ATR Rehab Protocols, Publications, Studies
Here’s a compilation of ATR rehab protocols guidelines.
- MUST READ: Great overview of ATR with treatment options, what to do on days/day before surgery. Recovery guidelines for all stages. Exercise options with illustrations, rehab descriptions with illustrations.
Achilles Tendon Rupture, Overview of the recovery stages, exercises, physical rehabilitation descriptions and illustrations. by Eric Berkson, MD (Orthopaedic Surgery of Quincy, Massachusetts General Hospital) - ATR Rehab Protocol by Dr. Matthew Crawford (special thanks to Troy for finding this)
- ATR Post-op Rehabilitation Guidelines from Workers’ Compensation Board (special thanks to Troy for finding this)
- ATR Rehabilitation Protocol from the Stone Clinic
- AAOS Early Motion rehab aritcle
- Early weight-bearing
Standard Immobilization vs. Early Mobilization Postoperative Treatment
- Early Weightbearing and Ankle Mobilization after Open Repair of Acute Midsubstance Tears of the Achilles Tendon (Maffulli et. al.)
- Achilles Tendon Elongation After Rupture Repair: (better results with Early movement, special thanks to Dr. Ross for finding this.)
- Postoperative rehabilitation protocols for Achilles Tendon Ruptures (A Meta-analysis)
- Outcome of total ATR repair, with special references to suture materials and postoperative treatment Kangas J, (2007) University of Oulu, Finland
- Publication on early range of motion and functional rehab
- Info regarding ATR, EWB, and Dr. Myerson(Thanks Chip for the link!)
- Early mobilization following ATR speeds recovery and improves functional outcome (Dr. Ali Jalal Dec 2003)
- EWB improves early function after surgery for ATR
Achilles Tendinopathy/Rupture
- Achilles Tendinopathy prevention guide(Sports Medicine Australia)
- Achilles tendon rupture following surgical managment for tendinopathy: a case report
- Contralateral (your other) Tendon Rupture study
Related to surgery
- Krakow Knot - Achilles Surgery Suturing Technique (Special thanks to Jim! Great Find.)
- Mini-invasive surgical repair of the Achilles tendon—does it reduce post-operative morbidity?
Other relevant literature
- Information about Tendons and Ligaments (Thanks to Dr. Ross again!)
- Clinical and functional results of open operative repair for Achilles tendon rupture in a non-specialist surgical unit
- Achilles Tendon Repair
(thanks to Dr. Ross for this link)
Surgery vs. Non operative treatment (conservative treatment)
- Surgery or Casting, a meta analysis. Debate continues..(thanks Marcus)
- WebMD’s nice overview on ATR surgery and whether it’s right for you.
- surgery vs. non operative treatment achilles
Causes of ATR
- Levaquin linked to Achilles Tendon Rupture (Thanks Doc Ross!)
Complications:
- Information regarding blood clot: Blood Clots in the Legs - Phlebitis

Anyone know what ADL or AROM stand for in the workers comp post op guidelines document?
Brendan..
ADL= Activities of Daily Living
AROM= Active range of motion
just had surgery on my AT…I am chiropractor so I have dealt with the acronyms..let me know if you need anything else
Ross
one more thing before I go….I think I have saved so much money because I can only pick up things that I really need… No more shopping til I drop….LOL :O)
Stephanie,
I think I’ll have to add that one to: Bright Side of ATR
Welcome to the ATR team. I wish you speedy recovery. How is the walking going for you?
Dr. Ross, do you have chapter 6 from the article “About Tendons and Ligaments”? I would love to see that since it talks about the most effective rehab exercises.
Thanks
Jim
Dennis..
Not sure if I sent this to you…but a good web of water rehab for ATR..
http://www.hydroworx.com/rehab-and-performance-applications/sub-section.aspx?sectionId=1&subsectionId=5
Doc Ross
Good news!
It’s taken a few weeks for me to get hold of this paper:
Early Weightbearing and Ankle Mobilization after Open Repair of Acute Midsubstance Tears of the Achilles Tendon
I was able to get it through a personal contact.. here it is:
http://achillesblog.com/atr-rehab-protocols/
It may be on this site temporaily as it’s an article you have to pay to access..
If there are other articles that you wanted to read, but you could read only the abstract (requiring a fee or a subscription), please let me know, and I’ll see if I can also get those too.
If there are issues with legality of this, then I’ll have to take it down at some point, and I may have to do my best to summarize the findings instead.
These were terrific! Thank you for sharing!
Dennis,
As Doc Ross said donation time, keep up the good work !
Hi, I just had my op to repair my ATR 3 weeks ago I will be seeing my dic in a couple of days to remove the staples and replace the cast. Please advise what am I expecting to come when I see my doc for my first follow up? Thank you