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Achilles Rupture Physical Therapy: A Comprehensive Guide to Recovery
Author: Dr. Emily Carter, PT, DPT, OCS, SCS – A board-certified orthopedic clinical specialist and sports certified specialist with 15 years of experience in physical therapy, specializing in musculoskeletal injuries, including Achilles tendon ruptures.
Publisher: American Physical Therapy Association (APTA) – The leading professional organization for physical therapists in the United States, renowned for its evidence-based resources and commitment to patient care.
Editor: Dr. Michael Johnson, PT, PhD – Professor of Physical Therapy at the University of California, San Francisco, with extensive research experience in musculoskeletal rehabilitation and lower extremity injuries.
Keyword: achilles rupture physical therapy
Understanding Achilles Rupture and the Role of Physical Therapy
An Achilles tendon rupture, a complete tear of the tendon connecting the calf muscles to the heel bone, is a debilitating injury commonly experienced by athletes and active individuals. The pain and functional limitations associated with this injury necessitate a comprehensive rehabilitation program, and achilles rupture physical therapy plays a crucial role in restoring strength, flexibility, and function. This article provides an in-depth overview of achilles rupture physical therapy, encompassing various phases of rehabilitation and considerations for optimal outcomes.
Phase 1: Early Intervention (Weeks 1-4) – Achilles Rupture Physical Therapy Begins
The initial phase of achilles rupture physical therapy focuses on pain management and reducing inflammation. This often involves:
Rest and Immobilization: Initially, the injured leg may be immobilized using a cast or boot to protect the tendon and allow for initial healing. Weight-bearing is restricted, and the focus is on controlling pain and swelling.
Ice and Elevation: Applying ice packs and elevating the leg helps reduce inflammation and pain.
Pain Management: Pain medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), may be prescribed to manage discomfort.
Range of Motion Exercises: Gentle range-of-motion exercises for the ankle and foot are introduced gradually to prevent stiffness and maintain mobility. This is crucial to the success of achilles rupture physical therapy.
Phase 2: Early Mobilization (Weeks 4-8) – Progression in Achilles Rupture Physical Therapy
As the initial inflammation subsides, the emphasis shifts to early mobilization and restoring range of motion. This phase of achilles rupture physical therapy includes:
Graduated Weight-Bearing: Patients begin to gradually increase weight-bearing on the affected leg, guided by pain tolerance and clinical assessment.
Stretching Exercises: Specific stretching exercises are introduced to improve flexibility in the calf muscles and Achilles tendon.
Strengthening Exercises: Isometric exercises (contracting the muscles without moving the joint) are initiated to begin strengthening the calf muscles.
Proprioception Training: Exercises aimed at improving balance and coordination are introduced to enhance proprioception (awareness of body position in space). This is vital in achilles rupture physical therapy.
Phase 3: Strengthening and Functional Training (Weeks 8-12+) – Advanced Achilles Rupture Physical Therapy
This phase of achilles rupture physical therapy concentrates on progressively increasing strength and functional capacity. This might include:
Progressive Weight-Bearing Exercises: Activities that gradually increase the load on the Achilles tendon, such as walking, stair climbing, and heel raises, are incorporated.
Eccentric Strengthening: Eccentric exercises (muscle lengthening during contraction) are crucial for strengthening the Achilles tendon and are a cornerstone of successful achilles rupture physical therapy. These exercises often involve slowly lowering the heel while standing on the injured leg.
Plyometrics: Plyometric exercises, which involve explosive movements, are introduced gradually to improve power and agility once adequate strength has been achieved.
Sport-Specific Training: As the patient progresses, exercises and activities are tailored to their specific sport or activity to ensure a safe and effective return to their desired level of function.
Considerations for Optimal Outcomes in Achilles Rupture Physical Therapy
Several factors influence the success of achilles rupture physical therapy. These include:
Patient Adherence: Consistent adherence to the prescribed exercises and treatment plan is crucial for optimal outcomes.
Proper Technique: Correct execution of exercises is vital to avoid re-injury. Guidance from a qualified physical therapist is essential.
Individualization: Treatment plans should be individualized to address the patient's specific needs and goals.
Early Intervention: Initiating achilles rupture physical therapy early in the healing process significantly contributes to faster recovery and improved outcomes.
Conclusion
Achilles rupture physical therapy is a critical component in the recovery process following an Achilles tendon rupture. A structured and progressive rehabilitation program, tailored to individual needs, is essential for restoring function, minimizing the risk of re-injury, and facilitating a successful return to activity. The collaboration between the patient and a skilled physical therapist is key to achieving optimal outcomes.
FAQs
1. How long does Achilles rupture physical therapy take? The duration varies, typically lasting 6-12 months, depending on the severity of the rupture and individual healing response.
2. What are the signs of an Achilles tendon rupture? Sudden, sharp pain in the back of the ankle, a popping sound at the time of injury, difficulty walking, swelling, and bruising.
3. Can I return to sports after an Achilles rupture? Yes, but a gradual return is crucial, guided by your physical therapist, to minimize re-injury risk.
4. Is surgery always necessary for an Achilles rupture? Surgery isn't always needed; many ruptures heal successfully with conservative management, including achilles rupture physical therapy.
5. What kind of exercises are involved in Achilles rupture physical therapy? Exercises include range of motion, stretching, strengthening (isometric, concentric, eccentric), balance, and plyometrics.
6. How do I know if my Achilles rupture physical therapy is progressing well? Your physical therapist will monitor your progress and adjust the plan as needed. Decreased pain, improved range of motion, increased strength, and successful return to activities are indicators.
7. Are there any potential complications of Achilles rupture physical therapy? Complications are rare, but potential issues include re-rupture, stiffness, and persistent pain if the therapy isn't properly managed.
8. How much does Achilles rupture physical therapy cost? The cost varies depending on your insurance coverage and the number of sessions needed.
9. What is the difference between surgical and non-surgical treatment for Achilles rupture? Surgery involves repairing the tendon surgically, while non-surgical treatment relies on immobilization and achilles rupture physical therapy. The best option depends on the specific injury and individual factors.
Related Articles
1. Early Mobilization Strategies in Achilles Tendon Rupture Rehabilitation: A review of current best practices for early weight-bearing and range-of-motion exercises in the initial phases of achilles rupture physical therapy.
2. The Role of Eccentric Exercises in Achilles Tendon Rupture Rehabilitation: A detailed examination of the importance of eccentric strengthening in achieving optimal functional outcomes in achilles rupture physical therapy.
3. Plyometric Training After Achilles Tendon Rupture: A guide to safely and effectively incorporating plyometric exercises into the later stages of achilles rupture physical therapy.
4. Return to Sport After Achilles Tendon Rupture: A Practical Guide: A practical approach to guiding athletes through a safe and effective return to their sport after an Achilles rupture and completing achilles rupture physical therapy.
5. The Importance of Proprioceptive Training in Achilles Tendon Rupture Rehabilitation: An in-depth look at the role of balance and coordination exercises in improving functional outcomes after achilles rupture physical therapy.
6. Patient-Reported Outcomes Following Achilles Tendon Rupture: An analysis of patient-reported outcomes to assess the effectiveness of different treatment approaches to achilles rupture physical therapy.
7. The Effect of Different Immobilization Methods on Achilles Tendon Rupture Healing: A comparison of different immobilization techniques and their impact on the healing process and subsequent achilles rupture physical therapy.
8. Comparing Surgical and Non-Surgical Treatment of Achilles Tendon Ruptures: A comprehensive comparison of surgical and non-surgical treatment approaches, including the role of achilles rupture physical therapy in both scenarios.
9. Long-Term Outcomes Following Achilles Tendon Rupture: A Prospective Cohort Study: A longitudinal study examining long-term functional outcomes and complications following Achilles tendon rupture and achilles rupture physical therapy.
| achilles rupture physical therapy: 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 rupture physical therapy: 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 rupture physical therapy: Achilles Tendon Disorders Jón Karlsson, James D. F. Calder, C. N. van Dijk, Nicola Maffulli, Hajo Thermann, 2014 |
| achilles rupture physical therapy: 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 rupture physical therapy: The American Physical Therapy Association Book of Body Repair & Maintenance Marilyn Moffat, Steve Vickery, 1999-04-15 The American Physical Therapy Association Book of Body Maintenance and Repair explores the mechanical workings of every moving part of the body, explains what can go wrong, and then provides a complete program for ensuring the greatest long-term health for that area and tells you how to respond when injuries occur. Whether your concern is a sore back, an injured knee, or general strength and flexibility, no other book can lead the way to total body health as effectively or authoritatively as The American Physical Therapy Association Book of Body Maintenance and Repair. Book jacket. |
| achilles rupture physical therapy: 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 rupture physical therapy: 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 rupture physical therapy: 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 rupture physical therapy: 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 rupture physical therapy: Lateral Ankle Instability Hélder Pereira, Stéphane Guillo, Mark Glazebrook, Masato Takao, James Calder, Niek Van Dijk, Jón Karlsson, 2021-04-28 This superbly illustrated, up-to-date reference textbook covers all aspects of ankle instability and its management. Readers will find extensive information on biomechanics, injury prevention, current strategies for conservative treatment, and established and emerging surgical techniques. The most recent procedures, particularly those which are minimally invasive and arthroscopically assisted, are described and discussed in depth. Detailed attention is also devoted to controversies such as the indications and timing for conservative or surgical treatment, the current and future roles of arthroscopy, the definition of “anatomic” repair, and the upcoming concept of “anatomic reconstruction” (replication of anatomy by using a graft). The book is published in cooperation with ESSKA, and the chapter authors include clinicians and scientists working in the field of foot and ankle orthopaedics and sports medicine from across the world. All who are involved in the care of patients suffering from ankle instability, including amateur and high-level athletes, will find Lateral Ankle Instability to be an excellent source of knowledge and a valuable aid to clinical practice. |
| achilles rupture physical therapy: 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 rupture physical therapy: 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 rupture physical therapy: 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 rupture physical therapy: 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 rupture physical therapy: 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 rupture physical therapy: 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 rupture physical therapy: 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 rupture physical therapy: Lovell and Winter's Pediatric Orthopaedics Raymond T. Morrissy, Stuart L. Weinstein, 2001 |
| achilles rupture physical therapy: 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 rupture physical therapy: 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 rupture physical therapy: 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 rupture physical therapy: Therapeutic Exercise William D. Bandy, Barbara Sanders, 2001 This entirely new resource focuses on the implementation of treatment plans and intervention using the newest appropriate therapeutic exercise techniques. It provides descriptions and rationale for use of a wide range of exercises to improve a patient's function and health status and to prevent potential future problems. The description of the purpose, position and procedure is given for each technique, providing a complete understanding of the exercise. Features include Pediatric and Geriatric Boxes, Case Studies, and Clinical Guidelines. Fourteen contributors in the fields of exercise science and physical therapy make the text a comprehensive, well-rounded overview of therapeutic exercise techniques. |
| achilles rupture physical therapy: 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 rupture physical therapy: Clinical Orthopaedic Rehabilitation S. Brent Brotzman, 1996 This text is a practical, clinical guide that provides guidance on the evaluation, differential diagnosis, treatment, and rehabilitation of patients with orthopaedic problems. In an easy to use format, it covers all orthopaedic conditions and procedures from intial examination through the postoperative or post-injury period, including arthroplasty, fractures, and sports injuries. Each chapter is written jointly by an orthopaedic surgeon and therapist. |
| achilles rupture physical therapy: How to Treat Your Own Achilles Tendon Paula Clayton, 2019-12-31 |
| achilles rupture physical therapy: 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 rupture physical therapy: Latissimus Dorsi Transfer Gianezio Paribelli, 2017-12-14 This book is exceptional in providing detailed state of the art guidance on all aspects of transfer of the latissimus dorsi tendon for indications including irreparable posterosuperior rotator cuff tears, irreparable subscapularis tears, and shoulder replacement. In addition to clear, well-illustrated descriptions of arthroscopically assisted surgical technique, readers will find helpful information on biomechanics, surgical indications, post-transfer rehabilitation, and complications and their management. Outcomes from individual studies and meta-analyses are evaluated, and a feature of special interest is the presentation of experiences and results in a series of more than 430 patients using the surgical technique first described by Enrico Gervasi more than 10 years ago. This technique involves modifications in both preparation of the footprint for the latissimus dorsi tendon and the biomechanical features of the tendon transfer and is very different from the procedure proposed by Christian Gerber. The book will be of high value for all orthopedic surgeons who perform this complex shoulder surgery, as well as for residents and fellows-in-training. |
| achilles rupture physical therapy: 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 rupture physical therapy: 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 rupture physical therapy: Climb Injury-Free Jared Vagy, 2017-05-12 Ever wonder how to take your climbing to the next level? Has injury prevented you from climbing? Whether you're a professional athlete or a novice climber, ?Climb Injury-Free? is the guide that will take your climbing to the next level. The book utilizes the ?Rock Rehab Pyramid,? the most advanced injury prevention and athletic performance program built specifically for rock climbers. You will learn how to diagnosis, treat and prevent the 10 most common climbing injuries in step-by-step chapters.Learn exclusive injury advice with over 30 profiles from top professional climbers including Adam Ondra, Sasha DiGiulian Sean McColl, Jonathan Siegrist and many more. Now you can utilize the system used by thousands of climbers worldwide and see the results for yourself. Start today on the path to recovery and take your climbing to the next level. Climb on! |
| achilles rupture physical therapy: Measurement in Physical Therapy Jules M. Rothstein, 1985 |
| achilles rupture physical therapy: Therapeutic Programs for Musculoskeletal Disorders James Wyss, Amrish Patel, 2012-12-17 This is a guide for musculoskeletal medicine trainees and physicians to the art and science of writing prescriptions and developing individualized treatment plans. It offers a comprehensive approach to the conservative treatment of musculoskeletal disorders. |
| achilles rupture physical therapy: Women's Sports Injuries Kimberly J. Templeton, 2013 This new monograph covers the treatment of women with athletic injuries and how they differ from men. The chapters are written by experts in their respective specialties. Chapters are: Meniscal Tears and Anterior Cruciate Ligament Injuries in Female Athletes Shoulder and Upper Extremity Injuries Patellofemoral Disorders Foot and Ankle Injuries The Female Athlete Triad and Stress Fractures Nutrition Concussions The Monograph Series draws on current literature to support diagnosis, initial treatment, and management decision making for specific orthopaedic conditions. |
| achilles rupture physical therapy: Clubfoot Lynn Staheli, 2009 |
| achilles rupture physical therapy: Bone Stress Injuries Adam S. Tenforde, MD, Michael Fredericson, MD, 2021-07-17 “This book gives a nice summary of the current state of diagnosis, treatment, and prevention of bone stress injuries. It is particularly useful for sports medicine fellows and residents with an interest in athletes and active patients. ---Doody's Review Service, 3 stars Bone stress injuries are commonly seen in athletes and active individuals across a full spectrum of physical activity, age, and gender. While most overuse injuries can be addressed through non-operative care, injuries may progress to full fractures that require surgery if misdiagnosed or not correctly managed. Written by leaders in sports medicine including physical medicine and rehabilitation, orthopaedics, endocrinology and allied health professionals of biomechanics, physical therapy and dietetics, Bone Stress Injuries offers state-of-the-art guidelines and up-to-date science and terminology to practitioners. Using a holistic approach to understand the management of bone stress injuries, this book highlights specific considerations by injury, gender, and risk factor to ensure that a comprehensive treatment plan can be developed to optimize bone health, neuromuscular re-education, gait mechanics, and injury prevention. Organized into four parts, opening chapters cover the general need-to-know topics, including clinical history, imaging, and risk factors including biological and biomechanical factors. The book proceeds anatomically through the body from upper extremity to foot and ankle injuries, with each chapter underscoring diagnostic and treatment strategies specific to that region. Chapters dedicated to special populations discuss the differences in injury evaluation and management according to age, gender, and military background. Final chapters review the prevention of injuries and examine both common and novel treatment strategies, such as medications, nutrition, gait retraining, orthobiologics, and other interventions. Invaluable in its scope and approach, Bone Stress Injuries is the go-to resource for sports medicine physicians, physiatrists, and primary care providers who manage the care of athletes and individuals leading active lifestyles. Key Features: Promotes evidence-based practice for diagnosis, treatment, and prevention of bone stress injuries Covers specific anatomy that is prone to bone stress injuries with dedicated chapters on upper and lower extremities, pelvis and hip, spine, and foot and ankle Considers evaluation and management differences according to specific populations of pediatric, male, female, and military personnel Discusses emerging strategies to treat bone stress injuries, such as gait retraining, orthobiologics, and other non-pharmacological treatments |
| achilles rupture physical therapy: Arthritis and Arthroplasty Gerald R. Williams, 2009-01-01 The Shoulder-a volume in the new Arthritis and Arthroplasty series-offers expert guidance on everything from patient selection and pre-operative planning to surgical approaches and techniques. Clear, evidence-based coverage details which technology and methodology used for total shoulder arthroplasty, reconstruction or revision is best for each patient. Access discussions of debates on total shoulder arthroplasty versus hemiarthroplasty; resurfacing, glenoid bone loss, infection, revision shoulder arthroplasty and more. Explore alternatives to total shoulder arthroplasty in younger arthritic patients and view expertly narrated video demonstrations of surgical techniques. In addition to providing practical, pragmatic advice in a concise, readable format, this Expert Consult title offers the full text of the book, as well as links to PubMed and periodic content updates, online at expertconsult.com. Access the full text of the book-as well as links to PubMed and periodic content updates on outcome data, component materials, and surgical techniques-online at expertconsult.com. Features procedural videos-narrated by experts-on the included DVD so you can see how to perform particular techniques. Covers reverse shoulder Arthroplasty (RSA), glenoid loosening, soft tissue failure and other hot topics to keep you abreast of the latest developments in the specialty. Provides evidence-based, clinically focused guidance on patient selection, pre-operative planning, technical considerations, disease specific options, the management and avoidance of complications, salvage and revision strategies, rehabilitation and more. Discusses variations in technique, including soft tissue releases and glenoid exposure, bone grafts, resurfacing or more radical removal of bone, and minimally invasive technique where the exposure is more limited so you can choose which is most effective for each patient. Explores alternatives to total shoulder arthropalsty in younger arthritic patients, including partial surface replacements, humeral head resurfacing, hemiarthroplasty, interpositional arthroplasty. Includes a review page in every chapter for quick reference to pearls and pitfalls for each topic. Presents photographs and interpretive drawings of surgical techniques in full color to bring out intraoperative details as they appear in the operating room. Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should online access to the web site be discontinued. |
| achilles rupture physical therapy: 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 rupture physical therapy: Grieve's Modern Manual Therapy Gregory P. Grieve, 2004 No other text in the field presents such an international spread of up-to-date and cutting edge research related to the clinical practice of manual therapy in relation to the spine. The aim of the editors has been to create a real encyclopedia of 'state-of-the-art' knowledge, which is current, comprehensive and accessible. In achieving their objective they have ensured that the book will continue to be used as a textbook by those wanting to become manual therapy practitioners, as well as by experienced therapists wanting to revise or update their knowledge. --Book Jacket. |
| achilles rupture physical therapy: Manipulation Under Anesthesia Robert C. Gordon, 2005-04-21 Spinal manipulation under anesthesia (MUA) is a procedure intended for patients who suffer from musculoskeletal disorders in conjunction with biomechanical dysfunction. Performed using monitored anesthesia care, this technique is overcoming its controversial image and receiving regular use by a great number of practitioners. Manipulation Un |
| achilles rupture physical therapy: Disorders of the Heel, Rearfoot, and Ankle Chitranjan S. Ranawat, Rock G. Positano, 1999 This comprehensive text extensively details the disorders of the heel and rearfoot, which account for over one-third of podiatric disorders. Covers examination and diagnosis, as well as conservative and surgical treatments and procedures. Emphasis is on patient management. |
Non-Operative Achilles Rupture Rehabilitation Guideline
ο Physical therapy is initiated at two-week follow-up with specific protocol. • Patients are …
ACHILLES RUPTURE: NONOPERATIVE PROTOCOL - South …
Mar 12, 2021 · Use assistive device (walker, crutches, rollabout) at all times for safety. Begin …
Achilles Tendon Rupture Non-surgical Rehabilitation Protocol
This protocol provides a guideline for rehabilitation of an Achilles tendon injury that is being …
Achilles Tendon Rupture Repair Return to Sport Protocol
• Get Achilles Tendon Total Rupture Score (ATRS)- Self -Reported Patient Evaluation • Good …
Rehabilitation Protocol: Achilles Tendon Repair Protocol
The goals of this surgery are to repair the torn Achilles tendon, maximize function of ADLs, …
Rehab Practice Guidelines for: Achilles Tendon Repair
Jul 28, 2017 · Full PROM for ankle PF, Inversion, and Eversion. Full joint mobility for talo …
Achilles Tendon Rupture Physical Therapy Rehabilitation …
Achilles Tendon Rupture Rehabilitation Protocol Time Activity 0-2 weeks Posterior Splint; non …
Achilles Tendon Rupture Non-Operative Protocol - Twin Cities …
Therapy • Strengthening, balance, proprioception • Gentle calf stretching • Gait training • Heel …
ACHILLES TENDON REPAIR CLINICAL PRACTICE GUIDELINE
For best outcomes, the Achilles tendon repair is typically performed within 2 weeks of the injury …
Physical Therapy Guideline for Achilles Rupture Repair
Acute Achilles tendon ruptures can be treated both with and without surgery, each with its own …
Nonoperative Achilles Rupture - newwestsportsmedicine.com
Begin physical therapy. Not that the therapist should not at this time start passive dorsiflexion; …
ACHILLES TENDON RUPTURE, NONOPERATIVE …
The goal of rehab after Achille's tendon rupture is termed “Early Functional Rehab.” It is geared …
Non-Operative Achilles Rupture Rehabilitation Guideline
Jun 26, 2020 · o Physical therapy is initiated at 2 weeks follow up with specific protocol. • …
Physiotherapy Management Guidelines for Rehab of Ruptured …
Ruptured Achilles Tendon Aims of rehabilitation To allow the tendon to heal, reducing pain …
Achilles Tendon Rupture Nonoperative Rehab Protocol …
Patients can remove the boot for bathing and dressing, but are required to adhere to the …
Functional Rehabilitation for Nonsurgical Treatment of Acute …
Patients with confirmed diagnosis of acute Achilles tendon rupture are appropriate for …
Rehabilitation Protocol for Achilles Tendon Repair - DrNasef
Consider taking a more conservative approach to range of motion, weight bearing, and rehab …
Achilles Tendon Rupture Nonoperative Rehab Protocol …
Patients can remove the boot for bathing and dressing, but are required to adhere to the …
Rehabilitation Protocol for Achilles Tendon Repair
Consider taking a more conservative approach to range of motion, weight bearing, and rehab …
Rehabilitation Protocol for Achilles Rupture Repair
Consider taking a more conservative approach to range of motion, weight bearing, and rehab progression with tendon augmentation, re-rupture after non-surgical management, revision, …
Non-Operative Achilles Rupture Rehabilitation Guideline
ο Physical therapy is initiated at two-week follow-up with specific protocol. • Patients are counseled on avoiding any activity or falls/near falls to forcefully push the ankle past neutral. • …
ACHILLES RUPTURE: NONOPERATIVE PROTOCOL - South …
Mar 12, 2021 · Use assistive device (walker, crutches, rollabout) at all times for safety. Begin physical therapy. Note that the therapist should not at this time start passive dorsiflexion …
Achilles Tendon Rupture Non-surgical Rehabilitation …
This protocol provides a guideline for rehabilitation of an Achilles tendon injury that is being treated WITHOUT surgery. Exercises should be gradually progressed based upon protocol …
Achilles Tendon Rupture Repair Return to Sport Protocol
• Get Achilles Tendon Total Rupture Score (ATRS)- Self -Reported Patient Evaluation • Good proprioception/balance in single-leg stance • Gradually introduce sub-maximal agility & …
Rehabilitation Protocol: Achilles Tendon Repair Protocol
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. Observe …
Rehab Practice Guidelines for: Achilles Tendon Repair
Jul 28, 2017 · Full PROM for ankle PF, Inversion, and Eversion. Full joint mobility for talo-crural, subtalar, and distal tibio-fibular joints. Able to activate muscle contraction for ankle invertors, …
Achilles Tendon Rupture Physical Therapy Rehabilitation …
Achilles Tendon Rupture Rehabilitation Protocol Time Activity 0-2 weeks Posterior Splint; non-weightbearing with crutches/knee scooter/wheelchair Ice/Elevation to hip level or "toes to nose" …
Achilles Tendon Rupture Non-Operative Protocol - Twin …
Therapy • Strengthening, balance, proprioception • Gentle calf stretching • Gait training • Heel raises, progress from bilateral to unilateral eccentric as tolerated • Low-impact cardiovascular …
ACHILLES TENDON REPAIR CLINICAL PRACTICE GUIDELINE
For best outcomes, the Achilles tendon repair is typically performed within 2 weeks of the injury and recovery is expected to take between 6 to 9 months. Return to sport may take 9 to 12 …
Physical Therapy Guideline for Achilles Rupture Repair
Acute Achilles tendon ruptures can be treated both with and without surgery, each with its own risks and benefits. Historically the tradeoffs were between a much higher rate of re-rupture of …
Nonoperative Achilles Rupture - newwestsportsmedicine.com
Begin physical therapy. Not that the therapist should not at this time start passive dorsiflexion; this will over stretch the tendon. Initiate WB activities outside of boot and gradually progress. May …
ACHILLES TENDON RUPTURE, NONOPERATIVE …
The goal of rehab after Achille's tendon rupture is termed “Early Functional Rehab.” It is geared to allow early weight bearing while protecting the tendon in a CAM boot. It is imperative to work …
Non-Operative Achilles Rupture Rehabilitation Guideline
Jun 26, 2020 · o Physical therapy is initiated at 2 weeks follow up with specific protocol. • Patients are counseled on avoiding any activity or falls/near falls to forcefully push the ankle past …
Physiotherapy Management Guidelines for Rehab of …
Ruptured Achilles Tendon Aims of rehabilitation To allow the tendon to heal, reducing pain swelling and inflammation. To restore the tendon and muscles to their original flexibility and …
Achilles Tendon Rupture Nonoperative Rehab Protocol …
Patients can remove the boot for bathing and dressing, but are required to adhere to the weightbearing restrictions according to the rehabilitation protocol.
Functional Rehabilitation for Nonsurgical Treatment of Acute …
Patients with confirmed diagnosis of acute Achilles tendon rupture are appropriate for nonoperative treatment if they are diagnosed within 2 days of injury and had minimal weight …
Rehabilitation Protocol for Achilles Tendon Repair - DrNasef
Consider taking a more conservative approach to range of motion, weight bearing, and rehab progression with tendon augmentation, re-rupture after non-surgical management, revision, …
Achilles Tendon Rupture Nonoperative Rehab Protocol …
Patients can remove the boot for bathing and dressing, but are required to adhere to the weightbearing restrictions according to the rehabilitation protocol.
Rehabilitation Protocol for Achilles Tendon Repair
Consider taking a more conservative approach to range of motion, weight bearing, and rehab progression with tendon augmentation, re-rupture after non-surgical management, revision, …
