2019 02 Achilles tendon rupture Dr Todd Gothelf

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  • @BMixMyster
    @BMixMyster 8 місяців тому +8

    I did both achilles… one surgery in 2018, one non-surgery in 2019. I was weight bearing with no crutches in 10 days. Back rock climbing in a boot in 2 weeks. Rock climbing hard at 5 months. I was 56 at the time.

    • @NicoleHansen-mt9zi
      @NicoleHansen-mt9zi 7 місяців тому

      How did you end up doing both? Just curious

    • @BMixMyster
      @BMixMyster 7 місяців тому +1

      @@NicoleHansen-mt9zi hello :) I did my right falling awkwardly in a bouldering (rock climbing) gym. I got surgery. A year later I did me left running up a warped wall in a ninja Warrior gym. Full rupture again, but went non-surgical route.

    • @whatdoyoubelieve194
      @whatdoyoubelieve194 6 місяців тому +1

      Which one healed faster? And which was better?

    • @BMixMyster
      @BMixMyster 6 місяців тому +6

      @@whatdoyoubelieve194 I was more careful initially (from 5 weeks to 3 months post-rupture) with my non-surgical recovery. I felt the sewing together of the first achilles made it stronger right away (surgeon said that). But after that, both totally … not one better. I have slightly better flex forward on the one I got surgery on. I rock climb a lot (part of my rehab). Mostly bouldering. Fall a lot! Just turned 60. No issues. I don’t even think about them any more. :)

    • @whatdoyoubelieve194
      @whatdoyoubelieve194 5 місяців тому

      @@BMixMyster Ty!

  • @jonathoncavada4727
    @jonathoncavada4727 2 роки тому +9

    thank you, currently recovering post operative repair, was hoping I could find something to back early mobilization

    • @sd4sell92
      @sd4sell92 2 роки тому +2

      Going through the same right now just had my surgery 2 weeks ago. I hope yours is doing much better by now

    • @josephlc2004
      @josephlc2004 2 роки тому

      @@sd4sell92 I had surgery on mine on the 3rd of march. Was in a hard cast for 2 weeks and moved to a boot. Not an adjustable boot, just an air cast type. It killed my heel to try and get around in it so after a week of it I took it off and have just been wearing some “hey dude” brand shoes. But making 100% certain I don’t put any weight on my toes. It’s heel only and I get around fairly well with no pain. Other that my heel being sore after some significant walking but other than that so far so good.

    • @rata4878
      @rata4878 Рік тому

      What was the cost for surgery?

  • @everythingoutdoorsuk2055
    @everythingoutdoorsuk2055 Рік тому +3

    Thank you for uploading.
    I ruptured my right Achilles a week ago while dancing.
    Surgery wasn’t even suggested to me by the orthopaedic surgeon I saw (nhs)
    I had my vacoped boot fitted a couple of days after diagnosis and have to return to hospital at around 4weeks
    I have attempted partial weight baring but I am not there yet as I still have significant pain, bruising and swelling.
    Which is probably the hardest thing about this injury- I’m extremely active, and impatient by nature, so not being able to do anything is incredibly frustrating lol

    • @PreciousK03
      @PreciousK03 10 місяців тому

      How are you doing now ?

  • @Morrisooo
    @Morrisooo Рік тому +3

    Raptured my Achilles during playing badminton. Late diagnose before it was confirm my Achilles tendon is completely rapture. No idea about my injury, I only know a sprain to make some rest. hopefully surgery will be successful and recovery soon this coming weeks.

    • @GeekiReview
      @GeekiReview 8 місяців тому

      How are you doing now after 6 months???

  • @vivekvatsa4682
    @vivekvatsa4682 Рік тому

    Nice illustrations.

  • @CH-iz9fv
    @CH-iz9fv 2 роки тому +12

    Really helpful video. I am in a cast right now from tearing my right
    Achilles. I am on week 4 (weight baring on week 2) and I get a walking
    boot on week 5 (my choice and not waiting until week 6 or 8) and that
    should be 3 weeks. I have a desk job and I have a hard time sitting
    still for long periods. I have been an athlete my whole life and I am
    in my 40s and did this playing basketball. So this really let me know
    that I have to be patient and this is not the end but just a long
    journey that I can recover from.

    • @ingodwetrust7648
      @ingodwetrust7648 2 роки тому +5

      Hang in there brother I also ruptured my right on the 6th of March and I'm now 5 wks post op..I just got out my cast and now in a walking boot..we will make brother no worries only time and patience with hard work and dedication! 💪

    • @CH-iz9fv
      @CH-iz9fv 2 роки тому

      @@ingodwetrust7648 Thanks and good luck brother, time and patients will have to be our friend.

    • @9ntice
      @9ntice 2 роки тому +1

      Goodluck! I would advice sitting in the boot longer, I got stubborn and went out of it 2 weeks earlier having a huge limp while walking

    • @1BOXINGKING1
      @1BOXINGKING1 Рік тому +2

      How is your recovery? Just tore my right achilles & had surgery 4days ago....

    • @CH-iz9fv
      @CH-iz9fv Рік тому +3

      @ 1BOXINGKING1 Well, it has been a struggle but I am better but I have pain in my right heal everyday with stiffness. You don’t heal the same as you get older. You need to listen to the doctors on your way to recovery and do the PT. The PT on your own is some of the most important part of your recovery because this injury has a lot to do with you and what you do. Do your stretches and ice is your friend. Ice at least once a day but the more the better. You have to be patient with your recovery. It will take about 4-6 months to start running and jumping but that is a fast track. It took me 6 months to get back to a slow jog but that is limited with pain. I did a lot of PT on my own because I wanted to speed up my recovery because issues with the VA but the doctors said I was ahead on my recovery. Once you can put your full weight on your foot and do a toe raise, you will be good to go. Make sure you don’t rush the boot or cast. You will have a limp if you do. Also, get an ankle brace for support when you get out the cast and boot. Since it is your right foot, you need to find a driver. You can’t drive with a boot, I already tried. Driving with a cast is too risky. Once you get out of both. No long trips. You will find the pressure from the pedal and brake can be a little too much at times. Get some stretch bands with different resistance to build strength and just for stretching. Lastly, this is a long road. In life we have challenges but we are measured by how we respond to them. I am sure you will be fine. Take care.

  • @rkrajenderchari1350
    @rkrajenderchari1350 2 роки тому +1

    Very good sir.

  • @9ntice
    @9ntice 2 роки тому +8

    Week 6 non op here and im able to walk again without my VACOped - not able to stand on my toes though
    [edit]
    Also big disclaimer, dont be like me and take the boot off at Week 6 -
    Don't let your ego sit in the way of recovery, I'm pretty sure it wouldve helped me a lot more by sitting in the boot until week 8. Building calf muscles in the boot is easier than without the boot.

    • @SebastianBrown
      @SebastianBrown 2 роки тому

      Did you have a full or partial rupture?

    • @9ntice
      @9ntice 2 роки тому +1

      @@SebastianBrown At the ER they couldn’t tell if it was a full one or not, thompson test defo stated a rupture. However my rupture was in September and I’m able to do a lot of things I did previously right now

    • @Hooleyboi26
      @Hooleyboi26 Рік тому

      How was your heel in the boot I've now got a flat heel and broken skin cos of the boot

    • @9ntice
      @9ntice Рік тому

      @@Hooleyboi26 honestly its almost a year ago now and I cant really remember how it was, but my foot was sore a lot, sometimes felt like my boot was crushing my heel though and had to moisturize it A LOT

  • @bennyc5546
    @bennyc5546 8 місяців тому

    Only a week in wearing this vacoped boot. Please can someone tell me how you sleep wearing this thing!? It feels like a slab of concrete, like someone is standing on my foot. I'd rather just have the injury than the boot at this point

  • @rata4878
    @rata4878 Рік тому

    For Ops patients on this chat, what was the cost for surgery?

    • @ajaykumara7158
      @ajaykumara7158 10 місяців тому

      Well it depends on country and surgeon. Well in my case 800 euros Approximately

  • @ahmedadwik8267
    @ahmedadwik8267 6 днів тому

    Am on week 2 of a rapture now. Went to hospital 48 hrs later and was given a boot. Dont understand how they expect people to sleep with the boot on is unhumane

  • @grinchoi1
    @grinchoi1 Рік тому

    what does smoking have to do with getting operated on or not? I'm a smoker but I'm also active and need to return to playing sports again

    • @maktiki
      @maktiki Рік тому +4

      Smoking has a major influence on wound healing. The achilles area is far away from the heart so wound healing is already slow on this bodypart. Smoking causes small bloodvessels to constrict this limits wound healing. If you quit smoking immediately you can have surgery, and do not smoke ever again.

    • @grinchoi1
      @grinchoi1 Рік тому

      @@maktiki thank you!

  • @Wie24
    @Wie24 2 місяці тому

    My rupture occurred 3 days ago. I put it in the boot right away. Today I had an ultrasound and the two ends of the Achilles are 6mm away. It is my second rupture. I played 5 years 2 times a week football after my first rupture with no problems. I wonder if the to ends of the Achilles can still grow together since there might be some scar tissue from the first rupture and because of the 6mm.

    • @celsomonteiro6541
      @celsomonteiro6541 17 днів тому

      Unfortunate... The first time did you have surgery? ... Before the second rupture, did you feel any pain or discomfort? I just had surgery 3 weeks ago and I am in the boots phase now... Wondering if I should quit playing football...

    • @Wie24
      @Wie24 17 днів тому

      @@celsomonteiro6541 I'm now week 10 without surgery and the doctor said it looks very good. No need to come back for a checkup. I think by week 13 I can make a single heel raise.

    • @Wie24
      @Wie24 17 днів тому

      @@celsomonteiro6541 I take a lot of Vitamine C (natural), bone broth, and collagen supplement to boost collagen production. I guess that helps.

  • @brownmamba4063
    @brownmamba4063 2 роки тому +2

    I had to wait 10 days before being seen by podiatrist! I walked in with no boot in flip flops and left with a cast. He didn't think I need surgery. Now I'm worried this isn't going to heal correctly after watching this.

    • @m44235
      @m44235 2 роки тому

      If it is a full rupture, you might need surgery but if not, non op should work fine. Make sure to follow instructions as advised and stay patient. I am having a cast tomorrow and boot in 10 days.

    • @brownmamba4063
      @brownmamba4063 2 роки тому +1

      @@m44235 not a full rupture, but I had to wait 10 days to see specialist who, casted my foot with toes pointed down. In this video he said after 2 days he recommends surgery. So I'm worried this isn't going to heal right.

    • @tkwilk88
      @tkwilk88 Рік тому

      @@brownmamba4063 I would definitely recommend trying to get an MRI if possible if you really want to be sure. I partially tore my Achilles on June 28. Initially I did not get put in a boot in the proper position for almost two weeks. I was told from the ultra sound that it looked like I had less than a 5cm gap in the tear and likely wouldn’t need surgery. I didn’t walk much but did slip in the shower and had to put my injured foot down.
      My doctor wanted to schedule an MRI to be sure but they waited to place the order for almost a week. It was then denied by my Indira because my doctor just put it in as ankle pain. After an appeal they finally approved the MRI and it was scheduled for June 3rd.
      I started going to PT at the end of May and they actually referred me to a Achilles specialist because they thought I might need surgery. I’m 34 and a very athletic person so I wanted to get it fixed properly.
      The results of the MRI showed I had a 7cm gap in 75% of my tendon. Luckily the specialist was able to schedule me for surgery the same week of my MRI. He was very surprised my other doctor didn’t put me in a boot right away.
      It can be a hassle to get an MRI but if you are someone that wants to continue being active then I think it is definitely worth it. I’m not a doctor but there is definitely a big risk of tendon elongation if you’ve moved your foot out of that downward pointing position after the first 48 hrs. I was really upset with my initial doctor for not treating my injury seriously enough and I’m sure you may be angry as well. I hope some of my experience helps inform you on what you want to do.

    • @versastyledio
      @versastyledio Рік тому +1

      has it healed now?

    • @patrixfunny
      @patrixfunny Рік тому

      update? how are you now bro? i just got my cast removed -> into a cam boot

  • @dnooli
    @dnooli Рік тому

    What do u do for the patients with closed ruture after the repair of tendoachilles for Haglunds deformity?

  • @philam1973
    @philam1973 6 місяців тому

    I don’t necessarily agree with this guy on some issues. I’m not a doctor. They want full time in a boot? Sleeping in a boot? I can’t sleep well in a boot. Associated health issues with not getting proper rest. After 2 weeks in a boot I started getting significant atrophy, super dry skin. Once I started washing my foot and resting my foot exposed for hours at a time, my foot started looking more normal. There is no weight bearing lying in bed. The foot is in plantar position. There is occasional small movement of foot muscles not associated with the Achilles. Itching is gone. My foot doesn’t just get 2 hours a week exposed to the air and using muscles. At that rate, PT would be extended to compensate for muscle atrophy. My goal is to walk, not dunk a basketball or run a marathon uphill all the way.

    • @celsomonteiro6541
      @celsomonteiro6541 17 днів тому

      Some Dr says you can remove the boot to sleep if you feel comfortable... I take my boots off every night.

  • @user-bn1vy4nk1h
    @user-bn1vy4nk1h Рік тому +2

    เวลานอนถอดได้มั้ย

  • @jamessmith4681
    @jamessmith4681 Рік тому

    Odd thinking, better to operate "because of patient compliance" & "Just cut the fascia"..wow!

  • @lanehennefer5896
    @lanehennefer5896 2 роки тому

    !

  • @davidthomas1318
    @davidthomas1318 2 роки тому

    )