I just completed one month of unassisted walking and light calf raises. In one month I went from walking with a very strong limp to walking with no limp. This video is the most concise, no BS, best description of a functional protocol. Thanks for taking the time to make it.
I am a racing cyclist and ruptured mine at 65 after a trip and needed an operation to repair. My surgeon also a cyclist sorted me even had riding a static bike for physio when leg was still in a boot. However your recovery is only as good as the work you put into your physo and returned to full fitness. Still racing 5 years later and have added 2 further National Age Group TT championship wins to my tally. Do as your directed and work at it and you will be fine.
Thank you so much for creating such a thorough resource. I'm 1.5wks post op and can't wait to be out of this splint and getting to the recovery side of things. Will be comparing this to what my PT provides.
I'm from Slovenia 🇸🇮 I'm 36 years old... In 2020 I had a partial rapture of the Achilles on my right leg... This was in February just as the bug was begging to take affect... I won't tell you my horrific hospital story, but I will say they wanted to operate the 12 mm ( half inch) rapture since I had no insurance... I said no thanks... They sent me home with out a boot or cast... One week of pain passed by when they sent me a paper saying if I want to come back and have a second opinion and procedure... I went back (had my insurance sorted) and they told me we can go without surgery since it's only a tare and not a ful rapture. I said ok. Anyone who gets the boot should be so thankful, since I got a cast and it was awful... I had blisters and stink on my foot and much more... They didn't even provide me with walking canes (sorry, don't know the English term)... So, after 6 weeks of the cast it was time to take it of... During the lock downs I have 4 days of 4 therapy session... 4 days... Minimum human interaction was allowed so just electro therapy and light therapy is all I had... No stretching no massages what so ever... After that they gave me 2 pieces of paper with exercises. No instructions, just the papers showing stretches and exercises... I was so lucky I knew a physio therapist that was good enough to come round and did pressure point massages on my calf and tendon... He saves my leg and my life... I admit, during this time I wasn't to keen on doing the work needed, I did some bought not enough... I can walk normal and do sports, but the size difference in the muscles is still huge... A few weeks ago I decided I will start full work on my leg and it's been going good... Still have a long way to go... And for the conclusion I would like to point out the diet... Make sure you eat enough protein as this is almost never mentioned anywhere I talked, read, or watched about. All of us regular Joes will mostly likely have muscle atrophy and muscles need enough available protein to grow if not your muscles just won't "build up" as they should. Hope this helps out at least one person, since my medical process was just awful. All the best to you all ❤
Thanks for the updates and vital information! I wish you the best...as I'm only 5 days in, and this is a daunting injury (I've never been so low and down in my life...its hard being useless and crawling up steps, lack of sleep, being isolated, etc) I think noone understands this factor. Until it happens to you sadly.
@@brucewilliamsstudio4932 thank you friend, I greatly appreciate it! It surely is tough being pretty much useless for an entire month(s) which makes it so grueling. And just to walk again, will be a miracle...thank you!
@@Always_Never Mine appears to be triggered by a very large hematoma in my left calf. Not only is my achilles tendon (insertion achilles tendinosis) extremely painful, but the bottom of my heel feels like I am stepping on a thumb tack! Now my knee has become very sore, maybe from the odd way I'm moving with the crutches. So I agree, to be able to walk again will feel like a miracle. God bless you, and I wish you a speedy recovery.
@brucewilliamsstudio4932 do they know what caused the hematoma? Or was it due to being laid up, and not able to do anything on the leg. I'm so sorry that you have to go through that, ontop of the dread achillis rupture to boot. That's a horrible ordeal to push through, I hope both present issues heal for you quickly, as it's really challenging mentally to bear through, with progress being so delayed and slow through the entire recovery.
After a TA repair, common precaution is not to excessively stretch out the calf so that the tendon does not heal “long”. How do we know clinically / physical examination if the tendon has healed “long”?
I think functionally if the tendon has heeled (pun intended) too long, then it will be slack for the first part of the calf muscle contraction, and the patient might feel like missing some strength? Just a wild guess
Terrific video. The most informative video I have seen. Just 5 months post complete Achilles tendon rupture tear. I still can't do a complete single leg calf raise on my injured leg. Very scary. Recovery progress has seemed to have stalled. Any recommendations or advice would be encouraged. I am walking fine, but the strength is very slow in returning. Walking on my tippy toes is still difficult. Thanks in advanced.
Same here, 5 months post a complete rupture, with minimally invasive surgery done. I can easily do 3x10 calf raises on both legs but haven't yet been able to do a single leg calf raise on the injured leg. Both my surgeon and my physiotherapist say that my recovery is within normal parameters so I'm trying to be patient. Think I'll try the seated single leg calf raise with a dumbbell (10:20) and the staggered heel stance (11:45) next time I'm at the gym. How are doing you now?
@@jakobbouchalI get surgery on mine in three days. This video def helped to put my mind at ease about getting back to where I was before. Playing basketball once in a while, bowling and gym almost daily
I hurt my Achilles but fortunately didn’t tear it. It took a little over a year for the pain to go away. I am about 95% what I was. Heel raises, calf, foot and ankle exercises and weights fixed it but it took a long while.
Are you sure that conservative and surgery management gives the same performance? Has been measured in terms of jump distance/height, running speed and total ankle dorsiflexion force? It seems very unintuitive… In this moment I have two patients that undergone surgery at our clinic and both are going well, but their surgeon didn’t hesitate to suture repair (ARTREX) viewing the extent of the rupture at the MRI. Thanks for your videos, I frequently give the links to my patients for home exercises and self-rehabilitation guide.
Great video. Im day 3 since i ruptured my achillies heel. Im also age 50, but very active. Swim and skateboard most days. Does age have any bearing on how well you heal the achillies. Or is it just a matter of it will take longer for older people?
Uff...I'm 6 months post surgery and started moderate weigthlifting this month, after having 4 months of regular physio therapy. I made very good progress but a one foot heel raise is almost impossible on my injured leg :( I have no idea how I could improve that. Of course I'm lacking strenght which is getting better now but there's also still fear to rupture it again...It happenend during boxing in sparring during a normal movement and I'm boxing for 21 years. This makes me feel that it could happen again any moment... Thanks for the very helpful and professional video!
Same thoughts here, I'm at 19 weeks and in rehab now. Mine ruptured during the landing of a very basic gymnastics move that I've done so many times before. I think gradual strength training may be important to get the muscle back but also gradual because the tendon has to be able to adapt to increasing loads, so a spike in loading because you can't wait to see results is probably a bad idea. A very insightful video IMO is ruclips.net/video/LsHgb1efVgM/видео.html
@@hasan9.11 I'm currently doing slow progress. It's 8 months past surgery now, one foot heel raise still not possible, well at lease I can raise it 2cm now. I can walk fine but the foot is quite stiff and sometime it hurt. 3 weeks ago the doctor checked it, it's steel in healing process and grown together well. Currently I still have to be careful as the tendon "has not completely formed and recovered yet and is soft". If I do too much excercise it could rupture again and on the other side it could lenghten and I'll habe permanent loss of strenght in my injured leg...in two months we'll have the next appointment and we'll see if I could go back to boxing again, slowly.
@@Th3Punisher1989 8 months & you still have Problem?😮 After 8 months you should be able to do Sports again. My First achilles tendon, it Happen in boxing sparring too like yours, After 6 Month I was back in Ring again. Now I have another Achilles Tendon on my Other foot, again it Happen in boxing sparring. is 8 weeks Post surgery now & im 2 Months I can do Sports again.
Do you have any videos on preventing an Achilles tear? I strengthen the calf and tibialis muscles and ensure my heel does not drop when doing a load step but can more be done?
Hi Stephan. My name is Nick and I ruptured my achilles on the 4/11. I’ve created a WhatsApp group where a bunch of us can share about our recovery journey. Are you interested in joining?
I had an operation 4 weeks ago, my quadriceps start to swallow, I am wearing a boot right now. What kind of workouts I should do to prevent atrophy? Tnx
Thank you so much for watching! Be sure to check out the blog for all references: e3rehab.com/achilles-tendon-rupture-rehab/
I just completed one month of unassisted walking and light calf raises. In one month I went from walking with a very strong limp to walking with no limp. This video is the most concise, no BS, best description of a functional protocol. Thanks for taking the time to make it.
Your videos are really great. Please make a video on Cervical Spondylitis.
I am a racing cyclist and ruptured mine at 65 after a trip and needed an operation to repair. My surgeon also a cyclist sorted me even had riding a static bike for physio when leg was still in a boot. However your recovery is only as good as the work you put into your physo and returned to full fitness. Still racing 5 years later and have added 2 further National Age Group TT championship wins to my tally. Do as your directed and work at it and you will be fine.
From one physio to another. Great video for patients!
Great video ❤
Thank you so much for creating such a thorough resource. I'm 1.5wks post op and can't wait to be out of this splint and getting to the recovery side of things. Will be comparing this to what my PT provides.
as a physical therapist this is an amazing program and instruction. great video.
I'm from Slovenia 🇸🇮 I'm 36 years old... In 2020 I had a partial rapture of the Achilles on my right leg... This was in February just as the bug was begging to take affect... I won't tell you my horrific hospital story, but I will say they wanted to operate the 12 mm ( half inch) rapture since I had no insurance... I said no thanks... They sent me home with out a boot or cast... One week of pain passed by when they sent me a paper saying if I want to come back and have a second opinion and procedure... I went back (had my insurance sorted) and they told me we can go without surgery since it's only a tare and not a ful rapture. I said ok. Anyone who gets the boot should be so thankful, since I got a cast and it was awful... I had blisters and stink on my foot and much more... They didn't even provide me with walking canes (sorry, don't know the English term)... So, after 6 weeks of the cast it was time to take it of... During the lock downs I have 4 days of 4 therapy session... 4 days... Minimum human interaction was allowed so just electro therapy and light therapy is all I had... No stretching no massages what so ever... After that they gave me 2 pieces of paper with exercises. No instructions, just the papers showing stretches and exercises...
I was so lucky I knew a physio therapist that was good enough to come round and did pressure point massages on my calf and tendon... He saves my leg and my life... I admit, during this time I wasn't to keen on doing the work needed, I did some bought not enough... I can walk normal and do sports, but the size difference in the muscles is still huge... A few weeks ago I decided I will start full work on my leg and it's been going good... Still have a long way to go... And for the conclusion I would like to point out the diet... Make sure you eat enough protein as this is almost never mentioned anywhere I talked, read, or watched about. All of us regular Joes will mostly likely have muscle atrophy and muscles need enough available protein to grow if not your muscles just won't "build up" as they should.
Hope this helps out at least one person, since my medical process was just awful. All the best to you all ❤
Thanks for the updates and vital information! I wish you the best...as I'm only 5 days in, and this is a daunting injury (I've never been so low and down in my life...its hard being useless and crawling up steps, lack of sleep, being isolated, etc) I think noone understands this factor. Until it happens to you sadly.
@@Always_Never I agree. It's extremely painful and very difficult to get around. It's also a long road to recovery. Good luck in your rehabilitation.
@@brucewilliamsstudio4932 thank you friend, I greatly appreciate it! It surely is tough being pretty much useless for an entire month(s) which makes it so grueling. And just to walk again, will be a miracle...thank you!
@@Always_Never Mine appears to be triggered by a very large hematoma in my left calf. Not only is my achilles tendon (insertion achilles tendinosis) extremely painful, but the bottom of my heel feels like I am stepping on a thumb tack! Now my knee has become very sore, maybe from the odd way I'm moving with the crutches. So I agree, to be able to walk again will feel like a miracle. God bless you, and I wish you a speedy recovery.
@brucewilliamsstudio4932 do they know what caused the hematoma? Or was it due to being laid up, and not able to do anything on the leg. I'm so sorry that you have to go through that, ontop of the dread achillis rupture to boot. That's a horrible ordeal to push through, I hope both present issues heal for you quickly, as it's really challenging mentally to bear through, with progress being so delayed and slow through the entire recovery.
After a TA repair, common precaution is not to excessively stretch out the calf so that the tendon does not heal “long”. How do we know clinically / physical examination if the tendon has healed “long”?
i’ve been wondering this as well 🤔
I think functionally if the tendon has heeled (pun intended) too long, then it will be slack for the first part of the calf muscle contraction, and the patient might feel like missing some strength? Just a wild guess
Great video. Thanks from Ukraine, I've just started my way after surgery.
Another excellent video by E3REHAB!
Great info and progressions. Well done
Superb presentation of information.
Terrific video. The most informative video I have seen. Just 5 months post complete Achilles tendon rupture tear. I still can't do a complete single leg calf raise on my injured leg. Very scary. Recovery progress has seemed to have stalled. Any recommendations or advice would be encouraged. I am walking fine, but the strength is very slow in returning. Walking on my tippy toes is still difficult. Thanks in advanced.
Same here, 5 months post a complete rupture, with minimally invasive surgery done. I can easily do 3x10 calf raises on both legs but haven't yet been able to do a single leg calf raise on the injured leg. Both my surgeon and my physiotherapist say that my recovery is within normal parameters so I'm trying to be patient. Think I'll try the seated single leg calf raise with a dumbbell (10:20) and the staggered heel stance (11:45) next time I'm at the gym.
How are doing you now?
@@jakobbouchalI get surgery on mine in three days. This video def helped to put my mind at ease about getting back to where I was before. Playing basketball once in a while, bowling and gym almost daily
Very useful video, thankyou
Great video. Can you do one on a patellar tendon rupture. I did in my right knee one year ago.
Awesome video.
Great content as always, thank you 🙏😊
Exactly what I need!
I hurt my Achilles but fortunately didn’t tear it. It took a little over a year for the pain to go away. I am about 95% what I was. Heel raises, calf, foot and ankle exercises and weights fixed it but it took a long while.
Are you sure that conservative and surgery management gives the same performance? Has been measured in terms of jump distance/height, running speed and total ankle dorsiflexion force? It seems very unintuitive…
In this moment I have two patients that undergone surgery at our clinic and both are going well, but their surgeon didn’t hesitate to suture repair (ARTREX) viewing the extent of the rupture at the MRI.
Thanks for your videos, I frequently give the links to my patients for home exercises and self-rehabilitation guide.
love it !
Also recommend reading Overcoming Tendonitis from Steven Low and another doc, great source of information, easy read and cheap
Great video.
Im day 3 since i ruptured my achillies heel. Im also age 50, but very active. Swim and skateboard most days. Does age have any bearing on how well you heal the achillies. Or is it just a matter of it will take longer for older people?
Does the bottom of your heel feel tender with this? Medium heel pain is only pain I have…no major pain when I get up in the morning.
What about insertional Achilles issues?
This is terrifying.. Loading the achilles, knowing it can pop again anytime
Im scared to death. Im happy to walk normal and maybe jog again. Not going to attempt jumping, sprinting for a long time
It could have popped at anytime before the injury. Don’t let it scare you. I’m not gonna let it scare me when I start my rehab
@@DanielRRoofit will be fine just trust the repair!
Any tips on achieving a full range of motion in calf raises? It’s been a year and I still struggle achieving full height single calf raise.
Uff...I'm 6 months post surgery and started moderate weigthlifting this month, after having 4 months of regular physio therapy. I made very good progress but a one foot heel raise is almost impossible on my injured leg :( I have no idea how I could improve that. Of course I'm lacking strenght which is getting better now but there's also still fear to rupture it again...It happenend during boxing in sparring during a normal movement and I'm boxing for 21 years. This makes me feel that it could happen again any moment...
Thanks for the very helpful and professional video!
Same. How are you now
Same thoughts here, I'm at 19 weeks and in rehab now. Mine ruptured during the landing of a very basic gymnastics move that I've done so many times before. I think gradual strength training may be important to get the muscle back but also gradual because the tendon has to be able to adapt to increasing loads, so a spike in loading because you can't wait to see results is probably a bad idea. A very insightful video IMO is ruclips.net/video/LsHgb1efVgM/видео.html
@@hasan9.11 I'm currently doing slow progress. It's 8 months past surgery now, one foot heel raise still not possible, well at lease I can raise it 2cm now. I can walk fine but the foot is quite stiff and sometime it hurt. 3 weeks ago the doctor checked it, it's steel in healing process and grown together well. Currently I still have to be careful as the tendon "has not completely formed and recovered yet and is soft". If I do too much excercise it could rupture again and on the other side it could lenghten and I'll habe permanent loss of strenght in my injured leg...in two months we'll have the next appointment and we'll see if I could go back to boxing again, slowly.
@@Th3Punisher1989 8 months & you still have Problem?😮 After 8 months you should be able to do Sports again. My First achilles tendon, it Happen in boxing sparring too like yours, After 6 Month I was back in Ring again. Now I have another Achilles Tendon on my Other foot, again it Happen in boxing sparring. is 8 weeks Post surgery now & im 2 Months I can do Sports again.
hi can you make a video for hoffa's fat pad impingement?
Do you have any videos on preventing an Achilles tear? I strengthen the calf and tibialis muscles and ensure my heel does not drop when doing a load step but can more be done?
Thank You for the Video!
What are time expectations to restart running after surgery?
Answering for myself in the past: after surgery- 5.5 m started single calf raise, after 6 m started easy jogging
What is a safely recommended time after an Achilles rupture surgery to begin this rehab program?
Hi Stephan. My name is Nick and I ruptured my achilles on the 4/11. I’ve created a WhatsApp group where a bunch of us can share about our recovery journey. Are you interested in joining?
@@nicholasstephens4168 I'm on this journey. I ruptured mine 5 month ago
Hey pal tell me more about this gp.. I'm interested.
I'm going into my 3rd week of wearing the boot..
I had an operation 4 weeks ago, my quadriceps start to swallow, I am wearing a boot right now. What kind of workouts I should do to prevent atrophy? Tnx
How are you doing now?
I have Achillies pain when just shooting a ball. I have no pain when sprinting, doing agility exercises, How can I recover from this pain?
Do static holds with a lot of weight ,maybe some little fibers in need to rehadjust
Thanks dear master
My achilles tendon pops every morning could this be the start of a rupture?
It's a serious nightmare injury, I hope you won't experience such
Thank you.
What do you mean by 5 single leg heel raises at 90% of available height?
..❤...👏