Rehabilitation after Achilles tendon surgery: restoration of Achilles functionality

Types and causes of damage

There are several causes of damage to the ligament that secures the calf muscle to the calcaneus:

  • direct injury (a shock to the tendon);     

  • multiple micro injury;     

  • sharp muscle contraction (falling from a height, running, jumping with an unbent leg);     

  • lack of warm-up before training;     

  • tucking the foot in the backside;     

  • stab wound to the heel.     

Factors that can cause injury to the soft tissues of the shin include overweight, physical inactivity, inadequate exercise, collagen deficiency, and systemic diseases. Achilles tendon can be damaged in different ways. This can be a stretching, partial or complete rupture of tendon fibers at the transition to the muscle or at the site of attachment to the bone tubercle. In especially severe cases, the tendon comes off along with part of the calcaneus.

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Trauma is accompanied by sudden sharp pain and a characteristic crunch. Where the Achilles tendon was previously felt, a defect appears (soft tissue retraction). The victim begins to limp intensely, cannot stand on his toes or simply tear off the heel from a horizontal surface. Due to increasing edema, the site of damage is quickly smoothed out, a hematoma (bruise) appears on the skin. This creates an imitation of sprain, which is why many do not attach particular importance to the injury. Moreover, such a clinical picture often leads to diagnostic errors and inadequate treatment.

An incorrect assessment of the Achilles functionality and the lack of surgery and rehabilitation entail the development of complications (long-standing gap). Contractures of the ankle joint arise, the calf muscle atrophies, the injured shin decreases in size, and the motor function of the entire limb is significantly impaired.

Today, surgical correction is the most optimal way to repair a tendon fiber rupture. Choosing a reconstructive technique, the prescription of the injury, the nature of the damage, associated pathologies and the general condition of the patient are taken into account. However, surgical treatment also has certain risks:

  • postoperative adhesions and keloid scars;     

  • prolonged wound healing;     

  • stiffness of the ankle joint;     

  • weakening of sensitivity;     

  • the foot function dislocation and the correct walking rhythm;     

  • pain during physical exertion.      

All these complications significantly increase the duration of treatment, reduce its effectiveness and can even lead to repeated surgical intervention.

Postoperative Recovery

Thanks to advances in surgery and the use of modern rehabilitation programs after Achilles tendon surgery, many people are returning to their previous level of physical activity. However, it is necessary to contact a specialist who owns impeccable equipment and entrust the health restoration to professionals.

The main goal of the recovery period is to bring the function of the operated leg to the level of a healthy limb. In other words, it should not only function normally in everyday life, but also not interfere with sports training.

One of the leading directions of the Physiotherapy and Biomechanics Center in Marbella is to work with patients who have undergone surgical correction of the tendon-ligamentous apparatus. The Achilles tendon recovery after surgery is carried out according to the method of an expert on functional movement, MD, Professor, E. E. Blum.

The author’s methodology is based on the main biomechanical principle: the search for “weak links” of the body and the choice of the optimal rehabilitation effect. Its goal is to eliminate asymmetry and normalize the work of individual muscle groups. The system of rehabilitation measures is based on an individual approach. Must take into account the age, physical capabilities of the patient, general health and the method of surgical correction used.

To identify functional disorders of the musculoskeletal system and clarify the location of the problem, biomechanical diagnostics is performed. This study helps to clearly formulate the problem, determine the order of actions and predict the final result.

The rehabilitation process features

The main tool for physical rehabilitation after surgery on the Achilles tendon is the author's approach - a system of methods and techniques and special training modules. More than 800-patented simulators operate based on the Dr. Blum’s rehabilitation Center, designed to work out the deep muscle layers. Personal instructor sets the amplitude, strength and intensity of the loads, dynamic control allows you to change the parameters, analyze the data and to control the course of training in accordance with the changes occurring in the body in the process of rehabilitation.

For each patient, personal training programs are created with a gradually increasing amplitude of movement and increasing functional loads. Classes in the inferior mode create favorable conditions for reparative processes, the correct fusion of the Achilles tendon and its accelerated healing. In parallel, the muscle corset around the knee and hip joints is strengthened, pathological distortions are eliminated, and adhesions and contractures are prevented.

Achilles recovery after surgery takes place as part of an interdisciplinary approach - the whole organism in general, its functional indicators are evaluated, the entire region is restored - the foot-ankle-knee-joint-hip joint-pelvis. After rehabilitation, there should be no psychological consequences of trauma, pathological stereotypes of walking and running, syndrome of “sparing” of a limb, fear of repeated trauma. This is especially important for professional athletes - tennis players, hockey players, soccer players, volleyball players, who have every degree of limitation of the amplitude of movements “worth its weight in gold”.

Dr. Blum Method Advantages

Restoring the health of the musculoskeletal system by eliminating biomechanical disorders has a number of undeniable advantages:

  • an individual approach to each patient;     

  • formation a personal rehabilitation program, taking into account the identified dislocations;     

  • gradual passage of medical rehabilitation measures;     

  • training in an eccentric (inferior) mode, allowing you to work on the target segment;     

  • improvement of well-being and a surge of strength after class;     

  • health-improving effect with minimal energy consumption;     

  • lack of contraindications and age restrictions;     

  • a complete rejection of medicines and surgical procedures.     

Rehabilitation after an Achilles tendon surgery is a long and complex process. However, with a competent integrated approach and constant monitoring by specialists, the recovery time is significantly reduced. If you have any doubts, fears or questions, ask an advice at the Dr. Blum Rehabilitation Center. And know - everything is fixable. The main thing is to work consciously and not let the situation go by itself.

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