Perfect timing for this video. I ruptured my achilles a 5 weeks ago and chose the non surgical route.I was afraid of complications of a wound in such a vulnerable spot. I had the boot put on at day 2 and started light weight bearing at week three.I'm an active cyclist and looking to get back into training as soon as possible so the info you presented gives me more confidence to in my rehab. I've been rowing indoor (one legged) since week four and at week five will start back on an indoor bike to keep all the other muscles in my legs firing. I've enjoyed your light hearted but informative approach for years and encourage you to keep it going. The inclusion of other specialist adds so much more to the video. I'm 70 years old and hope to remain healthy and active till the end and the information you provide is just another tool for people like me to use in our health span.Thanks
@@andrewstaples7544 My Physio did some ultrasound treatment early on but nothing else. I'm four months out now and still limping a bit and some swelling. My strength is nothing like I need to be confident out on the road cycling but its's slowly coming back.
I ruptured my left achilles while playing pickleball in February 0f 2019, and after watching your youtube back then about whether to have surgery or not, I took the non-surgical approach. My orthopedic doctor also agreed that at 77, he could not advise surgery. In 10 months I was back to playing pickleball and am still at it today!
I am a great case study because I have done both. I ruptured my right Achilles in 2019 and had a non surgical procedure due to a higher tear. It took a long time to heal and be able to put weight on it. I just ruptured my left Achilles three weeks ago. I splinted it right away because I knew immediately when it happened what I had done. I had surgery using the pars speed bridge technique. I’m now weight bearing in an air cast three weeks post operation. Way less swelling and a noticeable improvement each day so recovery is moving along much quicker. I highly recommend surgery if you are a good candidate. It’s definitely worth the surgery risks imo.
I had a rupture and re-rupture of my left Achilles tendon in 2023. 5 weeks post surgery it got infected while still in the boot. Spent weeks in hospital on IV antibiotics and ended up with a skin reaction. Attempted to shower to ease the itchiness and slipped and put pressure on my left foot, causing a re-rupture. Ended up having to tendon transfer of my FHL to support the Achilles. Rehab was rough and pain on my instep has never fully disappeared but I’m grateful to be fully functional again 18 months on
Years ago in the Air Force, I was running in a field, and hit a set of hidden truck tracks in the heavy grass. I pulled BOTH Achilles tendons. I could not flex my heel, and had to robot walk for months. It healed, but the strange feeling can come back, and make me stop in my tracks. It only stressed once about 11 years back, but out of nowhere, if I balance wrong, my memory comes back, and I know it can cause serious limitations.
Four months here after the injury. Got a complete rupture and had surgery two weeks after it. Nice video, covering with details all the options that I had discussed with my doctors. Now I’m doing PT but still can’t do the single leg lift 😢. It’s coming! Good luck to everyone who is going through this journey.
Wow, great information! and now actually looking forward to meeting all of you, as I recently ruptured mine and will be keen to get it repaired and functional! Found this channel while looking for information on what to expect. Cool coincidence.
I partially tore my Achilles’ tendon by taking Cipro. It was torn up and down not across. Went to a podiatrist and she didn’t treat it correctly. Never took mri until I asked after a year. Stopped going to her. I never had surgery just kept off of it during COVID. Finally healed.
I’ve been prescribed Cipro 5x over 15 years. I didn’t know what was causing my declining health and tendon issues until my last prescription of Cipro left me unable to walk. Never take a fluroquinalone antibiotic. It took me 5 months of intensive PT to be able to walk again. I’ve avoided ruptured but I fear I will never be back to normal functioning. I spend most of the day with my heels on a heating pad and must massage and stretch each time I want to walk.
I've seen that theres an FDA black box warning on that for over 60 people. I believe it replaces the essential minerals with Flouride in the muscles. People take more magnesium to counter it?
I had bilateral Achilles strains in 2008, which were severe. I had taken Levoquin ABT, so it was a similar outcome to your situation. I received 12 weeks of PT, which helped, but I have chronic pain and significant scarring, especially on my left Achilles tendon. I ice it with ice packs, which are secured with an ace bandage. Most PT docs recommend ice over heat. It helps to reduce inflammation. I walk my dogs twice daily, approximately 2 miles per walk. DMSO cream helps, too, but I don't use it daily...twice per month. It is somewhat controversial (not FDA approved) but works for many folks. Stretching and strengthening exercises are beneficial.
@@ebackvon I also was prescribed levoquin when I developed infection during chemotherapy. It was the one antibiotic that truly worked well for me. Was on several strong antibiotics when I developed Frigging SEPSIS! And yes, levoquin was one of them. I'm SO glad I never suffered any side effects, especially ruptured Achilles tendons!#😨
Very informative video!👍 I guess not being very active has helped me to avoid this injury! Thank goodness I never played basketball or any other sports and that saved me from injury!☺️ Thanks for the great explanation!👍
Thank you docs for this information, I tore by achilles less then 24 hours ago. I got a appointment with Ortho at 8am, I am going to be pushing for surgery.
My 80yo husband ruptured his achilles tendon on a machine at the gym. Was treated conservatively with a boot with a heal lift. Was told no weight bearing but was unable to comply. Still, healed well although 10 years later his calf in still visibly atrophied.
Forty five years ago, I ruptured both tendons six years apart playing basketball. Both were surgically repaired. First one was operated on by a orthopedist for a professional sports team - no complications. Second one was repaired by a less experienced orthopedist who put me in a walking cast after surgery, The incision opened in the cast and took months to heal. Then, 10 years later I re-ruptured the first one by stepping off a ladder on to a 4x4. Tendon pulled off the heal and had to be reattached with a mechanical fixture. No more basketball for me.😀 In fact, I took up bike riding but I can still walk without difficulty though I don't try to jump.
Guys love this. Really helpful. And love all your stuff. But, did I miss it? Not one thing on prevention? Pre-workout stretching, how much, does it matter, is there correlation? Strength exercises? Weight lifting? On a slightly different note, I have tendinitis in both my ankles. Had a long time, off and on. Have received a number of conflicting medical /PT recommendations. All kinds of mild multi-angle stretching, hot, cold, strengthen, not strengthen… After months of no progress, probably the best advice I got from anybody, was to do absolutely nothing,for three weeks. Especially no stretching. Rest. That did more than all the above. Now… finally back to mild, stretching, and strengthening. But it’s never gotten back to normal.
My fav UA-cam channel. Incredibly informative. I had both a partial rotator cuff tear and this past winter, a partial tear in my calf muscle. In both instances, the pain was pretty intense and debilitating, and in both cases I was pretty impatient with the healing process. I chose to have laser light therapy. I’m happy to report that both injuries are what I believe to be fully healed. My question: Is laser therapy “voodoo medicine”, or would my injuries have healed in the same amount of time regardless? The jury is out for me. I’d like to tout the benefits of laser therapy but I have no way of knowing.
I have not torn my Achilles, but I do have Achilles tendinopothy. The back of my heel has been swollen for a year now. I have gone to two physios with no luck. Can you talk about how that happens and how to treat it? Thanks again for your content. It’s phenomenal.
This is off the subject but your recommendation about beat juice and flax seed several years past was wonderful I have been following according to your instructions. No issues and still seeing my doctor.That florisimide is just a bad memory.Thanks again.
I ruptured my Achilles playing pickleball almost two years ago now. My surgeon did the weave and the absorbable points at the bottom to make it that much stronger because of all my activity. My calf still isn’t quite as strong as it was pre rupture but I only notice it when I try to run, the push off. My calf starts to cramp slightly. But I continue to work on it.
Omg this video came just in time. Currently in a cam boot on 4 stacks after having surgery the 1st week of Nov as well as tearing my patella tendon on my left knee which has me in a knee immobilizater.
Interesting and important! Two questions; my gym trainer advises that frequent use of ibuprofen can be concerning for affecting/promoting brittle tendons during strenuous exercise? Secondly, would toe/heal stretching provide some preventative strengthening for the tendon (70 yrs young) or should caution be the rule of thumb? Thanks so much guys for your informative videos!
My chiropractor gave me 8 to ten shock wave treatments to break up scar tissue on my Achilles tendon and since that my Achilles tendon is so very painful around the ankle and heal of my foot most of time that I can't put weight on that foot. Thinking I should get my family doctor to send me for exrays?
I ruptured my 3 months ago. Non-op route. I think they missed one important part when they are talking about Re-rupture. The increased chance to rerupture is in a period of 5 months after the rupture.
@ Sorry to hear. I m up and walking with a little limping. I have shoes inside at home still with a little raise under the heal. No pain, just still swollen as hell round the ankle, but that’s normal. Doing toe raises and tip toe walking to get muscles back. I got a thump up for training legs, calf in the gym again last week. Hardest bit I think was the mentally and swollen bit with this extremely slow recovery. Hang in there 💪
I was dealing with plantar fasciitis mostly by stretching but the Dr on Gait Happens channel claims that heel lifts to strengthen the foot is key so doing that has helped. I wonder if the soleus stretch might be more advantageous than the gastroc stretch even though both need to be done.
I’ve had an Achilles tendon injury for my entire adult life. I originally injured it doing gymnastics when I was 19 (I am 48 now). There was no surgery done and I have had continued injuries throughout adulthood as I am fairly active. I have not been able to do a toe raise on my injured leg since the original injury. Today… Thanksgiving 2024 I tripped and ended up catching myself in a deep lung again injuring my Achilles. I regret not having surgery originally. I don’t even know if surgery is possible at this point because I have injured it so many times, but I would give anything to have it repaired.
They do a Flexor Hallucus Longus Tendon (big toe) diversion surgery to support the Achilles tendon. Seems like there’s a number of issues possible with this too but that’s good for thought for you.
Thank you so much for this vid. I had a partial rupture abt 4 weeks ago and it was caused by an electric shock i got while changing a bulb. Have you come across such an event and any further advise.
I just found out that I have a low grade tear in my Achilles of the left foot. My job requires me to stand for longer periods of time. Therefore, making it harder to find pain relief. So, what are some tips you can give me to improve the pain?
Please do a segment on PRP therapy. I paid $1,000 for it and it did nothing to help. Insurance won't pay anything towards it. It's now been 14 months for tendonitis (it was not ruptured). What can one do?
I had a achilles rupture which happend to me after motorcycle off road accident. I'm currently 5 months past operation. In my case it seems that the scar tissue merged itself with the tendon. Whenever im trying to excercise, the scar keeps getting bigger in the middle part and when I'm trying to tip toe it looks like the skin(scar tissue) doesnt wanna glide down, and it looks like it is being restricted in the middle part of the scar.
So I ruptured my achilles 2 weeks ago and was in a non-weight bearing splint with planter flexion the next day. After week, my doctor had me in a non-weight bearing hard cast with planter flexion position. I've had very little pain these 2 weeks. I go back to see my doctor on October 28. What are the chances i can move to a weight bearing walking boot?
I am a practicing orthopedic surgeon with 30 plus years experience. While in the Navy , we fixed thousands of these tears in our 30 to 50 year old active sailors and marines. I personally performed 13 achilles repairs on one weekend during a base basketball tournament. I would never recommend conservative treatment for this injury. The literature has proven conservative treatment has 3x the rerupture rate and significantly more weakness with push off. I never had a wound infection with hundreds of these procedures despite what they say here. In fact , there have been many more neurologic injuries to the sural nerve with the "minimally invasive percutaneous techniques" described. The worst outcomes I have seen were all treated conservatively that eventually failed despite long periods of immobilization . They were unable to walk or climb stairs. They all required extensive reconstruction with very long recoveries greater than one year, which could have been avoided with a simple, effective, safe surgical repair.
We appreciate your experience and sharing your thoughts. We would have to respectfully disagree with many of your comments as they simply aren’t supported by the literature. We work on trying to provide patients with the most up to date scientific research rather than level 5 expert opinion. Thanks for your service
Good insights. My surgeon now opts for the full open-up surgery after damaging a nerve. We need more research on strength, power, rerupture outcomes post treatment with a specific focus on compliance to absolute immobility in the acute phase to 8 weeks. I’d imagine your navy guys were at high risk of doing too much in the non-surgical NWB phase and then in the weight bearing walking cast phases where just a little ROM past that which can be tolerated by the recovering tissues will undoubtedly result in a disruption to the laying down of fibers and elasticity. I was incredibly careful in my boot for many weeks in the non-surgical approach but still had 3 instances where I felt healing tissues mechanically separate and this led to a palpable gapping which has now been resolved with surgery. Removable walking casts may well be most of the problem with the conservative self-healing method.
In 2010 I visited the doc after suffering an increased period of pain in the heel region of my left foot. Doc diagnosed arthritis, prescribed an anti-inflammatory and said it was "one of those things." It got progressively worse, heel was inflamed/swollen, in 2013 I insisted on seeing a consultant as I could no longer walk on it. MRI done, turns out I had partially ruptured the achilles and what set it off was calcification of the heel, pushing the achilles out at the heel anchor point which, over time, weakened it to the extent it was starting to tear. It was also discerned that at some point I'd had a break which had healed. Surgery was required, no other option and I was awake throughout the surgery which was fascinating. The calcification was removed, a hole was drilled through the heel and a plastic anchor point inserted so that a new achilles could be attached. I was informed I'd need to wear the cast (up to my knee) for four months before it would be removed/reevaluated. I was given a 65% chance of permanent disability in that foot which I refused to accept. I removed the cast a week later, started gentle physio, a month later I was standing on the foot and taking very short walks with the aid of crutches. Being allergic to pain meds and not being able to take any, the pain was unbelievable. Two weeks later, I was forcing myself to walk up inclines every other day, I'd come home (physically sick from the pain), on returning home I'd stick my foot in an ice bucket for up to 30 mins, then keep it elevated, I'd rest it the remainder of the day and the next, then repeat the process. A month later, I had to go to the hospital for a follow up check/chat, the surgeon was so angry at what I'd done, but I explained to him that I knew if I kept that cast on and didn't use that foot for four months or longer, I would have ended up disabled. My foot today, in 2024, feels bionic, it's stronger than it was originally. I still have the ugly scar which I have to take care of as it's very thick and prone to drying/cracking so I have to keep it emoliated at all times.
A lot of comments requesting more information on prevention so I’ll hijack this place and hopefully the creators will be inspired to make further content that supersedes this comment. Undoubtedly lots of rupture 💥occurrence can be prevented by ensuring appropriate warming up and conditioning of the tissues💪 for the rate loading of the activity your doing. Hence the ‘weekend warrior’ spike in the demographic of this injury🤕 of people who do not exercise with regularity and are not conditioned to lengthen the tendon at rate and/or then demand power from the muscles. Nutrition🐓🐣🦕🐠🥦🍓🥕 no doubt plays a critical role in the mechanical tolerance of connective tissues. Consuming the building blocks for tendon health generally and during repair from activities will impact future tolerances to different loading stresses.🤠👍 Hydration is also a key factor in tendon load tolerance😇 with low level acute dehydration🥵 effecting load tolerance and repair significantly enough at higher demands from single events🦵💥 or low demand multiple events🦵🦵🦵💥 to compromise tendon function beyond capacity. 💥😱🤕👎 It is possible that elevated heel to toe drop footwear will reduce the ankle dorsiflexion angle experienced commonly in the mechanism of this injury and thus reduce the rates although this is not supported specifically in the literature it is widely accepted to be a good strategy for avoidance along with arch support and avoiding uneven surfaces where the heel can drop beyond the accustomed range of motion used in activities.🥵 In summary, warm up fully, condition progressively, frequently and specifically. Recover properly. Eat well, drink well and manage extrinsic biomechanical factors such as footwear and playing surfaces. You might also manage critical incidences by reducing motivation for extreme demands. Take it easy or modify sport, rules etc, if you can😇 Perhaps others have more to add or comments on this, I’d be happy to keep the thread going. Good luck out there.
Anyone else think; 20 year old Varsity football player?- who is responsible for a grown man beating on a sophomore - this is stupid No child left behind, we even provide lunch now, grow big!
![BEST Broken Ankle Fracture & Sprained Ankle Recovery TIPS [Top 25]](/img/n.gif)
Perfect timing for this video. I ruptured my achilles a 5 weeks ago and chose the non surgical route.I was afraid of complications of a wound in such a vulnerable spot. I had the boot put on at day 2 and started light weight bearing at week three.I'm an active cyclist and looking to get back into training as soon as possible so the info you presented gives me more confidence to in my rehab. I've been rowing indoor (one legged) since week four and at week five will start back on an indoor bike to keep all the other muscles in my legs firing. I've enjoyed your light hearted but informative approach for years and encourage you to keep it going. The inclusion of other specialist adds so much more to the video. I'm 70 years old and hope to remain healthy and active till the end and the information you provide is just another tool for people like me to use in our health span.Thanks
70 and still cycling is so impressive! Rooting for your recovery!
Did you do the graston technique?
@@andrewstaples7544 My Physio did some ultrasound treatment early on but nothing else. I'm four months out now and still limping a bit and some swelling. My strength is nothing like I need to be confident out on the road cycling but its's slowly coming back.
I ruptured my left achilles while playing pickleball in February 0f 2019, and after watching your youtube back then about whether to have surgery or not, I took the non-surgical approach. My orthopedic doctor also agreed that at 77, he could not advise surgery. In 10 months I was back to playing pickleball and am still at it today!
I am a great case study because I have done both. I ruptured my right Achilles in 2019 and had a non surgical procedure due to a higher tear. It took a long time to heal and be able to put weight on it. I just ruptured my left Achilles three weeks ago. I splinted it right away because I knew immediately when it happened what I had done. I had surgery using the pars speed bridge technique. I’m now weight bearing in an air cast three weeks post operation. Way less swelling and a noticeable improvement each day so recovery is moving along much quicker. I highly recommend surgery if you are a good candidate. It’s definitely worth the surgery risks imo.
Thanks for sharing your perspective. With non op nowadays you are weight bearing much earlier
I work in healthcare, so much great information! Thank you all SO much for taking the time to produce these videos!! I try not to miss a single one!
I had a rupture and re-rupture of my left Achilles tendon in 2023. 5 weeks post surgery it got infected while still in the boot. Spent weeks in hospital on IV antibiotics and ended up with a skin reaction. Attempted to shower to ease the itchiness and slipped and put pressure on my left foot, causing a re-rupture. Ended up having to tendon transfer of my FHL to support the Achilles. Rehab was rough and pain on my instep has never fully disappeared but I’m grateful to be fully functional again 18 months on
Wow that’s a lot. Good luck
I love your highly informative but casually serious presentation style.
Years ago in the Air Force, I was running in a field, and hit a set of hidden truck tracks in the heavy grass. I pulled BOTH Achilles tendons. I could not flex my heel, and had to robot walk for months. It healed, but the strange feeling can come back, and make me stop in my tracks. It only stressed once about 11 years back, but out of nowhere, if I balance wrong, my memory comes back, and I know it can cause serious limitations.
Four months here after the injury. Got a complete rupture and had surgery two weeks after it.
Nice video, covering with details all the options that I had discussed with my doctors.
Now I’m doing PT but still can’t do the single leg lift 😢. It’s coming!
Good luck to everyone who is going through this journey.
Wow, great information! and now actually looking forward to meeting all of you, as I recently ruptured mine and will be keen to get it repaired and functional! Found this channel while looking for information on what to expect. Cool coincidence.
I partially tore my Achilles’ tendon by taking Cipro. It was torn up and down not across. Went to a podiatrist and she didn’t treat it correctly. Never took mri until I asked after a year. Stopped going to her. I never had surgery just kept off of it during COVID. Finally healed.
Amen pray for me 🙏✝️
I’ve been prescribed Cipro 5x over 15 years. I didn’t know what was causing my declining health and tendon issues until my last prescription of Cipro left me unable to walk. Never take a fluroquinalone antibiotic. It took me 5 months of intensive PT to be able to walk again. I’ve avoided ruptured but I fear I will never be back to normal functioning. I spend most of the day with my heels on a heating pad and must massage and stretch each time I want to walk.
I've seen that theres an FDA black box warning on that for over 60 people. I believe it replaces the essential minerals with Flouride in the muscles. People take more magnesium to counter it?
I had bilateral Achilles strains in 2008, which were severe. I had taken Levoquin ABT, so it was a similar outcome to your situation. I received 12 weeks of PT, which helped, but I have chronic pain and significant scarring, especially on my left Achilles tendon. I ice it with ice packs, which are secured with an ace bandage. Most PT docs recommend ice over heat. It helps to reduce inflammation. I walk my dogs twice daily, approximately 2 miles per walk. DMSO cream helps, too, but I don't use it daily...twice per month. It is somewhat controversial (not FDA approved) but works for many folks. Stretching and strengthening exercises are beneficial.
@@ebackvon I also was prescribed levoquin when I developed infection during chemotherapy. It was the one antibiotic that truly worked well for me. Was on several strong antibiotics when I developed Frigging SEPSIS! And yes, levoquin was one of them. I'm SO glad I never suffered any side effects, especially ruptured Achilles tendons!#😨
Informative and friendly, thanks Talking With Docs. A cringe when I cliked the thumbnail however; super professional!
Very informative video!👍
I guess not being very active has helped me to avoid this injury! Thank goodness I never played basketball or any other sports and that saved me from injury!☺️
Thanks for the great explanation!👍
Thank you docs for this information, I tore by achilles less then 24 hours ago. I got a appointment with Ortho at 8am, I am going to be pushing for surgery.
Good luck!
My 80yo husband ruptured his achilles tendon on a machine at the gym. Was treated conservatively with a boot with a heal lift. Was told no weight bearing but was unable to comply. Still, healed well although 10 years later his calf in still visibly atrophied.
This was so informative and helpful. Thank you guys!!
Forty five years ago, I ruptured both tendons six years apart playing basketball. Both were surgically repaired. First one was operated on by a orthopedist for a professional sports team - no complications. Second one was repaired by a less experienced orthopedist who put me in a walking cast after surgery, The incision opened in the cast and took months to heal. Then, 10 years later I re-ruptured the first one by stepping off a ladder on to a 4x4. Tendon pulled off the heal and had to be reattached with a mechanical fixture. No more basketball for me.😀 In fact, I took up bike riding but I can still walk without difficulty though I don't try to jump.
Guys love this. Really helpful. And love all your stuff.
But, did I miss it? Not one thing on prevention? Pre-workout stretching, how much, does it matter, is there correlation? Strength exercises? Weight lifting?
On a slightly different note, I have tendinitis in both my ankles. Had a long time, off and on. Have received a number of conflicting medical /PT recommendations. All kinds of mild multi-angle stretching, hot, cold, strengthen, not strengthen…
After months of no progress, probably the best advice I got from anybody, was to do absolutely nothing,for three weeks. Especially no stretching. Rest. That did more than all the above.
Now… finally back to mild, stretching, and strengthening. But it’s never gotten back to normal.
Perfect and informative, I don’t want one but must stay active, any steps to prevent those that are physically active?
My fav UA-cam channel. Incredibly informative. I had both a partial rotator cuff tear and this past winter, a partial tear in my calf muscle. In both instances, the pain was pretty intense and debilitating, and in both cases I was pretty impatient with the healing process. I chose to have laser light therapy. I’m happy to report that both injuries are what I believe to be fully healed. My question: Is laser therapy “voodoo medicine”, or would my injuries have healed in the same amount of time regardless? The jury is out for me. I’d like to tout the benefits of laser therapy but I have no way of knowing.
I have not torn my Achilles, but I do have Achilles tendinopothy. The back of my heel has been swollen for a year now. I have gone to two physios with no luck. Can you talk about how that happens and how to treat it? Thanks again for your content. It’s phenomenal.
Very good explanation
This is off the subject but your recommendation about beat juice and flax seed several years past was wonderful
I have been following according to your instructions. No issues and still seeing my doctor.That florisimide is just a bad memory.Thanks again.
Just waiting to find out if surgery or not i have been watching a lot of videos
I ruptured my Achilles playing pickleball almost two years ago now. My surgeon did the weave and the absorbable points at the bottom to make it that much stronger because of all my activity. My calf still isn’t quite as strong as it was pre rupture but I only notice it when I try to run, the push off. My calf starts to cramp slightly. But I continue to work on it.
I think I’m in the same boat with the pre rupture, but mine swollen and sore 😢
Omg this video came just in time. Currently in a cam boot on 4 stacks after having surgery the 1st week of Nov as well as tearing my patella tendon on my left knee which has me in a knee immobilizater.
Interesting and important! Two questions; my gym trainer advises that frequent use of ibuprofen can be concerning for affecting/promoting brittle tendons during strenuous exercise? Secondly, would toe/heal stretching provide some preventative strengthening for the tendon (70 yrs young) or should caution be the rule of thumb? Thanks so much guys for your informative videos!
My chiropractor gave me 8 to ten shock wave treatments to break up scar tissue on my Achilles tendon and since that my Achilles tendon is so very painful around the ankle and heal of my foot most of time that I can't put weight on that foot. Thinking I should get my family doctor to send me for exrays?
I personally want to do lots of research on SWT before getting it done for the same reason. Thanks for the input and good luck for the future.🤞
I ruptured my 3 months ago. Non-op route. I think they missed one important part when they are talking about Re-rupture. The increased chance to rerupture is in a period of 5 months after the rupture.
Thanks for that, how’s yours doing? I rupured mine a week ago, sitting here in a cast with the ballerina foot
@ Sorry to hear. I m up and walking with a little limping. I have shoes inside at home still with a little raise under the heal. No pain, just still swollen as hell round the ankle, but that’s normal. Doing toe raises and tip toe walking to get muscles back. I got a thump up for training legs, calf in the gym again last week. Hardest bit I think was the mentally and swollen bit with this extremely slow recovery. Hang in there 💪
@ cheers bro, appreciate it!
Agreed, re-rupture is a big issue and needs more information. I’ll put together a big comment on my experiences.
Thanks
I was dealing with plantar fasciitis mostly by stretching but the Dr on Gait Happens channel claims that heel lifts to strengthen the foot is key so doing that has helped. I wonder if the soleus stretch might be more advantageous than the gastroc stretch even though both need to be done.
What’s the best boot or brace for partial rupture on Amazon
An air cast or adjustable boot with a heel lift
@@TalkingWithDocs
Well I don’t plan on doing surgery being out that long again with a family to support. Are their any other alternatives?
I’ve had an Achilles tendon injury for my entire adult life. I originally injured it doing gymnastics when I was 19 (I am 48 now). There was no surgery done and I have had continued injuries throughout adulthood as I am fairly active. I have not been able to do a toe raise on my injured leg since the original injury. Today… Thanksgiving 2024 I tripped and ended up catching myself in a deep lung again injuring my Achilles. I regret not having surgery originally. I don’t even know if surgery is possible at this point because I have injured it so many times, but I would give anything to have it repaired.
They do a Flexor Hallucus Longus Tendon (big toe) diversion surgery to support the Achilles tendon. Seems like there’s a number of issues possible with this too but that’s good for thought for you.
Thank you so much for this vid. I had a partial rupture abt 4 weeks ago and it was caused by an electric shock i got while changing a bulb. Have you come across such an event and any further advise.
I just found out that I have a low grade tear in my Achilles of the left foot. My job requires me to stand for longer periods of time. Therefore, making it harder to find pain relief. So, what are some tips you can give me to improve the pain?
What about prevention?
Please do a segment on PRP therapy. I paid $1,000 for it and it did nothing to help. Insurance won't pay anything towards it. It's now been 14 months for tendonitis (it was not ruptured). What can one do?
I had a achilles rupture which happend to me after motorcycle off road accident. I'm currently 5 months past operation. In my case it seems that the scar tissue merged itself with the tendon. Whenever im trying to excercise, the scar keeps getting bigger in the middle part and when I'm trying to tip toe it looks like the skin(scar tissue) doesnt wanna glide down, and it looks like it is being restricted in the middle part of the scar.
Sorry to hear that but hopefully you are doing ok
So I ruptured my achilles 2 weeks ago and was in a non-weight bearing splint with planter flexion the next day. After week, my doctor had me in a non-weight bearing hard cast with planter flexion position. I've had very little pain these 2 weeks. I go back to see my doctor on October 28. What are the chances i can move to a weight bearing walking boot?
How's it going now?
most painful injury I ever suffered......and did it twice this year alone
Every time these guys talk about something I'm like, "yea, that's what I have." Anyone else?
Can you bring a neurosurgeon on to talk about encephalomalacia and gliosis? And a cardiologist to talk about Carotid arteries are tortuous?
It may be best to refrain from rigorous sports to avoid these injuries happening, because an injury never really heals back to the state it once was.
I am a practicing orthopedic surgeon with 30 plus years experience. While in the Navy , we fixed thousands of these tears in our 30 to 50 year old active sailors and marines. I personally performed 13 achilles repairs on one weekend during a base basketball tournament. I would never recommend conservative treatment for this injury. The literature has proven conservative treatment has 3x the rerupture rate and significantly more weakness with push off. I never had a wound infection with hundreds of these procedures despite what they say here. In fact , there have been many more neurologic injuries to the sural nerve with the "minimally invasive percutaneous techniques" described. The worst outcomes I have seen were all treated conservatively that eventually failed despite long periods of immobilization . They were unable to walk or climb stairs. They all required extensive reconstruction with very long recoveries greater than one year, which could have been avoided with a simple, effective, safe surgical repair.
We appreciate your experience and sharing your thoughts. We would have to respectfully disagree with many of your comments as they simply aren’t supported by the literature. We work on trying to provide patients with the most up to date scientific research rather than level 5 expert opinion. Thanks for your service
Good insights. My surgeon now opts for the full open-up surgery after damaging a nerve.
We need more research on strength, power, rerupture outcomes post treatment with a specific focus on compliance to absolute immobility in the acute phase to 8 weeks.
I’d imagine your navy guys were at high risk of doing too much in the non-surgical NWB phase and then in the weight bearing walking cast phases where just a little ROM past that which can be tolerated by the recovering tissues will undoubtedly result in a disruption to the laying down of fibers and elasticity.
I was incredibly careful in my boot for many weeks in the non-surgical approach but still had 3 instances where I felt healing tissues mechanically separate and this led to a palpable gapping which has now been resolved with surgery.
Removable walking casts may well be most of the problem with the conservative self-healing method.
A little confusing to hear Canadian docs explaining the need for a boot for aboot 6-8 weeks!
Mine ruptured 3 years ago, sounded like a shotgun going off, I’m not even kidding my ears rang after it popped
Aaron Rodgers. Kirk Cousins. JK Dobbins. The list in the NFL is looooong…
I did my ACL in ‘97 so my dance card is full. 😂.
I just rupture my right an Achilles from pickleball at a work event .. ugh 😩
In 2010 I visited the doc after suffering an increased period of pain in the heel region of my left foot. Doc diagnosed arthritis, prescribed an anti-inflammatory and said it was "one of those things." It got progressively worse, heel was inflamed/swollen, in 2013 I insisted on seeing a consultant as I could no longer walk on it. MRI done, turns out I had partially ruptured the achilles and what set it off was calcification of the heel, pushing the achilles out at the heel anchor point which, over time, weakened it to the extent it was starting to tear. It was also discerned that at some point I'd had a break which had healed.
Surgery was required, no other option and I was awake throughout the surgery which was fascinating. The calcification was removed, a hole was drilled through the heel and a plastic anchor point inserted so that a new achilles could be attached. I was informed I'd need to wear the cast (up to my knee) for four months before it would be removed/reevaluated. I was given a 65% chance of permanent disability in that foot which I refused to accept. I removed the cast a week later, started gentle physio, a month later I was standing on the foot and taking very short walks with the aid of crutches. Being allergic to pain meds and not being able to take any, the pain was unbelievable. Two weeks later, I was forcing myself to walk up inclines every other day, I'd come home (physically sick from the pain), on returning home I'd stick my foot in an ice bucket for up to 30 mins, then keep it elevated, I'd rest it the remainder of the day and the next, then repeat the process.
A month later, I had to go to the hospital for a follow up check/chat, the surgeon was so angry at what I'd done, but I explained to him that I knew if I kept that cast on and didn't use that foot for four months or longer, I would have ended up disabled. My foot today, in 2024, feels bionic, it's stronger than it was originally. I still have the ugly scar which I have to take care of as it's very thick and prone to drying/cracking so I have to keep it emoliated at all times.
Prevention?
Carnivore diet
A lot of comments requesting more information on prevention so I’ll hijack this place and hopefully the creators will be inspired to make further content that supersedes this comment.
Undoubtedly lots of rupture 💥occurrence can be prevented by ensuring appropriate warming up and conditioning of the tissues💪 for the rate loading of the activity your doing. Hence the ‘weekend warrior’ spike in the demographic of this injury🤕 of people who do not exercise with regularity and are not conditioned to lengthen the tendon at rate and/or then demand power from the muscles.
Nutrition🐓🐣🦕🐠🥦🍓🥕 no doubt plays a critical role in the mechanical tolerance of connective tissues. Consuming the building blocks for tendon health generally and during repair from activities will impact future tolerances to different loading stresses.🤠👍
Hydration is also a key factor in tendon load tolerance😇 with low level acute dehydration🥵 effecting load tolerance and repair significantly enough at higher demands from single events🦵💥 or low demand multiple events🦵🦵🦵💥 to compromise tendon function beyond capacity. 💥😱🤕👎
It is possible that elevated heel to toe drop footwear will reduce the ankle dorsiflexion angle experienced commonly in the mechanism of this injury and thus reduce the rates although this is not supported specifically in the literature it is widely accepted to be a good strategy for avoidance along with arch support and avoiding uneven surfaces where the heel can drop beyond the accustomed range of motion used in activities.🥵
In summary, warm up fully, condition progressively, frequently and specifically. Recover properly. Eat well, drink well and manage extrinsic biomechanical factors such as footwear and playing surfaces. You might also manage critical incidences by reducing motivation for extreme demands. Take it easy or modify sport, rules etc, if you can😇
Perhaps others have more to add or comments on this, I’d be happy to keep the thread going.
Good luck out there.
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Anyone else think; 20 year old Varsity football player?- who is responsible for a grown man beating on a sophomore - this is stupid
No child left behind, we even provide lunch now, grow big!
A little confusing to hear Canadian docs explaining the need for a boot for aboot 6-8 weeks!