heel raises, just curious how long after you started PT did you start heel raises? i’m at week 14 post op.

8 Responses to “heel raises, just curious how long after you started PT did you start heel raises? i’m at week 14 post op.”

  1. I’m still working on two-footed heel raises, where I primarily raise w/the “good” foot, and focus more on the lowering process and incorporating the “bad” foot in that (eccentric muscle action) as much as possible.
    My PT and Ortho surgeon have seen studies that show that eccentric muscle action stimulates tendon growth. Some studies are even achilles specific.
    I am at 13 weeks, 1 day, post-op. I started them about 2-3 weeks ago, I believe.

  2. After my first ATR, with surgery, I spent a LONG time in casts then a hinged boot, and briefly escaped at ~17 weeks, when I could suddenly walk properly barefoot. That same day, my PT got me to overdo on 1-leg heel raises (which I could do a few of!). I rapidly developed a serious pain where the AT meets the heel bone, and went right back into the boot for a MONTH before the pain went away.

    After the second ATR (other side), without surgery, I was much more cautious, but I’ve also been regaining calf strength — especially the top of the heel raise — much more slowly. 14 months post-non-op now, and I’m still mostly doing TWO-leg heel raises and “up on two, down on one”. No deficit in walking or bicycling or such, but the top of that heel raise is still too tough.

    It’s a powerful exercise and an excellent test because it’s a tough test. It’s also a good exercise NOT to overdo too soon.

  3. thanks iski7b and norm. i’m trying to balance my excitement of new found freedom and being patient. i know i’m in the high risk stage at the moment and have to keep reminding myself not to overdo it. i will move forward with caution.

  4. I’m at 12 weeks to the day and PT had me start 2-legged heel raises just today. I’ve been doing them at home for a week or so. the way it has been described to me, the biggest risk at this point post-op is less whether or not the ATR has healed (it should have by now) but the tightness in the tendon and surrounding muscles, so the key is proper stretching and warm-up and then caution with the heel raises until the ROM and strength comes back.

    good luck!!!

  5. At 9 weeks I was out of my cast and into my VACO cast for 4 weeks. At week 11 I started doing 2 foot heel raises in the pool (with water up to my waist). I’ve continued that (I’m around week 13 now) and have added two foot jumping in water. I’m doing the regular physio stretching blah blah blah as well. I’ve loved the pool work. Being able to jump, even in the pool, is awesome. But I know to go slow because re-rupture before the 6th month marker is the danger period. And I’d shoot myself if it re-ruptured (knock on wood).

  6. hey norm,

    so i went for a follow up with my surgeon this morning and he asked me to try a 1 and 2 legged heel raise. i can’t do a 1 legged and barely got a 2 legged one. i also developed that pain this afternoon on my heel/tendon. it’s a decent amount of pain and i almost had to take a pain killer. my question is, i have to assume that some of this pain is to be expected right? i’m now stretching the tendon more than it has been used to in over 3 months. also my surgeon said i’ve built up more scar tissue than most. could the pain be some of that scar tissue breaking up??

  7. Hi Cellblock.
    I am almost 12 months post rupture. Had a very slow and painful recovery. With the threat of corrective surgery in the future.

    I too have/had a lot of scar tissue. The pain could be irritation caused by the scar tissue, especially if you also get swelling. Deep manipulation of the scar area by your physio will promote the growth of collagen, and in turn break down the scar tissue.

  8. We aim to educate our patients about and other natural solutions to common health problems in order to motivate you to take a more active and responsible role in restoring and maintaining your own health as well as the people around you.

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