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Achilles Rupture: Post-Operative Physiotherapy

Suffering from an Achilles rupture can be a painful experience. This injury not only affects mobility and daily activities but also requires specialized treatment to regain strength, flexibility, and function. One of the most crucial aspects of recovering from an Achilles rupture is post-operative physiotherapy.


Understanding Achilles Rupture

The Achilles tendon, located at the back of the ankle, is responsible for connecting the calf muscles to the heel bone. An Achilles rupture occurs when the tendon is overstretched or torn, often resulting from sudden, forceful movements or repetitive stress over time. This injury commonly affects athletes and active individuals, but can happen to anyone.

Achilles tendon rupture anatomy
Source: https://www.mayoclinic.org/diseases-conditions/achilles-tendon-rupture/symptoms-causes/syc-20353234

Importance of Post-Operative Physiotherapy

Post-operative physiotherapy plays a vital role in the comprehensive rehabilitation of Achilles ruptures. After surgical repair, the tendon needs appropriate healing time, followed by structured rehabilitation exercises. Physiotherapy helps to restore strength, flexibility, and proprioception, ultimately enabling patients to return to their pre-injury activities safely and efficiently.


What to Expect

Initial Phase (Weeks 1-2):

  • Protect the surgical repair and promote healing.

  • Guidance on weight-bearing, assistive devices (crutches, boots, etc.), and pain management strategies.

  • Gentle range-of-motion exercises to prevent stiffness and encourage blood flow.

Strengthening and Flexibility (Weeks 2-6):

  • Introduction of therapeutic exercises to improve ankle mobility and activate calf muscles.

  • Gradual progression to eccentric loading exercises to promote collagen alignment and tendon healing.

  • Incorporation of resistance training using bands, weights, or machines to progressively load the calf muscles and improve strength.

Balance and Proprioception (Weeks 4-8):

  • Specific exercises to challenge stability and re-establish balance and proprioception.

  • These exercises help retrain the ankle and lower leg muscles to respond effectively to movements and different surfaces.

Functional Rehabilitation (Weeks 8 and beyond):

  • Design of exercises that mimic the demands of daily activities or sports-specific movements.

  • Tailored to the individual's needs and goals.

  • Helps regain confidence, improve coordination, and gradually reintegrate into regular routine.

Patient Education and Home Exercise Program:

  • Ongoing patient education on proper body mechanics, footwear choices, and activity modifications to prevent reinjury.

  • Development of a customized home exercise program to ensure patients continue their rehabilitation independently between physiotherapy sessions.


It's important to note that the duration and progression of each phase may vary depending on the individual's specific circumstances and the guidance of the treating physiotherapist. Regular communication with your physiotherapist, adherence to the prescribed exercises, and maintaining a positive mindset are key factors in achieving successful recovery from an Achilles rupture. Recovering from an Achilles rupture requires a dedicated and comprehensive approach, with post-operative physiotherapy playing a central role in the healing process. Our physiotherapists at Aeon Health guide patients through each phase, helping them regain strength, flexibility, balance, and function. With patience, consistency, and professional support, individuals can successfully rehabilitate their Achilles rupture.


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