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Frequently Asked Questions

How Important are Exercises for Tendon Achilles Surgery?

Dr Hugh Blackley Tendon Achilles Frequently Asked Questions
Exercises are very important, as most of the ankle's strength comes from the muscles surrounding it and not from the tendons or ligaments. You will not harm the ankle by doing strengthening exercises as recommended by your surgeon or physiotherapist. These should be performed according to directions. See similar questions...

What is Tendon Achilles Surgery?

Dr Hugh Blackley Tendon Achilles Frequently Asked Questions
The surgery to treat an Achilles tendon rupture involves an incision along the back of the ankle. Usually the incision is made just to the side of midline so shoes will not rub on the site of the scar. The torn ends of the Achilles tendon are identified and strong sutures are placed in both ends of the tendon. These strong sutures are then tied together to repair the tendon. See similar questions...

Why is Tendon Achilles Surgery necessary?

Dr Hugh Blackley Tendon Achilles Frequently Asked Questions
Achilles tendon rupture is most often treated surgically to reattach the tendon to its normal position. Non operative management can be undertaken, generally people who live sedentary lifestyles or who may have problems with wound healing. Non surgical treatment of an Achilles tendon rupture is accomplished by casting the Achilles tendon for several months. In these patients, the number of re ruptures is higher compared to those patients who have surgical repair. See similar questions...

Should I have surgery for a ruptured Achilles tendon?

Health Information - SVCMC; New York NY
Overuse or repeated movements during sports, work, or other activities. In sports, a change in how long, intensely, or often you exercise, or in your environment (such as going from a flat surface to a hill or from a paved road to a dirt road) can cause microtears in the tendon that are unable to heal quickly and will eventually cause pain. Injury from repeated push-offs or a stop-and-go motion, common in such activities as running, basketball, tennis, or ballet dancing. See similar questions...

What is the Achilles tendon?

Quality Health | Achilles Tendon Problems
The Achilles tendon connects the calf muscle to the heel bone. It is the biggest tendon in the human body and allows you to rise up on your toes and push off while walking or running. See similar questions...

Is there Discharge Instructions for Tendon Achilles Surgery?

Dr Hugh Blackley Tendon Achilles Frequently Asked Questions
Patients will be provided a discharge instructions sheet provided by the surgeon that instructs patients on how to look after their wounds, what activities they should avoid, and which exercises they should do to aid in their recovery. At a follow-up visit the surgeon will inspect the incisions, remove sutures, and discuss the rehabilitation program. See similar questions...

How long does it take to Recover from Tendon Achilles Surgery?

Dr Hugh Blackley Tendon Achilles Frequently Asked Questions
Rehabilitation following Achilles tendon repair is a controversial topic. Traditionally, patients were casted after surgery for a period of 4 to 8 weeks and after that time, patients were allowed to gently move the ankle. More recently, studies have shown that patients do well and heal faster with more rapid mobilization. If a solid repair is attainable, patients may not be casted at all, and allowed to begin motion immediately after surgery. See similar questions...

What are the Possible Complications of Tendon Achilles Surgery?

Dr Hugh Blackley Tendon Achilles Frequently Asked Questions
The most common and worrisome complications following an Achilles tendon repair are problems with wound healing. The skin over the Achilles tendon sometimes does not heal well. Therefore, careful wound management is of utmost important following surgical repair of an Achilles tendon rupture. Other potential problems include infection, ankle stiffness, and rerupture of the tendon. See similar questions...

Should I expect a lot of Swelling after Tendon Achilles Surgery?

Dr Hugh Blackley Tendon Achilles Frequently Asked Questions
Some swelling is to be expected and it may actually increase gradually for the first two to three days. If the bandage feels tight you should re-apply it more lightly and elevate the leg to reduce the swelling. Apply ice packs for 20 to 30 minutes every few hours may help to reduce the swelling and act as pain relief as required. If it persist contact your surgeon if you have any concerns. See similar questions...

Will I need Crutches after Tendon Achilles Surgery?

Dr Hugh Blackley Tendon Achilles Frequently Asked Questions
Weight bearing is not usually possible after tendon achilles surgery. Crutches or some form of weight support may be recommended by your surgeon depending on the operation. Once pain eases it is important to gradually increase weight bearing on the leg. See similar questions...

Are there any Sports that should be avoided following Tendon Achilles Surgery?

Dr Hugh Blackley Tendon Achilles Frequently Asked Questions
Any sport that involves significant weight-bearing stresses or twisting movements must be avoided until approved by your surgeon. Although cartilage and ligament repair often results in a near normal ankle, the ankle does have an increased likelihood of developing arthritis in the long term, so extreme weight-bearing activities need to be modified. Exercises that have less impact on ankles include swimming, cycling and walking. See similar questions...

What is a ruptured Achilles tendon?

Frequently Asked Questions
The Achilles tendon is the largest tendon in the body. It connects the muscles in the lower leg (calf) to the heel bone. With every movement of the foot, the Achilles tendon stretches and tightens. Because it is under so much stress, it can partially or completely tear (rupture) from excess force or overuse. Ruptures usually occur about two inches above where the tendon attaches to the heel bone. See similar questions...

What are common Achilles tendon problems?

Quality Health | Achilles Tendon Problems
A series of very small tears (microtears) in the tissue in or around the Achilles tendon (tendinosis). In most cases Achilles tendon pain is the result of tendinosis, not tendinitis. Tendinopathy is a term used by a growing number of tendon experts to collectively describe these conditions. This term is not yet used by all health professionals. Your health professional may still use the term tendinitis to describe tendon injuries. Achilles tendon tear or rupture. See similar questions...

What causes Achilles tendon problems?

Quality Health | Achilles Tendon Problems
Achilles tendinopathy is most often caused by overuse or repeated movements during sports, work, or other activities. In sports, repeated push-offs or stop-and-go motion or a change in how long, intensely, or often you exercise can cause microtears in the tendon that are unable to heal quickly or completely. Poor conditioning or warm-up and shoes with poor arch support or rigid heels may also result in Achilles tendinopathy. See similar questions...

How are Achilles tendon problems diagnosed?

Quality Health | Achilles Tendon Problems
Your health professional will diagnose an Achilles tendon problem through a medical history and physical examination. He or she will ask about your pain and other symptoms and when the pain occurred. He or she will check for swelling and tenderness of the ankle area. If symptoms are severe or have not improved with treatment, your health professional may recommend imaging tests, such as an X-ray or MRI. However, these are seldom necessary. See similar questions...

What is a tendon?

Carpal Tunnel Syndrome and Tenosynovitis/Tendonitis FAQ
A structure that anchors a muscle to the skeleton and transmits the muscular contraction to the bone. See similar questions...

How Important are Exercises for Ankle Arthrodesis Surgery?

Dr Hugh Blackley - ankle arthrodesis Frequently Asked Questi...
Exercises are very important, as most of the ankle's strength comes from the muscles surrounding it and not from the tendons or ligaments. You will not harm the ankle by doing strengthening exercises as recommended by your surgeon or physiotherapist. These should be performed according to directions. See similar questions...

Is the order of the exercises important?

Anthony Carey's Pain-Free Program, Corrective Exercise Frequ...
Yes! Exercises should be performed in the order that they appear on your program. Your program is designed so that each exercise builds on the previous and prepares you for the next exercise. If they appeared in a different order in a previous program, it may be that the focus was slightly different. See similar questions...

How important is it to do the exercises?

Shaping Your Destiny
The simple answer is VERY. If you don't do the exercises, then you will not be reaping the full benefits of the course. These exercises are designed to help you understand what you have learnt, and to use it to make radical, postive changes to your life. They will help you to understand what you want from life, and how to get it. If you just read the course, and do none of the exercises, you are reducing its effectiveness by almost 75%. See similar questions...

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