Second follow up with Orthopedics. Good news

Yesterday I had my second follow up with my orthopedics, 5 days and 3 days after surgery. It ’s all good news, the tendon is healing well and I can start FWB on Monday, 6 weeks after the operation. She suggested using a cane for the first few days, but I do not have one nor I want to buy one for few days.

I feel excited  for finally being able to start FWB  but I have to confess that at the same time I feel  frighten, thinking how my achilles will feel.

My doctor also gave me a prescription for the PT, increasing the level of my exercises. She also told me that I can start biking in the static bike with almost no resistance and I will be able to swim as soon as the wound is totally healed.

All good news, finally! I feel way more optimistic now that I can start doing something proactively to recover instead of just waiting and waiting

10 Responses to “Second follow up with Orthopedics. Good news”

  1. Great news on the speed of your mobility, take everything within your own limits and under advisement.

    I read that physically the tendon takes 6-8 wks to repair fully on it’s own so I am assuming that you will be relying heavily on the strength of the surgical repair until then.

    It’s nice to get such a milestone so early though, congrats and happy healing to you :)

  2. Andrew, do you recall a source for your “I read that physically the tendon takes 6-8 wks to repair fully on it’s own”? Weeks 8-12 seem to be the peak period for ATR reruptures, and I have trouble believing both of those statements are true.

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

  3. Andrew, do you recall a source for the tendon taking 6-8 wks to repair fully? Weeks 8-12 seem to be the peak period for ATR reruptures, and I have trouble believing both of those statements are true.

  4. Thank you for your message, Andrew
    I did not know about the 6-8 weeks. I will take it easy for another two weeks, just in case.
    It is adifficult balance between pushing in the rehab but also keeping safe, isn’t it?

  5. Good question, normofthenorth. It ‘d be great to have a reliable statistic about reruptures.
    Just in case, we should all keep in the safe side. I am still so scared about rerupturing it…



    What is the outlook for a ruptured Achilles tendon?

    Generally, the outlook is good. However, the tendon does take time to heal, usually about six to eight weeks. More time will be needed after this to allow the muscles to regain their normal strength after being in a plaster or brace…….. and the time taken to return to sport is between 4 and 12 months.

    {End Of QUOTE}

  7. So just to be clear - the tissue repair of the rupture takes 6-8 weeks - THIS IS NOT a green light for any of us to be doing cartwheels, star jumps and squat thrusts at this time :)

    the way I interpreted it was that it just means that your tendons are biologically ready for rehabilitation… up until that point, so I assumed that for mobilised patients with surgical repairs, there’s more dependance on the strength of the sutures holding the torn ligaments together as the accelerated rehab in early weeks continues.

  8. Andrew:
    At 4-6 weeks the scar tissue has has generally filled in the gap between the 2 tendon ends. The tendon has very little strength at that point and the risk of re rupture is high.

    8-12 weeks is the period when there is sufficient strength for most people to be back to 2 shoes. At 16 weeks my ortho surgeon said that about the only thing at that point that would cause a re rupture is a fall or a strong cutting move. The tendon continues to gain strength peaking at about 6-12 months after repair.

    In any case, the sutures are primarily for holding the 2 ends together and do not add much if anything to the strength of the tendon.

  9. It all makes sense and I am no expert just posting what I read and my source but why isn’t everyone in a boot at 5days and told to be FWB?

    The whole AT rupture - as a mechanical engineer, it blows my mind as it creates for more questions than I will ever gain the answers to, yet my thirst for more knowledge grows with every discovery :)

    Listen to your specialist and belive in the feedback your body provides :)

  10. Thanks Andrew for sharing your experience. It’s been great to be here and liked reading the blog.

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