Thanks normofthenorth.  I appreciate the thoughtful advice from your experience and research.  I was presented a non surgical protocol and after weighing the options I have chosen the surgery.  I have a good relationship with my doctor and she has patiently listened and answered my questions. I appreciate the responses and support you are providing on this site.  I’ll check in sometime after Tuesday.

2 Responses to “”

  1. I detect a little “impatience” in your first note, wanting to get active again ASAP. If that is your motivation for having surgery, my blog has some concepts that might help you recover more quickly than usual.

    Using one of your questions as an example, I was riding my bike out on the road between three and four weeks postop. Between two and three months postop, I could get out of the saddle as I wished, with my cleat in its normal position, as my calf was able to hold my weight.

    Good luck,


  2. I totally agree with Doug that the fastest post-op ATR protocols humans will pursue, will be faster than the fastest NON-op protocols. Doug’s home-made protocol may turn out to be perfectly effective for people who aren’t Doug. Unfortunately, we only have a statistically insignificant sample of one to go by, so far, so it’s hard to be sure. And even if the approach is safe, with a low re-rupture rate, he may still be at the fast end of the results.

    All we know for sure from careful studies is:
    (1) The most-repeated “truth” about ATR rehab — that surgery produces more strength, better ROM, and a lower re-rupture rate — is completely FALSE, at least for conventional open surgical repair with a well-tested and reasonably aggressive rehab protocol;
    (1a) We also know that surgery brings a much higher rate of serious complications.
    (2) For post-op and post-non-op, the reasonably aggressive rehab protocols seem to produce better results than the slower, more “conservative” protocols — as well as having significant lifestyle and psychological benefits.

    Apart from that, we don’t really know a lot for sure, except for individual anecdotal evidence. Doug’s story is quite striking, as is the semi-anecdotal evidence (~36 patients) from the new surgery in Japan.

    If you’re going to be getting conventional open surgery and following a rehab protocol that’s about the same as “mine” (the one that produced excellent results in ~150 patients in the UWO study) — or slower — then I’d say you’re going for surgery that has no benefits. Just one opinion from a non-MD, as you know. I’m also a satisfied recipient of a conventional open surgical repair on my FIRST ATR, 8 yrs ago, though I surely would have skipped it if I knew then what I know now.

    But Doug is right to suggest that his hugely accelerated approach to rehab is an option — scientifically untested, but an option — after surgery, and we both agree it would be foolhardy to try it without surgery.

    Good luck and good healing!

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