Achilles Rupture: Surgery or not? A patients journey

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Welcome to another episode of the Complete Physio Podcasts! In this episode, we are joined by renowned surgeon, Mr Sam Singh, and patient, Oladele Oloruntimilehin, to discuss the intricate decisions involved in managing Achilles ruptures.
About Complete Physio:
We are dedicated to providing insightful content on physiotherapy, aiming to educate and support individuals in making informed decisions regarding their health and well-being. Our podcasts feature experts in the field, discussing a range of topics related to physical therapy and health.
#AchillesRupture #Physiotherapy #SurgeryOrNot #CompletePhysio #PhysicalTherapy #HealthAndWellness #PatientJourney #MedicalInsights

Пікірлер: 39

  • @markcook5086
    @markcook508620 күн бұрын

    Chris, Thank you , very informative and good to understand you can cycle in the boot too..

  • @A_Class
    @A_Class20 күн бұрын

    33:33 - 39:13 is good information for late diagnosis patients

  • @ajaykumara7158
    @ajaykumara71588 ай бұрын

    Nice to see your another video. Thanks

  • @CompletePhysio

    @CompletePhysio

    8 ай бұрын

    Glad that you found it useful.

  • @HeyTC
    @HeyTC8 ай бұрын

    Thank you so much for these pod casts. Ruptured my Achilles 6/10/23 and had immediate triage and currently in “a boot”. I didn’t feel like I had the option of surgical or conservative “but I’m using BUPA to see a consultant next week (week 5). From your casts I believe the right course of action has been taken I just feel that communication has been poor. Key take always from your casts: Explaining how a tendon is made up (I.e. sausage skin), weight stimulus and future recovery.

  • @CompletePhysio

    @CompletePhysio

    7 ай бұрын

    Hi, thank you for your feedback. Really glad that found it useful. Please follow our channel for more videos or take a look at our website blogs page. complete-physio.co.uk/blogs/

  • @ajaykumara7158
    @ajaykumara71588 ай бұрын

    I would like to share my experience too if you permit me in future any time.

  • @whatdoyoubelieve194
    @whatdoyoubelieve1947 ай бұрын

    Great video! Just ruptured mine Nov 22, 2023 and saw the doctor today (4 days later) and got the boot. Few questions: How exactly does the tendon heal when it is not surgically attached? Does it attach end to end or does it attach to the calf muscle (or other surrounding muscles, etc.) and somehow give tension. I have not heard a clear answer to that. Whereas, it seems the surgery is the best way for it to reattach. Unless it can simultaneously grow like a tree root in two directions. Also, is there a time difference in operative and non-operative? For example, if I did the surgery would my tendon be strong at 3 months compared to that same time period without surgery. Likewise, does one produce the slenderness of the tendon better than the other? Thank you in advance! :)

  • @AcesOver

    @AcesOver

    6 ай бұрын

    Thanks for posing this question.

  • @viralhype_
    @viralhype_6 ай бұрын

    Really good. Thank you. The first one, and this follow-up 👍. Did mine playing tennis 4 days ago. All the classic signs. Saw consultant yesterday and I was discouraged from surgical repair due to 'the risks... and that there was no difference in recovery anyway, as I wasn't an elite/professional player'. I've been in a boot since day 1 and I'm taking it very seriously so hope I'll still be OK. 🤞 But don't want to miss an opportunity to push for surgery if that would have been best 😬 (...As long as I got an experienced surgeon ... no guarantees though 🤷‍♂️)

  • @nicholasstephens4168

    @nicholasstephens4168

    2 ай бұрын

    Hi dude. My name is Nick and I ruptured my achilles on the 4/11. I’ve created a WhatsApp group where a bunch of us can share about our recovery journey. Are you interested in joining?

  • @alwaysreturnNurgirl

    @alwaysreturnNurgirl

    Күн бұрын

    How are you now? Hopefully well

  • @Shinzon123
    @Shinzon1235 ай бұрын

    What are you're thoughts on an Achillotrain instead of a Vacoped after a plaster cast? I've ruptured my achilles about 2.5 weeks ago and was put in a cast within 4 hours after the rupture. After a week the cast was removed, now I have an achillotrain and I'm starting rehab this week.

  • @CompletePhysio

    @CompletePhysio

    4 ай бұрын

    Hi, There are a number of different options on the market, and different physios and surgeons have their preferred brace. If your orthopaedic surgeon has given you the Achillotrain and it is giving you the right support then that's great. Good luck with the rehab. Please like our channel to follow up to date videos and information.

  • @Ben-wx3rs
    @Ben-wx3rs4 ай бұрын

    Really helpful video guys 👍 Initially ruptured mine in Aug-23 playing 5-a-side and wasn’t offered surgery and so went conservative route (32 y/o male - active). Seemed to be all well 6 months in and just about to return to running. Then re-ruptured a few days ago losing my balance and immediately knew it had gone again 😔 Going for the surgery route next week with rationale being I need all the % gains so can get to avoid this happening again in the future - even with knocking sport on the head.

  • @philbaxley493

    @philbaxley493

    2 ай бұрын

    Can you share your recovery program in short first month, then after it? WB or NWB? Did you done your training into that 6 months or just waited time and then just started running? 6 months about to return to running seems far too long.

  • @Ben-wx3rs

    @Ben-wx3rs

    2 ай бұрын

    ​@@philbaxley493 Sure. First recovery was 1 week in a medical boot and then the remainder in a VACOPed. Partial weight bearing from the start, although obviously minimal initially. This time around (operative) I was in a medical boot for 10 days until surgery, then a cast for 2 weeks. W3 onwards to W12 I'm in a VACOPed. When I ruptured first time (conservative treatment) I was just about to start jogging, for exercise I was cycling, walking and boxing with a heavy bag (limited footwork!). They advised 4-6 months before jogging so I was at the back end, physiotherapist wanted my single calf raise stronger. As it happened it clearly wasn't healing as well as expected as it re-ruptured!

  • @philbaxley493

    @philbaxley493

    2 ай бұрын

    @@Ben-wx3rs Woa, it surely wasnt normal to rupture again like that. I thought this 10% of reruptures come from early on accidents, not casual running after 6 months. Did you do any Ultrasound within that 6 months to see how the recovery was going? I was being told they can see how thick tendon is and then advise on training

  • @Ben-wx3rs

    @Ben-wx3rs

    2 ай бұрын

    @@philbaxley493 I wasn’t running, I lost my balance and hyper extended. I’ve been told it can take 9-12 months to fully heal so wouldn’t say you are completely out of the woods until then! No ultrasounds first time round, don’t do them at my hospital apparently other than diagnosis at the point of injury. Im NHS so it may be that private/better NHS practices offer a better service. I wasn’t training too soon, if anything I probably had a more cautious programme. Hoping surgery will lead to a better outcome 🤞

  • @philbaxley493

    @philbaxley493

    2 ай бұрын

    @@Ben-wx3rs Reason why I asked, Im atm exactly 10 weeks from my left leg achilles rupture. Conservative method. Rupture was 8cm from bottom so pretty "lucky" there. First week wrongly diagnosed to rest, got cast after a week to wear for 10 days. then Walker Boot. First 2 weeks boot 20 degrees, then 0 degrees, then slowly walking with no crutches. NWB was for first 4 weeks (First week I was just limping around so not icluding that). Now into my last of 3 weeks of phisio and already walking by myself, driving car and motorcycle. Calf already looks strong but not rushing it until I do ultrasound again. When you said running after 6 months that seemed pretty long tho.

  • @user-pm3is8us8i
    @user-pm3is8us8i8 ай бұрын

    Hello. I heard Chris Myers say that during surgery, the tendon can never be attached the same way it was originally. This just made my heart stop because that sounds like I’m going to live with a defect for the rest of my life. Is that what it means? Or will it get back to its original state after some years?

  • @CompletePhysio

    @CompletePhysio

    7 ай бұрын

    Hi, Thank you for getting in touch. In most cases after surgery, your tendon will heal fully and as long as you follow the rehabilitation programme, will be as strong as it was pre injury. Most people are able to return to the level of activity they were at prior to injury. I hope this is reassuring for you. Good Luck. Please follow our channel for more videos, or visit our website. complete-physio.co.uk/blogs/

  • @user-pm3is8us8i

    @user-pm3is8us8i

    7 ай бұрын

    @@CompletePhysio Thank you very much for this. I’m a bit worried though since my surgeon didn’t follow the protocol you recommend. I’m now at 8 weeks post op. My surgeon never had me in a boot, went straight from the cast to 90 degrees (neutral) and walking in shoes at 6 weeks. I haven’t let my foot go beyond 90 degrees since then but I’m still super worried about healing long

  • @hooks210
    @hooks2108 ай бұрын

    I am a 30yr old male, ruptured my Achilles during basketball on Tue 10/3/23, went to ER, they took xray & put me on a regular boot. Couldn't see Orthopedic until 10/6/23, I chosen conservative recovery. Put me in a cast right now for 2 weeks with my foot slightly pointing downwards. Follow up on 2 weeks for possible a proper boot.

  • @CompletePhysio

    @CompletePhysio

    8 ай бұрын

    Good luck with your recovery. We have lots of advice and videos on our youtube channel and website if you'd like to give us a follow. complete-physio.co.uk/?s=achilles

  • @BerzerkSquid

    @BerzerkSquid

    5 ай бұрын

    link doesnt work @@CompletePhysio

  • @dylan4972

    @dylan4972

    5 ай бұрын

    How are you doing now?

  • @hooks210

    @hooks210

    5 ай бұрын

    @dylan4972 Walking now. Slight limp from the boot & cast. Very mild pain as I push off for my step. PT twice a week & at home. Thus far I'm glad I'm recovering & walking. 🙏

  • @TheEverydayPreacher

    @TheEverydayPreacher

    3 ай бұрын

    ​@@hooks210 Back to normal yet? Or almost 😇

  • @khaleelg071
    @khaleelg0712 ай бұрын

    Hi, when I rupture my Achilles, it took me 13 days to realise that I have reuptured my tendon, what is the consequence of being late please.

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