8 Weeks Post-Injury Today

To update:  a week ago, at week 7, I saw the surgeon who said my tendon is healing nicely. He still wanted me to wait 2 more weeks before I start PT formally, but he gave me some ROM stuff to do myself.  I’ve started a few other things that I’ve picked up from others’ blogs and videos.  I’m doing the “towel scrunches” and trying to do seated calf raises, but that’s coming rather slowly. I have my appointment with PT in 6 days. I am eager to meet the PT, and see how conservative or aggressive he/she is. Protocols do seem to be all over the map.

10 Responses to “8 Weeks Post-Injury Today”

  1. Dan - what week post-op did you start attempting seated calf raises? I have another 1.5 weeks before I am back in the clinic and wonder if I should progress from ROM to calf raises. Thanks, Rob

  2. Sorry Dan - I just saw your other posts about being non-surgical. Glad you are progressing. Rob

  3. Rob - I just started seated calf raises and I’m at 10 weeks. Basically I started them when I first started going to PT at the 10 week mark. :) Before the 10 week mark I was just doing ROM exercises.

  4. Best of luck, Dan. I’m also a non-op. 7.5 weeks since injury and 6.5 weeks since starting treatment. Started PT a few days ago. My first few days of seated calf raises have been rather pathetic. When I flex my calf at about 5 degrees from neutral I can juuuuust raise my heel off of the floor. I assume it will progress as I build the calf back. I did start walking in the boot without crutches yesterday. Not going to lie, got a bit emotional with that development :)

  5. Bruiser, what date did you rupture? We must be very close to the same date. Glad you are able to walk in your boot. That is a huge emotional lift, and improvement in quality of life, not having to handle those crutches all of the time.

    It sounds as if our next big step will be when we can go to shoes, and drive a car someday.

  6. Hi Dan,

    I ruptured on 9/6 playing basketball. Textbook case non-contact injury. I went to the ER that night but the doc missed the diagnosis and sent me away with a boot (set at 90 degrees, of course). I’m a medical student and we had an ultrasound lab the next week. My partners and I decided to take a look and the tendon looked nothing like the healthy side so I went to the orthopedic surgeon the next day. Positive Thompson test, non WB for two weeks, boot with lifts for 12. I started driving short distances a few weeks ago with my left foot but only side streets and no more than 25 mph. Had the go ahead to do full WB in boot after 5 weeks but my quad and glutes were so atrophied there was no way to hold myself up. PT has made a world of difference in a few short days. Anyone out there on the non-op protocol, push for early PT.

  7. I did mine 6 days before you. My doc wanted me in casts for 6 weeks (which would have been 7 weeks post-injury because he didn’t see me for 6 days)…My knowledge was evolving as I went on, and it wasn’t until I was actually in the first cast that I found all of the literature and information on-line that supported early weight bearing was a better way to go. Fortunately, the surgeon was amenable to putting me in the boot, otherwise I’d have found another doc to manage my case, but didn’t want to have to start all over. I don’t know what these docs are reading, but I haven’t seen one thing that supports the old method of 6 weeks immobilization as getting better results than early weight bearing. Not one study I’ve seen supports it, yet many cling to it. I find that mind boggling.

  8. Yes I was very lucky to have a doc that is up to date. I thought I was going to have to push for non-operative but based on the pathology of my injury (closer to calf than insertion and only separated by about one cm) he actually suggested it. I was also pleasantly surprised to find out that my physical therapist is up to date on non-op functional rehab as well.

    How did you rupture yours?

  9. Hey Bruiser I think you’ll find that the more you are FWB the stronger your calf gets. I didn’t do seated calf raises until week 10 (bone spur surgery) and I had no problem lifting the injured foot almost as high as the other. But before that I was in the boot walking for 4-5 weeks. After about 3 days of non-weighted calf raises I did them while pushing on my knee and that was pretty easy so tonight I’m going to start adding weights. I recall from my right foot that once you start adding a weight it takes a bit of time to build up the strength.

    I also recall on my right foot, where I had 1 less week of walking, that the seated calf raise was a lot harder. My doc OK’d me to walk a week earlier on my left foot (damage wasn’t as bad as the right foot was) and that extra week of weight bearing definitely made a difference in my strength at week 10.

  10. I’m hoping walking in the boot helps with the calf muscle, although it doesn’t seem to be engaging it much. Sure helps the quads and glutes!

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