S/P Achilles Tendon Repair

During an open surgery an incision is made in the back of the leg and the Achilles tendon is stitched together through the incision(s). In a complete or serious rupture the tendon of plantaris or another vestigial muscle is harvested and wrapped around the Achilles tendon, increasing the strength of the repaired tendon.
Categories: , .
  • Immediate, severe pain in the calf
  • Tenderness
  • Swelling
  • Stiffness
  • Hearing a snapping or popping noise during the injury
  • Difficulty flexing your foot or pointing your toes
  • Explosive acceleration (running, jumping)
  • Direct trauma to Achilles tendon
  • Sudden activation of the Achilles after atrophy from prolonged periods of inactivity
  • Antibiotics (ciprofloxacin)
  • Period of immobilization in walking boot
  • Progress to passive ROM, then to active ROM
  • Massage to reduce swelling
  • Cross friction massage to scar to decrease scar tissue
  • Foot intrinsic muscle strengthening
  • Non-weight bearing lower extremity strengthening
  • Resisted ankle strengthening
  • Gait program
  • Progress to weight bearing lower extremity strengthening



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