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Achilles Tendon Rupture Rehab

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by

Bradley Williams

on 30 April 2013

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Transcript of Achilles Tendon Rupture Rehab

By Bradley Williams Achilles Tendon Rupture Phase One: Week after surgery After surgery, the athlete is provided with pain medication, usually Vicadin or Tylenol with codeine. In addition to medication, the athlete should take one aspirin to help with blood clots. Phase Two: Weeks 4 through 8 after surgery Goals are to protect the repaired tendon, decrease swelling, start range of motion exercises, and begin weight bearing with boot when walking. Achilles Tendon Rupture You make a forceful push-off with your foot while your knee is straightened by the powerful thigh muscles. One example might be starting a foot race or jumping.
You suddenly trip or stumble, and your foot is thrust in front to break a fall, forcefully overstretching the tendon.
You fall from a significant height or abruptly step into a hole or off of a curb Phase Three: Weeks 8 through 12 after surgery The goals are to protect the repaired tendon, decrease swelling, start strengthening exercises, and continue full weight bearing using brace when walking. Phase Four: Weeks twelve through twenty-four after surgery Goals are to protect tendon, add strengthening exercises, use heel lift when walking, and begin walking normally. The athlete will have a cast on their leg when they go home and will be given crutches. The athlete is to keep the foot elevated as much as possible to reduce swelling. Also no weight bearing on injured leg. After one week, athlete needs to see doctor to have cast removed and sutures taken out. Further instructions will be given then. Discontinue using crutches over the next one to two weeks. Progress from two crutches to one on the opposite side of surgery. Keep elevating leg as often as possible. You can use compression sleeve to reduce swelling. You can start doing light exercise for the operated leg. When starting exercise, carefully remove the foot from the brace with gentle movements to avoid excessive stress. Exercises:
1. Ankle Flexion-Extension Exercises
2. Ankle Circles
3. Straight Leg Lift (with brace on)
4. Hip Abduction (with brace on)
5. Standing Hamstring Curls (with brace on)
6. Stationary Cycle (with brace on) Cause Treatment Surgical repair of the achilles tendon consist of sewing the torn ends together. If gap in the tear is too wide, a graft may be taken from the flexor hallucis longus. If leg is still swollen, you would continue to elevate and wear compressive sleeve to push out swelling Continue exercises from phase two on a daily basis. All exercises should be done without pain or excessive stretch. You can start to include Theraband exercises starting with the yellow theraband and progressing to the red one after two weeks. Theraband Exercises:
1. Ankle Eversion
2. Ankle Plantar Flexion
3. Ankle Dorsiflexion
4. Ankle Inversion Stop wearing the boot and put a rubber wedge inside of shoe at the heel. If the walking is normal, the rubber wedge can be removed. Keep doing exercises from phase one once every other day with ankle weights to increase resistance. Progress to red theraband for one month and then move to the blue theraband. You can also start adding new exercises, done every other day. Exercises:
1. Calf Stretch
2. Dorsiflexion Stretch
3. Toe Raises Progression (next slide)
4. Single-Leg Balance Toe Raising Progression Phase 1:
Frequency: Daily
Times per Day: 3
Repetitions: 20
Technique: Up and down on both legs together
Duration: 2-4 weeks Phase 2:
Frequency: 5 days a week, 2 on, 1 off.
Times per Day: 1-2
Technique: Up and down on both legs together 10 times
Up on both legs, down on affected leg 10 times
Up and down on both legs together 10 times
Duration: 2 weeks Phase 3:
Frequency: 5 days a week, 2 on, 1 off.
Times per Day: 1-2
Repetitions and technique: Up and down on both legs together 10 times
Up on both legs, down on affected leg 10 times, 2 sets
Up and down on both legs together 10 times
Duration: 2 weeks Phase 4:
Frequency: 5 days a week, 2 on, 1 off.
Times per Day: 1
Repetitions and technique: Up and down on both legs together 10 times
Up on both legs, down on affected leg 10 times, 2 sets
Up and down on affected leg only 10 times
Up and down on both legs together 10 times
Duration: 2 weeks Phase 5:
Frequency: 5 days a week, 2 on, 1 off.
Times per Day: 1
Repetitions and technique: Up and down on both legs together 10 times
Up on both legs, down on affected leg 10 times
Up and down on affected leg only 10 times, 2 sets
Up and down on both legs together 10 times
Duration: 2 weeks Phase 6:
Frequency: 3-4 days a week, 1 on, 1 off.
Times per Day: 1
Repetitions and technique: Up and down on both legs together 10 times
Up on both legs, down on affected leg 10 times
Up and down on affected leg only 10 times, 3 sets
Up and down on both legs together 10 times
Duration: 1 month
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