Ok I’ve read about healing long. If anything I believe I might have heeled short. I think that’s a good thing as I think I can stretch. When I go down and up stairs, I can feel my surgical achilles stretching to the limit. Feels tight.

I’m taking a few weeks off a brief return to sports. Just with walking I had some pain on inside of my ankle. With sports it increased to cause slight limp. The pain is just above the "medial malleollus" or the top of ankle joint on inside of foot. I can press there and feel it is tender.

A while ago I chalked it up to weakened ankle ligaments or weak propioreceptors. I’ve worked on that a bit. However, now I am starting to wonder if it has something to do with new alignment of my step. I appear to be stepping normally, but I wonder if each step is just slightly off causing this pain. Does the achilles get sewn back 100% vertically or tugging together ends as they can be tugged?

Anyone had pain in or around ankle months (in my case now 7.5) after achilles surgery. The pain is not too severe but it feels like a slight sprain type of pain telling me to approach physical activity with caution and does make me limp after activity and a bit at other random times.

9 Responses to “7.5 months-Did my achilles heal curved?”

  1. kellygirl Says:

    Hopefully it is due to your recent return to sports and will fade with time. At the six month mark, most of my discomfort was on the achilles. I had some ankle soreness but I attributed it to lack of use and haven’t had any problems since. Functionally, I’m fine but I do think my injured leg moves differently than it did before. There are so many ligaments in the foot/ankle and I feel like they are still trying to get back into pre-injury shape. I hope the rest helps.

  2. normofthenorth Says:

    Never heard of curved AT. Ropes in tension are usually straight.

    Is your pain near the little joint I describe in my blog “Maybe healing short IS scary…”? My podiatrist is afraid it will eventually cripple me because I’m abusing it (dislocating-opening) to steal an extra few degrees of DF ROM to compensate for.my too-short surgical ATR repair on that side. And all my health pros think the short AT is causing my trick knee on that side.
    I’m stretching a lot, and trying to keep that little joint closed.
    Good luck! I’ve got one slightly short AT and one slightly long one — and I think I prefer the slightly LONG one!

  3. bionic Says:

    Norm I it is top of medial maleolus, inside ankle bone. I don’t believe the same as yours which is up by the toe.

    This is a pretty cool ankle, calf video. Medial Maleolus at 35 seconds. Also very cool re complexity of calf area muscles at 4:05 for about a minute. Not just one big bulk at all. Kellyg you are right so many ligaments as in the video also.

    http://www.youtube.com/watch?v=4hCS1O2LP_c

    I was thinking of achilles as multiple ropes some of which will pull shorter on one side thereby “curved”. By curved I mean only the slightest bit off to alter alignment.

    Neat thing about complexity is that there are so many ligaments and muscles that one can make stronger for the ankle/achilles/calf/upper leg/core etc… unit to come together.

  4. normofthenorth Says:

    Great vid, bionic!!

    But the joint my podiatrist warned me about is NOT near the toes, it’s just in front the medial maloleus, at the back (front?) of the talus. In fact, if you look at 2:29 on your video, I think it’s right about where the right-hand red line from “Ligaments” is pointing. I think. (I can find it on MY foot!)

    It’s a place where two foot bones come together, but it’s not much of a “joint” in the normal sense, because normal people don’t hardly flex it. But my podiatrist noticed that I WAS flexing it, to add to my meager ankle dorsiflexion when I walk.

    When recovering ATR patients do strength-building exercises, it’s fairly common to over-stress neighbouring muscles and tendons that can “pitch in” to help us (e.g.) do heel raises. (I developed some foot pain during my last rehab, and my PT explained it that way and told me to back off.)

    Similarly, when we’re working on stretching to build up our ROM (esp. DF ROM), it’s natural for us ROM-limited folks (the ones who’ve had their ATs repaired short) to open up (read: “abuse”) neighbouring joints to try to get that knee closer to the wall. My podiatrist told me that if I pointed my toes very slightly outwards while I was stretching — so my knee came over my big toe or just “inside” it (medial side), I would probably be stretching my calf and AT without abusing that vulnerable joint.

    Finally, there are a number of us here (including me for my second, non-op ATR) who think we’ve recovered with a slightly long AT-connection to the Gastroc, but a normal-length AT-connection to the Soleus — that based on a combo of ROM and strength in standing vs. seated heel raises. (Straight-kneed heel raises are supposed to be mostly Gastroc, and bent-kneed or seated ones mostly Soleus.) That sounds a bit like your longer and shorter ropes, but we’ve never discussed its effect on alignment before.

  5. johnsfbay Says:

    Bionic - I still have tightness in my repaired achilles 2 years later, especially in the morning after I get up, and sometimes after a hard workout or game. I believe that I will always have more tightness in my ankle than before the tear. Stretching helps a lot! My gym trainer keeps on me about doing my stretching and flexibility every morning for about 20 minutes. In reality I am doing them only 4-5 times per week, but I think it really has helped prevent injuries. Take it easy if the pain is strong and persists, but otherwise don’t let it stop you from continuing your path to full recovery!

  6. craiger9er Says:

    Bionic - I have some pain there, which has lessened the more I used it. When I started jogging more and faster and jumping is when I really felt it. It felt like a band running from the middle of my foot on the big toe side, up to the lower shin area, about 4 inches above that ankle bone. Not sure if it’s the same thing or not, but it actually stopped me from running it got so tight, I felt like it was gonna snap almost. I rested a day and then would run again, when I pushed it hard, it wouldn’t tighten again. It’s gotten easier to push it more and I’m able to run faster, but every now and then it gets a little tight.

  7. bionic Says:

    I’m really speculating now. I wonder if some tightness might be caused by binding of skin to achilles, visible or not. I’ve read here that it’s a simple minor surgery to unbind skin from achilles. I have some binding along my 4 inch incision, about 1/2 inch from the top. When I plantar flex, the outer skin bunches up slightly.

    I did not make much of this as I did not notice it when I walked and did not think it was binding with walk. I was massaging it last week (not sure if any possible effect at 7-8 months). Massaged it repeatedly and hard enough that outer dark scarred layer of skin peeled off right at bind.

    When I walk I did not think there was any binding as I did not feel it. I see it clearly when lying down plantar flexing. However, now with the raw scar there, when I walk I feel it right on the scar. In other words with raw skin at bind site, it seems like there is binding with every step. I’m guessing this impairs repaired achilles from stretching as it otherwise might.

    Fun speculation anyway. I’m going to ask docs. Finally go in for my October appt. I expect them not to have a clue, but they might surprise me. Anyone here have a clue such that I can educate the docs?

  8. anne Says:

    Bionic - I see a neuromuscular therapist who is unbinding my scar tissue from my skin. It’s totally improved my circulation and made me feel a heck of a lot better. My scar is twice as long due to the vy lengthening procedure and my scar tissue was interfering with my ability to progress. (at least in my mind).

    I wish I started much soon. Take Care. Good to see your post.

  9. normofthenorth Says:

    I don’t remember reading that surgically separating adhesions was easy. Offhand, it doesn’t sound easy.

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