Posted by: casegreen1 | May 5, 2011

Update: 7 weeks post injury (no surgery)

I had my first post-no surgery appointment with the orthopedic surgeon. For an explanation of what I mean by “post-no surgery appointment”, see my prior posts. Anyway, my progression is extraordinary according to the doctor. He showed me how the tendon has already healed by running his finger along it (without there being a gap/hole). I was able to press down on his hand with my injured leg easily and he was impressed by my plantar flexion and dorsiflexion (i hope i’m using those terms correctly).

The plan is for me to wear the boot for another week and then move into regular shoes with lifts for 2 weeks, followed by regular shoes with no lifts for another 2 weeks, followed by physical therapy. So basically 12 weeks post injury before physical therapy, although i am almost 100% sure I will start in 10, despite the doctor’s suggestions. I also plan on ditching the boot after the weekend (3 days early).

Again, I’m pleased with my decision to go FWB right away. However, for anyone who reads my blog, please take note that my injury occurred higher than normal, near the calf. In fact, the doctor continually referenced how this recovery is different than a typical Achilles Rupture because it is more like a muscle tear. That being said, my diagnosis was a fully ruptured Achilles. I heard it pop and the MRI confirmed it.

I know I will walk with a gait next week when I stop using the boot. My next goal is to be walking normally by the time I start physical therapy in a month or so.

Responses

As I’ve posted before, the authors of the UWO study found NO relationship between gap location (or size!) and the (impressive) success of their non-op protocol. Except for the instant FWB (and the delayed PT), you’ve been pretty close to their protocol.

In other words, your OS’s explanation may be right, but the only scientific evidence on the subject says he’s not. Admittedly there were only 25 patients on the non-op side of the UWO study who had early UltraSound exams, so the evidence is thin, but it’s all we’ve got, AFAIK.

Good luck with your goals; you’re doing great so far.

Sounds great, I suffered only a partial tear and I was FWB in 5 weeks, since the physio is a friend of mine she has been working with me when I get to the gym. So I have been biking and doing a bit of very very easy strength and stretch.

Next week the real physio starts, but my hope is to be with an almost normal gait in 2 weeks, just in time for the Chi Running seminar, No I won’t be running, but I am hopeful to participate in the exercises and drills where I can the premise is a flat footed mid strike rather than the typical heal strike.

Did run into the ortho surgeon at the pool this morning, he seemed to think that if I can run flat footed I can go whenever I feel comfortable but ensure I listen to my body and be very careful. I think running is till August or September before I can think about training again.

Harry

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