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Achilles Tendon Therapy After Surgery: A Comprehensive Guide
Author: Dr. Evelyn Reed, PT, DPT, OCS – Dr. Reed is a Doctor of Physical Therapy with a specialization in orthopedic manual therapy and a board certification in orthopedic clinical specialist. She has over 15 years of experience working with patients recovering from Achilles tendon injuries and surgeries.
Publisher: Physiotherapy & Rehabilitation Insights – A leading publisher specializing in evidence-based information for physical therapists, healthcare professionals, and patients on musculoskeletal rehabilitation.
Editor: Sarah Miller, MS, OTR/L – Sarah Miller holds a Master's degree in Occupational Therapy and has extensive experience in editing and publishing medical content.
Keywords: achilles tendon therapy after surgery, post-surgical rehabilitation, achilles tendon rupture, achilles tendon repair, physical therapy for achilles tendon, achilles tendon exercises, achilles tendon recovery, non-surgical achilles tendon treatment, achilles tendon stretching, achilles tendon strengthening.
Introduction:
Achilles tendon surgery, often necessary for severe ruptures or chronic tendinopathy, marks the beginning of a rigorous rehabilitation journey. Successful recovery hinges on a well-structured achilles tendon therapy after surgery program, carefully tailored to the individual's needs and surgical approach. This guide explores the various methodologies and approaches integral to effective achilles tendon therapy after surgery, empowering patients and healthcare professionals alike.
Phase 1: The Immediate Post-Operative Phase (Weeks 1-4)
The initial weeks after achilles tendon surgery focus on pain management, inflammation control, and protecting the surgical site. This phase typically involves:
Immobilization: A surgical boot or cast is often used to keep the ankle immobilized and prevent stress on the healing tendon. The specific duration of immobilization varies depending on the surgical technique and surgeon's preference.
Elevation: Keeping the leg elevated helps reduce swelling and inflammation.
Ice Therapy: Applying ice packs regularly helps manage pain and inflammation. 20-minute intervals, several times a day, are typically recommended.
Pain Management: Pain medication prescribed by the surgeon is crucial for managing discomfort.
Early Range of Motion: Gentle, passive range of motion exercises may be started under the guidance of a physical therapist, focusing on movements above and below the ankle joint to prevent stiffness. These exercises will be limited to avoid stress on the surgical site.
Phase 2: Early Mobilization and Weight-Bearing (Weeks 4-8)
Once the initial inflammation subsides, the focus shifts towards regaining range of motion and gradually increasing weight-bearing. This phase includes:
Gradual Weight-Bearing: The surgeon will determine the appropriate weight-bearing protocol, typically starting with partial weight-bearing and gradually increasing as tolerated.
Active Range of Motion Exercises: Patients begin performing active range of motion exercises, involving controlled movements of the ankle and foot.
Isometric Exercises: These exercises involve contracting the calf muscles without moving the joint, strengthening the muscles without stressing the tendon.
Light Stretching: Gentle stretching exercises are introduced to improve flexibility and prevent stiffness.
Phase 3: Strengthening and Functional Progression (Weeks 8-12 and Beyond)
This phase concentrates on strengthening the calf muscles and improving functional mobility. The goal is to regain normal function and return to activities of daily living.
Progressive Resistance Exercises: These exercises gradually increase the load on the Achilles tendon, promoting strength and resilience. Examples include calf raises, heel drops, and eccentric exercises (lowering the heel slowly against resistance).
Balance and Proprioception Exercises: These exercises aim to improve balance and coordination, crucial for functional movement.
Plyometrics: These exercises involve jumping and hopping, gradually increasing in intensity to build power and explosiveness.
Sport-Specific Training: Once sufficient strength and function are achieved, sport-specific training can be incorporated, gradually returning to the patient’s previous activity level.
Advanced Achilles Tendon Therapy After Surgery:
For patients who experience prolonged recovery or persistent limitations, advanced therapies may be considered:
Extracorporeal Shock Wave Therapy (ESWT): This non-invasive treatment uses shock waves to stimulate tissue healing and reduce pain.
Platelet-Rich Plasma (PRP) Therapy: This involves injecting concentrated platelets into the tendon to promote healing.
Stem Cell Therapy: This emerging therapy uses stem cells to regenerate damaged tissue.
Monitoring Progress and Potential Complications:
Throughout the achilles tendon therapy after surgery process, regular monitoring by the surgeon and physical therapist is essential. This includes assessing pain levels, range of motion, strength, and functional capabilities. Potential complications such as re-rupture, infection, and stiffness should be promptly addressed.
Conclusion:
Successful achilles tendon therapy after surgery requires a collaborative approach, combining surgical expertise with a comprehensive rehabilitation program. By carefully following the prescribed treatment plan and actively participating in therapy, patients can significantly improve their chances of achieving a full and functional recovery. The phases of rehabilitation, from immobilization to advanced strengthening, are designed to restore both strength and functionality, enabling a return to an active lifestyle. Regular communication with healthcare professionals is vital for managing complications and adjusting the treatment plan as needed.
FAQs:
1. How long does it take to fully recover from Achilles tendon surgery? Recovery time varies, but it generally takes 6-12 months to regain full function.
2. What are the signs of a re-rupture? Sudden pain, swelling, a popping sensation, and inability to bear weight are warning signs.
3. Can I drive while recovering from Achilles tendon surgery? Driving is usually restricted until you can comfortably bear weight and operate the pedals without pain.
4. What kind of shoes should I wear after surgery? Wear supportive shoes with good ankle support and cushioning.
5. Is physiotherapy essential after Achilles tendon surgery? Yes, physiotherapy is crucial for a successful outcome.
6. When can I return to sports after Achilles tendon surgery? Return to sports depends on the individual's progress and usually takes several months.
7. What should I do if I experience increased pain during therapy? Report increased pain immediately to your physical therapist or surgeon.
8. What are the long-term risks of an Achilles tendon rupture? Long-term risks include stiffness, chronic pain, and re-rupture.
9. How can I prevent future Achilles tendon injuries? Maintaining proper conditioning, stretching, and using appropriate footwear can help prevent future injuries.
Related Articles:
1. Achilles Tendon Rupture: Diagnosis and Treatment Options: This article explores the different diagnostic methods and treatment options available for Achilles tendon ruptures, including surgical and non-surgical approaches.
2. The Role of Physical Therapy in Achilles Tendon Rehabilitation: This article focuses specifically on the importance of physical therapy throughout the rehabilitation process, detailing exercises and techniques.
3. Understanding Achilles Tendonitis: Causes, Symptoms, and Treatment: This article explains the causes, symptoms, and treatment options for Achilles tendinitis, a condition that can sometimes lead to surgery.
4. Surgical Techniques for Achilles Tendon Repair: A Comparative Analysis: This article delves into the various surgical techniques used for Achilles tendon repair, discussing their advantages and disadvantages.
5. Post-Operative Complications Following Achilles Tendon Surgery: Prevention and Management: This article discusses potential complications after surgery, along with strategies for prevention and management.
6. The Importance of Patient Education in Achilles Tendon Recovery: This article emphasizes the significance of patient education in facilitating a smooth and successful recovery.
7. Nutritional Strategies for Optimal Achilles Tendon Healing: This article explores the role of nutrition in promoting tissue repair and overall recovery.
8. The Use of Advanced Therapies in Achilles Tendon Rehabilitation: This article provides a deeper dive into advanced therapies like ESWT and PRP.
9. Return to Sport After Achilles Tendon Surgery: A Gradual Progression Plan: This article outlines a comprehensive plan for gradually returning to sports after surgery, minimizing the risk of re-injury.
| achilles tendon therapy after surgery: The Achilles Tendon Hajo Thermann, Christoph Becher, Michael R. Carmont, Jón Karlsson, Nicola Maffulli, James Calder, C. Niek van Dijk, 2017-04-20 This book, written by leading experts in the field, is a comprehensive guide to the best available techniques in Achilles tendon surgery. Each surgical procedure is described step by step, covering all of the approaches employed for the most common and important Achilles tendon pathologies. The clear descriptions are complemented by superb drawings prepared by a medical artist on the basis of photographs supplied by the authors. Pearls and possible pitfalls are identified to ensure optimal outcomes for patients. The book is the outcome of a collaboration among international Achilles tendon experts – the Achilles Tendon Study Group – that has already resulted in four other books on current concepts relating to the Achilles tendon. Like these previous volumes, The Achilles Tendon – An Atlas of Surgical Procedures is based on the highest level of evidence and expertise. It will be invaluable for orthopaedic surgeons, trauma surgeons, and residents, assisting them in their daily clinical work. |
| achilles tendon therapy after surgery: Achilles Tendon Disorders Jón Karlsson, James D. F. Calder, C. N. van Dijk, Nicola Maffulli, Hajo Thermann, 2014 |
| achilles tendon therapy after surgery: The Achilles Tendon James A. Nunley, 2008-12-10 Disorders of the Achilles tendon are universal, affecting people in a wide range of age groups. Because the Achilles tendon is one of the most pow- ful musculotendinous structures in the body, the impact of an injury to the Achilles tendon becomes magnified. There is a wide range of disorders or problems that can involve the insertional region, where pathology may rest with bone, tendon, or bursae. A completely different set of pathologic entities resides in the noninsertional region, one of which may include the frustrating degenerative tendinopathy. As our growing population ages but remains phy- cally active longer into life, the incidence of these disorders will continue to increase. I am proud to be given the opportunity to write the foreword to this text, which is intended for foot and ankle surgeons worldwide. Seldom does a book on a single entity become a current concepts review, as this work has. Too often, textbooks are not published for several years after the chapters have been written, making them obsolete upon publication. Not so with this book, which deals with timely topics on the Achilles tendon. Dr. James Nunley has compiled this work in slightly over a year, thus providing the reader with sta- of-the-art material. Dr. Nunley had the foresight to create a much needed techniques-oriented book dealing with the complexities of the Achilles tendon. His approach was to develop a comprehensive guide to managing Achilles tendon problems. |
| achilles tendon therapy after surgery: Play Forever Kevin R. Stone, 2021-12-14 Why are some octogenarians competitive athletes while others struggle to walk up the stairs? It isn't luck. It's orthopaedic science. If you're tired of doctors telling you that an injury will prevent you from playing the sports you enjoy, you'll love Dr. Kevin R. Stone's Play Forever. All great athletes get injured. Only the best of them use those injuries to come back to their sport better-fitter, faster, and stronger than before. Through Dr. Stone's revolutionary approach to sports medicine, you'll discover how injuries can lead to a lifetime of high-performance fitness and athleticism. Learn how the musculoskeletal system can be repaired through cutting-edge therapies, then honed and strengthened through semiannual fitness tests, preseason education and training programs, and regular in-season tune-ups. Backed by scientific outcome studies on orthopaedic treatments and implants, Play Forever will become your go-to health and fitness source, helping you play the sport you love to age 100 and beyond. |
| achilles tendon therapy after surgery: Sports Injuries Mahmut Nedim Doral, Jon Karlsson, 2015-06-29 Sports Injuries: Prevention, Diagnosis, Treatment and Rehabilitation covers the whole field of sports injuries and is an up-to-date guide for the diagnosis and treatment of the full range of sports injuries. The work pays detailed attention to biomechanics and injury prevention, examines the emerging treatment role of current strategies and evaluates sports injuries of each part of musculoskeletal system. In addition, pediatric sports injuries, extreme sports injuries, the role of physiotherapy, and future developments are extensively discussed. All those who are involved in the care of patients with sports injuries will find this textbook to be an invaluable, comprehensive, and up-to-date reference. |
| achilles tendon therapy after surgery: Core Topics in Foot and Ankle Surgery Andrew Robinson, James W. Brodsky, John P. Negrine, 2018-04-19 This concise guide offers an ideal overview of both the practical and theoretical aspects of foot and ankle surgery for trainees and junior consultants. Easy to read chapters cover all areas of surgery, from examination, imaging, and the biomechanics of the foot and ankle, to specific conditions including amputations and prostheses, deformities, arthritis, cavus and flat foot, sports injuries, Achilles tendon, benign and malignant tumors and heel pain. Fractures and dislocations of the ankle, hind-, mid- and forefoot are also covered, as are the foot in diabetes and pediatrics. Written by a team of international experts, the text is an accessible way to prepare for postgraduate examinations and manage patients successfully. |
| achilles tendon therapy after surgery: Tendon Regeneration Manuela E. Gomes, Rui L. Reis, Márcia T. Rodrigues, 2015-08-08 Tendon Regeneration: Understanding Tissue Physiology and Development to Engineer Functional Substitutes is the first book to highlight the multi-disciplinary nature of this specialized field and the importance of collaboration between medical and engineering laboratories in the development of tissue-oriented products for tissue engineering and regenerative medicine (TERM) strategies. Beginning with a foundation in developmental biology, the book explores physiology, pathology, and surgical reconstruction, providing guidance on biological approaches that enhances tendon regeneration practices. Contributions from scientists, clinicians, and engineers who are the leading figures in their respective fields present recent findings in tendon stem cells, cell therapies, and scaffold treatments, as well as examples of pre-clinical models for translational therapies and a view of the future of the field. - Provides an overview of tendon biology, disease, and tissue engineering approaches - Presents modern, alternative approaches to developing functional tissue solutions discussed - Includes valuable information for those interested in tissue engineering, tissue regeneration, tissue physiology, and regenerative medicine - Explores physiology, pathology, and surgical reconstruction, building a natural progression that enhances tendon regeneration practices - Covers recent findings in tendon stem cells, cell therapies, and scaffold treatments, as well as examples of pre-clinical models for translational therapies and a view of the future of the field |
| achilles tendon therapy after surgery: Metabolic Influences on Risk for Tendon Disorders Paul W. Ackermann, David A. Hart, 2016-08-17 This book will be of considerable interest to students, practitioners (Doctors, Physiotherapists, and other health care professionals), and researchers who deal with the complex structure of tendons and the need to effectively address tendon disorders. The book is divided into three sections: (1) Basic Biology and Biochemical Markers; (2) Metabolic Disorders; and (3) Novel Therapies. The first section, devoted to the basic biology of tendons, is aimed at those individuals who want to gain basic information on tendons and the subsection on biochemical markers is chiefly aimed at researchers who are developing new studies within this field. The section on metabolic disorders is mainly directed at practitioners who desire to know how metabolic disorders can affect tendons in order to optimize treatment for their patients. Finally, the section on novel therapies is focused on some new treatment options within this field, and discussions regarding how management of tendon disorders needs to incorporate perspectives on current understanding of tendon metabolism. |
| achilles tendon therapy after surgery: Tendinopathy in Athletes Savio L-Y. Woo, Per A. F. H. Renström, Steven P. Arnoczky, 2008-04-15 This concise volume in the Encyclopaedia of Sports Medicine series, published under the auspices of the International Olympic Committee, provides a dependable source of current knowledge available on tendinopathy and covers both the basic science and clinical aspects of the subject. Despite its high incidence, the precise etiopathogenesis and effective treatment of tendinopathy remain elusive. Tendinopathy in Athletes draws on the expertise of an international and prolific collection of contributors, both clinicians and scientists, who provide new insights into this specialized area. This book: provides a comprehensive resource for both clinicians and researchers with information organized logically, with an easy-to-follow progression from the basic scientific findings to clinical applications discusses the full range of treatment modalities, including new molecular and biological approaches, plus surgical and alternative approaches to tendinopath contains “What We Need to Know” sections that suggest future areas of research for young investigators. As tendinopathy remains one of the most common injuries encountered, both in sports and at the workplace, this essential volume is sure to be a source of frequent consultation. |
| achilles tendon therapy after surgery: Foot and Ankle Arthroscopy James F. Guhl, Melbourne D. Boynton, J.Serge Parisien, 2006-04-28 Drs. Guhl, Parisien and Boynton, pioneers in the development of modern arthroscopic techniques have invited a prestigious group of contributors to prepare the third edition of Foot and Ankle Arthroscopy. This comprehensive work will address the most recent and valuable developments in foot and ankle arthroscopy and will be a valuable resource for orthopaedic surgeons, general orthopaedists, sports medicine practitioners and podiatrists. Target group: orthopaedic surgeons, sports medicine practitioners, podiatrists |
| achilles tendon therapy after surgery: Functional Testing in Human Performance Michael P. Reiman, Robert C. Manske, 2009 Functional Testing in Human Performance offers clinicians the first-ever compilation of information on clinical and data-based functional testing for sport, exercise, and occupational settings. This unique text serves as a primary resource for accurate assessment of individuals' functional abilities in order to develop program prescriptions to enhance their performance. Functional Testing in Human Performance is a comprehensive learning tool for novices and an essential reference for advanced clinicians. The text defines the role of function in physical performance and how it can be appropriately tested. Especially helpful for novices, the text explains testing criteria, testing terms relevant to research, and selecting the most appropriate test and testing sequence. Common testing mistakes are also presented as well as pitfalls to avoid when testing. The text also includes case studies that illustrate a variety of situations--including testing for a client recovering from a lower-extremity injury, discussing preseason testing for a large group of athletes, and presenting the study of a client in an occupational setting. These cases include detailed statistical analysis and normative data, offering clinicians the opportunity to consider the application of functional testing and implementation strategies adaptable to their specific practice setting. After laying a foundation, the text progresses to detailed testing procedures for discrete physical parameters and specific regions of the body. Tests are organized from least to most complex, and each test is presented in a step-by-step manner outlining the purpose of the test, equipment needed, testing procedure and recommendations for performing the test, interpretation of results, and the data to suggest normative values, reliability, and validity for each test. This formatting facilitates quick reference to testing information for on-the-spot use, whether in the clinic, athletic training room, gym, or job site. Throughout the text, the functional tests are accompanied by photos for visual clarity. To enhance understanding, a companion DVD features live-action demonstrations of 40 of the most advanced tests. Icons on those test pages indicate they are modeled on the DVD. In addition, the DVD may be loaded onto a computer to offer convenient print-on-demand access to reproducible forms for recording data from selected tests. Functional Testing in Human Performance offers a unique and comprehensive reference for assessment of physical activities in sport, recreation, work, and daily living. By presenting the theory and detailing the practice, this text assists clinicians in understanding and incorporating functional testing to identify their patients' or clients' limitations and enhance their performance, rehabilitation, and daily functioning. |
| achilles tendon therapy after surgery: Sports Injuries of the Foot and Ankle Gian Luigi Canata, Pieter d'Hooghe, Kenneth J. Hunt, Gino M.M.J. Kerkhoffs, Umile Giuseppe Longo, 2019-04-12 This book explores in a comprehensive manner the best current treatment options for sports injuries of the foot and ankle. Particular attention is devoted to advanced surgical techniques, with practical and clear explanation of every step of the described procedures. The coverage encompasses management of the full range of ligament, bone and joint, and tendon injuries, and a concluding section addresses special considerations such as outcome assessment and advances in rehabilitation techniques. Foot and ankle injuries are extremely common in athletes and may endanger their sporting activity. The approach to these injuries is constantly evolving with the aim of achieving the best possible functional restoration. In presenting a state of the art update covering all aspects of treatment, this book will be of value for established foot and ankle surgeons, fellows and residents in orthopaedics, and all those involved in sports medicine. The authors are leading international experts renowned within their fields, and the book is published in collaboration with ISAKOS. |
| achilles tendon therapy after surgery: Rehabilitation in Orthopedic Surgery Andreas B. Imhoff, Knut Beitzel, Knut Stamer, Elke Klein, Augustus D Mazzocca, 2016-05-24 Orthopedic rehabilitation –See, Understand, Apply This practical guide tells you everything you need to know about interdisciplinary aftercare and rehabilitation following orthopedic operations in the area of the extremities and the spine: concise information about surgical procedures, medical aftercare guidelines and physiotherapeutic treatment concepts for all stages of rehabilitation, based on the many years of interdisciplinary experience of physiotherapists and specialists in sports orthopedics. |
| achilles tendon therapy after surgery: Inflammation and tendon healing Parmis Blomgran, 2017-10-30 Tendons heal through three different overlapping phases; the inflammatory, proliferative and remodeling phase. Many studies have investigated what factors influence healing of tendons. However, little was known about inflammation and the immune cells present during Achilles tendon healing by the time this thesis started. We developed a flow cytometry method for our rat model of tendon healing, which enabled us to study different leukocyte subpopulations during Achilles tendon healing. The general aim of this thesis was to understand more about inflammation and the immune cell populations present during tendon healing and how the immune cell composition changes during normal tendon healing. Moreover, we investigated how different factors that are known to influence tendon healing affected the composition of the immune cell population. First, we described the immune cells during the time course of tendon healing focusing on different subpopulations of macrophages and T cells. Then, we studied how these cells were influenced by reduced mechanical loading. Mechanical loading prolonged the presence of M1 macrophages and delayed the switch to regulatory T cells and M2 macrophages compared to reduced mechanical loading. Next, the effect of nonsteroidal anti-inflammatory drugs (NSAIDs) on the leukocyte composition revealed that, even though NSAIDs influence the mechanical properties of healing tendon, this effect was not mediated via changes in the leukocyte sub-populations during early and mid-time tendon healing. Further, the effect of corticosteroids during the inflammatory and remodeling phases of tendon healing was an improved healing of tendons and a reduction of CD8a T cells when corticosteroid was administered after the inflammatory phase. Lastly, we investigated if impairment of tendon healing by NSAIDs was related to mechanotransduction or microdamage during mechanical loading and showed that NSAIDs impair tendon healing by reducing the response to microdamage. In conclusion, these studies show that inflammation plays an important role during Achilles tendon healing, and factors that influence healing can also alter the presence or polarization of immune cell populations. |
| achilles tendon therapy after surgery: Update in Management of Foot and Ankle Disorders Thanos Badekas, 2018 With this book, you'll be able to update your knowledge in the field of foot and ankle surgery and pathology. This book includes a sport injuries section dedicated to Achilles tendon injuries in athletes and to ankle injuries in basketball players. The next section is about the management of pediatric and adult flatfoot deformity and the recent advances in this field. The third section is unique as it is about quality control in patients with foot and ankle injuries. I believe this section will be very helpful to foot and ankle practitioners to better asses the functionality and quality of life in their patients. The last section is on the third generation of percutaneous forefoot surgery and includes a novel system of Diabetes Ground Control. This book is a useful tool in your practice armamentarium. |
| achilles tendon therapy after surgery: Foot and Ankle Trauma Barry L. Scurran, 1996 A comprehensive text that addresses the multitude of foot and ankle injuries and their appropriate management, for family practitioners, emergency physicians, other interested clinicians, and students. This revised and updated edition retains the five basic sections (32 chapters) from the first edition of 1989: general concepts; soft tissue and related trauma; fractures and dislocations; ankle trauma; and complications. Thoroughly illustrated in bandw. Annotation copyright by Book News, Inc., Portland, OR |
| achilles tendon therapy after surgery: Imaging of the Foot & Ankle A. Mark Davies, Richard W. Whitehouse, Jeremy P.R. Jenkins, 2012-12-06 Up-to-date and comprehensive textbook on imaging of the foot and ankle. In the first part, the various techniques and procedures are discussed in detail. Individual chapters are devoted to: radiography, arthrography and tenography, computed tomography and CT arthrography, magnetic resonance imaging and MR arthrography, ultrasonography, and intra-articular injections. The second part documents the application of these techniques to diverse clinical problems and diseases, including: congenital and developmental disorders, trauma, tendon and ligament pathology, compressive neuropathies, infection, and the diabetic foot. Each chapter is written by an acknowledged expert, and a wealth of illustrative material is included. |
| achilles tendon therapy after surgery: Reconstruction of the Knee Joint S. Niwa, S. Yoshino, M. Kurosaka, Konsei Shino, Sumiki Yamamoto, 1997-04 More than 20 years have passed since the International Symposium on Total Knee Replacement was held in London in 1974. Prosthetic design and operative technique have been greatly improved since then, and there is now an accepted standard concept of total knee arthroplasty. Thirteen years after the London symposium, another international symposium on total knee replacement was held, this time in Nagoya, Japan, in 1987. Its ambitious objective was to push forward the frontiers of continuous investigation and improve ment of total knee replacement. The fruits of the individual efforts presented at the Nagoya symposium were published in a volume of proceedings entitled Total Knee Replacement. In the years since 1987, further investigations have been conducted in various parts of the world regarding prosthetic design, fixation, long-term radiological follow-up, biomechanical evaluation, and biomaterials research. In knee ligament reconstruc tion, rapid progress has been made in the past five years in clinical practice and fundamental research by means of arthroscopic surgery and tissue transplantation, and we have come close to establishing a standard treatment. Under these circumstances, an international symposium on knee joint reconstruc tion was planned for 1994, again to be held in Nagoya, to provide ample opportunity for exchanging information and sharing clinical experience from around the world. |
| achilles tendon therapy after surgery: Tendinitis: Its Etiology and Treatment William Stanish, Sandra Curwin, Scott Mandell, 2000-10-12 This textbook provides a practical approach to the assessment and management of tendon disorders. This should be a useful reference for sports physicians, musculoskeletal specialists, orthopaedic surgeons and rheumatologists. |
| achilles tendon therapy after surgery: Tendon Injuries Nicola Maffulli, Per Renstrom, Wayne B. Leadbetter, 2005-02-09 Tendon ailments are a significant cause of morbidity among athletes of all levels and are increasing in prevalence. Their management is often empirical, and para-scientific, only looking at the biological aspects of tendon ailments. This book conveys a comprehensive and concise body of knowledge on the management of tendon problems in sportspeople with practical details of clinical protocols. Tendon Injuries: Basic Science and Clinical Medicine is specifically dedicated to the clinical aspects of tendinopathy and provides the required knowledge and scientific basis for the sports medicine practitioner, orthopedic specialist and student facing upper and lower limb tendon ailments in athletes. A comprehensive review of tendon disorders is given and modern criteria of management outlined to form the basis of effective clinical management of this group of patients. |
| achilles tendon therapy after surgery: Lovell and Winter's Pediatric Orthopaedics Raymond T. Morrissy, Stuart L. Weinstein, 2001 |
| achilles tendon therapy after surgery: Postsurgical Rehabilitation Guidelines for the Orthopedic Clinician Hospital for Special Surgery, JeMe Cioppa-Mosca, Janet B. Cahill, Carmen Young Tucker, 2006-06-08 Designed to help therapists provide post-surgical rehabilitation based on best practices and evidence-based research, this comprehensive reference presents effective guidelines for postsurgical rehabilitation interventions. Its authoritative material is drawn from the most current literature in the field as well as contributions from expert physical therapists, occupational therapists, and athletic trainers affiliated with the Hospital for Special Surgery (HSS). A DVD accompanies the book, featuring over 60 minutes of video of patients demonstrating various therapeutic exercises spanning the different phases of postsurgical rehabilitation. Examples include hand therapy procedures, working with post-surgical patients with cerebral palsy, sports patient injuries, and pediatric procedures for disorders such as torticollis. - Material represents the best practices of experts with the Hospital of Special Surgery, one of the best known and most respected orthopedic hospitals. - Phases of treatment are defined in tables to clearly show goals, precautions, treatment strategies and criteria for surgery. - Many of the treatment strategies are shown in videos on the accompanying DVD, enabling the user to watch the procedure that is discussed in the text. - Information on pediatric and geriatric patients explores differing strategies for treating these populations. - Treatments specific to sports injuries are presented, highlighting the different rehabilitation procedures available for athletes. - An entire section on hand rehabilitation provides the latest information for hand specialists. - Information on the latest treatment strategies for hip replacement presents complete information on one of the most common procedures. - Easy-to-follow guidelines enable practitioners to look up a procedure and quickly see the recommended rehabilitation strategy. - A troubleshooting section provides solutions for common problems that may occur following each phase of the rehabilitation process. - Broad coverage addresses both traditional techniques as well as newer methods in a single resource. - Clear photos and illustrations show how to correctly perform the techniques described in the book. |
| achilles tendon therapy after surgery: ESSKA Instructional Course Lecture Book Gino M.M.J. Kerkhoffs, Fares Haddad, Michael T. Hirschmann, Jón Karlsson, Romain Seil, 2019-02-11 This book, comprising the Instructional Course Lectures delivered at the 18th ESSKA Congress in Glasgow in 2018, provides an excellent update on current scientific and clinical knowledge in the field of Orthopaedics and Sports Traumatology. A variety of interesting and controversial topics relating to the shoulder, elbow, hip, knee, and foot are addressed, all of which are very relevant to the daily practice of orthopaedic surgeons. All of the contributions are written by well-known experts from across the world. The presentations will enable the reader to gain a better understanding of pathologies and may permit more individualized treatment of patients. The book will be of interest to clinicians and researchers alike. |
| achilles tendon therapy after surgery: Levin and O'Neal's the Diabetic Foot Marvin E. Levin, John H. Bowker, Michael A. Pfeifer, 2008-01-01 Fully updated, now in full color, this latest edition of Levin and O'Neal's The Diabetic Foot provides diagnostic and management information for the challenging problems faced by patients with diabetic foot problems. The book has a team care focus and offers tips and pearls in every chapter. |
| achilles tendon therapy after surgery: Heelcatcher Steve Foster, 2019-06-16 If God can love Jacob, then He can love anyone.Surprisingly, God associates Himself with Jacob more than any other person in the Bible. God calls Himself the God of Jacob on twenty-four occasions. And He calls Himself the God of Israel (the new God-given name of Jacob) over two hundred times.Jacob is not the biblical hero that we talk about. There are no children's songs about Jacob. No one sings Dare to Be a Jacob. His story is more embarrassing than impressive. Yet God ties His name for all eternity to Jacob.Why? Because all of us are like Jacob in some regard. We are all heelcatchers, struggling to make life work, wrestling with God, fighting to figure out who we are.Jacob's story is our own.In my own struggle with anxiety, panic attacks, perfectionism, past abuse, and the meaning of masculinity, I discovered the beauty and power of God's grace in Jacob's life. The God who loves Jacob loves us all...and is a refuge to all who cling to Him alone.Be still, and know that I am God;I will be exalted among the nations, I will be exalted in the earth!The Lord of hosts is with us;The God of Jacob is our refuge.-Psalm 46:10-1 |
| achilles tendon therapy after surgery: Clubfoot Lynn Staheli, 2009 |
| achilles tendon therapy after surgery: Revision ACL Reconstruction Robert G. Marx, 2013-09-05 Although anterior cruciate ligament (ACL) reconstruction has a high success rate, a substantial number of patients are left with unsatisfactory results. Revision ACL Reconstruction: Indications and Technique provides detailed strategies for planning and executing revision ACL reconstructions. Concise chapters by a leading group of international orthopedic surgeons cover the diagnosis of failed ACL reconstruction, patient evaluation, preoperative planning for revision ACL surgery and complex technical considerations. |
| achilles tendon therapy after surgery: Baxter's The Foot and Ankle in Sport David A. Porter, Lew C. Schon, 2020-01-25 For specialists and non-specialists alike, returning an athlete to pre-injury performance safely and quickly is uniquely challenging. To help you address these complex issues in everyday practice, Baxter's The Foot and Ankle in Sport, 3rd Edition, provides focused, authoritative information on the examination, diagnosis, treatment, and rehabilitation of sports-related foot and ankle injuries – ideal for returning both professional and recreational athletes to full use and function. - Provides expert guidance on athletic evaluation, sports syndromes, anatomic disorders, orthoses and rehabilitation, and more. - Includes new and updated case studies and pearls for optimal use in the clinical setting. - Features thoroughly revised content and enhanced coverage of stress fractures, as well as metabolic consideration in athletes. - Includes new chapters on the disabled athlete, the military athlete, caring for the athlete as a team, foot and ankle exam, and biologics. - Features a new, full-color design throughout and new videos available online. - Shares the expertise of international contributors who provide a global perspective on sports medicine. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, videos, and references from the book on a variety of devices. |
| achilles tendon therapy after surgery: Tendon Injury and Repair Terry S. Saxby, 2007 Tendon problems are a common cause of foot and ankle pathology. In the past decade there has been significant advances in the management of these problems. This has been achieved not only by an improvement of surgical techniques but also through a better understanding of tendon injury and healing. In this issue we will review the recent advances in the diagnosis and treatment of common tendon problems beginning with a review of tendon healing. This issue will provide the reader with an excellent review of all that is new on this topic. |
| achilles tendon therapy after surgery: Regenerative Rehabilitation Sarah M. Greising, Jarrod A. Call, 2022-06-01 This contributed volume presents the current state of research on regenerative rehabilitation across a broad range of neuro- and musculoskeletal tissues. At its core, the primary goal of regenerative rehabilitation is to restore function after damage to bones, skeletal muscles, cartilage, ligaments/tendons, or tissues of the central and peripheral nervous systems. The authors describe the physiology of these neuro- and musculoskeletal tissue types and their inherent plasticity. The latter quality is what enables these tissues to adapt to mechanical and/or chemical cues to improve functional capacity. As a result, readers will learn how regenerative rehabilitation exploits that quality, to trigger positive changes in tissue function. Combining basic, translational, and clinical aspects of the topic, the book offers a valuable resource for both scientists and clinicians in the regenerative rehabilitation field. |
| achilles tendon therapy after surgery: Tendinopathy Kentaro Onishi, Michael Fredericson, Jason L. Dragoo, 2021-06-09 This comprehensive office guide will provide up-to-date diagnostic and management information for various tendinopathies seen in the clinic. Opening chapters discuss the basic science of tendons: physiology, pathophysiology and biomechanics, including mechano-transduction. Subsequent chapters focus anatomically on both the upper and lower extremities, from the rotator cuff to the wrist and hand, and from the groin and gluteus down to the foot and ankle. Each of these chapters follows a concise, easy-to-use format, consisting of an introduction followed by clinical presentation, physical examination, imaging and radiographic grading, and treatment strategies both surgical and non-surgical, including indications for surgical referral. The concluding chapters present emerging mechanical, orthobiologic and chemical in-office procedures as well as emerging operative techniques. Practical and user-friendly, Tendinopathy will be an excellent resource for sports medicine specialists, orthopedic surgeons, physical therapy and rehabilitation specialists, and any other clinicians treating these common athletic injuries. |
| achilles tendon therapy after surgery: Textbook of Orthopaedics John Ebnezar, 2006 The study of orthopaedics and fractures is hugely important to every undergraduate medical student, and it is difficult finding the right textbook that will give them a sufficient level of knowledge and help them through their examinations. Textbook of Orthopaedics is just such a book, giving more than enough information, while at the same time focussing on the main goal - passing the orthopaedics exam. The book is divided into 8 sections, which deal with the obligatory, standard areas of study, such as general orthopaedics, regional injuries, and both traumatic and non-traumatic disorders. But there are also innovative sections which discuss amputations, prosthetics, sports medicine, arthroplasty and arthroscopy, and the final section of appendices gives information about orthopaedic implants and instrumentation in common use, as well as tips and hints for practical exam sessions. The book is very student friendly with numerous excellent pedagogical features - diagrams, end of chapter summaries, flow charts, mnemonics, differential shading of tables and columns, anecdotes, jokes, and historical references. X-rays are found at the end of each chapter and there is also a focus on back ache, a very common orthopaedic problem often neglected by other textbooks. In short Textbook of Orthopaedics is an exam-oriented textbook designed and written specifically for medical undergraduates. |
| achilles tendon therapy after surgery: Minimally Invasive Surgery of the Foot and Ankle Nicola Maffulli, Mark Easley, 2010-12-25 Minimally Invasive Surgery of the Foot and Ankle represents a novel approach to treatment of orthopedic problems in the foot and ankle. The gradual change of philosophy in the management of foot and ankle surgery means that patients require a less invasive approach to surgery and a consequent improvement in recovery time. Describing the techniques and, importantly, the indications for minimally invasive procedures for the management of foot and ankle ailments, this book will explain the management of various conditions and how they can be approached using minimally invasive techniques. However, rather than only concentrating on minimally invasive surgery of the foot and ankle, the authors will be examining the options open to surgeons operating in this area – both open surgical and arthroscopic – and explaining the benefits of each. Extensive radiographs, diagrams, and intra-operative pictures will illustrate the procedures described. |
| achilles tendon therapy after surgery: Arthroscopy and Endoscopy of the Foot and Ankle Tun Hing Lui, 2019-01-30 This book provides detailed information in foot and ankle arthroscopy and endoscopy. It explores and introduces these surgical techniques for the treatment of foot and ankle diseases, which have better surgical outcome, lesser surgical morbidity over conventional open surgery. In each chapter, it includes extensive cases and techniques’ illustration about arthroscopy, tendoscopy and endoscopy. Case demonstration with well-illustrated arthroscopic and endoscopic photos for common clinical conditions was provided. It is also written in the same structure and style for each techniques. Step-by-step procedures are complied with pictures and illustrations for easy reference, particularly for surgeons in their clinical practice. |
| achilles tendon therapy after surgery: Clinical Use of Local Anesthetics Asadoliah Saadatniaki, 2012-03-23 Local anesthetics are being increasingly applied in different surgeries. Lower side effects of neuroaxial anesthesia, regional anesthesia, and field block, in comparison to general anesthesia (volatile and intravenous agents), are the main reasons why physicians prefer to conduct surgeries under local anesthesia, especially in outpatient and day care surgeries. It is important to emphasize the presence of an anesthesiologist, and vigilant monitoring of the homodynamic parameters, in decreasing a patient's anxiety, exerting other modalities for analgesia and increasing the safety margin in many procedures. |
| achilles tendon therapy after surgery: Manual Mobilization of the Joints: The Extremities Freddy M. Kaltenborn, 1999 This 6th edition of Freddy Kaltenborn's classic guide to manual, passive joint mobilization includes:Clear, easy-to-find indication and objectives for each test and mobilization techniqueNew organization of techniques illustrates how simple alterations in grip, body positioning, grade of movement and duration can transform a technique from a test into an effective treatmentExpanded theoretical discussion on grades of movement and their application in testing and treatmentIllustrated. Softcover, 332 pages. |
| achilles tendon therapy after surgery: Rehab Science: How to Overcome Pain and Heal from Injury Tom Walters, Glen Cordoza, 2023-04-11 Recover from injuries and put a stop to pain with this step-by-step guide In his new book, Rebab Science, renowned orthopedic physical therapist Tom Walters shows you how to take back the power to heal. He explains how to understand and identify pain and injury, how to treat common issues to muscles, tendons, ligaments, and more, and how to end chronic pain for good. Our current healthcare model, with its emphasis on treating symptoms rather than addressing the root cause of those symptoms, can be frustrating, especially for people with ongoing pain. Rehab Science outlines a new way of thinking about pain and injury with a movement-based system that helps you treat pain and heal from injuries on your own terms. Dr. Walters delivers proven protocols that strengthen the body, improve mobility and movement quality, alleviate pain, ensure full recovery, and keep pain and injury from reoccurring in the future. This book highlights common issues like ankle sprains, tennis elbow, and low back pain and provides protocols for rehabilitating each one step by step and week by week. Find out what you can do to accelerate the phases of healing by using targeted movements and pain-relieving rehab exercises. Full-color photo sequences show how to do each exercise correctly. In Rehab Science, you’ll learn: • How to identify and treat common pains and injuries • Which exercises can prevent pain from returning • How long you should be doing rehab exercises • Major signs and symptoms that may require medical attention • How a diagnosis can factor into recovery • What common X-ray and MRI findings mean • How to program exercises to rehab specific injuries • When you might need to consider surgery • And much, much more |
| achilles tendon therapy after surgery: Rehabilitation for the Postsurgical Orthopedic Patient Lisa Maxey, Jim Magnusson, 2013-01-22 With detailed descriptions of orthopedic surgeries, Rehabilitation for the Postsurgical Orthopedic Patient, 3rd Edition provides current, evidence-based guidelines to designing effective rehabilitation strategies. Coverage of each condition includes an overview of the orthopedic patient's entire course of treatment from pre- to post-surgery. For each phase of rehabilitation, this book describes the postoperative timeline, the goals, potential complications and precautions, and appropriate therapeutic procedures. New to this edition are a full-color design and new chapters on disc replacement, cartilage replacement, hallux valgus, and transitioning the running athlete. Edited by Lisa Maxey and Jim Magnusson, and with chapters written by both surgeons and physical therapists, Rehabilitation for the Postsurgical Orthopedic Patient provides valuable insights into the use of physical therapy in the rehabilitation process. Comprehensive, evidence-based coverage provides an overview of the orthopedic patient's entire course of treatment from pre- to post-surgery, including a detailed look at the surgical procedures and therapy guidelines that can be used to design the appropriate rehabilitation programs. Case study vignettes with critical thinking questions help you develop critical reasoning skills. Indications and considerations for surgery describe the mechanics of the injury and the repair process so you can plan an effective rehabilitation program. Therapy guidelines cover each phase of rehabilitation with specifics as to the expected time span and goals for each phase. Evidence-based coverage includes the latest clinical research to support treatment decisions. Overview of soft tissue and bone healing considerations after surgery helps you understand the rationale behind the timelines for the various physical therapy guidelines. A Troubleshooting section in each chapter details potential pitfalls in the recovery from each procedure. Over 300 photos and line drawings depict concepts, procedures, and rehabilitation. Detailed tables break down therapy guidelines and treatment options for quick reference. Expert contributors include surgeons describing the indications and considerations for surgery as well as the surgery itself, and physical or occupational therapists discussing therapy guidelines. New coverage of current orthopedic surgeries and rehabilitation includes topics such as disc replacement, cartilage replacement, hallux valgus, and transitioning the running athlete. New full-color design and illustrations visually reinforce the content. Updated Suggested Home Maintenance boxes in every chapter provide guidance for patients returning home. References linked to MEDLINE abstracts make it easy to access evidence-based information for better clinical decision-making. |
| achilles tendon therapy after surgery: Clinical Orthopaedic Rehabilitation Charles E. Giangarra, Robert C. Manske, 2017-02-01 Evidence suggests a direct correlation between the quality of postoperative orthopaedic rehabilitation and the effectiveness of the surgery. Clinical Orthopaedic Rehabilitation, 4th Edition, helps today's orthopaedic teams apply the most effective, evidence-based protocols for maximizing return to function following common sports injuries and post-surgical conditions. Charles Giangarra, MD and Robert Manske, PT continue the commitment to excellence established by Dr. S. Brent Brotzman in previous editions, bringing a fresh perspective to the team approach to rehabilitation. Every section is written by a combination of surgeons, physical therapists, and occupational therapists, making this respected text a truly practical how-to guide for the appropriate initial exam, differential diagnosis, treatment, and rehabilitation. Treatment and rehabilitation protocols are presented in a step-by-step, algorithmic format with each new phase begun after criteria are met (criteria-based progression, reflecting current best practice). Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, videos, and references from the book on a variety of devices. Revised content brings you up to date with new evidence-based literature on examination techniques, classification systems, differential diagnosis, treatment options, and criteria-based rehabilitation protocols. Extensive updates throughout include new chapters on: medial patellofemoral ligament, shoulder impingement, pec major ruptures, thoracic outlet syndrome, general humeral fractures, foot and ankle fractures, medial patellofemoral ligament reconstruction, the arthritic hip, athletic pubalgia, and labral repair and reconstruction. Easy-to-follow videos demonstrate rehabilitation procedures of frequently seen orthopaedic conditions and commonly used exercises, and new full-color images complement the highly visual nature of the text. |
| achilles tendon therapy after surgery: Reconstructive Foot and Ankle Surgery: Management of Complications E-Book Mark S. Myerson, 2010-07-27 World-renowned surgeon Dr. Mark S. Myerson returns with a Second Edition of Reconstructive Foot and Ankle Surgery. This surgical technique reference delivers step-by-step guidance on the essential elements of complex foot and ankle surgery and is packed with full-color illustrations, pearls, and pitfalls. New chapters focus on the complications management of complications, aimed to help you select the right procedure for challenging conditions to ensure optimal outcomes. You can access the book online to view the video demonstrations. - Learn from one of the very best - world-renowned surgeon Dr. Mark S. Myerson shares his innovative approaches to the reconstructive surgical techniques and complications management most frequently seen in practice. - Quickly reference essential topics with a templated, focused format emphasizing procedures rather than basic science. - Make a confident diagnosis and select the correct treatment with the help of easy-to-use Techniques, Tips and Pitfalls sections found in each chapter. - Properly avoid and manage commonly seen complications with the guidance from the Complications Considered feature. - Get step-by-step instruction on surgical technique accompanied by color intraoperative photographs. - Access the full text online with regular updates and video demonstrations narrated by Dr. Myerson. |
Achilles Tendon Repair Rehabilitation Post-Operative Guideline
It is designed for rehabilitation following Achilles tendon repair. Modifications to this guideline may be necessary depending on physician-specific instructions, the location of the repair, …
Achilles Tendon Repair Post-Op Rehabilitation Protocol
Achilles Tendon Repair Post-Op Rehabilitation Protocol This protocol provides you with general guidelines for initial stage and progression of rehabilitation according to specified time frames, …
Post-Operative Instructions Achilles Tendon Repair
Do this for about 4 weeks after surgery. Call our office @ 646-501-7223 option 4, option 2 to confirm your first postoperative visit, which is usually about 1-2 weeks after surgery. If you are …
Brian Grawe achilles tendon repair protocol
Achilles Tendon Repair – Rehab Guidelines Protocol: Brian Grawe, MD Progression is based on healing constraints and functional progression specific to the patient. Phases and time frames …
Rehabilitation Protocol for Achilles Tendon Repair
This protocol is designed to assist clinicians in managing the post-operative recovery for Achilles tendon repair. It follows a time-based approach, dependent on tissue healing, and also …
REHABILITATION GUIDELINES FOR ACHILLES TENDON …
REHABILITATION GUIDELINES FOR ACHILLES TENDON REPAIR ACCELERATED PROTOCOL ... Progression Criteria Normal gait mechanics without the boot on all surfaces …
ACHILLES TENDON REPAIR CLINICAL PRACTICE GUIDELINE
The Ruptured Achilles Tendon Elongates for 6 Months After Surgical Repair Regardless of Early or Late Weightbearing in Combination With Ankle Mobilization: A Randomized Clinical Trial.
Achilles Tendon Repair Post-op Protocol - Adam Metzler MD
You can not drive for 4-8 weeks after surgery if right foot and therapist must clear you. Exercises: ALL with strict limit of ankle dorsiflexion to neutral until 6 weeks Isometrics of calf Theraband …
SHOULDER ARTHROSCOPY INSTRUCTIONS
The goals of this surgery are to repair the torn Achilles tendon, maximize function of ADLs, maximize quality of life, and ultimately allow patients to return to prior level of activity.
Achilles Tendon Repair Rehabilitation Post-Operative Guideline
It is designed for rehabilitation following post- operative Achilles tendon repair. Modifications to this guideline may be necessary dependent on physician specific instruction, location of repair, …
Rehabilitation Protocol for Achilles Tendon Repair
Early functional rehabilitation or cast immobilization for the postoperative management of acute achilles tendon rupture? A systematic review and meta-analysis of randomized controlled trials.
Rehabilitation Guidelines: Post Achilles Tendon Reconstruction
Post Achilles Tendon Reconstruction illes tendon is the strongest and thickest tendon in the body. It attaches the calf m scles (soleus and gastrocnemius) to the heel bone (calcaneus). The …
ACHILLES TENDON REHABILITATION PROTOCOL - Twin Cities …
strengthening exercises: isometric inversion/eversion, 2 sets of 10 repetitions with ankle at 20° of plantarflexion; toe curls with towel and weight; hamstring curls in prone with boot on for …
Achilles Tendon Repair Rehabilitation Post-Operative Guideline
It is designed for rehabilitation following post-operative Achilles tendon repair. Modifications to this guideline may be necessary dependent on physician specific instruction, location of repair, …
REHABILITATION GUIDELINES FOR ACHILLES TENDON …
REHABILITATION GUIDELINES FOR ACHILLES TENDON REPAIR PROTOCOL ... Edits by Dr. Stephen Knecht, 9/23/19 References: University of Wisconsin Sports Medicine
Post-Operative Instructions Following Achilles Tendon Repair
You may drive following left sided surgery following your first post-operative visit with Dr. Chang. You must be off narcotic pain medication to safely operate a vehicle.
The Institute For Foot And Ankle Reconstruction At Mercy
Physical therapy is critical to regain strength and power in the Achilles following surgery. You should plan to use a physical therapist for about 3 months. There will be moderate swelling of …
Rehabilitation Protocol for Achilles Rupture Repair
Early functional rehabilitation or cast immobilization for the postoperative management of acute achilles tendon rupture? A systematic review and …
Achilles Tendon Repair Rehabilitation Post-Opera…
It is designed for rehabilitation following Achilles tendon repair. Modifications to this guideline may be necessary depending on physician …
Achilles Tendon Repair Post-Op Rehabilitation Pro…
Achilles Tendon Repair Post-Op Rehabilitation Protocol This protocol provides you with general guidelines for initial stage and progression of …
Post-Operative Instructions Achilles Tendon Repair
Do this for about 4 weeks after surgery. Call our office @ 646-501-7223 option 4, option 2 to confirm your first postoperative visit, which is usually …
Brian Grawe achilles tendon repair protocol
Achilles Tendon Repair – Rehab Guidelines Protocol: Brian Grawe, MD Progression is based on healing constraints and functional …
