Recovering from Left Achilles Tendon Rupture: Rehab and Return to Sports - Orthopedics

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Left Achilles tendon rupture?


Hello Doctor: I completely ruptured my left Achilles tendon while playing basketball in October this year, and I have already undergone surgery for repair.
I would like to ask: 1.
The doctor told me that I can start rehabilitation in about 6 weeks.
When can I walk without relying on crutches? How long will it be before I can resume sports activities, such as playing basketball? 2.
What rehabilitation methods are available? 3.
What activities should I avoid? Thank you for your help!

Da A, 20~29 year old female. Ask Date: 2007/11/19

Dr. Wang Shouji reply Orthopedics


A: A complete rupture of the Achilles tendon requires at least 6 to 8 weeks for surgical suturing to heal.
Walking without the aid of crutches typically takes at least 6 weeks.
Engaging in intense physical activity will require a minimum of three months.
Rehabilitation for ankle range of motion and subsequent stretching exercises can begin at the physical therapy department after 6 weeks post-surgery.
Wishing you a speedy recovery.

Reply Date: 2007/11/19

More Info


Recovering from an Achilles tendon rupture is a significant process that requires careful management and rehabilitation. The Achilles tendon is the largest tendon in the body, connecting the calf muscles to the heel bone, and is crucial for activities such as walking, running, and jumping. Here’s a comprehensive overview of what you can expect during your recovery, including timelines, rehabilitation methods, and precautions to take.


1. Timeline for Recovery
After an Achilles tendon repair surgery, the general timeline for recovery can vary based on individual factors such as age, overall health, and adherence to rehabilitation protocols. However, here’s a typical timeline:
- Weeks 1-2: Post-surgery, you will likely be in a cast or a walking boot to immobilize the tendon. During this time, you should avoid putting weight on the affected leg. Crutches will be necessary for mobility.


- Weeks 3-6: After about 2-6 weeks, your doctor may allow you to start partial weight-bearing activities with the aid of crutches or a walking boot. You might begin gentle range-of-motion exercises as advised by your physical therapist.

- Weeks 6-12: At around 6 weeks, many patients can transition to full weight-bearing activities without crutches, depending on the healing progress. By 8-12 weeks, you may start physical therapy focusing on strengthening and flexibility.

- 3-6 Months: Most individuals can return to low-impact sports or activities by 3 months. High-impact activities, such as basketball, may take longer—often around 6 months or more—depending on your recovery and the advice of your healthcare provider.


2. Rehabilitation Methods
Rehabilitation after an Achilles tendon repair typically involves several phases:
- Phase 1 (Weeks 1-2): Focus on reducing swelling and pain. Ice, elevation, and gentle range-of-motion exercises are essential.

- Phase 2 (Weeks 3-6): Gradual introduction of weight-bearing activities. Your physical therapist will guide you through exercises to improve flexibility and begin strengthening the calf muscles.

- Phase 3 (Weeks 6-12): More intensive rehabilitation, including resistance exercises, balance training, and proprioceptive activities. This phase aims to restore strength and function to the tendon.

- Phase 4 (3-6 Months): As you progress, you will incorporate sport-specific drills and agility training. This phase is crucial for preparing you to return to basketball or other high-impact sports.


3. Precautions to Take
While recovering from an Achilles tendon rupture, it’s vital to avoid certain activities that could jeopardize your healing:
- Avoid High-Impact Activities: Jumping, running, or any activity that places excessive strain on the tendon should be avoided until you receive clearance from your healthcare provider.

- Listen to Your Body: If you experience pain or discomfort during rehabilitation exercises, stop immediately and consult your physical therapist or doctor.

- Follow Your Rehabilitation Protocol: Stick to the rehabilitation plan provided by your healthcare team. Consistency is key to a successful recovery.

- Be Patient: Recovery from an Achilles tendon rupture can be slow, and rushing back into sports can lead to re-injury. Focus on gradual progression.


Conclusion
In summary, recovering from an Achilles tendon rupture involves a structured rehabilitation program that spans several months. You can expect to gradually increase your activity level, starting with gentle movements and progressing to more intense exercises. Always consult with your healthcare provider or physical therapist before making any changes to your rehabilitation plan. With dedication and patience, you can successfully return to playing basketball and other activities you enjoy.

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