douglashilbert’s AchillesBlog

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Excellent list! I agree with pretty much everything on your list.

According to bit.ly/UWOProtocol and the Exeter protocol on Suddsy’s blog, you should be able to start PWB now (or a week ago). That may stop the atrophy some.

And if you can install the ATR Timeline Widget (details linked from Main Page), it will remind us of your FAQs, so you don’t have to in your titles.

Keep healing and strengthening and posting!

Sounds like great progress - I am still in a cast and am very jealous of your opportunity to have a proper wash of your leg! Being able to get around confidently on crutches makes a big difference too and makes everything a bit more bearable. Hope everything keeps progressing so well for you.

Congrats on getting out of the cast! Sounds like things are progressing nicely. Keep up the good work!

Great responses, thx!

I am 6.5 weeks post injury and 6 weeks post op.

My surgeon did the small horizontal incision with the gnarly tool. My incision was maybe 2 inches across and healed in about 3 weeks. I wast cast for 2 weeks then aircast. I was on crutches until about 4.5 weeks when I was full weight bearing in boot.

I had my 6 week appointment yday and he took out 2 of 3 heel wedges and said that I should take the other out in a couple of days and will likely be able to go to 2 shoes in about a week (so about 7 weeks post op).

I have not missed a day of upper body workouts (even between injury and surgery) and started riding stationary bike (with boot) at about 4-5 weeks. With the boot, the doc said it would be hard to hurt anything so he was cool with me doing the bike for cardio as long as it didn’t hurt.

I start PT next week and my doc thinks 2 shoes at 7 weeks and starting light jogging at 11-12 weeks.

I am a biiig fan of the small incision. It healed so quickly, the pain was not too bad and I feel like I am getting back to activity at a pretty quick rate compared to my expectations.

Good luck to all.

Hi.

I kind of feel like I’m at an AA meeting,” Hi. My name is Tony. It’s been 24 days since my last Achilles Rupture”. Well, actually it’s my first rupture and hopefully the last.

My surgery was on NYE (31st Dec 2013), so day 1 of the New Year heralded my Post-Op recovery period. It’s now Day 24 Post-Op and I’m amazed at my progress. I just hope I’m not pushing things too fast. I have experienced no pain to this stage and everything seems organic in nature. I’m following my own rehabilitation path, with guidance from a PT friend of mine.

I was in a cast for the first 12 days (fixed @ 45° PF) and into my Vacocast (Vacoped) boot Day 13 @ 30° PF), I began PWB exercises immediately. I have adjusted 5° increments almost on a daily basis, never with any pain. Day 17 : FWB @ 15° PF with the Vacocast wedge sole. Day 20 : FWB @ 0° PF with the Vacocast flat sole.

I’m at Day 24 : FWB, +15° DF (setting Vacocast ROM at 10°).
Walking around in the boot, comfortably without any pain.
The surgical incision has healed nicely, it’s still intact despite the ROM. The tendon is feeling great. I will now concentrate more on strength r

Good post. Remember to keep your toes clean in that cast because it can get funky down there. Also, keep those toes moving if possible, and do some Atrophy work on the good leg (heel raises).

Hopefully, they will move you to a boot soon. Being active is what I thought would have had them move you to a boot sooner, which is what I did. I went from splint to Vacocast boot in 1.5 weeks.

at any rate, good luck and keep us posted.
Ron

Hey Douglas I had the same type of routine that you’re going thru and I’m not that far ahead of you. I had the soft splint for 10 days. Then a hard cast for 3 weeks. I also thought after the soft splint I would get a boot, but only found I was going to a cast. I can tell you I practiced moving my foot a lot in my boot and worked on my range of motion. I also lifted weights upper body during this time but only on my total gym bcuz I couldn’t maneuver the weights onto the equip. This past tues I went to a boot, no heel lifts, pwb, and a strength band to use to build strength back. Pt is going great, pwb is great, and I feel fine walking with almost no support. From my experience that cast time was needed, and my calf didn’t look any different then it did the first time I got the splint off, something I was really worried about. I can tell you from my experience that I feel gaining that range of motion inside my cast helped me greatly. Each day got better. Now I have no sweeping each day, no pain, and I feel like my foot is ahead of schedule.

Thx for the replies and ideas!

Nice list, DH!

Ask them for a cup at the hospital. They gave me one for free. I try to get as much from them for free as possible, considering how much I am paying everything I step into the hospital. LOL.

I agree with number 10, one hundred percent.

Start atrophy training, hip flexors, etc.

Good luck and keep posting.
Ron

I had to pee a lot and ended up using Gatorade bottles to not get up so often during the first week after surgery. My pain was super intense for the first few days afer surgery. Almost everyone else seemed to be ok without pain meds. Makes me really curious as to why… Also since you are already athletic, look into the hands free knee crutch, it is amazing. iwalkfree.com I have the iwalkfree 2.0 and using since 2 weeks post op. am currently 5 weeks post.

Sounds good, and keep it up!