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	<title>Comments for recovery from second ATR</title>
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	<link>http://achillesblog.com/raoul</link>
	<description>Just another Achillesblog.com weblog</description>
	<pubDate>Tue, 18 Jun 2013 08:00:28 +0000</pubDate>
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		<title>Comment on 2 years 1 month update by jonathan31</title>
		<link>http://achillesblog.com/raoul/2010/09/14/2-years-1-month-update/comment-page-1/#comment-10</link>
		<dc:creator>jonathan31</dc:creator>
		<pubDate>Mon, 20 Sep 2010 23:29:45 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/raoul/2010/09/14/2-years-1-month-update/#comment-10</guid>
		<description>wow.. always wondered what the picture could look like this much time post-op. You always hear that the tendon will never be the same, but never specifically how. I'm amazed running is still an issue at 2 years. My jaw dropped. I see healthy runners all the time and think how wonderful it must be to have perfectly strong tendons... and then think if those days are done for me. At the same time I can't deny that long distance running and I aren't much friends despite a few years of attempted courtship.  At 4 months post-op, I'm just looking forward to using the cross trainer again at high intensity intervals and burning off some of this "sitting around the house" fat I've put on!</description>
		<content:encoded><![CDATA[<p>wow.. always wondered what the picture could look like this much time post-op. You always hear that the tendon will never be the same, but never specifically how. I&#8217;m amazed running is still an issue at 2 years. My jaw dropped. I see healthy runners all the time and think how wonderful it must be to have perfectly strong tendons&#8230; and then think if those days are done for me. At the same time I can&#8217;t deny that long distance running and I aren&#8217;t much friends despite a few years of attempted courtship.  At 4 months post-op, I&#8217;m just looking forward to using the cross trainer again at high intensity intervals and burning off some of this &#8220;sitting around the house&#8221; fat I&#8217;ve put on!</p>
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		<title>Comment on 2 years 1 month update by Richard</title>
		<link>http://achillesblog.com/raoul/2010/09/14/2-years-1-month-update/comment-page-1/#comment-9</link>
		<dc:creator>Richard</dc:creator>
		<pubDate>Tue, 14 Sep 2010 20:07:45 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/raoul/2010/09/14/2-years-1-month-update/#comment-9</guid>
		<description>Hello again Raoul,

Well done, it's a long road isn't it !!

Richard</description>
		<content:encoded><![CDATA[<p>Hello again Raoul,</p>
<p>Well done, it&#8217;s a long road isn&#8217;t it !!</p>
<p>Richard</p>
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		<title>Comment on 1 year post op - second ATR by raoul</title>
		<link>http://achillesblog.com/raoul/2009/08/13/1-year-post-op-second-atr/comment-page-1/#comment-8</link>
		<dc:creator>raoul</dc:creator>
		<pubDate>Thu, 17 Sep 2009 20:55:50 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/raoul/2009/08/13/1-year-post-op-second-atr/#comment-8</guid>
		<description>Hi Robert!

Usually I feel no pain or discomfort standing on the tips of my toes except from after exercising.  I certainly can feel a knot like you describe at the point of rupture though. When I touch and massage the tendon after exercise I feel sore at this point of the tendon. Earlier in the recovery process I often experienced stiffness and tightness, but ROM exercices and massage of the tendon has really helped. Now I experience tightness only when I take the first steps in the morning and sometimes after exercise. As I understand  it's normal that the tendon becomes thicker and anatomically different after rupture and surgery. As long as this doesn't affect function or lead to discomfort or pain I wouldn't worry so much about it. 

Good luck
Raoul</description>
		<content:encoded><![CDATA[<p>Hi Robert!</p>
<p>Usually I feel no pain or discomfort standing on the tips of my toes except from after exercising.  I certainly can feel a knot like you describe at the point of rupture though. When I touch and massage the tendon after exercise I feel sore at this point of the tendon. Earlier in the recovery process I often experienced stiffness and tightness, but ROM exercices and massage of the tendon has really helped. Now I experience tightness only when I take the first steps in the morning and sometimes after exercise. As I understand  it&#8217;s normal that the tendon becomes thicker and anatomically different after rupture and surgery. As long as this doesn&#8217;t affect function or lead to discomfort or pain I wouldn&#8217;t worry so much about it. </p>
<p>Good luck<br />
Raoul</p>
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		<title>Comment on 1 year post op - second ATR by robert</title>
		<link>http://achillesblog.com/raoul/2009/08/13/1-year-post-op-second-atr/comment-page-1/#comment-7</link>
		<dc:creator>robert</dc:creator>
		<pubDate>Tue, 15 Sep 2009 01:26:09 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/raoul/2009/08/13/1-year-post-op-second-atr/#comment-7</guid>
		<description>Raoul,

If you are full standing on the tips of your toes without shoes and just leaning for support, do you feel any dimpling or some other squeezing sensation at the tendon point of rupture/suture? Does it feel like a hard knot now or in the past few months?

I have this sensation currently and am not sure what to make of it. I have talked to the orthopedist. I am afraid it is the (tight) suturing that has created a knot-like sensation. I look forward to your feedback. 

Robert</description>
		<content:encoded><![CDATA[<p>Raoul,</p>
<p>If you are full standing on the tips of your toes without shoes and just leaning for support, do you feel any dimpling or some other squeezing sensation at the tendon point of rupture/suture? Does it feel like a hard knot now or in the past few months?</p>
<p>I have this sensation currently and am not sure what to make of it. I have talked to the orthopedist. I am afraid it is the (tight) suturing that has created a knot-like sensation. I look forward to your feedback. </p>
<p>Robert</p>
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		<title>Comment on 1 year post op - second ATR by raoul</title>
		<link>http://achillesblog.com/raoul/2009/08/13/1-year-post-op-second-atr/comment-page-1/#comment-6</link>
		<dc:creator>raoul</dc:creator>
		<pubDate>Tue, 18 Aug 2009 21:05:41 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/raoul/2009/08/13/1-year-post-op-second-atr/#comment-6</guid>
		<description>Hello Richard!
Sorry to hear that you ruptured your tendon due to the cortisone injection you were given. The only good about it seems to be that surgery cured your tendinitis, although it must have been a long and frustrating way of healing. Doctors and physiotherapists that I have talked with have been as critical to cortisone treatment as your friend, and information on the internet also  says that this is a risky treatment for achilles tendon injuries. 

Best wishes 
Raoul</description>
		<content:encoded><![CDATA[<p>Hello Richard!<br />
Sorry to hear that you ruptured your tendon due to the cortisone injection you were given. The only good about it seems to be that surgery cured your tendinitis, although it must have been a long and frustrating way of healing. Doctors and physiotherapists that I have talked with have been as critical to cortisone treatment as your friend, and information on the internet also  says that this is a risky treatment for achilles tendon injuries. </p>
<p>Best wishes<br />
Raoul</p>
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		<title>Comment on 1 year post op - second ATR by Richard</title>
		<link>http://achillesblog.com/raoul/2009/08/13/1-year-post-op-second-atr/comment-page-1/#comment-5</link>
		<dc:creator>Richard</dc:creator>
		<pubDate>Tue, 18 Aug 2009 16:20:06 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/raoul/2009/08/13/1-year-post-op-second-atr/#comment-5</guid>
		<description>Hello Raoul,

I too had a cortisone injection in an effort to rid myself of tendinitis - 3 months later full rupture !!. A physio friend of mine went bananas when he heard what I'd done, his view was that giving the injection was bordering on malpractice !

However rupturing does seem to have cured the tendinitis (rather an extreme cure I know)
Also the surgeon made a comment that he could, if I had been referred earlier, operated on me prior to the rupture to cure the inflammation. This would have meant a shorter recovery time and an intact ATR.

It amazes me that the medical authorities know the dangers of cortisone but continue to use it. The danger comes when it's put into weight bearing tendons - underlining the stories one hears about cortisone working very effectively on shoulders,elbows and wrists.

All the best
Richard</description>
		<content:encoded><![CDATA[<p>Hello Raoul,</p>
<p>I too had a cortisone injection in an effort to rid myself of tendinitis - 3 months later full rupture !!. A physio friend of mine went bananas when he heard what I&#8217;d done, his view was that giving the injection was bordering on malpractice !</p>
<p>However rupturing does seem to have cured the tendinitis (rather an extreme cure I know)<br />
Also the surgeon made a comment that he could, if I had been referred earlier, operated on me prior to the rupture to cure the inflammation. This would have meant a shorter recovery time and an intact ATR.</p>
<p>It amazes me that the medical authorities know the dangers of cortisone but continue to use it. The danger comes when it&#8217;s put into weight bearing tendons - underlining the stories one hears about cortisone working very effectively on shoulders,elbows and wrists.</p>
<p>All the best<br />
Richard</p>
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		<title>Comment on 1 year post op - second ATR by raoul</title>
		<link>http://achillesblog.com/raoul/2009/08/13/1-year-post-op-second-atr/comment-page-1/#comment-4</link>
		<dc:creator>raoul</dc:creator>
		<pubDate>Mon, 17 Aug 2009 16:25:46 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/raoul/2009/08/13/1-year-post-op-second-atr/#comment-4</guid>
		<description>Hi Tommo!
I've been a runner and before my first surgery I had achilles tendonitis for 5 years. I tried almost everything to get rid of it - RICE, lowering of training intensity/ freqency, alternative activities like biking and swimming, eccentric calf muscle exercises, laser treatment, ESWT (shockwave treatment) and - here's the point - cortisone injections. What I believe is that the cortisone weakened the tendon even more than the tendonitis itself  - in fact, the surgeon that did the first operation told me that the tendon looked almost like spaghetti. I will never ever have cortisone again!

Best wishes from Raoul</description>
		<content:encoded><![CDATA[<p>Hi Tommo!<br />
I&#8217;ve been a runner and before my first surgery I had achilles tendonitis for 5 years. I tried almost everything to get rid of it - RICE, lowering of training intensity/ freqency, alternative activities like biking and swimming, eccentric calf muscle exercises, laser treatment, ESWT (shockwave treatment) and - here&#8217;s the point - cortisone injections. What I believe is that the cortisone weakened the tendon even more than the tendonitis itself  - in fact, the surgeon that did the first operation told me that the tendon looked almost like spaghetti. I will never ever have cortisone again!</p>
<p>Best wishes from Raoul</p>
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		<title>Comment on 1 year post op - second ATR by Tommo</title>
		<link>http://achillesblog.com/raoul/2009/08/13/1-year-post-op-second-atr/comment-page-1/#comment-3</link>
		<dc:creator>Tommo</dc:creator>
		<pubDate>Mon, 17 Aug 2009 14:08:09 +0000</pubDate>
		<guid isPermaLink="false">http://achillesblog.com/raoul/2009/08/13/1-year-post-op-second-atr/#comment-3</guid>
		<description>Good on you Raoul! 

How did you do your second ATR 4 months after the first? Usually the tendon is pretty strong by then?

Tommo</description>
		<content:encoded><![CDATA[<p>Good on you Raoul! </p>
<p>How did you do your second ATR 4 months after the first? Usually the tendon is pretty strong by then?</p>
<p>Tommo</p>
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		<title>Comment on Second ATR -15 weeks post op. by Sanfrantourguide</title>
		<link>http://achillesblog.com/raoul/2008/11/24/second-atr-15-weeks-post-op/comment-page-1/#comment-2</link>
		<dc:creator>Sanfrantourguide</dc:creator>
		<pubDate>Thu, 27 Nov 2008 00:10:31 +0000</pubDate>
		<guid isPermaLink="false">#comment-2</guid>
		<description>Dear Raoul,

I'm glad you're posting this second rupture, as a warning for all of us eager-beaver types.  WE must all be careful, careful, careful, to avoid a re-rupture, at least the first 6 months, so far as I understand the healing process at the cellular level.  Perhaps doctors should stress this more, rather than having us crow with triumph every time we do something athletic and impressive a short time after recovery.  I am also at the five-month recovery period, and I do NOT take for granted that I am out of the clear.  No jerky movements, no dancing, no running, just walking.

Mary</description>
		<content:encoded><![CDATA[<p>Dear Raoul,</p>
<p>I&#8217;m glad you&#8217;re posting this second rupture, as a warning for all of us eager-beaver types.  WE must all be careful, careful, careful, to avoid a re-rupture, at least the first 6 months, so far as I understand the healing process at the cellular level.  Perhaps doctors should stress this more, rather than having us crow with triumph every time we do something athletic and impressive a short time after recovery.  I am also at the five-month recovery period, and I do NOT take for granted that I am out of the clear.  No jerky movements, no dancing, no running, just walking.</p>
<p>Mary</p>
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		<title>Comment on Second ATR -15 weeks post op. by Mr WordPress</title>
		<link>http://achillesblog.com/raoul/2008/11/24/second-atr-15-weeks-post-op/comment-page-1/#comment-1</link>
		<dc:creator>Mr WordPress</dc:creator>
		<pubDate>Mon, 24 Nov 2008 20:52:28 +0000</pubDate>
		<guid isPermaLink="false">#comment-1</guid>
		<description>Hi, this is a comment.&lt;br /&gt;To delete a comment, just log in, and view the posts' comments, there you will have the option to edit or delete them.</description>
		<content:encoded><![CDATA[<p>Hi, this is a comment.<br />To delete a comment, just log in, and view the posts&#8217; comments, there you will have the option to edit or delete them.</p>
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