HHealth
What's rehabilitation after a broken Achilles race?
August 4, 2018
Rupture of the Achilles tendon, or heel tendon, may occur during intensive physical exercise, e.g. with stress, and as a result of chronic inflammation, blood circulation and sensory disorders or associated diseases, such as diabetes, rheumatism. When you are injured, you feel very strong pain. A broken tendon is treated with an open or closed surgical procedure. The foot is then placed in a stabilizer and rehabilitated for several weeks.
How long does it take to treat a broken Achilles tendon?
Rehabilitation of the broken Achilles tendon takes about 24 weeks and is divided into 5 basic phases: postoperative, adhesion time, return of the function of the operated limb and return to recreational activity. The last phase is to regain sports activity, which is achieved about 24 weeks after surgery. After the operation, the foot is placed in a functional orthosis, which allows for a full range of movements, excluding bending and straightening.
Achilles' broken tendon - when's the surgery?
The heel tendon rupture is diagnosed by a doctor on the basis of an X-ray of the foot (X-ray), magnetic resonance imaging (MRI) or ultrasound examination (ultrasound). An open or closed operation is performed after the injury is recognized. An open procedure involves sewing a broken tendon together with a seam, and a closed one - making several cuts along the edge of the tendon and joining the gaps in the tendon.
Physiotherapeutic management after surgery of complete rupture of Achilles tendon
After suturing the Achilles tendon, the period of complete recovery takes more than 5 months. During this time rehabilitation is carried out, which mainly consists of stretching and strengthening exercises. During the first 2 weeks after the operation, the foot is placed in a stabilizer and moves on crutches. Exercises in the postoperative phase include, for example, passive exercises using a movement rail or strengthening the muscles of the knee and hip joints, as well as swimming with a board between your legs. In the 2nd-6th week of rehabilitation, exercises from the previous period are continued, lymphatic massages are performed and abdominal transverse muscles are exercised. In the 3rd phase of convalescence (6-16 weeks) the patient resigns from walking on crutches and performs exercises of finger climbing and proprioception, i.e. stimulating the nervous system, called deep feeling exercises. Approximately 16 weeks after the operation, you can perform sit-ups on unstable ground and also jump on a jump. During the 24th week of rehabilitation, muscle strength, deep feeling during standing on the leg and a complete return to sporting activity should be regained.
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