Looking back to when the achilles first ruptured I feel i’ve come a long way,even just at 5w post op - so all you people that just had your ATRs hang in there it gets better, even at 5 weeks! (I am aware that there is still a lot of work ahead of me, but one step at a time)
I transitioned into full weight bearing in my boot about a week ago, at first the day after walking on it a bit or FWB I would get some mild aching in my AT. After about a week it all settled down, my physio wasn’t concerned and thought it was just due to my calf getting used to weight bearing again. I remember the first time I was able to carry my tea in one hand and my toast in the other and walk to the other room to eat I felt so happy… like everyone says, we celebrate all the little victories!
A few days ago at eactly 5w post op I had my first physio visit. I brought along the UWO protocol that my surgeon recommended, and he was happy to follow it. I showed him the ROM exercises that I had been doing already and he introduced a green theraband to provide some resistance when doing plantarflexion, inversion and eversion - no resistance on dorsiflexion yet. He massaged the lower leg and showed me how to massage the scar area to help with adhesions and desensitise the area. I’m meant to do it 2-3 times a day, both parallel to the scar and perpendicular to it. Since most of the strengthening exercises start at 6 weeks post op, most of the hard work will start next week. I spent 10 minutes on the exercise bike just with one leg, and realised that my fitness had really deteriorated!!
I don’t know if it was the massage or the theraband work I started but the next day my leg felt really good - in fact, the aching that I had around my AT stopped the day after the physio visit, and I’ve been walking on the leg much better since. Coincidence? Maybe, but I doubt it.
One last thing I asked the physio about wheether to do dorsiflexion/plantarflexion ROM with the knee flexed, or extended (i.e. leg bent or straight). When I firsted started doing ROM at 2 weeks post op I was doing them when the knee flexed, so in a sitting down position with my leg dangling in the air. Then I saw some exercises on this site which shows the leg with knee extended/leg straight, and I was worried I had done it wrong. Apparently though my physio likes to do ROM with knee both flexed and extended as when the knee is flexed it is mainly the soleus muscle which is working vs leg straight working the gastrocnemius. I thought this was interesting, and was reassuring to know I hadn’t been doing the ROM wrong. At one stage I had a moment of panic thinking I’d overstretched in dorsiflexion, but turns out I haven’t even reached neutral yet - seems my eyes aren’t very good at judging dorsiflexion when the knee is bent?!
Anyway, have 6w post op visit this coming thursday and hoping to be cleared to start work again, will update again after this.
Sounds like you’re in good hands, getting good info, and coming along nicely, Starry — don’t stop!!
At one arrange I had an instant of frenzy speculation I’d overstretched in dorsiflexion, but makes haven’t even gotten to unbiased yet-appears my eyes aren’t particularly great at judging dorsiflexion when the knee is bowed?!
Great post. Thanks.
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