The treatment for a ruptured Achilles tendon often depends on your age, activity level and the severity of your injury. In general, younger and more active people often choose surgery to repair a completely ruptured Achilles tendon, while older people are more likely to opt for nonsurgical treatment.
Part of the treatment plan for Achilles tendon rupture is to consider the time frame after your surgery as the exercises vary, like how long since you had the surgery? Exercises 0-3 months are a lot different from the exercises from 3-6 months. Here are some helpful tips and exercises you can do based on the period of recovery.
Weeks 0-3 - Your goal here is to decrease pain and swelling. There should be no weightbearing, push off or toe-touch walking at this point
Exercises you can do:
> Toe curls, toe spreads, gentle foot movement in boot, straight leg raises, knee flexion/extension.
>Well-leg cycling, weight training, and swimming for cardiovascular.
Weeks 3-6 - Gradually increase weight bearing from toe-touchdown to partial as tolerated and as able per range of motion
Exercises you can do:
>Initiate gentle passive range of motion dorisflexion (not past neutral), inversion, eversion as tolerated
>Straight leg raises, side-lying hip abduction, Straight legged bridges.
>Isometrics of uninvolved muscles.
>Light active dorsiflexion of the ankle until gentle stretch of Achilles after 4 weeks.
>You can start stationary biking at 6 weeks with hell push only.
Weeks 3-12 - Your goal is to achieve full range of motion in the ankle,
tolerance to regular shoe and good gait mechanics.
Exercises you can do:
>Begin and gradually increase active or resistive exercises of the tendon. You can use resistance bands with the lowest resistance strength.
>Stationary biking wearing a shoe.
>Water Aerobics.
3-6 Months:
>You can start closed-chain exercises like controlled squats, lunges, bilateral calf raise (progress to unilateral), toe raises, controlled slow eccentrics vs. body weight.
Please note that all exercises should be carefully observed for any signs of compensation or guarding. There should be no running, jumping, or ballistic activities for 6 months.
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