cbrauchli’s AchillesBlog

Rupture is a scary word

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The Accident (I Can’t Believe I Did It Again)

November 25th, 2020 · 2 Comments

I was playing squash last Tuesday, November 17th. I had warmed up a few minutes on the exercise bike, but I suspect not enough, and was playing the first match. I was taking it easy, not pushing to get every shot, like I usually do in the first match, but when I stepped back at some point, I heard and felt the characteristic snap. As I fell, I thought I had somehow overswung and hit my leg, but that made no sense. Before I hit the ground I knew what had happened. To say I was frustrated, to rupture my other Achilles’ tendon, after barely two years and an incomplete recovery from my first rupture, at a young age, as a non-smoker, being otherwise healthy and active, would be an understatement.

I called my girlfriend and she came and got me. We were dating, but in different cities, at the time of my last rupture, and she remembered how hard the last one had been for me. I’m happy to have her here for this one.

We went to the same hospital (Amsterdam Medical Center UMC) as for my last rupture, just to get an emergency room cast so I could sleep without moving the foot. With that, we went home and got some sleep.

The next day I went to another hospital, Acibadem, where they treated me for my first rupture after I was having pain during healing. They took an ultrasound and diagnosed a complete rupture, about 5cm above the calcanus and with a 2cm gap between the tendon ends. The orthopedist at this hospital suggested an open surgery, with an approximate 12cm incision. I pressed them on this, since in the little research I had done in one night, I felt that a minimally invasive one would be preferable. The doctor disagreed and, ultimately, made the good point that the best surgery was the one the surgeon was comfortable with. I couldn’t disagree with that, so I told them I would research some more and possibly get a second opinion before proceeding. We left it at that—I would call back if and when I wanted to schedule the operation there.

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2 responses so far ↓

  • 1 michelle // Nov 25, 2020 at 8:37 am

    You didn’t have surgery on the first one, just the boot? If you can find a second opinion and surgeon that can do the minimum invasive procedure, I think you will be happier with the results. I had a complete rupture and went with the surgery. I am in shoes now and there is no issue with the incision points and the shoe. Since you have been through this before, you know what recovery is like. Ugh, sorry!!!
    I think physical therapy is important. They are good balancing what you should and should not be doing during the stages of recovery. And they do the massaging of the calf to help with recovery.

  • 2 cbrauchli // Nov 26, 2020 at 4:01 am

    Thanks, michelle! I agree, minimally-invasive is the way to go. It’s what I wound up doing on Monday. Been laying on the couch since then, but I am optimistic it’s healing up well.

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