Hello from Australia

Hey I’m from Sydney Australia and ruptured my Achilles tendon on my left foot on the¬†25th April. This is the first time I have injured my Achilles tendon.

I had surgery on the tendon the day after, and was put in a half cast for 2 weeks NWB. After the 2 weeks my stitches were removed and was out in a full cast NWB for another 4 weeks. During my next visit my cast was removed and a new full cast put on, although this time my foot was set in the neutral position. I had to keep it on for another 2 weeks.

Today I had my 2nd cast removed, and a boot was put on… The physiotherapist told me that I could put some weight on it, as long as I felt no discomfort. And also do ankle exercises ¬†aswell.

After getting the boot put on I had to go back the the orthopedists so they could check up on my injury. 3 orthopedist doctors were there and all 3 gave me different answers as to how I should treat the next 2 weeks. The first one told me that I could weight bear, and after 2 weeks I could walk without the boot. The 2nd doctor told me I could weight bear, and will need to keep the boot on for 3 months. The 3rd doctor said that I could not weight bear for 2 weeks, and after start to weight bear and have the boot on for 3 months.

This is where I start to get confused as i don’t know which direction to take. If I could get help on this matter it would be deeply appreciated.

6 Responses to “Hello from Australia”

  1. Hi, this is a comment.
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  2. Hi there,
    not sure how your system works as I’m in the UK. Do you one main doc that you see? You need to go back to him really and get a proper protocol. Have a look at normofthenorths blog. He is very informed and reccomends the UWO protocol. I have been weight bearing since day four which is unusual and all docs have different views but you need to have a good read and then go back to your guy and get it written down.
    Good luck.
    PS I have been in casts for six weeks PWB and noe have the boot and can wean of crutches as tolerated. I start PT this week so will take guidance from them.

  3. OO, sorry for the typos oops!

  4. Joshayye:
    Go with the first doctor. According to modern fast recovery protocols, 3 months in a boot is way too long and could be counter productive, resulting in a higher risk of re-rupture.

    Did any doctor say anything about when you will be starting physical therapy?

  5. I agree… I like doc #1’s advice - your tendon has already had over 2 months to knit. My personal experience was to go FWB in boot at about 2.5 weeks post surgery, then boot for another 4 weeks. Good luck.

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