Scar Tissue below actual surgical repair??

hope everyone is healing well. i visited my surgeon a month ago (i’m now 7 mos post-op) and he was a bit puzzled at why i would have scar tissue below where the actual rupture occurred.  i went for a 2.5 mile jog yesterday and feel fine.  in fact, i passed up a few really slow people which made me feel great. i don’t have much soreness now as my muscles, joints, tendons, etc. are getting used to a bit of physical activity. anyway, did anyone have the same experience? is this normal? like i said, i feel fine and have been progressing great (the OLCR isn’t there yet), but i’m a bit scared after he found that.

5 Responses to “Scar Tissue below actual surgical repair??”

  1. he did initially mention about 3 months in that my body throws down a LOT of scar tissue in comparison to his other ATR patients.

  2. You say the scar tissue is “below” the repair. You mean lower down when you’re standing, right? Like closer to the heel? Not “underneath” in the sense of “deeper” in the leg, right? I think the short answer is that I don’t know, and maybe nobody here does, either, based on the deafening response.

    Your OS found this scar tissue by palpating your leg? Obviously, scar tissue in general is formed in response to injury, either from something like an ATR or from something else like surgery itself. It doesn’t require a rupture or tear for scar tissue to form. It’s possible that your AT was inflamed or injured or partially torn in a different spot than where it was ruptured and repaired — either at the same time or earlier (probably not later).

    My AT was examined 3x with UltraSound in the weeks after my latest (2nd-side) ATR, and each time produced a different opinion about the rupture. The last time, the Doc said it looked as if the R was “partial but multiple”. I have no idea if that opinion (or either of the other two) was correct, but I assume these things do sometimes happen. Maybe that’s what happened to you in the other spot, and it’s been healing naturally (the way ATRs do, when properly immobilized then mobilized). Maybe.

    If it doesn’t hurt and doesn’t interfere with your return to full activity, maybe it doesn’t matter, just like the exact nature of my ATR. . .

  3. hey norm. yes, exactly, the scar tissue is lower down the leg toward the heel. my surgeon found it by just feeling the tendon and squeezing a bit. his response was “hmm…why do you have scar tissue lower down the leg than the actual rupture point? interesting.” that response obviously doesn’t make feel good. again, he was surprised a few months ago when he said “wow, your body throws down a lot of scar tissue!”

    i did ask him if i could run on it and he said “go ahead, you can’t hurt it, but not sure how you will given you’ll have no propulsion from your weak calf.” i have to say i’ve been running on it 1-2x a week for about 2.-2.5 miles and it feels fine. plus my calf is gained considerable strength from running as opposed to just assisted calf raises.

    anyway, i’ll proceed with caution. thanks again for your help.

  4. I don’t know if what you have is normal or not, but early on in my recovery I felt some aching around the AT near my heel region below the actual rupture site and asked my surgeon about it. He mentioned that when the rupture happens because it is so explosive, the tendon fibres on each end of the rupture are frayed, he described it similar to a horse’s tail. Apparently some of these frayed tendon fibres extended quite far “down” the tendon away from the actual rupture site almost to the heel region. This is just a theory and I have no idea whether it would be the cause of your issue. But maybe you had a similar thing with the tendon fibres splittling explosively, and because you inherently produce more of a scar tissue response, there is palpable scar tissue further towards the heel?

  5. 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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