Rehabilitation after Achilles tendon surgery

Rehabilitation training after Achilles tendon surgery is very important. After a period of time after the operation, appropriate flexion and extension exercises should be performed to restore its function. As time goes by, the amount of activity can be gradually increased and the intensity of the activity can be increased, so that normal function can be gradually restored. Massage can also be used to achieve the purpose of rehabilitation. Let us now take a closer look at the rehabilitation training after Achilles tendon surgery.

Phase 1 Week 1 Weight-bearing conditions: absolutely no weight-bearing; protect the surgical site; training: range of motion: remove external fixation Active plantar flexion/dorsiflexion, 2 sets of 5 times each, 3 times a day. Week 2 Weight-bearing conditions: absolutely no weight-bearing; training: range of motion: plantar flexion/dorsiflexion, 2 sets of 20 times each, 3 times a day Training inside and outside, 2 sets of 20 times each, 3 times a day Training circular movement, 2 sets of 20 times each, 3 times a day Training intensity: isometric plantar flexion/dorsiflexion, 2 sets of 20 times each, 3 times a day Training with a fixed belt to flex the toes Auxiliary therapy: gently move scar tissue with your hands Pay attention to the treatment of some open injuries.

The third week of weight-bearing: gradually let the patient walk slowly with partial weight bearing under the protection of plaster or casts; training: range of motion: before continuing to increase active activity training, use rubber bands to gently perform passive stretching plantar flexion; training. Training intensity: eversion, 2 sets of 10 times each, 3 times a day. Isometric plantar flexion, 2 sets of 10 times each, 3 times a day. After three weeks of training, gradually increase to 2 sets of 20 times each, 3 times a day. Use rubber bands to assist in eversion, 2 sets of 10 times each, 3 times a day. Use rubber bands to assist in plantar flexion and dorsiflexion, 2 sets of 10 times each, 3 times a day. Equipment activity training: bicycle training, with minimal resistance, 7-12 minutes each time. Use the principle of buoyancy, and start underwater gymnastics when fully floating. In the water, the lower limbs are protected, and the range of motion of the ankle joints such as running and walking begins. Non-weight-bearing activities can be started in the water. Auxiliary treatment: Start scar massage and cryotherapy.

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Precautions

Before patients participate in high-level sports, such as functional reciprocating movements and sports-specific training, attention must be paid to whether they have sufficient muscle strength, joint range of motion, and flexibility. Patients should be able to perform low-level exercises without fear before transitioning to more difficult exercises and eventually returning to physical activity. The methods used to perform functional assessments should replicate the specific demands of competitive sports to ensure that patients can safely return to full sports. Functional testing items selected should replicate the athlete's sport-specific demands to ensure a safe return to full activity.

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