44 Comments

Achilles Tendon Rupture Recovery Manual

Reading Time: 12 minutes, (but if you follow all the links an hour or so); Skimming highlights, 2-3 minutes.

Before we get into the very serious business of making sure you can heal your ruptured Achilles tendon in the best way possible, I think we can all agree that if that statue is a faithful representation of Achilles, then we can better understand why he was eager to live fast and die young. He certainly wasn’t going to be remembered for his penis size was he?

Secondly, let me add the standard disclaimers: I am not a doctor, the information provided here is for information purposes only, blah, blah, legal crap, blah. Bottom line: You take responsibility for your own outcomes. I present this information here because when my injury happened to me it was very hard to find any good information on how I could go about ensuring I didn’t remain a functional cripple for the rest of my life. The information relating to the recovery of full Achilles tendon ruptures on the net was so wide-ranging it seemed to be the work of a thousand monkeys. Recovery rates and times varied wildly and it was hard to understand why. I personally contacted other people who had this same injury and again, it seemed their recovery rates differed from mine quite drastically, but by speaking to them I could begin to understand why. Their recovery regimes differed from mine in several important ways and it is my personal view that this had a lot to do with it.

Type of injury: The type of injury you actually have will of course affect everything. Mine was a COMPLETE Achilles Tendon Rupture. That is, the tendon was fully snapped. There was about an inch gap of “empty” flesh where the tendon at the back of the leg, just above the heel should be. So these notes are mostly for those type of injuries, which is also the most severe kind. Important: If you have this type of injury it is imperative you receive surgery within 48 hours according to most good medical experts I have discussed this with. On a personal note, I was also strongly suggested by the doctors and nurses on duty at the hospital shortly after my injury, to NOT have surgery. Again, this is just my opinion, but I am sure that had a LOT to do with trying to save money for the NHS and nothing to do with what was best for me. I am a layman, not a doctor, but it is my considered opinion that if you ever want to be able to walk and use your leg normally again, the only way to do that with this type of injury is with surgery. And good surgery at that if you can get it. So don’t let the docs “persuade” you to do the cheaper and easier thing for the government.

Expected prognosis: Assuming you had surgery within 48 hours and assuming your surgeon was not trained in a sausage plant factory, you will generally be told that you should be “back to normal” within 6 to 9 months if you are fit, have no health problems and generally heal well, otherwise they will tell you 9 to 12 months but up to 18 months before you are “fully operational” again. This can all be a bit confusing, so here is my interpretation:

  • According to a search done on the rather extensive NHS database for physiotherapists and doctors that my physio did for me, the actual tendon, once ruptured will take on average about 6 months before it has healed to full strength. As with all things biological, this is just a guideline.
  • The main issue with proper healing of this injury is to have good blood-flow through the area. Blood pooling is common unless you keep the leg elevated, this is especially important for the first few weeks after surgery, but is a generally important point to keep in mind. Promoting ACTIVE blood-flow through the area and preventing the stagnation of blood in the area after surgery is important and probably the single most important point regarding healing of the actual tendon.
  • Even while healing, if you do not take APPROPRIATE action to manipulate, exercise and generally “activate” the area, the healing will not be ideal. The important point here is that you need to do enough to stimulate growth, healing, reacquisition of proprioception and so on, and not so much that you re-injure or impair healing through too much work on the injured area. This is the single most important point and it is really the crux of whether you will heal well or not. My personal experience was that everyone was telling me to take it easy, when instead I felt I had to do more work on the area. As it turns out, I was right, but it IS a fine balance, and it is EASY to make a mistake and re-injure yourself. I was EXTREMELY CAREFUL with all of my own invented little exercises, and I always used my own sensation of my own body as my guide. I cannot teach anyone else how to do this, you have to find your own way, but if you CAN do this, your healing of your injury will outperform most professional expectations. this at least, was my experience.

Actual Recovery Time: I snapped my tendon on the 22nd of June and had surgery on the 24th of June 2010. I am writing this on the 9th of March 2011, so about 8 and a half months after the surgery. My initial aim was to be able to walk properly 5 months after the injury as I was getting married at that time and would be in Brazil and I wanted to be able to swim in the sea, run around, train with Brazilian Ju-jitsu people and so on. I am happy to report that despite the fact I was repeatedly told these were unrealistic expectations, I hit all of my targets. After 9 months I wanted to be back to performing in training to the same level as before the injury. This was also considered wildly optimistic and unrealistic by many professionals I discussed it with. It is not quite 9 months yet, and I am not quite 100% as capable as I was before the injury (and I will give you details on that) but I would say that I am at least 90% of the way there. In some respects I am probably more than 95% of the way there, so I am still on track, and in the next two weeks or so I may well achieve my target or at least be very, very close to it. I also have no doubt that in time (however long) I will be as capable (or more, with further training improving my ability anyway overall) than I was before the injury.

Things I did that I think made the most difference

Immediately after surgery and for the next 3-4 weeks: Kept my leg elevated almost constantly. Did some self-hypnosis to improve circulation, if I lowered the leg, for a brief time it would feel “full” of blood at the bottom, so I would then also lift it again to ensure blood did not pool there. I spent most of my time with my leg elevated and not an inconsiderable time with it higher than chest level. This can (and did) cause me problems in the hip area later, but I am not sure how you could minimise this. I also slept with several pillows under the leg to try and keep it elevated during sleep. Getting good sleep made a LOT of difference and I would advise you to try to ensure you have good, deep sleep of long enough duration. I did not take many painkillers, but I did so for the first few days to ensure I slept as deeply as possible. In particular, a drug which helped me in this regard was the dihydrocodeine tablets (30mg), which I took only before sleep (1 tablet) and not even every day, but for the first 2-3 days after surgery I did. I also used a lot of self-hypnosis just before sleep and at various times throughout the recovery period to improve healing, relaxation and blood circulation.

After removal of the solid cast and use of the Air-boot: I was kind of lucky/unlucky with my casts, depending on your approach to things. My first cast was very heavy and solid and this caused me hip problems. I didn’t know when they put me in this cast that they had done so because they got the weird idea that being a sportsman I was a “dumb jock” and would probably try to run around my block or something, so they used plaster of paris and a heavy cast to help “immobilise” me. The result was an inflamed hip and knee joint due to the unrelenting weight which became pretty uncomfortable. I only found this out on my return to the hospital when the nurse on duty told me, as she was busy replacing my cast with the new, lighter (and colourful) fibreglass version. This was a godsent in terms of weight, but as it turned out, it had been put on a bit too tight and it blocked circulation a bit, causing me pretty impressive pain after about a week or so. So I had to go in before time and have it removed. At this point, though it was in contravention of what the doctors originally all told me, for some reason, they issued me with an air-boot. I suspect this was due to the fact that in their version of events it should have been solid cast, then fibreglass cast, then when that comes off air-boot, and that is what they did, but without checking the timeline. This was actually a GOOD thing from my point of view, because it allowed me access to the wound for the first time, and so I could also very gently begin some massage to help circulation as well as proprioception and healing. I had spent a total time of only 3 weeks in rigid casts as opposed to the minimum of 6 weeks I had been told would be mandatory. The down side of this is that at this point, your tendon is VERY fragile and if you screw up just once by falling, being careless, or somehow putting too much weight or pressure on it you have a very real risk of popping your tendon again. SO…if you ARE a “dumb jock” it’s safer to keep you in a rigid cast for another 3 weeks, but if instead you are more of a Batman, supercool, and supersmart jock, then this is the best way forward. You can even let your leg get a little sunshine (if you live in a country with sunshine) and let the leg “breathe” without any cast when you rest it carefully on pillows while you watch daytime TV and feel your brain cells dying even as your leg cells heal.

Important: If you live with animals, small children or careless adults, this is a dangerous option to take. A simple mistake of someone bumping your injured leg when it’s out of the cast can have some bad results. I was lucky in that I had Redhead Girl looking after me like only she can. Everyone should have a girlfriend as dedicated to nursing duties as she is!

In summary then, if you can get an air-cast sooner rather than later, do so as long as you can be careful. During this period, some exercises I think helped quite a bit, generally try to move your foot, do gentle resistance work and so on, always being careful to feel your limits and never push even just to these, but always hold a bit back.

The most important things I did here were:

1. Using the BEMER System. In fact I would advise you to use this immediately after surgery if you can. If I could do things again, I would use a BEMER mat right from the start for the first 4-6 weeks I think.

2. Swimming. You have to wait until your scar is healed to make sure there is no chance of any kind of infection, but swimming and walking in a pool was the single most useful exercise for the leg overall. After each session i could feel an improvement in proprioception and even range of movement, dorsiflextion etc. Sometimes when you have exercised the leg a bit too much, movement range decreases for a bit, but a couple of days later it suddenly makes a jump forward again.

3. Getting the right mental attitude. more than the swimming and the BEMER machines, has been my general attitude that I would do whatever it took to get back to 100% capability of use. Often that attitude resulted in me having to RELAX and take things easy and NOT stress instead of me being aggressively pro-active. Sometimes, the best thing I did was…nothing. just sat on my ass and read a book and took things easy. Also, the pretty constant self-hypnosis helped more than even would ever have guessed. Sometimes a dream or a self-induced trance allowed me to literally increase the movement range by almost an inch in a day without any effort or pain, just a shift of internal proprioception and muscular tension. This may sound like Voodoo, but it’s actually got a name: Psycho-cybernetics. Your mental attitude and self-identity really affects your body a LOT more than anyone believes.

4. Get a big shoe to match the height of your air-boot, so when you walk (assisted by crutches) you have the same height for your hips. this all goes to avoiding hip/knee inflammations which were the biggest problem for me. Besides, wearing platform/really thick flip-flops/stripper shoes for men is so much fun.

 

After the Air-boot:

1. Use your toes — do exercises to use your foot and move your ankle as much as you can. “Grab” the carpet with your feet, and “walk” your leg forward (from a sitting position) position by using your toes.

2. Do little “push-ups” with your foot. I found the best way to do this is to “stand on tip-toes” with my injured leg, BUT only from a sitting position at first. So at first I was only lifting the weight of my own lower leg, later I added weights on top of my knee (a box, a child, the girlfriend) as I got progressively stronger. I found that being in a rush to be able to stand on tiptoes or “spring” on your injured leg is NOT a good idea, instead focus more on getting full proprioception of your leg, that is, learn to use the whole foot again as much as possible. Play with it. Use a ball to increase its ability to “manipulate” (“pedipulate”?) objects and so on. this is key in my opinion for good recovery.

3. Massage. The way this was explained to me by a doctor is: Liquid accumulated in the injured area and other joints and eventually hardens and solidifies making movement difficult. By massaging the “liquid” up into the main body of the leg you promote better circulation and reduce swelling mechanically, which all helps your foot, ankle, and leg in general to stay “alive” and not get atrophied not just muscularly (which will happen anyway) but proprioceptively (proprioception is your ability to perceive, be aware of and use in fine detail, a specific part of your body)

4. Focus on proprioception more than strength. Don’t worry if you can support your body-weight well on the injured leg for a while, concentrate instead on making sure your MOVEMENT of the foot is correct. As soon as you begin to walk without an air-boot concentrate on ensuring the motions your foot goes through are correct. practice in a pool if you need to. I began to be able to do this about 7 weeks after surgery, which again was WAY ahead of schedule, (I should still have been in a solid cast according to them) but I must re-iterate, this new found mobility is probably THE MOST DANGEROUS TIME, and you should really take extra care. This is a critical period. A simple thing like a wrong step, tripping, or stepping inadvertently off a curb or onto some obstacle will break your tendon again, so TAKE CARE!)

5. Use a pool. Seriously, even if it means you have to get your crippled ass on a bus and then to a gym with a pool, do it. The use of water to be able to walk with a much lowered weight so you can make sure the foot is moving correctly when you walk in slow motion is very important. A LOT of problems are avoided by ensuring your motion and proprioception are correct. Exercising in the pool also lowers the “fear threshold” your injured leg will have. It is important you make your leg do the right movements, but you need to do so WITHOUT ANY WEIGHT at first. In fact, you can begin by manipulating your own foot with your hands, very gently before you begin trying to get your leg to do it by itself. Concentrate on getting the movements to be smooth and natural instead of jerky and sporadic. The smoother and more natural the movement, the easier you will be able to use your leg again when it has strength. Strength, of both the tendon and the surrounding muscle tissue, is easily increased once the tendon is FULLY healed, but recall this takes AT LEAST 6 months. So you need to make sure all your movements are correct and working well BEFORE you have the strength to do the movements with your full body weight. This point, the understanding of how important it is to make your leg move in the way it should move when it is healed or when it was normal before the injury, while at the same time understanding that your physical strength and structural strength to do so will not be available until MONTHS later, is probably the single most important point for correct healing of this type of injury.

After exactly 5 months:

This is how long it took me be able to walk like a normal person. Almost to the day, which was also the day I left for Brazil, it was 5 months before I could physically make my body walk in such a way that a bystander would not notice I had been injured.

There are a few corollaries to this though:

1.) I could make it look like I was normal but I could very well feel it wasn’t quite there yet, and I also had to walk slowly.

2.) The pain in my leg/ankle/foot throughout these 5 months was pretty constant. Every step I took was painful. Every day was painful, and the leg still swelled up if I walked for any length of time or was on my feet for more than an hour or so a day. I often was on my feet longer than this but I also massaged (or rather, my superhot girlfriend massaged) my leg every evening to move the fluid back up the leg. I mention the pain, because it was a constant and some people are afraid of this. Pain has never really troubled me in that I only used it as information. More relevant to me was if I felt the leg was “scared” of certain movements. Pain was a constant throughout. Literally every step I took was painful for the first 6 months at least, probably more like 7 months and a half at least actually, but the fact I was feeling pain was not important to me unless the pain was indicative of a warning. Because of my training and my being able to sense my body to a very refined degree, I could easily make this distinction even before the injury, between RELEVANT pain and just painful pain. If you do not know how to do this, then I suggest you really try to learn it over the course of this injury, because it is important. Pain tends to make us flinch and in a Pavlovian way we then stop using our limb as fully as we should. after months, if you don’t use it, you lose it, resulting in restricted movement that is going to be permanent or at least VERY difficult to fix later. So do not let pain stop you from increasing your proprioception. At the same time, do not ignore a fatigued limb, as this is the surest way to re-injure yourself and making this whole shitty situation a lot worse.

If you can keep these two things in mind, then you CAN walk like a human instead of a retarded zombie after only 5 months, but be careful.

You can now start on these activities:

1.) Walk on sand beaches if you can. Sand, sea and swimming is a great combination. I could do this for a couple of months, so it was great. I was walking normally and much better by month 6, and in fact I even took part in some (careful) wrestling with some great Ju-jitsu guys after about 5 and 1/2 months from surgery.

2.) Gentle jogging. Cycling in a gym, and trying to stand on tip-toes (this is still the hardest exercise for me and I did it with my other leg helping a lot to remove some of my body weight).

3.) Stretching. you should have been doing this pretty much throughout, very, very gently, but now you can begin to start doing so a bit more regularly and specifically.

4.) Re-building some of your calf strength, the best way to do this is by walking and even hiking in gentle hills an hour or so a day. I ended up going on a 6 hour hike in the jungles wearing flip-flops, which is absurdly stupid, so don’t do that, but do exercise your leg a bit, and consciously begin to not rely on the other leg for support as much. Begin to re-distribute weight evenly and make the injured leg carry its own load as much as possible without straining the leg.

After 8 months:

I can now run, jog, and walk normally. I still would be a bit scared of a sprain or sudden badly placed foot on odd or broken ground. Obviously this could cause an injury even on a normal leg, but I would be a lot more worried of that now than I used to be in the past.

Hip and knee problems are still niggling at me, but these are also due to my own previous over-exertions and damage from martial arts training of a decade and more ago, so it may not be as pronounced with you, but my left leg (uninjured) took strain and my knee joint is a little “impacted” as a result…BUT…I also moved home 3 times throughout my period of recovery (Once in September 2010, once in October 2010 and Once in January 2011. The lifting and moving of heavy objects in January certainly didn’t help, nor was it smart of me (it was just necessary, unfortunately), so don’t enter any weight-lifting competitions and you should be fine. I was overcompensating on the left leg and put it under too much strain. Despite this, I am recovering very well and although I can’t do full rolls from a run yet, I can roll to the floor from walking or standing without problems. I can also punch, kick and move around without any problems. Squats and duck-walking are painful on the knee/hip and will have to be entered into gradually, but I am not a million miles away from my pre-injured status in terms of ability on the gym floor at training. Once I am completely comfortable again with going to the ground as a result of wrestling, attacks, breakfalls etc. I will then be back to my old self, and I expect this will not take much longer. I also have had to cut back on training for reasons unrelated to the injury, so this obviously had an impact.

Final thoughts:

For a more detailed and blow-by blow account of the earlier periods with lots of detailed notes on the BEMER systems etc, see the ONLINE DIARY HERE

 

 

 

44 Responses to “Achilles Tendon Rupture Recovery Manual”

  1. Julia says:

    Hi
    I posted a comment further up this chain on 22nd June, so thought I would come back and give you an update

    After my last post and feeling pretty let down by the NHS, I went to see a private consultant and it was the best thing I did, after seeing him it all seemed to make sense – so I thought I would share what I have learned:

    The reason there is so much controversy as to whether to stitch a ruptured Achilles or not, is because, basically no one really knows the answer – it would takes years of study and hundreds of patients to be able to accurately say if stitching a ruptured Achilles makes it stronger than one left to heal naturally and this has never been done, so ultimately we rely on the personal judgement of the doctor we end up seeing.

    One thing my doc stressed is – it isn’t so much about whether you stitch an Achilles that determines how strong it is afterwards. It comes down to how much hard work and commitment the patient puts into the rehabilitation and the physio, that makes it strong in the future. If a patient is complacent, lazy or in too much of a hurry, then there is a much higher chance of re-rupture.

    The private consultant I saw immediately sent me for an ultrasound scan – this is essential to know the extent of the damage and to decide on the necessary treatment. Now, I am no doctor and have no medical experience, but once I could actually see my injury inside my body, the decision made sense.
    My scan showed the two ends touching with no gap – I was 2 weeks post injury and the healing process had started so the doc decided it wasn’t necessary to op. I could buy this, it made sense. (if there was a gap then he would have operated, it isnt rocket science!)

    I was 5 weeks in a cast (changed 3 times in that time, to alter the foot angle), I have been in a black boot for 2 weeks, with dials to limit movement. I go back for another ultrasound next week to check on the healing process, then after another one week in the boot, hopefully I move into in a trainer, then the physio and hard work will start.

    I am determined to be dancing again by Christmas!

  2. Robert says:

    Hi, I was reading this as I have been reading hours and hours of material of hundreds I different experiences with the ATR (Achilles tendon rupture) the past few days…anyway just wanted to say congrats on the healing! I have read about a couple people walking full strength after 2 months and some that we’re longer than 8 months.

    I had my left ATR on July 3, 2012…got a splint cause ortho closed in July 4 for holiday. Say ortho on july 6, 2012 (July 5th was used for WC doc to ok the specialist)…it’s already been 3 days and well past that 48 hours of surgery. Ortho wanted surgery on the same day I saw him the 6th, but couldn’t because of space issues, so he scheduled me the 11th. 8 days after ATR. Had surgery 11th, splint until the 17th and then fiberglass cast currently (until the 27th). Then he said he may put me in a CAM boot…if he does this, it will be barely over two weeks from time of surgery till I get the boot. Is this a good thing and is there a possibility he’s thinking I’m healing better than expected? I know you guys are no doctors here, but it does seem interesting I’ve read about a very few people who had the boot after two weeks and keep it for about a month and a half and then will be on their way with physical therapy. I hope this is my situation, but at the same time don’t want to reinjure if it’s only been a short period of time (assuming it’ll be only 2 months exactly)…well short of the 6 months it takes to fully heal! I know everyone is different in healing times and pain tolerance level, but would like to say one thing…anyone in the ATR club, I give you props for the patience to heal correctly and going through what you did! I’m only 3 weeks in and it’s driving me nuts big time! The pain, not being able to do ANYTHING, not being able to work….just a general pain in the A**! Anyway…any information is greatly appreciated! Thanks!

  3. Barry says:

    Hello everyone… I had a complete tear of my achilles tendon on July 13, 2012 while playing tennis with a co-worker. I am a 44 year old male in good shape but had not been active playing sports on a regular basis for some years. I’m sure this contributed to my injury but was a bit shocked that it happened and at the severity of the tear.

    Surgery was performed six days after the injury at an orthopedic out-patient center in the town where I live… I was in and out in just about three hours. The physician team was professional, competent and everything seemed to go very well. They were responsive at my request for a change in medication…

    As I write this post it has been six days since my surgery I can say that I believe things are going well… of course it has helped considerably that my dear mother is staying with me to tend to my basic needs like cooking, cleaning, laundry, etc. Everyone with this type of recovery should have some level of caregiving… however you can get it!

    So far I have managed to keep the foot elevated most of the time… except when I feel the need to move around and wiggle my toes, get the blood flowing, etc. Also, for me it was important to manage my pain while maintaining my coherancy… right now I’m doing 5 mg every six hours which seems to be working well for now.

  4. Hi there

    I am a fit and strong 42 mum of 2 living in OZ and completely ruptured my achillies playing netball! Had surgery on 31st August. Been in a cast since surgery and have had stitches out, all looking ok at this stage. Like everyone else was told initially that I wouldn’t need surgery but they changed their mind after seeing how active I am. Am in a cast until 8th October and will be fitted with a walking boot for another 4 weeks for weight bearing. It’s interesting to hear other people’s stories and I think looking at the big picture positively instead of the negative is the best way to go. Am thankful that I won’t be in a cast/boot during the hot summer!! Eveyone thinks that this is a message for me to slow down and I think that they are right. Am planning on doing more sports such as swimming which is less stressful than running when I am able as I am worried that I will end up like this again. Am finding that eating extremely healthily, lean meats, fruit and veg and protein helps the energy levels and helps promote well being. I am hoping that if I feel healthy then I won’t get dpressed at the length of time this takes to heal. One last thing, what on earth is a BEMER mat??

    • G says:

      Hi Sally,
      sorry to hear about your injury! All good points I think. A BEMER mat is something I wrote a whole post on. Use the search tool on this site to find anything I wrote about it as there may be more than one article I also put links to it so you can find it easily online. I may have spelt it B.E.M.E.R. I am not sure, but the search me function on my site is great so go ahead and use it, it will bring up anything I wrote on it.
      Best of luck in your healing process.
      G.

  5. Scott says:

    Hi I’m looking for a contact for any one who hires the BEMER mat. I am due to get my cast off in 2 weeks following surgery and I’m hoping to use the mat. Thanks for your time on this.

    Thanks

    Scott

  6. Jens Henschel says:

    Hi,

    I tore my Achilles 5 weeks ago and have had a boot on for 3 weeks now. In 10 days I should be going to 90 degrees and possibly the boot will come off. I have just ordered a BEMER possible a bit late, but probably never too late. What I wanted to know is how you used the BEMER. I have purchased the base unit and got a B.Pad with it for the Achilles. Do you have specific settings, frequency of use and any other tips to get the most out of this expensive unit.

    Did you go to Physiotherapy at all?

    I am a cyclist and wanted to know if you believe cycling would be a low intensity exercise that one could start to get the movement in the foot. Thank you for a very good and detailed insight into your recovery. I read it every other week as I need to be patient and your warnings keep slowing me down.

    Look forward to hearing from you. cheers Jens

  7. sharon wilson says:

    Hi
    I suffered a total tendon rupture on the 15.9.12 playing netball (same as Sally). I went straight to A+E and was immobalised in a cast with my foot in the equinus position (toe pointing down) to reduce the gap and re-align the tendon. I was given the option of surgery v conservative management and due to my wish to get back to sport, advice from a foot and ankle surgeon and the fact that I was low risk for surgery or infection, chose the surgical route.

    The research indicates that risks of surgery can be infection, (especially as the achilles area is not very well perfused with blood at the best of times), deep vein thrombosis, sinus formation and a smaller risk of re-rupture. than the conservative management. There is also the risk of anaesthetic/spinal or general, therefore you would have to be medically fit to undergo surgery. The non-surgical route carries a greater risk (x3) of re-rupture but no risk of infection or the other complications of aneasthetic.

    The decision should be made with the orthopaedic surgeon, (better if they are a foot and ankle specialist) considering all the information and depending on the age, health,mobility, weight and other factors such as diabetes eg or other circulatory problems can greatly increase the risk of infection. I would say get a second opinion if you are not given a choice or if you are not happy with the information given.

    I had my operation under spinal anaesthetic on 20.9.12 and was placed in a cast for 3 weeks non-weight bearing with daily heparin injections to reduce the chance of deep vein thrombosis. I was reviewed last week, all was healing well and I’m now in a pressure boot but have to stay non-weight bearing using crutches for 3 more weeks.

    This boot is driving me mad! It is difficult to get the pressures right and a nightmare (literally) to sleep in. I found the timeline very helpful and plan to look after my foot and take my time to get better bit by bit.

    I’m unable to do my job (midwife) but have full sick pay luckily and have decided to retire from netball and aim for something more sedate, join a gym and use the pool on your advice. I am terrified of a re-rupture more than anything so will be following all the advice to the letter!

    Sharon

  8. Jean says:

    I severed my achilles in a down hill ski accident last January and I go in for surgery on August 8th. I have a positive attitude and know I can recover from this, but I am worried because I have waited so long for the surgery. Do you have any advice for me. Thanks for the great information.

    • G says:

      Hi Jean,
      I don’t know the details and circumstances, but I suggest you read through the whole section on Achilles tendon recovery on this blog. Use the search function on the site it does work and it will help you read both the diary and the article. Read it all and it will give you a better overall sense of the approach to take, which is more important than the specifics for your case as those will always be unique.

  9. Ishmael Pearce says:

    it really sucks that I can post here but anyway, Today is October 23, 2015 – I ruptured my achilles on July 21st at 5:30pm while finishing a parkour warm-up (leaping and climbing up a wall). I have fought my way through this up to this point and have been employing alot of the advice given here. I’m just wondering if I’ll ever be able to go back to parkour and tang soo do once this is done…

    • G says:

      Only one way to know…but depending on your age and level of recovery it may be wiser to find other hobbies. Accepting life as we find it is a great life skill to foster.

  10. Ollie says:

    Hello all. I injured myself 6th of October getting ready for a boxing bout a couple of months later. I went to the hospital that night as I’ve had injuries in the past that went undiagnosed. I went to A&E in Perth and after I was seen to they told me it was a pulled muscle or a strain of my tendon. So I left hospital and continued working, continued to try & train. About 10 days later an ex boxer I was talking to on site said he had ruptured his Achilles’ tendon & I was walking just the same as he had. I went for a 2nd opinion & straight away the nurse said she wasn’t happy with my leg as I had no reflex in my right calf/foot. I got an MRI 3 days later & this confirmed a full rupture of the tendon. I had an operation on the 29th of October and I had 2 weeks in a semi cast, 2 weeks in a full cast & now in a moon boot. I go back for my next consultation in 3 days. I think it’s getting better but don’t want to get my hopes up too much. I’m 33, how long can I expect to b able to get back to vigorous training/fighting? Really informative piece. Cheers, Ollie.

Leave a Reply to Robert

All content of this web-site is copyrighted by G. Filotto 2009 to present day.
Website Design by Kaizenet London