Re-rupture surgery done, back to day 1

Had surgery today, my tendon had not healed at all with the non operative treatment and was just attached very little and it was just a question of when it would snap. The tendon was now 6cm too short and required gastroc recession/achilles slide/achilles lengthening to make it long enough(cutting in the calf muscle basically).

Rehab will be the standard 2 weeks cast, then stitches removed and boot fitted going 6 weeks.

The achilles lengthening will affect my strength, don’t know how much the rehab will be different in terms of pain and strength gaining in regards of a normal rehab and the result in the end.

Forgot to ask questions about scar tissue and cause of the bad healing, hope to get answers in next appointment.

Surgeon said that the tendon felt good and strong now from the repair, so hope I’ll progress as good as from my first rupture surgery on my other leg.

Right now it’s all about pain management and being as careful as possible while moving.

8 Comments so far

  1. Stuart on April 8th, 2015

    This is all good news and I bet you are feeling better now about your decision. Some people do not heal non op and there are a number of reasons. It would be good to have your docs view on this as well. On initial thought from what you have written it may be the tendon retracted and did not approximate.

  2. eyceman on April 8th, 2015

    Were there any signs that worried you that your tendon wasn’t healing properly? You said you were in 2 shoes for about 4 weeks so I assume everything felt fine. Was your calf muscle moving when you would stretch your ankle up and down? I am currently 8 weeks and still get aches here and there. I am FWB in a boot.

  3. donna on April 8th, 2015

    Glad to hear the surgery went well…keep us posted when you can on how you’re doing….rest up now.

  4. qoma on April 9th, 2015

    Eyceman, the gap I had in the tendon was most worrying, though there are a lot of people that have had dents and still was fine. I had more pain throughout the recovery compared when I had surgery but I don’t know if this is normal or if it’s just different from case to case.

  5. herewegoagain on April 9th, 2015

    Glad that your surgery went well, if your surgeon feels that the tendon is good and strong then you are in a good position for a full recovery.

    I don’t think that the pain you experienced is normal at all. I have also ruptured both achilles and went the non-op route the second time. No pain at all, just the typical discomfort from swelling.

    Did you follow a functional rehab protocol? Was there much time between the rupture and immobilization? I hope you don’t mind me asking these questions, re-rupturing is always a big concern so if there is a reason for yours it would be good to know.

    All the best for a smooth recovery from here on- I look forward to following your progress!

  6. qoma on April 9th, 2015

    In my second rupture I was basically immobilized right away, but I only had a cast for 5 days and then got a boot, but I treated it like I was in cast still and was nwb for a while in it. The big lump I got early might have been a sign as something being wrong but I did not have it checked, which I should’ve had.. I followed the protocol for being out of the boot by week 8 and going from 3 to zero wedges and excercises. I felt good progress from week 8 to 12 even though I had some pain but not really bad. Though I didn’t do so much of the excercises during this time because I was just walking more instead. When it popped I didn’t feel that I did something extreme, just a slightly longer step.

    I cannot really say what the reason was that my tendon didn’t heal properly..

  7. eyceman on April 9th, 2015

    Wow that is scary to all of us non ops. Thanks for details.

  8. herewegoagain on April 9th, 2015

    Tendons, injuries and protocols all very wildly and I am sorry that the non-op recovery wasn’t successful for you. I have had a great experience and would have loved the same for you.

    It is clear that a functional rehab and weight bearing are critical for non-ops, quite counter intuitive really which makes the non-surgical path hard to comprehend sometimes.

    The lump doesn’t sound normal and I think that Stuart may be right that the tendon ends didn’t approximate. Sometimes finding the reason is not that important- what matters is that you are on the road to recovery!

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