fbpx

ACHILLES TENDON REPAIR

POST OPERATIVE MANAGEMENT

  • Posterior splint for 14 days
  • NWB with crutches

 

WEEKS 2-6

  • NWB weightbearing ambulation with crutches in walking boot. May remove boot for ROM exercise.
  • Active inversion and eversion ROM
  • Active dorsiflexion to neutral; passive plantar flexion
  • Stationary cycling with minimal resistance (anterior foot placement)

WEEKS 6-12

  • Progress to FWB in walking boot
  • Discontinue walking boot 2 weeks after FWB
  • Use heel cups for 2 weeks after discontinue walking boot
  • Progressive resistance Theraband ankle strengthening exercises
  • Intrinsic foot muscle strengthening exercises
  • Single leg standing balance activities
  • Active bilateral heel raises
  • Initiate passive heel cord stretching
  • Bilateral to unilateral standing, heel raise exercises
  • Stationary cycling with progressive resistance (standard foot placement)
  • Progressive depth (30° to 90° knee flexion flat-footed mini-squats
  • Progressive retrograde treadmill ambulation
  • “Flat-Footed” single leg balance
  • BAPs “Level 1-2-3” (seated PWB progressed to FWB standing)
  • “On-Toes” standing balance/proprioception activities on mini-trampoline
  • Progressive duration/velocity Stairmaster ambulation
  • Lateral sliding board maneuvers

 

3-6 MONTHS

  • Stationary jogging and jumping on mini-trampoline
  • Straight ahead jog-to-run progression on a level surface
  • Progressive acuity cutting agility maneuvers
  • Large-to-small Figure of 8 agility maneuvers
  • Sport/Position specific functional activities
  • Running and agility maneuvers on progressive incline/decline surfaces
  • Discharged to normal activities when cleared by doctor