Really helpful video guys 👍 Initially ruptured mine in Aug-23 playing 5-a-side and wasn’t offered surgery and so went conservative route (32 y/o male - active). Seemed to be all well 6 months in and just about to return to running. Then re-ruptured a few days ago losing my balance and immediately knew it had gone again 😔 Going for the surgery route next week with rationale being I need all the % gains so can get to avoid this happening again in the future - even with knocking sport on the head.
Can you share your recovery program in short first month, then after it? WB or NWB? Did you done your training into that 6 months or just waited time and then just started running? 6 months about to return to running seems far too long.
@@philbaxley493 Sure. First recovery was 1 week in a medical boot and then the remainder in a VACOPed. Partial weight bearing from the start, although obviously minimal initially. This time around (operative) I was in a medical boot for 10 days until surgery, then a cast for 2 weeks. W3 onwards to W12 I'm in a VACOPed. When I ruptured first time (conservative treatment) I was just about to start jogging, for exercise I was cycling, walking and boxing with a heavy bag (limited footwork!). They advised 4-6 months before jogging so I was at the back end, physiotherapist wanted my single calf raise stronger. As it happened it clearly wasn't healing as well as expected as it re-ruptured!
@@Ben-wx3rs Woa, it surely wasnt normal to rupture again like that. I thought this 10% of reruptures come from early on accidents, not casual running after 6 months. Did you do any Ultrasound within that 6 months to see how the recovery was going? I was being told they can see how thick tendon is and then advise on training
@@philbaxley493 I wasn’t running, I lost my balance and hyper extended. I’ve been told it can take 9-12 months to fully heal so wouldn’t say you are completely out of the woods until then! No ultrasounds first time round, don’t do them at my hospital apparently other than diagnosis at the point of injury. Im NHS so it may be that private/better NHS practices offer a better service. I wasn’t training too soon, if anything I probably had a more cautious programme. Hoping surgery will lead to a better outcome 🤞
@@Ben-wx3rs Reason why I asked, Im atm exactly 10 weeks from my left leg achilles rupture. Conservative method. Rupture was 8cm from bottom so pretty "lucky" there. First week wrongly diagnosed to rest, got cast after a week to wear for 10 days. then Walker Boot. First 2 weeks boot 20 degrees, then 0 degrees, then slowly walking with no crutches. NWB was for first 4 weeks (First week I was just limping around so not icluding that). Now into my last of 3 weeks of phisio and already walking by myself, driving car and motorcycle. Calf already looks strong but not rushing it until I do ultrasound again. When you said running after 6 months that seemed pretty long tho.
Thank you so much for these pod casts. Ruptured my Achilles 6/10/23 and had immediate triage and currently in “a boot”. I didn’t feel like I had the option of surgical or conservative “but I’m using BUPA to see a consultant next week (week 5). From your casts I believe the right course of action has been taken I just feel that communication has been poor. Key take always from your casts: Explaining how a tendon is made up (I.e. sausage skin), weight stimulus and future recovery.
Hi, thank you for your feedback. Really glad that found it useful. Please follow our channel for more videos or take a look at our website blogs page. complete-physio.co.uk/blogs/
Really good. Thank you. The first one, and this follow-up 👍. Did mine playing tennis 4 days ago. All the classic signs. Saw consultant yesterday and I was discouraged from surgical repair due to 'the risks... and that there was no difference in recovery anyway, as I wasn't an elite/professional player'. I've been in a boot since day 1 and I'm taking it very seriously so hope I'll still be OK. 🤞 But don't want to miss an opportunity to push for surgery if that would have been best 😬 (...As long as I got an experienced surgeon ... no guarantees though 🤷♂️)
Hi dude. 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?
Can you update us on how your recovery is going since going the non surgical route? I torn mine a few days ago and they also discouraged me from doing the surgery
Great video! Just ruptured mine Nov 22, 2023 and saw the doctor today (4 days later) and got the boot. Few questions: How exactly does the tendon heal when it is not surgically attached? Does it attach end to end or does it attach to the calf muscle (or other surrounding muscles, etc.) and somehow give tension. I have not heard a clear answer to that. Whereas, it seems the surgery is the best way for it to reattach. Unless it can simultaneously grow like a tree root in two directions. Also, is there a time difference in operative and non-operative? For example, if I did the surgery would my tendon be strong at 3 months compared to that same time period without surgery. Likewise, does one produce the slenderness of the tendon better than the other? Thank you in advance! :)
@ going well for me. Just made 16weeks post op. Took my first jumpshots earlier this week. Felt pretty d good. Still some tightness but it’s getting better every day
@@acjei good to hear, I’m 4 weeks post injury doing the non operation. Feeling tightness on the achilles but I feel like it’s healing, doing some light exercises everyday to speed up recovery. I also have this compression pump for my calves to help recovery and stop potential blood clots forming from the boot.
Last Sunday, I tore the tendon from the heal and lost 3.5cm. Orthopedist said my best option was surgery using screws to keep the Achilles attached. I have some risk factors but I don’t think there is another viable option.
I am a 30yr old male, ruptured my Achilles during basketball on Tue 10/3/23, went to ER, they took xray & put me on a regular boot. Couldn't see Orthopedic until 10/6/23, I chosen conservative recovery. Put me in a cast right now for 2 weeks with my foot slightly pointing downwards. Follow up on 2 weeks for possible a proper boot.
Good luck with your recovery. We have lots of advice and videos on our youtube channel and website if you'd like to give us a follow. complete-physio.co.uk/?s=achilles
@dylan4972 Walking now. Slight limp from the boot & cast. Very mild pain as I push off for my step. PT twice a week & at home. Thus far I'm glad I'm recovering & walking. 🙏
Hello. I heard Chris Myers say that during surgery, the tendon can never be attached the same way it was originally. This just made my heart stop because that sounds like I’m going to live with a defect for the rest of my life. Is that what it means? Or will it get back to its original state after some years?
Hi, Thank you for getting in touch. In most cases after surgery, your tendon will heal fully and as long as you follow the rehabilitation programme, will be as strong as it was pre injury. Most people are able to return to the level of activity they were at prior to injury. I hope this is reassuring for you. Good Luck. Please follow our channel for more videos, or visit our website. complete-physio.co.uk/blogs/
@@CompletePhysio Thank you very much for this. I’m a bit worried though since my surgeon didn’t follow the protocol you recommend. I’m now at 8 weeks post op. My surgeon never had me in a boot, went straight from the cast to 90 degrees (neutral) and walking in shoes at 6 weeks. I haven’t let my foot go beyond 90 degrees since then but I’m still super worried about healing long
What are you're thoughts on an Achillotrain instead of a Vacoped after a plaster cast? I've ruptured my achilles about 2.5 weeks ago and was put in a cast within 4 hours after the rupture. After a week the cast was removed, now I have an achillotrain and I'm starting rehab this week.
Hi, There are a number of different options on the market, and different physios and surgeons have their preferred brace. If your orthopaedic surgeon has given you the Achillotrain and it is giving you the right support then that's great. Good luck with the rehab. Please like our channel to follow up to date videos and information.
Recently ruptured mine, within 2wks I was cast straight away, vacoped boot and ultrasound scan. There is a 4.7cm gap at neutral and at 30 degree of plantar it closes to 4cm...im not convinced this will heal and ive not been offered surgery on NHS...i need this to be right...what do i do?
@NSulta777 it was a 4.7mm gap and not 4.7cm. So I was put in a vacoped boot and it's healed back together. I've just started to wean out of the boot. It feels tight but physio will sort that out. Good luck on your journey
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Really helpful video guys 👍
Initially ruptured mine in Aug-23 playing 5-a-side and wasn’t offered surgery and so went conservative route (32 y/o male - active).
Seemed to be all well 6 months in and just about to return to running. Then re-ruptured a few days ago losing my balance and immediately knew it had gone again 😔
Going for the surgery route next week with rationale being I need all the % gains so can get to avoid this happening again in the future - even with knocking sport on the head.
Can you share your recovery program in short first month, then after it? WB or NWB? Did you done your training into that 6 months or just waited time and then just started running? 6 months about to return to running seems far too long.
@@philbaxley493 Sure.
First recovery was 1 week in a medical boot and then the remainder in a VACOPed. Partial weight bearing from the start, although obviously minimal initially.
This time around (operative) I was in a medical boot for 10 days until surgery, then a cast for 2 weeks. W3 onwards to W12 I'm in a VACOPed.
When I ruptured first time (conservative treatment) I was just about to start jogging, for exercise I was cycling, walking and boxing with a heavy bag (limited footwork!). They advised 4-6 months before jogging so I was at the back end, physiotherapist wanted my single calf raise stronger. As it happened it clearly wasn't healing as well as expected as it re-ruptured!
@@Ben-wx3rs Woa, it surely wasnt normal to rupture again like that. I thought this 10% of reruptures come from early on accidents, not casual running after 6 months. Did you do any Ultrasound within that 6 months to see how the recovery was going? I was being told they can see how thick tendon is and then advise on training
@@philbaxley493 I wasn’t running, I lost my balance and hyper extended. I’ve been told it can take 9-12 months to fully heal so wouldn’t say you are completely out of the woods until then!
No ultrasounds first time round, don’t do them at my hospital apparently other than diagnosis at the point of injury. Im NHS so it may be that private/better NHS practices offer a better service.
I wasn’t training too soon, if anything I probably had a more cautious programme. Hoping surgery will lead to a better outcome 🤞
@@Ben-wx3rs Reason why I asked, Im atm exactly 10 weeks from my left leg achilles rupture. Conservative method. Rupture was 8cm from bottom so pretty "lucky" there. First week wrongly diagnosed to rest, got cast after a week to wear for 10 days. then Walker Boot. First 2 weeks boot 20 degrees, then 0 degrees, then slowly walking with no crutches. NWB was for first 4 weeks (First week I was just limping around so not icluding that). Now into my last of 3 weeks of phisio and already walking by myself, driving car and motorcycle. Calf already looks strong but not rushing it until I do ultrasound again. When you said running after 6 months that seemed pretty long tho.
Thank you so much for these pod casts. Ruptured my Achilles 6/10/23 and had immediate triage and currently in “a boot”. I didn’t feel like I had the option of surgical or conservative “but I’m using BUPA to see a consultant next week (week 5). From your casts I believe the right course of action has been taken I just feel that communication has been poor. Key take always from your casts: Explaining how a tendon is made up (I.e. sausage skin), weight stimulus and future recovery.
Hi, thank you for your feedback. Really glad that found it useful. Please follow our channel for more videos or take a look at our website blogs page. complete-physio.co.uk/blogs/
Really good. Thank you. The first one, and this follow-up 👍.
Did mine playing tennis 4 days ago.
All the classic signs. Saw consultant yesterday and I was discouraged from surgical repair due to 'the risks... and that there was no difference in recovery anyway, as I wasn't an elite/professional player'.
I've been in a boot since day 1 and I'm taking it very seriously so hope I'll still be OK. 🤞
But don't want to miss an opportunity to push for surgery if that would have been best 😬 (...As long as I got an experienced surgeon ... no guarantees though 🤷♂️)
Hi dude. 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?
How are you now? Hopefully well
Can you update us on how your recovery is going since going the non surgical route? I torn mine a few days ago and they also discouraged me from doing the surgery
Great video! Just ruptured mine Nov 22, 2023 and saw the doctor today (4 days later) and got the boot. Few questions:
How exactly does the tendon heal when it is not surgically attached? Does it attach end to end or does it attach to the calf muscle (or other surrounding muscles, etc.) and somehow give tension. I have not heard a clear answer to that. Whereas, it seems the surgery is the best way for it to reattach. Unless it can simultaneously grow like a tree root in two directions.
Also, is there a time difference in operative and non-operative? For example, if I did the surgery would my tendon be strong at 3 months compared to that same time period without surgery.
Likewise, does one produce the slenderness of the tendon better than the other?
Thank you in advance! :)
Thanks for posing this question.
Just ruptured mine on 7/4/24. 1.5cm gap. Had surgery 2 weeks later. Currently in a cast. My surgeon said I’ll be in a boot next week.
How’s your recovery going? Would you recommend surgery? I also got the choice but the doctors convinced me not to do surgety
@ going well for me. Just made 16weeks post op. Took my first jumpshots earlier this week. Felt pretty d good. Still some tightness but it’s getting better every day
@@acjei good to hear, I’m 4 weeks post injury doing the non operation. Feeling tightness on the achilles but I feel like it’s healing, doing some light exercises everyday to speed up recovery. I also have this compression pump for my calves to help recovery and stop potential blood clots forming from the boot.
Last Sunday, I tore the tendon from the heal and lost 3.5cm. Orthopedist said my best option was surgery using screws to keep the Achilles attached. I have some risk factors but I don’t think there is another viable option.
I am a 30yr old male, ruptured my Achilles during basketball on Tue 10/3/23, went to ER, they took xray & put me on a regular boot. Couldn't see Orthopedic until 10/6/23, I chosen conservative recovery. Put me in a cast right now for 2 weeks with my foot slightly pointing downwards. Follow up on 2 weeks for possible a proper boot.
Good luck with your recovery. We have lots of advice and videos on our youtube channel and website if you'd like to give us a follow. complete-physio.co.uk/?s=achilles
link doesnt work @@CompletePhysio
How are you doing now?
@dylan4972 Walking now. Slight limp from the boot & cast. Very mild pain as I push off for my step. PT twice a week & at home. Thus far I'm glad I'm recovering & walking. 🙏
@@hooks210 Back to normal yet? Or almost 😇
Hello. I heard Chris Myers say that during surgery, the tendon can never be attached the same way it was originally. This just made my heart stop because that sounds like I’m going to live with a defect for the rest of my life. Is that what it means? Or will it get back to its original state after some years?
Hi, Thank you for getting in touch. In most cases after surgery, your tendon will heal fully and as long as you follow the rehabilitation programme, will be as strong as it was pre injury. Most people are able to return to the level of activity they were at prior to injury. I hope this is reassuring for you. Good Luck. Please follow our channel for more videos, or visit our website.
complete-physio.co.uk/blogs/
@@CompletePhysio Thank you very much for this. I’m a bit worried though since my surgeon didn’t follow the protocol you recommend. I’m now at 8 weeks post op. My surgeon never had me in a boot, went straight from the cast to 90 degrees (neutral) and walking in shoes at 6 weeks. I haven’t let my foot go beyond 90 degrees since then but I’m still super worried about healing long
What are you're thoughts on an Achillotrain instead of a Vacoped after a plaster cast? I've ruptured my achilles about 2.5 weeks ago and was put in a cast within 4 hours after the rupture. After a week the cast was removed, now I have an achillotrain and I'm starting rehab this week.
Hi, There are a number of different options on the market, and different physios and surgeons have their preferred brace. If your orthopaedic surgeon has given you the Achillotrain and it is giving you the right support then that's great. Good luck with the rehab.
Please like our channel to follow up to date videos and information.
Nice to see your another video. Thanks
Glad that you found it useful.
Recently ruptured mine, within 2wks I was cast straight away, vacoped boot and ultrasound scan. There is a 4.7cm gap at neutral and at 30 degree of plantar it closes to 4cm...im not convinced this will heal and ive not been offered surgery on NHS...i need this to be right...what do i do?
What did you end up doing? I torn mine a few days ago
@NSulta777 it was a 4.7mm gap and not 4.7cm. So I was put in a vacoped boot and it's healed back together. I've just started to wean out of the boot. It feels tight but physio will sort that out. Good luck on your journey
Chris, Thank you , very informative and good to understand you can cycle in the boot too..
@completephysio these have been so helpful. I’m wondering if you can recommend a physio in Sydney, Australia by any chance?
Great video thank you
33:33 - 39:13 is good information for late diagnosis patients
Hi, when I rupture my Achilles, it took me 13 days to realise that I have reuptured my tendon, what is the consequence of being late please.
I would like to share my experience too if you permit me in future any time.