stephenaix’s AchillesBlog

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Exeter, etc….

http://achillesblog.com/suddsy/2013/06/24/end-of-wk-2-wow-progress/

includes other links including Exeter.

Suddsy - how are you doing? Thanks for letting me hijack your blog again…

More on Exeter, for those fairly new here.

The orthopaedic team there analysed the data on the ATR patients treated at the Royal Devon & Exeter Hospital (NHS Foundation Trust) from October 2008 to March 2012. There were 246 patients during that time, of which 98 were treated surgically and 144 were treated ‘conservatively’ (some were partial ruptures). 4 didn’t follow through.

Three of the non-op patients (1.2%) re-ruptured and two surgical cases (2%) suffered wound issues. Two patients (one op, one non-op) had clots.

The team used the Vacoped boot with its custom accelerated rehab programme including dedicated physiotherapy clinics to produce the results above.

I was fortunate to have been one of the non-op cases, and now, almost 2 years later my leg is back to normal. My pastimes include hill and mountain walking, and some pretty heavy duty garden and tree work.

I put a lot more information on Suddsy’s blog a few months ago which importantly detailed the actual rehab protocol from both Exeter and Suddsy’s medical people (also UK but Suddsy was surgical). I began weight bearing as tolerable after week 2 and prett

And (7): They give a huge endorement of INCREMENTALISM in their schedule of heel raises!

Interesting article. It’s good to see clinicians trying to be evidence-based (for a change!). A coupla things jumped off the page for me:
1) “In a 2008 study of 219 Achilles tendon surgeries, we found that suture granulomas can occur in a delayed fashion and that, overall, 7.3% of patients experienced wound complications.24″ Yee-yikes! These wound complications are not the only complications that are more common post-op than non-op, either! This suggests that the anecdotal experience here — of quite a few post-op patients suffering — may not be as non-random a sample as many of us hoped.
2) Around here, we’ve only noticed ONE study that went too fast and produced inferior results (op & non-op both). The rest have produced better the results the faster they go, through UWO and the more recent UK (Exeter?) study. But these folks have convinced themselves that a bit slower may be optimal for many patients.
3) One specific exercise group — ECCENTRIC calf & AT exercise, like “two up, one down — is a BAD THING for quite a while post-op, accd to their read of the evidence!! They advise avoiding it until AFTER mastering CONce

Hello hillie,

Well, it’s a bit lengthy but if you just click it on you as you would any website it should take you straight to the diagram and illustrations which are endless but very helpful.

[WORDPRESS HASHCASH] The poster sent us ‘0 which is not a hashcash value.

Is that the short url…..?

In fact, this may be a little better as it takes you directly to the illustrations and diagrams of the ankle exercises:

http://images.search.yahoo.com/images/view;_ylt=A0PDoQ7wvCRSs3IAK3ijzbkF;_ylu=X3oDMTF1ZW9kc28wBHNlYwNmcC1leHAEc2xrA2V4cARvaWQDN2I4ZGY1NTAzNDMzZmE3NzNiYzU2YWJkMzYyNDUwMWQEZ3BvcwMy?back=http%3A%2F%2Fsearch.yahoo.com%2Fsearch%3Fei%3DUTF-8%26p%3Dankle%2Balphabet%2Bexercise%26fr%3Dslv1-tyc8&w=520&h=693&imgurl=gallery.mailchimp.com%2Fa4c2f194436d310a10f1b9fea%2Ffiles%2Fankleexercises.gif&rurl=http%3A%2F%2Fchatterblog.chatterboxenterprises.com%2Ftag%2Ftips-for-healthy-ankles%2F&size=48.5KB&name=Tips+For+Healthy+Ankles+%7C+Chatterbox+Enterprises+%3A+ChatterBlog&p=ankle+alphabet+exercise&oid=7b8df5503433fa773bc56abd3624501d&fr2=&fr=&tt=Tips+For+Healthy+Ankles+%7C+Chatterbox+Enterprises+%3A+ChatterBlog&b=0&ni=128&no=2&ts=&tab=organic&sigr=129mbgc8e&sigb=12e0n1s0j&sigi=128vpgqtp&.crumb=HiIkToB.d.n&

You are quite welcome. Hope you are doing well! Here is another link that you might be helpful relating to ankle alphabet exercises:

http://search.yahoo.com/search?ei=utf-8&fr=slv1-tyc8&p=ankle%20alphabet%20exercise&type=

This link shows you how to do so many different type of ankle exercises that are especially helpful early on in the recovery stage, i.e., 4 weeks post-op and on.

Very detailed and helpful. Thank you for posting.

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