Effective Strategies to Reduce Swelling After Achilles Tendon Surgery - Orthopedics

Share to:

Achilles tendon rupture, currently undergoing rehabilitation post-surgery. How can swelling be reduced?


Hello Dr.
Hong,
I accidentally ruptured my Achilles tendon while playing basketball.
I underwent surgery approximately 4 to 5 hours after the incident, where a suturing procedure was performed, and the surgery lasted about 1.5 hours.
It has now been 44 days, and I have started rehabilitation exercises.
However, due to some of the rehabilitation movements, my foot has been quite swollen.

Could you please advise on how to improve this situation? I have tried applying heat, but it doesn't seem to help much.
Are there any other methods to reduce swelling around the ankle and the surgical incision area more effectively? Thank you for your assistance and response!
Best regards,
James

james, 30~39 year old female. Ask Date: 2012/05/28

Dr. Hong Ximing reply Orthopedics


Hello: Swelling after Achilles tendon rupture surgery is a normal phenomenon.
You are currently about 6 weeks post-surgery, and you should begin rehabilitation gradually and not rush the process, as it may affect tendon healing.
Please consult with your rehabilitation physician for advice.
Wishing you a speedy recovery.
Hong Hsi-Ming

Reply Date: 2012/05/28

More Info


Dear James,
Thank you for reaching out with your concerns regarding swelling after your Achilles tendon surgery. It’s great to hear that you are already engaged in rehabilitation exercises, as this is a crucial part of your recovery process. However, swelling can be a common issue following such surgeries, and there are several effective strategies you can employ to help reduce it.


1. Elevation
One of the most effective ways to reduce swelling is to elevate your foot above the level of your heart. This can help decrease blood flow to the area and reduce fluid accumulation. Try to keep your leg elevated whenever you are sitting or lying down, using pillows or cushions to support it.


2. Compression
Using a compression bandage or sock can help manage swelling. Compression helps to limit the amount of fluid that can accumulate in the tissues. Be sure to apply it snugly but not so tight that it restricts blood flow. If you notice increased pain or numbness, loosen the bandage.


3. Ice Therapy
Applying ice to the swollen area can significantly reduce inflammation and swelling. Use an ice pack wrapped in a cloth to avoid direct contact with the skin, and apply it for 15-20 minutes every hour as needed. Make sure to give your skin time to warm up between icing sessions.


4. Gentle Movement
While it’s important to rest, gentle movement can also help reduce swelling. Engage in light range-of-motion exercises as advised by your physical therapist. This can promote circulation and help prevent stiffness without putting too much strain on your healing tendon.


5. Hydration and Diet
Staying well-hydrated can help your body manage swelling. Additionally, consider reducing your intake of salty foods, as sodium can contribute to fluid retention. A balanced diet rich in fruits and vegetables can also support your recovery.


6. Medication
If the swelling is significant and causing discomfort, over-the-counter anti-inflammatory medications, such as ibuprofen or naproxen, can help reduce both pain and swelling. However, consult your physician before starting any medication to ensure it’s appropriate for your situation.


7. Physical Therapy
Since you are already in rehabilitation, continue to communicate with your physical therapist about your swelling. They can provide specific exercises and modalities that can assist in reducing swelling and improving your overall recovery.


8. Follow-Up with Your Surgeon
If swelling persists or worsens, it’s important to follow up with your surgeon. They can assess whether the swelling is part of the normal healing process or if there are other underlying issues that need to be addressed.


Conclusion
Swelling after Achilles tendon surgery can be frustrating, but implementing these strategies can help manage it effectively. Remember that recovery takes time, and it’s essential to listen to your body. If you experience any unusual symptoms, such as increased pain, redness, or warmth in the area, do not hesitate to seek medical advice.

Best wishes for your continued recovery, and I hope you find relief soon!
Best regards,
Doctor Q&A Teams

Similar Q&A

Managing Swelling and Blood Issues After Joint Replacement Surgery

Post-operative swelling in the calf and foot after joint replacement surgery should be managed by following these steps: 1. Elevation: Keep the affected leg elevated above heart level to reduce swelling. 2. Compression: Use compression stockings or bandages as recommende...


Dr. Chen Yongxue reply Orthopedics
The bruised area can start to improve with warm compresses five days after surgery, and the swelling should subside in about two weeks. However, some swelling may persist for a longer duration, especially around the knee joint, which can last up to six months. In the short term, ...

[Read More] Managing Swelling and Blood Issues After Joint Replacement Surgery


Effective Ways to Treat Ankle Sprains and Reduce Swelling

Hello Director Chen: I sprained my ankle while walking 7 days ago, and a friend who practices folk remedies has assisted me, but the condition has not improved. How can I alleviate this swelling and pain? Thank you!


Dr. Chen Xianchang reply Rehabilitation
Hello, Ligang: Here are my responses to your questions along with some suggestions. 1. During the acute phase, apply ice to the affected area and avoid exercising to prevent further injury. 2. In the chronic phase, you can use a contrast bath method: soak in warm water (below ...

[Read More] Effective Ways to Treat Ankle Sprains and Reduce Swelling


Understanding Post-Knee Surgery Swelling: Causes and Treatments

Swelling of the feet and ankles that occurs in the morning but worsens by the afternoon may be due to several reasons, including fluid retention, prolonged standing or sitting, or underlying conditions such as heart, kidney, or liver issues. Treatment options may include elevatin...


Dr. Shi Guozheng reply Orthopedics
It may be that the knee surgery has affected the blood circulation in the lower limb. Elevating the affected leg for a period of time can help reduce swelling, and repeating this several times will gradually decrease the swelling. Typically, the swelling can last for one to two m...

[Read More] Understanding Post-Knee Surgery Swelling: Causes and Treatments


Understanding Achilles Tendon Lengthening and Soft Tissue Release Surgery

The Achilles tendon lengthening procedure and soft tissue release around the joint are surgical techniques used to address specific musculoskeletal issues. Achilles tendon lengthening is performed to increase the length of the Achilles tendon, often indicated in cases of equinus...


Dr. Shi Guozheng reply Orthopedics
Achilles tendon lengthening surgery involves surgically lengthening the Achilles tendon, while soft tissue release refers to the incision or relaxation of the soft tissues near the heel or ankle joint, such as the joint capsule or fascia. These two surgical methods are typically ...

[Read More] Understanding Achilles Tendon Lengthening and Soft Tissue Release Surgery


Related FAQ

Achilles Tendon Lengthening Surgery

(Orthopedics)

Achilles Tendon

(Orthopedics)

Tendonitis

(Orthopedics)

Post-Ankle Ligament Surgery

(Orthopedics)

Tendon Rupture

(Orthopedics)

Arthroscopic Surgery

(Orthopedics)

Plantar Fasciitis

(Orthopedics)

Ankle Sprain

(Orthopedics)

Ligament Tear

(Orthopedics)

Post-Clavicle Surgery

(Orthopedics)