Complete Achilles Tendon Rupture: Risks and Recovery

Achilles tendon rupture

My Achilles tendon is completely torn, and it has been eight days since the injury.
When I returned home after changing the dressing, I accidentally put too much weight on the injured foot while going down the stairs.
Will this cause further damage to the torn tendon?

Mr. Li, 30~39 year old female. Ask Date: 2015/12/28

Dr. Hong Ximing reply Orthopedics

After surgery, falling again can certainly lead to further injuries, and you should return for a follow-up appointment with your attending physician for an evaluation.

Reply Date: 2015/12/28

More Info

A complete Achilles tendon rupture is a significant injury that can have lasting implications if not managed properly. The Achilles tendon, which connects the calf muscles to the heel bone, is crucial for walking, running, and jumping. When it ruptures completely, it can lead to severe pain, swelling, and an inability to bear weight on the affected leg.

Regarding your concern about stepping on the injured foot after surgery, it is essential to understand the healing process of the Achilles tendon. After a complete rupture, the tendon is typically repaired surgically, and the recovery process involves several stages. Immediately following surgery, the tendon is vulnerable, and any undue stress can compromise the healing process.
If you inadvertently placed weight on the injured foot, it could potentially disrupt the surgical repair, leading to complications such as re-rupture or improper healing. The risk of re-rupture is particularly high in the early stages of recovery, especially within the first few weeks post-surgery. The tendon is still healing, and the scar tissue that forms is not as strong as the original tendon.
To ensure proper recovery, it is crucial to follow your surgeon's post-operative instructions meticulously. This typically includes:
1. Rest and Elevation: Keeping the foot elevated to reduce swelling and promote healing.

2. Immobilization: Using a cast or a walking boot to immobilize the foot and prevent movement that could stress the tendon.

3. Gradual Weight Bearing: Following a specific timeline for gradually introducing weight-bearing activities, usually starting with partial weight bearing and progressing to full weight bearing as healing allows.

4. Physical Therapy: Engaging in a structured rehabilitation program to regain strength and flexibility once the tendon has sufficiently healed.

If you have concerns about the integrity of your repair after stepping on the foot, it is crucial to contact your orthopedic surgeon or healthcare provider immediately. They may recommend imaging studies, such as an ultrasound or MRI, to assess the condition of the tendon and ensure that it has not been compromised.

In summary, while it is understandable to have concerns about your recovery, it is vital to adhere strictly to your rehabilitation protocol and communicate any issues with your healthcare provider. Early intervention can help prevent complications and ensure a successful recovery from a complete Achilles tendon rupture.

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