Is Occasional Mild Discomfort Normal After Achilles Tendon Surgery?

Is it normal to occasionally feel slight soreness after Achilles tendon surgery?

Hello doctor, after my Achilles tendon surgery, I occasionally feel a slight soreness.
Is this normal? I accidentally stepped on the cast lightly, but I didn't feel much at the time; I was just worried that it might have caused some strain.
It doesn't hurt much, but I would appreciate it if you could take some time to respond.
Thank you very much.

A Zhu Ma, 20~29 year old female. Ask Date: 2021/04/08

Dr. Chen Bochen reply Orthopedics

It is quite common to experience occasional mild soreness after Achilles tendon surgery.
Typically, this sensation may gradually decrease over a few months or even up to six months post-surgery.

Reply Date: 2021/04/08

More Info

After undergoing Achilles tendon surgery, experiencing occasional mild discomfort can be quite normal during the recovery process. The Achilles tendon is a critical structure that connects the calf muscles to the heel bone, and surgery on this tendon often involves significant manipulation of the surrounding tissues. As a result, it is common for patients to feel some level of discomfort or soreness as they heal.

In the early stages of recovery, especially within the first few weeks post-surgery, the body is undergoing a healing process that can involve inflammation and tissue repair. This can lead to sensations of tightness, mild aching, or even a slight pulling feeling in the area where the surgery was performed. These sensations can be exacerbated by activities such as walking or standing, even if you are still in a cast or boot.
Regarding your concern about accidentally stepping on the cast, it is understandable to feel anxious about potential damage to the tendon or the surgical site. However, if you did not experience immediate pain or discomfort at the time of the incident, it is likely that the cast provided sufficient protection to the tendon. It is essential to follow your surgeon's post-operative instructions carefully, including weight-bearing restrictions and rehabilitation exercises, to ensure proper healing.

If the discomfort you are experiencing is mild and infrequent, it may not be a cause for concern. However, it is crucial to monitor your symptoms. If you notice any of the following signs, you should contact your healthcare provider:
1. Increased Pain: If the discomfort escalates to a level that is more than mild or becomes persistent.

2. Swelling: Significant swelling around the surgical site that does not improve with rest and elevation.

3. Redness or Warmth: Signs of infection, such as increased redness, warmth, or discharge from the incision site.

4. Changes in Mobility: If you find it increasingly difficult to move your foot or if you experience a sudden loss of range of motion.

In terms of recovery time, the healing process for an Achilles tendon can vary significantly from person to person. Generally, it can take several months for the tendon to heal adequately, and full recovery may take up to a year. Physical therapy is often recommended to help regain strength and flexibility in the tendon and surrounding muscles.

In summary, occasional mild discomfort after Achilles tendon surgery can be normal, especially in the early stages of recovery. However, it is essential to remain vigilant and report any concerning symptoms to your healthcare provider. Following your surgeon's advice and engaging in prescribed rehabilitation exercises will be crucial for a successful recovery. If you have any doubts or if your symptoms change, do not hesitate to reach out to your medical team for guidance.

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