in the human body. Hi .. Learn the symptoms, causes, and remedies to try. The good news, just in case you are unlucky enough to rerupture again (and this may make that unlucky prospect seem less like going to your doom) is that a recent study by Wallace in Belfast summarized and cited at achillesblog.com/cecilia/protocols got wonderful results treating RE-ruptures non-operatively, with a rehab protocol thats many weeks faster than yours. I will take a look. I will start blogging and give the details later(I have horrible memory so I better start soon), the past surgery I had(abscess removal) was done by an experienced doctor in a private hospital so I have more faith this time. Cheers, Thank you for your support, I appreciate it much. Also there are a few people on Achilles Blog who have ruptured both of their tendons on different occasions. I found it just a day or two before it appeared, and posted the note here and (ref #7) on Wikipedia. Im keeping my fingers crossed that it wasnt a rerupture. Hope it helps someone someday. Alex, you should put this, and your future news, in a blog of your own. The MRI showed that there is a gap and its a complete tear but my doctor thinks it will heal in a cast with no surgery. I am preparing for the worst and hoping for the best. Going slowly SEEMS conservative, but the results show that it isnt safe, so its not really conservative, its just irrationally timid IMHO, at least. I was walking downstairs carrying a load of about 15 pounds and when I got to the bottom it felt like things were not quite right. A partial or complete rupture of the Achilles tendon is an injury that requires prompt medical attention. Think this injury has affected my brain as well It was published as Willets et al in 2010, and the full text is on this site, linked from the page with all the studies listed. I started doing physical therapy about three weeks ago. I ditched the crutches and the boot two weeks ago. luckily I had both scans done the same day. Many of them get an operation similar to yours: Their ATs are surgically ruptured, and theyre closed back up and immobilized close to neutral position, leaving their bodies to build new tendon between the gaps. It consisted of two months in a hard cast, starting in aquinas(sp?) Swelling is often worse of the end of the day. For example, hopping to the shower without the boot sounds a bit nuts to me. Appreciating the ability to simply go for walks and thats all. i cannot fully understand this as i went through 3 months of pt regaining full rom and regaining a decent gait with a whole lot of work graft, though Ive never seen randomized-trial evidence of benefit. Wanted to ask how you are now almost a year. The old slow conservative non-surgical treatment did NOT work well, with excessive re-rupture rates. Thanks. Lots of people are never getting off crutches or out of a wheelchair, etc., but for us this is a pothole, not a cliff. Once I can begin squats I will be over the moon. What I can deduce so far for me is that I think both would provide a good outcome. I am hoping everything will go well from here, and I dont necessarily expect Im in the clear since my fall. He wants me to wait for 10 days so that the swelling comes down and then see him. Tendons are much stronger than muscles and since you where only walking your tendon would not have been over stressed. Looking forward to recovery and rehab. )I just wish the food was edible - how on earth do you make potatoes taste bad!? No further re-ruptures were recorded. JIm- Thanks for your encouragement. She said she has only done 1 surgery during her tenure for a woman with full rupture. Your latest repair seems like an unusual combo of post-op and non-op. Really dont want to have another surgery! Just so frustrating that something so small (literally that lightning mcqueen toy) could cause so much damage. Achilles Tendon Ruptures are common tendon injuries that occur due to sudden dorsiflexion of a plantarflexed foot, most commonly associated with sporting events. This is just one study I found: Rcastelda, DO NOT leave your reruptured foot in a shoe. Everything happens for a reason. Hes also a professor at Baylor College of Medicine. Sounds like youve really gotten your swelling under control - which I need help with. There also seemed to be reasons to doubt that non-op would work as well on reruptures as it does on primary ATRs. Learn about 10 different causes of these bumps, including hair follicle infections and. 6 days may be a reasonable time to wait then have it looked at, so there may not be much to do other than wait, elevate, and. Todd, I think almost all of us had similar slips at various stages of our crutch-time. For me, the surgery was performed on an outpatient basis (an afternoon) and went very well. Second surgery with a foot and ankle specialist, the surgeon augmented the Achilles a little. The Achilles tendon is a very strong fibrous cord that connects the very powerful muscles in the back of your calf to your heel bone. Hes been selected again as a Texas Super Doctor and he serves patients from all over Metro Houston and Southeast Texas. Nearly all of us have experienced falls shortly after our recoveries began, but having one out of your boot at 3 weeks post-op is definitely worth a trip to the OS. The back f the heel still hurts and there is still swelling Im a 27 year old male from Puerto Rico. However, after a recent four-day holiday with friends which saw me on my feet/walking quite a lot, I heard and felt a popping sensation. 2010 Nov;38(11):2186-93 Dr. had just put me in 2 shoes, and three days later I slipped a bit in my house. Then swelling, but currently no pain, just sensitive. What are the symptoms of Achilles tendon rupture? Im a good scar-wound healer, but Id still cross my fingers. I was stretching and diligently doing my exercises. Im so confused and frustrated now. 4 weeks later, he advised me to take the boot off and warned me against re-rupture if Im not careful. Jin, It hurt. The chances are very small but I have managed to rupture both in 2 years. pkent, sorry to hear you re-ruptured, its the big shared fear of everyone here. No more pain little limp. I went to a sports clinic the next day and was treated. Surgery on Jan. 31st, 2015. With a super-slow conservative version of the non-surgical cure, the risks are especially high, as they seem to be with a super-slow rehab after surgery. I hope everything is alright, I cant imagine what youre going through right now. Would I be able to do this if I had re-ruptured the tendon? Gonna b laid up for Christmas this year. It sure seemed to be in pretty good shape prior to the accident. So there is a chance that the Thompson test was always positive for the past 8 weeks or there was a tenuous connection at best. She put me back in the boot until just last week.. At week 22 I learned that I have re-ruptured it partially. If it does not, this is a sign the Achilles tendon has ruptured. .. Maybe Im tired but how have you worked out where Kevin lives? ), and (2) Im hoping to live long enough to see the norm switch. He did the calf squeeze test and I only had a very small amount of movement from that. You have a suspected rupture to your Achilles tendon which needs to be confirmed via an ultrasound scan (USS) Healing. Then it started burning and pain was shooting up my leg. whilst developing an infection due to opened incision because of over worked, etc., etc., Thanks, and I hope you receive good news on Tuesday. After MRI he said I have completely torn it this time. Flygurl, Im not sure theres anything you can do about a very hot boot (other than taking it off whenever youre SITTING), but you should be able to tweak it so it doesnt make your foot hurt. I was playing volleyball and heard the loud pop and felt the rubber-band to my calf muscle. I was lucky it was in the am and I was able to see the Dr. right way. and this question might be stupid(but i would ask anyway) is it normal to have pain and how long will it last? (Dont know dont know.). I am now in my 5.5 weeks and trow my appt with doc. I re-ruptured by pressing the flush on the right side of the toilet with my foot a few times before it worked! Dear all, Also, start physio the day you get your cast off. Patients often describe a "popping" or "snapping" sound with severe pain, swelling and stiffness in the ankle region followed by bruising of the area. Is there any downside to an MRI? I hope everyones doing better today than yesterday. Doc was surprised how almost no swelling existed (usually takes up to 6 months) and we agreed it must be the compression sock and once a day Aircast Cryocuff icing. I had a full rupture playing soccer and went the conservative route to avoid the complications of the op as I am notoriously bad at healing. This time felt like ripping fabric down the seam. I am still in a plaster splint that goes from the middle of calf to the ball of my foot. Validity and Reliability of Mini-Invasive Surgery Assisted by Ultrasound in Achilles Tendon Rupture. I didnt sleep for the following 2 days, reading and reading about conservative protocols, re-ruptures, etc., I got on my boot with all wedges again and started the UWO protocol. Thanks for your comments - hope your ankle is getting better now. This is 9 weeks after my my surgery for a re-rupture accident that occurred 6 days after the first operation: If it is a partial rupture then the rehab will be the same as a full rupture. The last 4 weeks have flown but advances seem slower. I also recently re-ruptured, although I was only 5 weeks post-surgery. Just one opinion from a non-doctor stranger, but there it is. That is good to hear (sorry at your expense) that you had something very similar. This past Saturday I was in the bathroom brushing my teeth and I bent for grab something that fell on the floor and it felt like I was shocked in the area where the injury had occurred. I have scheduled surgery for this Friday (week from today) I am currently in plantar flexion in a fibergalss cast. Epub 2017 Feb 16. Heres the transcript of the third section of the Show talking about rehabilitation and the chance of re-injury after Achilles tendon surgery: Weve got some callers here that are waiting on the line and we want to go ahead and get our first caller here. Im actually really glad there is a group here to add so many experiences. But last winter it again became painful. What are the symptoms of an Achilles tendon tear? My guess is that feeling tension is a good sign. (If you walk around on a torn AT, youll usually pull the top part up AND pull the top part down.) I am going with the sponge bath the next few days. I am using this Re-rupturing your achilles page to give occasional updates on my progress. More good news is that I comfortably ran my one mile course again tonight (just the 2nd time) and dropped the time a full 1.5 minutes (9 mins down to 7.5 mins)! If the tendon is partially torn and not ruptured, pain and swelling may be mild. I saw my own GP the next day and he started a series of tests to make sure there was no medical reason but I was becoming more certain that it was due to anxiety. It was just enough to make me slow down with things. But your best treatment options with and without a continuous AT are quite different, so the answer is way worth knowing. I seriously doubt if you need something that goes all the way up to the groin and I dont think that getting socks that go above the knee will be much better than below the knee. Thanks for posting, as I was going to post a similar question. This article discusses the most common symptoms of an Achilles tendon rupture. Some people also have problems with sutures internally. The other ortho came in a did a few tests on my leg, first he manually checked the tendon and decided it was still in place, thick, and did not feel compromised. I am able to bike, hike and wakeboard again now. The prognosis for a torn Achilles tendon is very good with professional care. I injured both of my achilles tendons back in 1999 in the military. Well tonight I couldnt sleep and I tossed and turned then I felt something snap in the back of my leg. If its a full tear and youre young and athletic and you want that strength back, usually its my understanding that most people want to get that fixed. Glad the surgery went well, Mike. Hi there! I havent seen any good evidence that proves that case for reruptures, so I lean toward the treatment that seems to be proven to work OK. That doesnt mean that non-op treatment of reruptures does NOT work, of course. Changed cast every 2 weeks moving toes up, after 6 weeks went into boot for 4 weeks. Doc saw me today at his office (sunday). The wound was not infected butg the antibiotics were to help aid in healing this time. I was too agressive with my rehab and although my PT was impressed with my progress apparently my body did not agree that I was ready. 10 weeks of immobilization (6 cast + 4 boot) is a lot. Rip? Play your cards right, and it can strengthen your relationship. As a matter of fact theres studies that show you have a less likely chance of re-rupture if you have it fixed than if you dont have it fixed, lets say you just let it scar in. Ive heard several pops when doing rehab and none have been that painful. I feel like I can do everything today as I could before the pop. I got cold feet and got another opinion. My partner had just finished the gardening when she came into the garage. I immediately sat down and was so worried I had re-ruptured. My ankle area is still extremely numb and my surgery site leaks clear fluid once in a while which i read is normal. Did anyone had some similar situation? You can still walk with a ruptured Achilles tendon, but it may be sore or painful when walking up the stairs. In the same way HarelyLady, I will be praying for you during my journey. Glen, you need longer recovery because you need to FINISH it! Repupture (not horrible, no loud pop just reaggrevated) on September 12 2010 walking without boot, reccomended to go back in boot to heal, not happy. When I got the boot after that iteration I did not take it off at night for donkey years (weeks) as I was totally terrified of doing it again. I wish we could of all met in a different blog like People who can jump freakishly high Mike, glad you didnt re-rupture. One thing I would add is that I feel several times, but every time I had on a hard cast walking boot that probabyl saved me from re-injuring myself. without knowing the details of his rehab, im suggesting taking it a bit easier and maybe getting back into shoes a little slower this time. An official website of the United States government. . It is common among people who rupture their Achilles tendon to worry about re-rupturing their repaired tendon, as well as their other, healthy tendon. He said I had to go the non-op route. Want to be sure? 2013 May;41(5):1100-7. doi: 10.1177/0363546513479017. Non-operative care has demonstrated a re-rupture rate of 10 to 30 percent while surgical re-rupture rates are around 3 to 4 percent. I was walking fast and even went on a couple river trips the last couple weeks. You will not be able to move your foot upwards and your movements will feel uncontrolled. Monday night I had to get up to go pee and I lost my balance on the crutches. My advice to anyone researching a fall or potential rerupture is to reach out to your doctor and avoid wasting too much mental energy worrying. Had you tried the Thompson test work before this fall but after surgery? Only I know that. Tjhe tendon branches to 5 to connect with the muscles heads. Like a big dummy, I slept the first few nights without it on. In my body filling in the gaps or my tendons reconsituting themselves? he has re-ruptured twice while walking in shoes. I decided to go with toe down method in a cast for 6 weeks. I studied some subjects Id been interested in for a while - but spent more time lying in bed feeling shitty. For those of you following PT protocols, thought maybe youd like to see mine. I am still walking with a slight limp, but I have stopped going to PT (about a month ago). Much more challenging than last couple sessions where I stood on a firm surface. How much margin is a personal judgment. If it is the worst case then it might be better to find a more progressive consultant. About a week after starting to walk with just the boot, i decided to not use the boot as it was irritating my surgical area and causing significant swelling and pain. I will be taking my sweet time this summer. Surgery usually works very well, and the modern fast non-op protocols do, too, according to the evidence. What was your treatment protocol like? Lavalamp: I had the severe tendonosis prior to rupture as well. gqsmoove7, start a blog and give us the details, including installing the widget at http://achillesblog.com/dennis/2008/03/08/achilles-timeline-widget/ so we can all see (or remind ourselves) where you are, how long ago it happened, etc. Hoping to start blogging soon. I felt/heard a pop and suddenly there was a gush of blood. Anything I can do that may tell me one way or the other? I was in a cast for around 8 weeks and had been in my cam boot for almost 3 weeks with the instruction to be 30%WB for 3 weeks, 60% WB for 3 weeks and then FWB for 3 weeks and then I could lose the boot. Let us know how you get on. They will provide help to disabled individualswhether permanently or temporarily disabledand there is no income limit. So until I can get the swelling under control, I will need to stick with the boot. Has anyone had similar situation? I do recommend swimming as a great rehab activity- my ankle and Achilles always felt better after the swim sessions. I am curious as to why your doctor says a ligament transfer is necessary. The Bledsoe boot is fixed at 90 degrees but they will insert heel lifts to start me off at 80 degrees and will gradually begin PWB. Can anyone tell me more about this test? All in all, I think my recovery has probably been set back about six weeks. It would be great if it was just a scar tissue thing but it could likely be worse. Ive been super careful and have not put any other weight on my foot since since surgery, Ive also been elevated about 23hrs per day. -David. i think his case is a bit different, MRI confirmed re-rupture. (3) As youve probably read, normal non-op ATRs heal best and most successfully with remarkably fast rehab. After my initial rupture on left, I always felt a lot of tightness after casting and huge ball of swelling during healing above heal. Very sage advice, will definitely be hearing your words when I get further advanced. I just hope that soon Ill be walking normal again. Jin, I dont think theres any advantage to going slower than the proven protocols (like UWO), but you should avoid taking extra risks. everything seemed to be healing well, but two days ago, i had my boot off (just for some air to my foot) and was walking with my crutches (stupid) over to my kitchen a couple of steps away, and i fell and landed on the injured foot. You will find lots of ways for getting around the house over the next few weeks. would be much appreciated. What a living HELL.FML and all that bad stuffHere we go all over again. Norm, Scared the heck out of me though thats for sure. After a rupture gets stale, it needs surgery to trim off the healed ends to re-start the magical healing process. My thinking is that initial rupture put a lot of stress on a crappy tendon that contributed to second rupture. I am 4.5 weeks in from op. I may be mired in prejudicial cliches, leotig, but I think being in Vietnam would strengthen my own anti-surgery bias. Instinctively, I landed on my injured right foot. 1st 3rd week Visit. I want to continue to be aggressive in my getting back to two shoes and this time am only in boots (not cast) and will probably get into two shoes by week 4 instead of 6 or 8 as the doctor wants. The surgery went well, and due to my extreme hate of crutches I rented a knee scooter to get around more efficiently. He didnt have tobut when he talked to me about it he said that it can really help strengthen the Achilles and is not a super complicated thing to do. State champ. I am terrified that I re-ruptured the tendon since the swelling is not coming down dispite me keeping my leg up and icing. to try moving my foot to 75-80 degrees (90 degrees being neutral) before putting on the cast. Treatment of an Achilles tendon tear can consist of either surgery or non-surgical techniques. That is to say. Let me know how things turn out. One thing that scares me is that in case I am aggressive in my return to two shoes (doc wants to be in boots for up to at least 6 weeks it seems since she thinks it is likely a re-rupture, although my first rupture was not healed and it might be a partial re-rupture or just status quo), can my tendon retreat all the way into the calf? Brian. Im just hoping I can be less depressed this time around. Pretty cool post. Id be interested in talking to your orthopedist in Atlanta about mine that just snapped. Its important to seek medical attention if youve injured your Achilles tendon to make sure you get proper treatment. I definitely do not want to go through this again. Ya, I wouldnt have taken the youll never do THAT sport again option, if there were another option available. Before Had been doing bike rides of over 100ks and no problems. Where can I get a play by play video or lesson on this in terms of the healing process. Although a point I will bring up and perhaps up for discussion, is that all top level professional athletes end up having surgeryfood for thought. Doc was very happy with the progress and said that I should set up an appointment for next Tuesday to switch over to the Bledsoe boot (27 days after 2nd surgery). Wondering if I will ever walk again. Diagnosis can be made clinically with weakness of plantarflexion with a positive Thompson's test. My foot did not hit the ground, but my toes did flex upward and had a brief flash of intense pain. Yesterday, she won the German National Championships again in the High Jump and is currently only 4 inches (10cm) away from her PB as we approach the Olympics. I am no expert on this maybe swelling. I went along with things24 week-periods in plaster, then started physio. A sudden pop, snap, or crack at the back of your leg Severe pain in your leg or ankle, especially when your foot is bent down Swelling, stiffness, or weakness in your leg or ankle A bruise on the back of your ankle Trouble moving or putting weight on your leg The tendon re-ruptured after 3 days. I think now that ive been through this, one thing i have learned, is to be patient. (But I had also had a few drinks so its hard to tell if the pain was dulled by the alcohol). It actually felt much easier than walking in the Bledsoe boot. starshep, and anyone else who used a compression sock to reduce swelling: what length of compression sock do you recommend? I bashed my good foot into a cabinet a few days ago and wound up catching myself on my injured foot. Could a minor partial tear happened allowing me to pass Thompson test. He will have his office call me with a surgery date. Keep thinking positive everyone, this nasty inury can be beaten with patience and perservance! Ended well, a month later. Phillip, if at all possible get Dr to do an MRI. The doc advised me that surgery was kind of an old school method and that there is very little difference in successful rehab. I tore my left achilles tendon playing tennis about 3.5 weeks ago. DR. J. MICHAEL BENNETT: Ive seen numbers out there from 10 to 20 percent, Ive even seen 15 percent in regards to chances of a re-injury, but its definitely lower than say, if you left it alone. However, I started feeling significant tension at 70 degrees and that is where I am right now in my new cast. FWIW = For What Its Worth, YMMV = Your Mileage May Vary, and UWO = Univ. I agree with all the things youve said, however like you mentioned at the finish, I always end up going again to how I used to do things. It had completely reruptured and now Im starting again. Does anyone feel this way? On Oct. 6th, I had my boot off and lost my balance and landed weird on my right foot. Couldthe doctor/MRI be wrong? Doc said re-rupture prob would have happend regardless of treating with/without surg (no surg first time). Thats six weeks in total since the operation. Maffulli N, Del Buono A, Loppini M, Denaro V. Oper Orthop Traumatol. I doubt you will rerupture by wiggling toes and pressing on cast, I used to do it all the time and destroyed my 2nd cast by standing on it and loosened the bit by my toes significantly by moving my foot. Its a long process and seems even longer, but I have recently started to feel optimistic that Ill recover close to 100% in another couple months (about a 6 month total period from surgery). January 2009 had surgery on left. Ultrasound tx at therpaist and I would stretch and do calf raises at work and home. I have a compete tear. Jonathan Cluett, MD, is a board-certified orthopedic surgeon with subspecialty training in sports medicine and arthroscopic surgery. Keep telling PT and Dr. something wasnt right. The ladies at my church made me a full week of soup twice. I seriously debated surgical v. non-surgical treatment, but decided on surgery on Dec 27, 2011. I have had surgery two weeks ago and this morning they got rid of the cast. Its like what I am now is becoming normal for me. And not just going up and down stairs, though then for sure. I asked Dr to send me to wound clinic. Not to excited about surgery and after reading norms comments about studies maybe not needed. Does your site have a contact page? TS, re So on average do you know when people see a negative Thompson test during non-op? Any thoughts?? I feel much better this afternoon as a result. He told me I have a partial tear at a different spot. In addition, squeezing the calf muscle should cause the foot to point downwards, but in patients with a torn Achilles tendon, the foot will not move (this will cause positive results on the Thompson test). My surgery went good! I had been clear for 8 days. I cant find much literature on people having a rerupture treated conservatively and would be so grateful if anyone has any experience or knowledge of this? Mine has actually improved loads in the last week and I can easily flex it, I reckon another 2 weeks before doing one leg calf raises on it. I just completed the surgery for my second tear. I was in a cast for 6 weeks then a boot for another 5 after surgery. Tomorrow, I will just do some light stretching and heel raises, and Tuesday I will do my twice a week PT session (including leg presses, etc). Information is key in this road to recovery, Im taking it on me this time around, I feel as if my OS and PT have failed me, I have always felt I wasn;t getting the best treatment, with the 2-3 minute talk to the OS at consultation post op and the PT asking me to do things in Therapy at week 3 post op such as riding stationary bike tieh no boot and balancing on my repaired boot with no shoes???? I think Deanas words above are quite tempered and worth bearing in mind. I was hoping that I had just torn some of the stitches. He said hell probably have to use a graft to surround the tendon as he will need to remove even more of the damaged tissue. Gotta love these anti-spam words! Is your son still in a boot? Ive got plenty of sports med and foot and ankle docs that I work with that I can bring this up to as well. I spent about a week in bed with my leg up on bolsters and pillows, as I recall. Should have went into boot right then. Its controlled pressure, its the people that arent very good on the crutches that are at risk, I never once in the 4 weeks slipped or made a mistake with my crutches, but Im quite light and can do lots of dips. It will be a little strange having my wife back to help me. Any advice from anyone about getting back on my feet safely after such a long period of injury/recovery would be great. The doctor said I could stop wearing them a week ago but since I am still in my boot I keep wearing them. Where you doing anything at the time that was a bit explosive. Fingers crossed. Now its nearly 7 weeks post surgery and Im devasted. When the jumping out of bed incident happened I had been back to work for 2 weeks and things were very stressful. But to be safe I was supposed to start PT in 3 weeks, that is now pushed to 4. In addition, the doctor said it is okay for me to loosen up the CAM walker at night, and that helps a lot. (Our ATs dont usually feel like weve been kicked for nothing, unless weve been kicked!) Need some feed back. Learn more about the differences. That re-rupture risk will start to slide about the time you head off on your holiday. Was it the same activity as the 1st? Answer was sure, now I will be lucky if it is Christmas! Treatment for Achilles tendon tear often depends on the severity of injury, besides your age and activity level. Westin O, Nilsson Helander K, Karlsson J. Knee Surg Sports Traumatol Arthrosc. Thank you very much for the referral. Does that make a case for no surgery again. Two days ago, at just under 12-weeks post-op, I tried doing a single legged heel raise after I returned home from PT and just couldnt do it without some assistance from my good leg. It seems not given the tissue around the gap. I decided against it. For most of us the healing process eventually makes us happy, with a broad variety of treatments. But youll be able to care for yourself better and its so much safer once you get rid of the crutches. I would like to get a second opinion and an MRI as soon as possible (ideally tomorrow). Cauterizing a chronic wound is often helpful, and I think its because it creates the trauma that triggers the response. I hope the recovery will be good. I had two questions: (1) I had Achilles tendon surgery about a year ago and its getting better but I was curious as to what the likelihood is of tearing one again; and (2) I have some bursitis in a shoulder and I took anti-inflammatories and it got better, then worse. welp. He convinced me that my tendon is not re- ruptured and I dont have to worry I dont need anohter surgery. Had the MRI same night, and here I am waiting for result until tomorrow. I dont have swelling, I didnt hear or feel a pop like when I first tore it, and it doesnt hurt more than it did before the fall but I do have more movement, not a lot though, in my foot after the fall which is what scared me. Doc said give it two more, then we can try good athletic shoe. Just be super careful between now and tomorrow and let him evaluate. how do you get out and about without doing that.???? I dont want to unduly influence you against your doctor, but Ive realized its worthwhile reading all you can so that you can advocate for yourself. ), but if it looks like theres a long-term gain on offer, its worth some short-term pain to get it. However, if treatment is delayed it can mean that your tendon heals in a lengthened position and you may not be able to regain full strength. My wife is still unhappy in my decision to go to the CAM walker directly, but she has subsided. Cheers, take care all & look forward to hearing more from everyone. Just remember to keep the boot on if you do and if it hurts then stop. All the best to you. Went to see the doctor again. The vast majority of reruptures occur within the first 12 weeks of treatment, with or without surgery. Most of us dont get multiple tests during rehab, much less reporting the dates. Foot always swelled up as day went on with a fairly large bumb right above my heel. But if the evidence shows that going very slowly makes you as likely or MORE likely to re-rupture, then its more an empty slogan than a reasoned argument. A few cases here, some apparently successful including scott and some others whose names I forget. Many thanks, an absolute great read, Hello, In some cases, however, the surgeon may order an MRI or other advanced imaging tests. It had been hurting a bit the last couple weeks. Guess its time to go to hospital. Can you wiggle your foot up and down at all? Kevin, spill the beans, where is your hospital, future ATR victims need to know.? Welcome to the site that brings hope and understanding to us ATR sufferers!! Spend your time wisely, set some weekly goals (read a book or two a week). 2008 Jun;90(6):1348-60 Im not diabetic! I was treated at the Mayo clinic, so I pretty much just left it in their hands. Im about 6 and 250 lbs. [Acute achilles tendon rupture : State of the art]. Anyway, on last appt told by registrar that physio wont be required if in boot as wedges are removed 2/52 until next appt and so this will compensate. My next doctor appointment is this coming Monday. The main symptom of an Achilles tendon rupture is the sudden onset of sharp pain in the heel. One concern is that your Docs dont seem to be following evidence-based rehab protocols, like bit.ly/UWOProtocol. (felt a pop?) A splint was put on the back of my calf muscle and wrapped underneath my foot. I bought compression socks today and wore them for a few hours before I went swimming (man, did swimming feel great!) Your healthcare professional will first perform an initial assessment to determine the type of injury. I think it is just in our nature. My major question is whether I should have surgery or not. I am one of a handful of people in the world that has had an open rerupture. Does it go away by itself or do I need a physical therapist to help get rid of that swelling? Also reconfirmed that the tendon has severe chronic tendonosis. Im not sure why swelling in the foot/tendon would prevent an MRI. I want to believe them and try to ignore it, but it is hard, I know my body and something tells me the pain is not normal. Horrible pain, like I had it when I ruptured my tendon, and straight to E&A. Lavalamp, sorry to hear the bad news. It sounds like you were just walking a lot. After a few hours, the pain subsided though. I feel like if I can walk with little pain, then I will have to let things heal and then back to PT for things. Could it be a rerupture? The best news is my wife is coming back in two days. I asked surgeon about doing an MRI and he didnt feel it was necessary at this point. The other, unruptured AT is not so much impervious. How did you feel after the first surgery? The Achilles tendon is the largest tendon in the body and it connects the calf muscles to the heel bone. 2020. As protection in 2 shoes I have been wearing my ankle brace to help me feel more at ease. thank you I am in Dallas, TX I will check if there is such a service. Tips, tricks, trials and tribulations: http://wp.me/p4vf9v-dB. Thompson test is weak connection and Ultrasound says minimal threads connected. Just back from the Drs. As I fell on it the pain was quite bad and I was in shock from the fall. I sleep with it raised up on a couple of pillows, if I turn then I now wake and move the pillows so my leg (whether lying on my back or side) is on the pillow. But I do not understand why you have difficulty straightening the leg?? The Achilles tendon can grow weak and thin with age and lack of use. An Achilles tendon tear occurs when the tendon attaching the calf muscle to the heel is completely torn. I really have no idea what is going on down there that area. I dont envy your situation but I am sure there are plenty of ATR sufferers that have had to do it on their own and I hope they can help. I guess like the rest of you there have been times when it has taken its mental toil. That seems unlikely at the moment but Ill be optomistic. I guess with your surgery tomorrow, there may be a little pause in your communications, but I hope you return to give us some more details and some good news, too! I can hardly wait to begin PWB, 2 weeks earlier than we originally thought, and can finally start to see the light at the end of the tunnel !! I am grateful to get discovered this site. A ruptured Achilles tendon is not uncommon for athletes and can cause a great deal of pain. I would love to hear from you or others about your experience having ruptured both. jackieo, I am anxious to not let my right calf shrink too muchit was already 0.5 inches smaller than my left calf right before the 2nd surgery!! It might work, or not, hard to know. thx all. However I am finding it pretty isolative, Kind of find myself being tearful some days over nothing, and effort to get get in the shower everyday too. Achilles Tendon Ruptures are common tendon injuries that occur due to sudden dorsiflexion of a plantarflexed foot, most commonly associated with sporting events. Theres no good evidence pro or anti non-op treatment of reruptures, so it makes me nervous. I was casted by a different Dr and came out of cast in Sept. After the initial pain and swelling, it is doing ok, but I have elected to stay off of it for next few days, but continue with the exercise. One of the most important and beneficial things that surgery does is create massive trauma, with sliced tissues everywhere, all the way from the AT itself up to the skin. Could you help me out with that? Im a huge fan of non-op rehab, but I think youre probably a bad prospEct now, because your rerupture is probably too stale. Thanks a lot for all your comment! Not the mid or high rupture, but the low one. While watering down the dust when the excavation for my home waterline connection was being filled in, the side support outriggers of the machine that was compressing the dirt stepped on me..in Oct of 08. I have had my stitches removed and am in a hard cast and am currently non weight bearing. - thought about blood clot, but doesnt throb and there are positions where I dont feel it, where I understand that it should be painful and always present. So 12 weeks after surgical repair I took a step, had a wobble and came down very heavily on my left/bad leg. A Cdn pro football player on YouTube who skipped the op and went super-fast (Brady Browne? Now, as I found out when I got my cast removed, I didnt have the heel inserts which apparently I was supposed to have. Sorry about your situation. The Doc told me to take the boot off and go FWB at the 8 week mark. Please let me know what do you think. Now at 12 weeks and have been going to physio for the past 4 weeks. THought you might like to see this evidence based discussion. Just take each day at a time and each minute at a time. Your comments are appreciated. Sport a cane in those first few weeks with the cast off so that people can have visual reminders (and its a good reminder to yourself too). might note that Wallace treated no (or very few) post-OP reruptures like you. 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