Achilles lengthening, plantar release and tarsal tunnel

Posted on July 2nd, 2014 by meg0621

Hi,

I’m 6 days post-op from an Achilles lengthening, a plantar fascia release, and tarsal tunnel surgery.  I did not have an Achilles rupture, rather my Achilles became shortened due to misdiagnosis and treatment for plantar fasciitis that began last June.  After many non-surgical treatments–cortisone, boot, night splint, orthotics, PT, the more significant problems began.  Just looking for others’ experiences with similar procedures.  I am still in a significant amount of pain 6 days post-op.

6 Comments »

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  • binafletch | August 30th, 2020 | 8:28 pm

    I just had my achilles lengthened and was wondering if anyone here is still dealing with this?

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  • vegasjoey | July 3rd, 2014 | 6:49 pm

    Ouch! My doc thought he had to do that initially but later found it was mostly scar tissue. Sorry to hear. That much pain seems hi for 6 days post op. Have you contacted your doctor? Did they do a graft from your foot?

  • normofthenorth | July 3rd, 2014 | 1:52 pm

    Good luck with all of it! A fair # of people here had surgery to lengthen their ATs, though most of them were born with short ones. Do you know what the OS did to lengthen it? The standard op used to be to cut the tendon and leave a gap, with the ankle casted in neutral or close. From there on, it was basically a non-op “natural” rehab, but doing some things “wrong” (like the ankle angle) so the tendon healed longer than it was before. (In a normal post-ATR non-op rehab, that’s one of the feared unfortunate outcomes, to be avoided.) My FIL had that surgery on both of his legs when he was a kid, and he came out fine.
    Recently, I think the fashion has changed toward more invasive fixes, like various “splices” that reattach the cut ends with a longer length — “V-Y” is one popular version, the two letters describing the way the two ends are sliced and reassembled.
    I have no idea if the new approaches work any better than the old one (or even as well). As this blog attests once or twice a day, evidence doesn’t always have much influence on actual clinical practice in this field of medicine (and too many others)!

  • kylie | July 3rd, 2014 | 11:14 am

    Hi Meg, sounds like quite the journey to get to where you are today, 6 days post op felt quite sore for me too. While I had an ATR I can certainly sympathise. Hope you find others on here that have had the same Surgery as you. Are you in a cast or boot? Wishing you all the best with you’re recovery.

  • Mr WordPress | July 2nd, 2014 | 11:15 pm

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