The keys to a full recovery are simple. The progression is much more difficult and complicated. We start with early weight-bearing and range of motion in a semi-weight-bearing position. This will allow better overall isometric strengthening and proprioceptive building before actual weight bearing begins. Once weight-bearing is tolerated in an appropriate post-op timeframe, we can do a full gait training analysis and get full body mechanics and gait training up to normal capacity. Once four and normalized mechanics are restored to the walking fast walk in gate program. We continue the strengthening process to progress to running and sprinting and jumping and cutting. We do so in a very gradual way to make sure that we never go backwards in recovery and only go forward progress and just fast enough that we never have a setback. Experience, athletes age, are the risk factors, response sport to return to, and many other factors play into how fast how fast we recover in half as we increase the parameters of the recovery process. Each patient is very unique in the structured rehabilitation protocol at a time in the dynamic situation that continues to progress and change throughout the system of recovery.

Often times, a patient is fully recovered from a range of motion and functional strength and proprioceptive point of view. They do not however, have the mindset or trust of the affected limb in dynamic situation. This overall is a big problem. This can lead to compensation and contralateral injury due to mechanical compensation. The key here is to build proprioceptive structure, increase neurological inputs in various motor, fine motor, and cognitive tasks to decrease reliance and self efficacy and awareness of one’s injury. Basically in a nutshell, we trick the patient into utilizing all if its potential without using conscious cognition to compensate. We have to recover at an unconscious level as well, we must learn to trust it.

Would you trust your Achilles tendon rupture repair surgery to an amateur,? I don’t think so…

 

. 2017 Apr;34(2):229-243.

doi: 10.1016/j.cpm.2016.10.009.Epub 2017 Jan 29.

Acute Achilles Tendon Rupture: Clinical Evaluation, Conservative Management, and Early Active Rehabilitation

Affiliations

Abstract

The Achilles tendon (AT) is the strongest, largest, and most commonly ruptured tendon in the human body. Physical examination provides high sensitivity and specificity. Imaging studies are not recommended unless there are equivocal findings in the physical examination. Recent studies have shown that the risk of re-rupture is negated with implementation of functional rehabilitation protocols. Heterogeneity in study design makes conclusions on the specifics of functional rehabilitation protocols difficult; however, it is clear that early weight bearing and early controlled mobilization lead to better patient outcome and satisfaction in both surgically and conservatively treated populations.

Keywords: Functional rehabilitation; Nonsurgical treatment; Postsurgical rehabilitation.

 

C.O.R.E. Physical Therapy and Sports Performance PC,

 

17660 Wright St, Suites 9/10

Omaha, NE 68130

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At CORE Physical Therapy in Omaha, We specialize in the treatment of athletes. We have worked with athletes for a combined 30 years. CORE was established in 2015 by Dr. Mark and Dr. Claire Rathjen is family owned and operated.

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