Achilles Tendon Rupture, Non-Surgical Recovery | Weeks 1-2: Day 8, Initial Adjustment

The first of a series of videos I plan to upload regarding my achilles tendon rupture and recovery over the following months.
Stay tuned for Part 2.
Willits, K. et al 2010:
JBJS: December 1, 2010 - Volume 92 - Issue 17 - p 2767-2775
doi: 10.2106/JBJS.I.01401
journals.lww.com/jbjsjournal/...
"Conclusions: This study supports accelerated functional rehabilitation and nonoperative treatment for acute Achilles tendon ruptures. All measured outcomes of nonoperative treatment were acceptable and were clinically similar to those for operative treatment. In addition, this study suggests that the application of an accelerated-rehabilitation nonoperative protocol avoids serious complications related to surgical management."
Recording gear (these are Amazon Affiliate links - if you liked this video and want to support me, you can click these links before a purchase and I'll receive a small fee for directing you to Amazon):
Canon 80D: amzn.to/33eVP8v
Sigma Art 18-35mm lens: amzn.to/35ivdp5
Comica wireless lavalier mic: amzn.to/2OypdTk
Nest tripod: amzn.to/2VqOdgm

Пікірлер: 125

  • @bikepacker9850
    @bikepacker98507 күн бұрын

    I'm Australian too, it's a bit rich to complain about your free treatment. I found the public health system amazing. Great caring people. It could have been a day or two quicker but you should be thankful. I blew my tendon while trekking in Vietnam, there was zero help there, i had to get on a plane and fly back to Australia for treatment.

  • @parmida0987
    @parmida0987 Жыл бұрын

    Thank you for making this video, I ruptured my Achilles 2 weeks ago and I find myself crying and feeling overwhelmed and no one understanding how I feel, but it's so comforting to hear someone else went through the same emotional rollercoaster and now I don't feel so isolated in how I'm feeling, so thank you.

  • @achilles_rupture

    @achilles_rupture

    Жыл бұрын

    Hey Parmida, sorry to hear about your rupture, but thank you so much for the kind words. It certainly was a traumatic experience for me (obviously there are things that happen to some people which are far worse), but I didn't get the impression that others around me knew how tough it was to go through an Achilles rupture. Wishing you all the best in your recovery and please keep me up to date on your progress! You are not alone :)

  • @Love4Chioma

    @Love4Chioma

    3 ай бұрын

    ​@achilles_rupture @parmida0987 My achilles was injured four weeks ago, on week two and three I had the worst emotional breakdown ever in my life, it truly is a tragedy! I've learned to appreciate and take care of the body even more, thanks for sharing your story.

  • @Joseph-im8be
    @Joseph-im8be3 ай бұрын

    This is super inspiring Scott. I’m 1 week since rupture and I broke down a bit in the first 2 days because the loss of independence is overwhelming. The need for help is just a lot. I’m lucky to have a very supportive partner but it’s still tough to do the most basic stuff.

  • @achilles_rupture

    @achilles_rupture

    3 ай бұрын

    Hey Joseph, sorry to hear about your rupture but glad that my video was of help to you. Yes, I agree that the loss of independence (and perhaps for me, I'd say the loss of masculinity) hit pretty hard. In time I learned that I had no choice but to slow down and accept that this was just the way things were going to be for a while. Hang in there - if you do the right things, then you'll be feeling pretty different in a couple months! Keep me up to date :)

  • @chrisjones4257
    @chrisjones42574 ай бұрын

    Ruptured my achilles a little over a week ago and crazy the mental ups and downs, and everything you said in the video is so true how the simplest things become so hard. For me I've been stressing about not working, cant do overtime cant do any side work its really taking a toll on me, but im glad there's videos like this.

  • @achilles_rupture

    @achilles_rupture

    4 ай бұрын

    Hey Chris, thanks for the feedback! Sorry to hear about your rupture. Totally agreed the mental ups and downs are significant and I don't know how much those around me realised it affected me. That said, it *does* get better - I think it is akin to going through the various stages of grief and loss. You kind of have to go through it and that process helps you to adapt to your new reality. The best part, however, is that the long term prognosis is generally good. Get some good physio advice and exercises, and in several weeks' time you'll be in a much better place (mentally and physically). Keep me up to date with how things go for you!

  • @alwaysreturnNurgirl

    @alwaysreturnNurgirl

    17 күн бұрын

    I'm fighting the same battle

  • @uwmersan
    @uwmersan2 жыл бұрын

    Watching in first week after rupture from tennis. In a boot, non-surgery option. Looking forward to the other videos. Thanks!

  • @achilles_rupture

    @achilles_rupture

    2 жыл бұрын

    Hey Joe, sorry to hear about your rupture but glad you found this one helpful enough that you want to see more! If you haven't seen it already, I have a summary/main video with all my various tips/tricks (as opposed to these ones which are more of a week-by-week journal).

  • @Wie24
    @Wie244 ай бұрын

    Thank you for sharing your experience.

  • @achilles_rupture

    @achilles_rupture

    4 ай бұрын

    Thanks Wie. Are you going through the process as well?

  • @wonderwoman217
    @wonderwoman21710 ай бұрын

    So glad I found this! Fay 6 for me and I've been feeling pretty isolated but it helps to know everything I am going through sounds pretty normal considering the situation!! 😫

  • @achilles_rupture

    @achilles_rupture

    10 ай бұрын

    Hey WW, sorry to hear about your rupture. The first week or two is truly the worst - coming to terms mentally and emotionally with your new (but ultimately temporary) disability, changing life plans to adapt to new requirements and daily routines, many medical unknowns about what is happening and what the future has in store for you, and a lack of understanding from those around you (not necessarily their fault) unless they've been through it themselves. I hope this and my other videos continue to help as you progress through this journey. Thank you for letting me know this video helped and please let me know how things progress in the coming days/weeks!

  • @MosAchillesJourney24
    @MosAchillesJourney242 ай бұрын

    I ruptured mine a few days ago. Currently wearing a boot with a few layers inserted. Love the positivity at the end. Some to be had during this journey.

  • @achilles_rupture

    @achilles_rupture

    Ай бұрын

    Sorry to hear about your rupture, but thanks for the feedback! The first days/weeks are definitely the roughest part where you have to adjust to this new "way of life". There is most definitely light at the end of the tunnel, though. I'm about 6 years post-rupture now and I haven't had any issues since that first year. Keep up the exercises and hopefully one day you'll look back and realise there can be far worse things in life to go through. Keep me updated with how you go :)

  • @choychanma5695
    @choychanma56953 жыл бұрын

    Awwh, Scott ... you making me teary.

  • @achilles_rupture

    @achilles_rupture

    3 жыл бұрын

    It was a difficult time!

  • @choychanma5695

    @choychanma5695

    3 жыл бұрын

    I wish I could have done more for you at the time. You know we're here for each other. With love

  • @achilles_rupture

    @achilles_rupture

    3 жыл бұрын

    It's ok, it all turned out alright!

  • @choychanma5695

    @choychanma5695

    3 жыл бұрын

    We love you ...

  • @geekyjock9
    @geekyjock92 жыл бұрын

    I’ve ruptured my AT 5 days ago on a pickup basketball game. Felt as if someone tripped me. But as i tried to stand up. I just couldn’t bear weight. It’s a nightmare so far. Visited a orthopedic surgeon and he immediately suggested a surgery, no other option. That turned me off and started researching. Glad i stumbled on legit research studies and several youtube vids such as yours. Decided to go for non-surgical. You give me hope. Sending my regards. From philippines.

  • @achilles_rupture

    @achilles_rupture

    2 жыл бұрын

    Hey geeky, sorry to hear about your rupture - it is indeed a nightmare, and is far more disruptive than I could have imagined. That said, there is a light at the end of the tunnel, it's just that the journey is a lot longer than most of us want it to be! Great to hear that you found that non-surgical was an option for you. For my own knowledge - is your rupture mid-tendinous? At least, my understanding is that if it is torn off the bone then surgery is required. But the more people I talk to about this injury, the more I end up learning about what doctors/surgeons are doing out there in the world. Do you want to play basketball again? At least for me, I used to enjoy basketball when I was younger. But I will never skateboard or play any court sports again - to me, it's not worth the risk of going through that nightmare a second time! Glad that I have been able to help and provide hope! Just hang in there and follow the process, and you'll get to be in my position looking back on it all.

  • @geekyjock9

    @geekyjock9

    2 жыл бұрын

    @@achilles_rupture well it’s bizarre the first doc i mentioned didnt even do further check or MRI. He is just adamant on doing the surgery. So i might ask for a second opinion. So im uncertain if it’s off from the bone or tendonous. Either im optimistic that it’s from the tendon. Wel i guess my basketball days are over the initial goal im aiming for is to get back to work (requires standing and walking alot) and return to a normal “active” lifestyle (to run if i need to, to jump if i have to, walk fast etc). You are correct, did a little reflecting and reinjuring isnt worth it so yeah my basketballs might be done. On my 6th day, so far on a planar bandage (i improvised since the doctor refused to cast me) while im waiting for my boot. 3rd world sucks. Btw, thanks for inspiring and keeping pur hopes up

  • @achilles_rupture

    @achilles_rupture

    2 жыл бұрын

    @@geekyjock9 you're welcome :) With respect to a second opinion: Yes, probably a good idea. My physio said that as long as the rupture was in the middle of the tendon (i.e. not at the end of it where it attaches to the bone) and that there was minimal retraction (i.e. the tendon hasn't moved up the calf towards the knee) then non-surgical is probably an option. An MRI may not be necessary, but I had an x-ray to confirm there were no broken bones, and then ultrasounds to look at the tendon itself. However, my surgeon (who gave me the option or either surgical or non-surgical) only poked and prodded around (plus did the Thompson test) and knew... so it could be that your first doctor (whilst bizarre) could be correct... or he might just be keen on collecting a pay cheque from doing surgeries all the time. It's really hard to know for people like you and me who aren't trained in the field.

  • @BF-mm8oz
    @BF-mm8oz7 ай бұрын

    Just found this I felt exactly the same. I’m 2 weeks and waiting to get a boot fitted tomorrow. It’s so hard not being able to do anything for yourself. As an active person i’m struggling mentally more than dealing with pain. Hope you made a full recovery.

  • @achilles_rupture

    @achilles_rupture

    7 ай бұрын

    Hang in there BF! It's a long process, but the good news is that a full (or full enough) recovery is possible. It took me about a year to get back to martial arts and then maybe another 6 months before sparring felt like before. How did you boot fitting go?

  • @BF-mm8oz

    @BF-mm8oz

    7 ай бұрын

    Thanks for the encouragement. Boot isn't as comfortable as I thought it would be but being able to put the left leg down and kind of 'walk' is something. I need practice but think it is easier than the cast. It's good to be reassured a full enough recovery is possible. I cannot wait for it to be over!@@achilles_rupture

  • @achilles_rupture

    @achilles_rupture

    6 ай бұрын

    @@BF-mm8oz yes I thought the boot was definitely better than the cast. At least it is possible to remove it and shower! :)

  • @D1the100
    @D1the1004 ай бұрын

    Just ruptured mine about 8-9 days ago. Doctor cleared me for weight bearing on day 5ish 6. Was a little skeptical at first but after being put into the VacoPed boot wow. Such a game changer and the rocker boot is very supportive and assures that I’m not putting to much weight on it. This is a great video and informative and gives HOPE! Thank you!

  • @achilles_rupture

    @achilles_rupture

    4 ай бұрын

    Hey D1, many thanks for letting me know this video was helpful. Sorry to hear about your rupture but interesting to hear about weight bearing that early on. Whilst I don't know much about the Vacoped, if you're satisfied it's helping then that sounds good to me! I hope that things go well in the coming days/weeks with your rehab. Keep me up to date with how things go!

  • @motherofcards8486

    @motherofcards8486

    2 ай бұрын

    I am now going into my 4th week after a partial tear (non-surgical) and i was also advised to put weight on it, with a boot and wedge, after only 4 days. I received a second opinion and the dr. confirmed that it is actually good for the healing process. I also had that extreme pressure in the back of my calf whenever I stood up after sitting for too long and the pain was excruciating. It finally went away during my 3rd week. thanks for the video and sharing your feelings.

  • @achilles_rupture

    @achilles_rupture

    2 ай бұрын

    @@motherofcards8486 you're welcome - thanks for letting me know about weight bearing as early as four days in. I recall at least one other person who commented on one of my videos saying he had started weight bearing (with crutches) within the first week. I imagine you might want the body to finish the inflammatory response to the injury before applying force, but then again this is not my area of expertise :)

  • @AmosdollMusic
    @AmosdollMusic2 жыл бұрын

    Hey, I'm glad KZread recommended your channel as I am a fellow Aussie here too with this devastating injury! As I am typing this comment, I am on day 5 post injury - ultrasound on day 2 shown that I had a 7mm gap complete rupture located 7cm from insertion point. I was wondering what your gap and rupture location was at? I went to ED, and their Orthopaedic consultant said I should go non-operative due to my gap and tear location.

  • @achilles_rupture

    @achilles_rupture

    2 жыл бұрын

    Hey mate, sorry to hear about your rupture. Devastating is a good description, but the good news is that the long term prognosis is usually quite positive :) Obviously it's your choice, but I have zero complaints about the non-operative route and very happy that I was able to avoid surgery. Unfortunately the hospital didn't do an ultrasound - the first one was done at around day 12 when I saw my physio. I don't recall him taking a measurement of the gap and he also said it was hard to tell by that point whether it had been a complete rupture or not. As for location, it was "mid-tendinous", meaning in the middle of the tendon - no measurement on that either.

  • @AmosdollMusic

    @AmosdollMusic

    2 жыл бұрын

    @@achilles_rupture I see... by the way, did you also have to take blood thinner injections the first few weeks?

  • @achilles_rupture

    @achilles_rupture

    2 жыл бұрын

    ​@@AmosdollMusic no blood thinner injections, but my physio said that if I was to take aspirin (a blood thinner) I might have some relief from some of the pain I was feeling. There was some fairly extensive bruising around my ankle! I seem to recall that the box advised only taking the tablets for a few days in a row maximum. That said, I'm assuming it will depend on your injury and how much of the surrounding tissue was injured. One of the guys in my martial arts class was kicked in the calf a couple of times during sparring, which ended up bursting one of his blood vessels. This led to a serious blood clot, for which he had to take blood thinners and was out of action for months. Might be worth asking your GP about (or a doctor that can do an online consult so you don't have to drive/visit)? How did you do your rupture?

  • @AmosdollMusic

    @AmosdollMusic

    2 жыл бұрын

    ​@@achilles_rupture I went to the ED and they got me into a cast, and the ortho consultant there prescribed me with the blood thinners injections as they said immobilization in a cast for achilles tendon rupture has a chance to develop blood clots, mainly to prevent the worst scenario of the blood clot travelling to the lung. I ruptured it from playing badminton after the lockdown of 4 months not playing. Here's a video if you want more information on the first 5 days - kzread.info/dash/bejne/hH6Vo9WLYNCbYco.html

  • @achilles_rupture

    @achilles_rupture

    2 жыл бұрын

    @@AmosdollMusic apparently squash and tennis players who rupture their Achilles during a game think something very similar to what you did - "why did my game partner/ opponent just whack me in the ankle like that?!" However, they usually turn around to find that no one is near them. One lady I talked to said she was just exiting the ocean back onto the beach and thought something bit her ankle. In my case, I was skateboarding and felt like the board caught on something, turned around and there was nothing there. As for the blood thinners - that makes sense to me. With all the bruising and damaged blood vessels, an immobile ankle sounds like a prime place to develop clots!

  • @user-ye6ui7os3z
    @user-ye6ui7os3z7 ай бұрын

    Ah mate! just came across your channel! I am at week 4 recovering from completely rupturing my achilles. I am due to start partial weight bearing in the moon boot and physio at week 6. Not sure if this is a little late to start? I have not seen all your other video's yet however I am going to do that! Hope your recovery is great!

  • @achilles_rupture

    @achilles_rupture

    7 ай бұрын

    Hey man, sorry to hear about your rupture. My recovery has gone pretty well - I'm doing all the things I want to be doing! Week 6 sounds a little late to me compared to what the Willits 2010 protocol would normally recommend (see www.dranikoloski.com.au/pdf/achilles-tendon-rehabilitation-protocol.pdf ). That said, there could be other factors related to why your doctor/physio hasn't wanted you to start until that time. Or it could be that they're not aware of how soon people can start doing exercises and partial weight bearing (or might even disagree with it). If you're keen, you can get a second opinion - I'd recommend a sports rehabilitation physiotherapist, since they are typically dealing with high level athletes who need to get back on track asap.

  • @simonlangley968
    @simonlangley968 Жыл бұрын

    Hey Scott, I am 53 I had my Achilles fully ruptured around 12weeks ago now I also was advised the non surgical route. I went to a scare maze to have some fun one of the actors jumped and brought his weight down as he stamped down the back of my Achilles and I felt it snap. I watched your video and I really felt for you ,the emotional fragility you felt I totally get that,I went from working and the gym 5 times a week and taking my daughter's to dance class to having to sit doing nothing and having tummy injections every day to help with stopping blood clots. Relying on people for lifts for my kids and to take my wife shopping. When my wife was at work and my kids at school it was quite a low point for me, I had no interaction with anyone for 8-10 hours a day. Good news is the boot came off 3 weeks ago and I start physio this week, but yeah it just seemed all so surreal the last 3 months and I'm so scared when walking, I watch my step where I go and if a path is uneven I virtually slow down and grab the wall or I freeze along with that my knee gives way a bit, I guess that's gonna happen as the muscle will have weakened. So yeah, glad you got sorted and are back to where you should be, I'm kinda starting the journey as such now to recovery I've started driving again, back at the gym doing upper body as I can't do any leg work but it's a start I'm back out and about. I think for anyone who has this happen Scott it's a real shock and you can't even imagine the impact it has in your life and mental health, your whole world literally feels like it comes to a standstill. I am glad I came across your video as I felt like I was the only one who struggled (I know I'm not but that's how it felt). Thanks for sharing your video even though I found it like 3 years later I appreciate the lift it gave me. Take it easy. Simon

  • @achilles_rupture

    @achilles_rupture

    Жыл бұрын

    Hey Simon, sorry to hear about your rupture. Thanks for letting me know that this video helped to lift your spirits. I think you probably already know that the prognosis for this injury is generally quite good - but if it helps at all, it just takes a long time. Way longer than I had thought... but you will get there, I'm sure :) When I read your story and got to the part about how you ruptured, I verbally responded in sympathetic pain and agony "Awhhhh...!" I hope the actor was at least apologetic! I think the emotional aspect is something that maybe others don't talk about as much, or maybe they don't feel it as much, but for me it was like I was charging 100 miles an hour in my life towards my goals and plans, and then suddenly I stopped like I'd hit a tonne of bricks. Life-changing, for the short and medium term. And whilst some others certainly have it far worse in life, it's still a seriously disabling injury, and it really impacted my self-esteem and self-worth during that initial period. When my sick leave ran out, suddenly I wasn't earning any money and more and that was a bit of an eye opener as well... and unlike you, I don't even have a family to look after. In any case, I wish you well on the path to full (or full enough!) recovery. Glad that your boot is off now, and I know what it's like to take care with every step and be worried in those initial stages. What I would say is that the tendon, whilst not as strong as before (yet?), can probably take more than you realise. That's not to say you should go test it out skateboarding or at another scare maze, haha, but as you recover you will probably need to treat the tendon less and less preciously. At least, my physio told me that if I kept treating an injury preciously, it would continue to behave preciously (i.e. I would guard it more than I need to, not push it enough). I can't say whether or not this is the case for you, but at 12 weeks post-rupture you're past the riskiest part as far as I'm aware. Be sensible and get strong! :)

  • @simonlangley968

    @simonlangley968

    Жыл бұрын

    @@achilles_rupture thankyou for your reply, it's good to get your take on how the rehab and recovery went with you it does give me a glimmer of hope!! I do a lot of mental work with teenagers in my school so it kind of came in handy for me when I felt low, unfortunately some people don't have that to fall back on. Oh the actor didn't break character I had to hop out when another knife wielding clown was chasing me!! I'm going back to work Monday and I have a risk assessment in place for me. Thanks again buddy. Take care

  • @achilles_rupture

    @achilles_rupture

    Жыл бұрын

    You're welcome mate, best wishes for the return to work and let me know how things go over time!

  • @achilles_rupture

    @achilles_rupture

    Жыл бұрын

    @@simonlangley968 FYI - I finished editing my video for Week 12 uploaded it recently, primarily motivated by your initial comment. Thanks for the help :)

  • @simonlangley968

    @simonlangley968

    Жыл бұрын

    @@achilles_rupture thanks mate, I will get to watch that later. My update 1st physio session given seared calf raises and seated with weight,rotating my ankle,using a belt and pushing against it,balancing on one leg,second physio session a month later leaning in a table pushing up from my calf but more using my bad leg. My walk is better I don't find my Achilles is the issue more my heel is painful and the top of my foot, I guess the ligaments etc are beginning to be used more. I got some diabetic socks (I never knew they did them) to help with the swelling as normal socks made my leg balloon up. Positively I'm feeling more confident walking about, I still get nervy and anxious in crowds when people are behind me but getting there and feeling more positive. 👍 I hope you're well now buddy

  • @stehaller
    @stehaller3 жыл бұрын

    Great that I found this. I ruptured my achilles tendon two weeks ago and I also decided to go without surgery.

  • @achilles_rupture

    @achilles_rupture

    3 жыл бұрын

    Sorry to hear about your rupture, Stephan, but glad this video was helpful. Keen to hear how you go with the non-surgical method - I'm coming up to 3 years since rupturing, and no complaints!

  • @stehaller

    @stehaller

    3 жыл бұрын

    @@achilles_rupture Well, I am lucky because I have access to the number 1 physical therapist in the world. Professional athletes from over the world travel to him. Very expensive but worth every Euro. I had a 2.8 cm gap between the ruptured ends. Doctors said no chance without surgery. I am at day 16 now and my tendon has already pretty much healed. Zero gap. I am already at zero degrees in my walking boot. Doctors cannot believe what they see. Next week we get rid of the walking boot.

  • @achilles_rupture

    @achilles_rupture

    3 жыл бұрын

    @@stehaller mate, that's phenomenal! I would have assumed that a gap that large wouldn't work so well for the non-surgical method, but hey, I'm no expert :) Hopefully your recovery and physical therapist will be able to help inform medical practitioners around the world about what's possible!

  • @stehaller

    @stehaller

    3 жыл бұрын

    @@achilles_rupture that’s phenomenal indeed! The tendon has basically healed. No gap anymore. I am still week and not able to walk without my walking boot yet. But I don’t need crutches and even without the walking boot I can put weight on my injured foot.The key was to never completely immobilize it. I had my foot in the walking boot during nights. But I removed the boot whenever I could and we constantly trained/moved my ankle. Every two hours I did the workout for my foot the physical therapist showed me for 30 mins. Even during nights when I woke up. I also fasted for 24-36 hours every other day since during fasting HGH in your blood goes up 3-5 times. The higher the HGH the better for healing tissue. Totally contrarian to what all the doctors say. The problem is doctors are not interested. They look at the ultrasound and see what I already can do with my foot, but all they say is: “This is impossible!” They don’t even ask what kind of therapy the PT does.

  • @justinkim2405

    @justinkim2405

    3 жыл бұрын

    @@stehaller hey Stephan, this sounds amazing! I'm glad to hear you're recovering well. I would just like to ask what foot workout your Physical therapist showed you. I recently got my Achilles ruptured with a 1.9cm gap and i'm scared whether or not I will have to do surgery. I wish to recover as well as you did!

  • @polmateerfarm
    @polmateerfarm Жыл бұрын

    Scott the emotional aspect is a big part of this injury.

  • @achilles_rupture

    @achilles_rupture

    Жыл бұрын

    Yes, I agree and I think it's often underestimated or not discussed a lot. At least, what I went through in the first few days was full of different emotions as I came to terms with what life was going to be like for the foreseeable future and the plans that I would have to cancel or postpone. I assume you have ruptured an Achilles, yourself. Hope that your journey is now on the up-and-up!

  • @NatePolmateer

    @NatePolmateer

    Жыл бұрын

    Yeah I have had a partial rupture this is my second time. I ruptured my left three years ago and now my right leg. It can be such an emotional roller coaster. Like today I feel a bit of tightness and now you go through the thoughts is it going to heal am I going to get full function again. Thanks for the response appreciate you putting these videos together!

  • @achilles_rupture

    @achilles_rupture

    Жыл бұрын

    @@NatePolmateer you're welcome, glad that these videos have helped. I'm still bummed to hear that this is your second time, but I don't think you need me to tell you that you *are* going to be fine ... or maybe you do? :) I think the good thing for you this time, though, is that you'll have a better idea of what to do, what not to do, and what to expect. Keep me posted - happy to remind you to do your exercises :)

  • @felixcho3980
    @felixcho39807 ай бұрын

    Hi Simon! thanks for the video, I'm currently day 14 and opted for the non surgical route. Would you be able to pass on the name of your surgeon and physio? I'm currently seeing a surgeon who pushed for non surgical (which I was hoping for), but he's told me to non weight bearing for the full 6 weeks which seems excessive to me. I'm off to get a second opinion to see if I can start some proper rehab at around the 4 week mark.

  • @achilles_rupture

    @achilles_rupture

    7 ай бұрын

    Hi Felix, sorry to hear about your rupture but glad to hear you are taking things in your own hands and asking for a second opinion. My physio (who I am still a patient of) is Travis Arthur and he works at Body Logic Physiotherapy: bodylogic.physio/team/travis-arthur/ . If you are in Perth or nearby then you can obviously book in and see him, but he may be able to assist via teleconference. If you would like to talk to the first orthopaedic surgeon I saw (Alfredo Pineda), it seems like he he may have moved to Germany: www.orthopaedie-duesseldorf-sued.de/alfredo-pineda/index.html . I'd be interested to hear if you manage to get in contact with him, since I haven't spoken to him since he did my initial diagnosis.

  • @lislejune
    @lislejune2 жыл бұрын

    It will never be 100 percent without surgery... my leg was feeling very strong after 3 weeks with surgery

  • @achilles_rupture

    @achilles_rupture

    2 жыл бұрын

    That's really interesting - how did you come to that conclusion? Do you have any good scientific studies that you could point me in the direction of or a good one that supports your statement? I haven't been keeping up with the literature lately. I was told that surgery plays no part in the strength of the tendon i.e. it simply forces the broken tendon back together mechanically, much like putting the foot in plantar flexion does.

  • @maktiki

    @maktiki

    2 жыл бұрын

    @@achilles_rupture Well if the two end of a tendon are apart and start growing to each other, then the tendon will end up longer in length, this creates a bio-mechanical disadvantage thus strength loss. Operating the tendons are joined so the length will stay the same. So with conservative treatment the tendons need to be kept very close to each other to prevent this from happening. Then after 2 week of a cast. Special boot must be used so there will be some weight bearing identical to the operated on patient groups . Only when this protocol is used will the results of operating vs conservative be comparable. So in short tendons must be joined and weight bearing should be started as soon as possible with a special boot. (Vacoped). Then the only differece is surgery=1 hour tendons joined. conservative treatment= tendons join naturally over 1-2 weeks, followed by weight bearing with special boot. No surgery and complete immobilization for >4 week= weaker tendon than surgery groups. So its mostly about early mobilisation and weight bearing that gives the best results and this is probability what in earlier studies gave the surgery better outcome.

  • @achilles_rupture

    @achilles_rupture

    2 жыл бұрын

    @@maktiki great response, thanks! Yes, agreed on the need for the non-surgical method to require keeping the ends of the tendon forced together (hence plantar flexion in the cast/boot with wedges). But you raise a good point - surgery results in a quick joining of the tendon together (e.g. 1 hour). I think we agree that early weight bearing is necessary here.

  • @eduardozurita7433

    @eduardozurita7433

    Жыл бұрын

    Can I weight bear before the 2 weeks if I can.

  • @bucketboydee4727

    @bucketboydee4727

    Жыл бұрын

    You don’t know if “it will never be 100% without surgery” because you didn’t even take that route. You’re just trying to justify your decision to go operative. You feel as though surgery would’ve been a bad decision if non-operative could provide the same results, and it sucks for you because it can. Non-operative could actually lead to a stronger recovery actually than surgery, and has in multiple cases. Either way is viable.

  • @madalina1938
    @madalina1938 Жыл бұрын

    Hi. Glad you recovered. I have a complete ruptured achilles tendon and i want the surgery. After 10 days I've been seen by a n orthopedic doctor but he said that i can recover without surgery which it scared me. I am not sure if i can recover without the surgery. I've been in sport competitions for 20 years and now, past my prime, i can't stop training hard. But this placed me in crutches. My question: do you believe in a good recovery without surgery for a Complete ruptured tendon?

  • @achilles_rupture

    @achilles_rupture

    Жыл бұрын

    Hi Vasil, sorry to hear about your rupture. For me, yes I had a good recovery without surgery. For you, that's really hard for me to answer. I was told that they would typically recommend surgery for elite athletes, but I'm not sure what level you want to be training or competing at in future. Perhaps no one has a crystal ball and can predict what will happen. Your questions is probably one of the hardest questions I've received on this channel to date because of your sporting history. You'll definitely be able to train hard in future eventually, but it's a long slow process to get there. I personally did a lot of sprinting at one stage when I was preparing for my black belt test (probably the hardest physical challenge I ever faced). I don't know if either option, surgical or non-surgical, will allow someone to "get back to 100%" with any certainty. Sorry that this answer probably isn't what you were hoping for... but I hope it helps in some way. You can always seek a second opinion from a sports physio or similar too.

  • @TheGoat-ch5iz
    @TheGoat-ch5iz17 күн бұрын

    2 months in and it’s super hard

  • @achilles_rupture

    @achilles_rupture

    14 күн бұрын

    Hang in there mate! This is a tough time mentally... when the "novelty" has worn off, but you're also not able to perform like before. Take your time and do your exercises. Normalcy isn't that far away... but you will get there. Best wishes and be safe!

  • @user-eq8fh2pd4o
    @user-eq8fh2pd4o7 ай бұрын

    Thank you for your viedo, it helps me a lot. But I have question, When you wear the boot, did you put any wedge inside it ? beacase my doctor didn't put the wedge inside the boot, just let my feet all the way dwon to the bottom of the boot, is it right ? Thank you again!

  • @achilles_rupture

    @achilles_rupture

    7 ай бұрын

    No, that doesn't sound right to me. The wedges are common with Achilles patients and I can't recall someone saying they didn't have them. I would seek a second opinion with some urgency.

  • @user-eq8fh2pd4o

    @user-eq8fh2pd4o

    7 ай бұрын

    @@achilles_rupture oh no, it already 5 weeks.Can I still can fix it?

  • @achilles_rupture

    @achilles_rupture

    7 ай бұрын

    @@user-eq8fh2pd4o Unfortunately I don't have the knowledge - it's possible it's fine and that you'll have no issues. Best to check with your doctor or get a second opinion.

  • @user-eq8fh2pd4o

    @user-eq8fh2pd4o

    7 ай бұрын

    @@achilles_rupture I get it, Thank you very much!

  • @achilles_rupture

    @achilles_rupture

    7 ай бұрын

    @@user-eq8fh2pd4o you're welcome, let me know what the outcome is!

  • @prasartpongpet
    @prasartpongpet Жыл бұрын

    I am 4 weeks in after a raptured Achilles tendon, the mental pain is the worse.

  • @achilles_rupture

    @achilles_rupture

    Жыл бұрын

    Sorry to hear... but yes, the mental aspect (frustration, suffering and more) are things that other people don't realise about what we go through. Hang in there mate... you will come out the other side of this, it just takes time!

  • @monusharma-dx7hc
    @monusharma-dx7hc2 жыл бұрын

    I have no pain while sleep but having pain while i walk what should i do .....

  • @achilles_rupture

    @achilles_rupture

    2 жыл бұрын

    Please see my response to your other comment. I have addressed this with your other question :)

  • @letseat5908
    @letseat59083 жыл бұрын

    Sir how many weeks took place to fill the gaps on Achilles..

  • @achilles_rupture

    @achilles_rupture

    3 жыл бұрын

    Hi Crony, do you mean "How long does it take for the Achilles to appear normal in an ultrasound?" If so, it would be in the order of 12-24 months, from memory. I can't say I remember exactly seeing an ultra sound that didn't have the dark patches (gaps) in it, but just that it was very patchy at the start. Then after several months it was looking far stronger. If you're wondering about regaining strength or getting back to where someone was before the rupture... well I'm currently 2.5 years post-rupture and I'm still not technically back to where I was beforehand. However, that's because I started to neglect my exercises more and more after I got back to doing what I wanted to do.

  • @purellbrantly2248
    @purellbrantly2248 Жыл бұрын

    Have you experienced a crazy amount of pressure after getting up on your crutches in the morning ?

  • @purellbrantly2248

    @purellbrantly2248

    Жыл бұрын

    Sorry I asked this question before watching the video . We are going through the exact same thing . What did your doctor say about the pressure ?

  • @achilles_rupture

    @achilles_rupture

    Жыл бұрын

    @@purellbrantly2248 i can't recall what either my doctor said (i think my visits were too far apart). My physio recommended i consider aspirin for the blood thinning effect. I did read later that it's likely that pain can be caused by the ongoing swelling whilst the ankle is in a fixed position on those first few days (I.e. it expands to fill the space), and potentially there is thrombosis from the blood and clotting (maybe why my physio recommended i consider aspirin). It was really quite intense for me, but thankfully it didn't last too many days. What day/ week are you at?

  • @johnnyo6416
    @johnnyo64162 жыл бұрын

    Hey Scott, thanks for the videos. I’m day 7 of rupturing my Achilles and doing the non operative option as an option by the orthopedic surgeon and was wondering about that pain you describe when the blood rushes down the leg and that pressure feeling.. how long did that last for you. I’m currently going through that stage. Thanks in advance

  • @achilles_rupture

    @achilles_rupture

    2 жыл бұрын

    Hey Johnny, sorry to hear about your rupture. I think that pain lasted a few days for me. Unfortunately I never worked out what the actual cause was. Obviously talk to a doctor if you think there's anything serious. I recommend just keeping it elevated as much as possible and waiting it out. It might be worth considering something like aspirin to thin your blood as well - I seem to recall reading something about Achilles rupture patients also experiencing thrombosis, but obviously this is not my area of expertise and my thoughts may not match what you're experiencing. Hope this helps.

  • @johnnyo6416

    @johnnyo6416

    2 жыл бұрын

    @@achilles_rupture thanks for the reply Scott, much appreciated

  • @achilles_rupture

    @achilles_rupture

    2 жыл бұрын

    @@johnnyo6416 you're welcome. Any change in pain in the last couple days?

  • @johnnyo6416

    @johnnyo6416

    2 жыл бұрын

    @@achilles_rupture yes! I end up going back to the orthopedic surgeon office to take off my plaster cast, which might of been a little too tight and I was put in a boot and feel a lot of the pressure gone. As of now I’m going the non operative route still. How’s your recovery done without surgery? Any regrets not getting surgery?

  • @achilles_rupture

    @achilles_rupture

    2 жыл бұрын

    @@johnnyo6416 sorry, delayed reply. Great to hear most of the pressure in the area has gone. That makes sense what you're saying, too - a tight cast plus a swelling ankle could result in problems (like pain). No regrets about avoiding surgery. Being able to avoid the (small) risk of dying on the table, as well as not having the risk of infection or a long term scar to deal with, are all the benefits of going non-operative. I'm coming up to 4 years post-rupture, and life is all fine and good. My biggest complaint these days, which is really not a big deal, is that my affected calf muscle is still smaller than the other side. If I cared enough, then I'd be at the gym a lot more doing calf raises and focusing on bulking that calf up... but clearly, it's not high enough of a priority for me to do :)

  • @monusharma-dx7hc
    @monusharma-dx7hc2 жыл бұрын

    Sir i have rapture yesterday wid 5-7mm what should i do

  • @achilles_rupture

    @achilles_rupture

    2 жыл бұрын

    Hi Monu, sorry to hear that. Step 1 is to see a doctor or surgeon and see what they say. Their advice and analysis will more than likely be better than anything I can provide. You may or may not have the option of going without surgery - it depends on the rupture location and the amount the tendon has retracted (from my limited understanding). If you are not filled with confidence, go and see a second medical practitioner. I would recommend seeing a good physiotherapist, potentially one who assists sports people with getting back to sport. With respect to your other comment, if you have ruptured your achilles, I don't think there's any doctor or physiotherapist out there who would recommend you walk on the affected ankle. Usually they put people in a cast or a "moon boot" with crutches and the patient is instructed not to put any weight on it for at least two weeks.

  • @jterry414
    @jterry414 Жыл бұрын

    I dnt have insurance and was quoted 25k fir the surgery.. so non surgical is the best route for me

  • @achilles_rupture

    @achilles_rupture

    Жыл бұрын

    Sorry to hear about your rupture and wow, that's quite a figure. Has a doctor/ surgeon said you are a candidate for the non-surgical method? The main requirements that I was told were that the rupture has to be (1) mid tendinous with (2) minimal retraction. So if your rupture is off the bone or the Achilles has retracted up your leg too much, then the non surgical method will most likely not work for you. But if a doctor/ surgeon thinks that you can go non-surgical, then I think it's usually a good idea to avoid surgery if you can. I'm certainly happy that I avoided it.

  • @jterry414

    @jterry414

    Жыл бұрын

    @@achilles_rupture it it not completely off the bone but I see a doctor this upcoming Monday.. been in a boot with with wedges since last Sunday… I didn’t get insurance through my job because I wanted to save more money for myself ( stupid I know) I’m 35 I work out a lot and im top shape . But i currently can’t find immediate insurance to pay for this .. I’m not in any pain.. I’ve been pretty active in boot

  • @achilles_rupture

    @achilles_rupture

    Жыл бұрын

    @@jterry414 Ok gotta wait and see what the doctor says. If you aren't confident about their answers to your questions about the non-surgical method, you may want to seek a second opinion. Good to hear you aren't in any pain. But I would say that it's probably not a good idea to be putting weight on your affected foot for now. At least, in my first two weeks I was told not to put any weight on it and rely on crutches. It's pretty rough as someone who is active, but unfortunately you will have to slow down a lot :)

  • @jterry414

    @jterry414

    Жыл бұрын

    @@achilles_rupture ok will do thank you for your reply.. god bless 🙏🏿

  • @achilles_rupture

    @achilles_rupture

    Жыл бұрын

    @@jterry414 you're welcome. All the best, and let me know how things go!

  • @athleteforfun2702
    @athleteforfun27022 ай бұрын

    Tore my Achilles Trying a nose blunt 😂 I’m non surgical week 5 with one heel lift

  • @achilles_rupture

    @achilles_rupture

    2 ай бұрын

    Haha dang, certainly more advanced than me! I was just going down the street in a straight line (albeit, pushing harder and harder). How's your recovery going?

  • @linkinparkyour8544
    @linkinparkyour8544 Жыл бұрын

    DID YOU HAVE THE SURGERY

  • @achilles_rupture

    @achilles_rupture

    Жыл бұрын

    Nope... it's now 4.5 years later and I'm glad I avoided surgery.

  • @linkinparkyour8544

    @linkinparkyour8544

    Жыл бұрын

    I have a 2 cm tear, I don't want to have surgery on my Achilles, what do you think I should do, sir, my doctor said you should rest 1 month

  • @achilles_rupture

    @achilles_rupture

    Жыл бұрын

    @@linkinparkyour8544 sorry to hear that you've ruptured your Achilles. Unfortunately I'm not in a good position to give you any advice on what to do or even what your options are. You might want to consider getting a second opinion from another doctor or surgeon. My physiotherapist told me that if the rupture was (1) in the middle of the tendon and (2) hadn't caused the tendon to retract up the leg, then it was likely that the non-surgical method would be ok. But if the Achilles has torn off the heel bone or there's been too much separation, then I think you probably need surgery. Is your foot in a cast or boot in plantar flexion (toes pointed down)?

  • @linkinparkyour8544

    @linkinparkyour8544

    Жыл бұрын

    @@achilles_rupture the tear is in the middle I can't step on it my doctor put it in a plaster 1 month later we will take it off he said when he wakes up he said you can step on it little by little you are someone who has succeeded I need your help what should I eat or use

  • @achilles_rupture

    @achilles_rupture

    Жыл бұрын

    @@linkinparkyour8544 I would recommend starting with watching the "main" video on my channel for people who have recently ruptured: kzread.info/dash/bejne/qX6Dtriqqcy7fps.html This will provide a good amount of information to get started. You may consider finding a physiotherapist who specialises in sports rehabilitation. My physio prescribed the "Willits protocol" for rehabilitation, which provides a framework for different phases of exercises and rehabilitation.

  • @lorehere8193
    @lorehere81932 жыл бұрын

    Just rupture my achilles tendon 95% you think I can make it like u insurance won't cover me

  • @achilles_rupture

    @achilles_rupture

    2 жыл бұрын

    Hi Lore, sorry to hear about your rupture. Obviously I'm not a doctor and it's hard for me to make a prediction without knowing other details. However, the good news about Achilles ruptures is that the long term prognosis is usually good. If your rupture is "mid tendinous" then you may have the option of going without surgery. In any case, even without insurance, so your best to collect good information and see if you can find other health practitioners that can assist. You can get there in the end!

  • @byanymeans214

    @byanymeans214

    Жыл бұрын

    Did u make it?

  • @cargolee9767

    @cargolee9767

    Жыл бұрын

    How was it lore?

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