Achilles Tendon Rehab: Which Foot Should Bear the Weight? - Orthopedics

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When rehabilitating from an Achilles tendon injury, it's crucial to understand how to properly distribute weight between your feet to promote healing and regain normal function. Since you mentioned that you are no longer using crutches but still feel a strange sensation in your left ankle, it’s important to approach your recovery with care.

First, let’s clarify the mechanics of walking after an Achilles tendon injury. Typically, the injured foot (in your case, the left foot) should gradually begin to bear more weight as it heals. However, this process should be gradual and guided by your comfort level and any advice from your healthcare provider. If you are experiencing a sensation akin to "glue" in your ankle, it may indicate stiffness or a lack of mobility, which is common after such injuries.


Weight Distribution
1. Initial Phase: In the early stages of recovery, you may have been advised to keep most of your weight on the non-injured foot (the right foot). This is to prevent excessive strain on the healing tendon. However, as you progress, you should start to shift some weight onto the injured foot.

2. Gradual Loading: As you feel more comfortable, begin to put a little weight on the left foot while standing still. You can practice this by gently lifting your right foot off the ground while maintaining balance on your left foot. This will help your body adjust to the new weight distribution.

3. Walking Mechanics: When walking, it is generally recommended to allow the injured foot to touch the ground first, but only with light weight. You should not forcefully push off with the injured foot until you are cleared to do so by your healthcare provider. Instead, focus on a smooth transition where your weight shifts from the right foot to the left foot without causing discomfort.

4. Avoid Limping: If you find yourself limping, it may be due to compensatory mechanics. This can lead to further issues in your gait and potentially affect other joints. Focus on maintaining a straight posture and using your arms for balance while walking. If necessary, practice walking in front of a mirror to observe your gait.


Rehabilitation Exercises
Incorporating specific rehabilitation exercises can also help improve strength and flexibility in your ankle. Here are a few exercises you might consider:
- Range of Motion Exercises: Gently move your ankle in circles or up and down to improve flexibility. This can help alleviate the "glue" sensation you are experiencing.

- Strengthening Exercises: Once you are comfortable, you can start with isometric exercises, such as pressing your foot against a wall without moving it. Gradually progress to resistance bands for more strength training.

- Balance Training: Stand on one foot (the injured one) for a few seconds, gradually increasing the duration as your strength improves.


Consult Your Healthcare Provider
It’s essential to maintain open communication with your healthcare provider or physical therapist throughout your rehabilitation. They can provide personalized guidance based on your specific condition and progress. If you experience any pain or discomfort while walking or during exercises, it’s crucial to stop and consult with them.

In summary, while you should begin to bear weight on your injured foot, it’s important to do so gradually and with caution. Focus on maintaining a proper gait, incorporating rehabilitation exercises, and consulting with your healthcare provider to ensure a safe and effective recovery process.