When can I walk normally and do physical work normally after removing a third of the Achilles tendon

I'm not a professional, but I'm very much like you, the injury process and the situation are basically the same, just two months before you.

I was accidentally scratched by the glass, and the doctor later told me that 1 3 to 1 4 was broken, but I later saw that the wound felt more than he said, at least half broken. Because I was injured earlier than you, according to my summary and the relevant information I learned on the Internet, as far as I know, you have the above questions.

1. After removing the plaster, you can walk, but the injured foot can only use the force behind the foot, so it will not be normal when walking at that time, and it will definitely limp. I am now 3 months away from the injury, and a month after the cast was removed, I still have a little abnormality in walking, because I dare not use my toes too hard when walking, for fear of straining again.

2. The doctor told me that I can only run after at least half a year, and I don't know how much difference there is between strenuous exercise and running. Anyway, I won't be able to run for half a year.

3. You can walk after removing the plaster, but you can't walk normally, there are a few points you need to pay attention to: when walking, first hit the ground with your heels, and then slowly move the center of gravity to the ball of your feet. You need to do it slowly.

During this period, you must not exercise vigorously, and if the Achilles tendon is pulled again, it will be very troublesome. (This period after the plaster is removed is a dangerous period, so be careful!) ）

Question you added:

Yes, the doctor said it would last for half a month, but mine has been going on for a month, and I am not walking completely normally. In the first half month, I was on the rise. Now there are no pads.

In addition, when going down the stairs, the injured foot should be half a foot deep, so that it will be easier for you to go down the stairs, but be careful not to fall.

I would like to share some experience with you. ：）

After a hundred days, you have to maintain a good mood to get better quickly. Exercise regularly. It is estimated that it will only be two months. Or talk to your doctor. Good luck with a speedy **

A year later! Pay attention to maintenance throughout the year!

Generally, the time of external fixation is 4 to 6 weeks, and there are many friends who start with plantar flexion and long plaster fixation, and later change to short plaster close to functional fixation. The upper end of the Achilles tendon connects the soleus muscle and gastrocnemius muscle of the lower leg, and the lower end connects to the calcaneus, which is a dense connective tissue with strong regenerative ability. Most of the injured people were torn in the shape of a horsetail.

In addition, the injured person with a secondary fracture or an old fracture will be relatively prolonged for a fixed time. The second stage of recovery is to do after removing the external fixation, after a long period of external fixation, you can finally let the injured foot see the light of day, is it possible to walk after removing the external fixation? At this time, you can't walk in a hurry, the dorsal extension angle of the injured foot is still at a low level, the serious lack of strength, and the decline in flexibility and balance are not enough to meet the functional requirements of normal walking.

Moreover, without the protection of external fixation, it is still a dangerous time window for secondary fracture. (When it comes to the time window of secondary rupture, this is also phased, generally speaking, 6 8 weeks is the first dangerous time window for secondary rupture, at this time the external fixation has just been removed, if there is an accident of sudden weight bearing on the forefoot, causing a rapid plantar flexion response, it is more likely to occur secondary rupture, 10 12 weeks is the second dangerous time window, at this time the Achilles tendon is physiologically beginning to migrate healthy tendon tissue to replace the original fibrous scar, so it should not be strenuous exercise, especially to avoid rapid forefoot weight-bearing. However, walking slowly should not be a problem from the perspective of time.

The third time window is when you practice jumping in the early days, and jumping practice should also start from simulated jumps, small jumps, and big jumps. In general, avoiding sudden force on the forefoot is the key to preventing secondary injury. When the external fixation is just removed, most friends will find that their injured foot is very swollen, the Achilles tendon is thick and hard, this phenomenon is very normal, don't be nervous, the Achilles tendon is healed, but it is not a normal tissue structure, it is fibrotic scar tissue, the elasticity is relatively poor, so it is normal to be thick and hard, and the Achilles tendon is normal in half a year to a year, with the completion of tissue reconstruction, the Achilles tendon should gradually become soft and thin.

To solve the problem of swelling, you can use traditional Chinese medicine or warm water to soak your feet.

Now pay attention to rest and not strenuous exercise, and you can resume after two months of weight-bearing exercise.

It's best not to exercise, you can soak it in warm water at night.

Problem analysis: The Achilles tendon is the thickest tendon in the whole body, so the healing is also the slowest, the general practice is to replace the long leg cast with a short leg cast three to four weeks after anastomosis, and take the ankle joint to a neutral position, and then put a cast for three weeks, that is, a total of about six to eight weeks.

Suggestions: Prepare for the pure.

If the first cast of the ankle joint is obviously flexed, that is, when the plantar flexion is taken, the ankle joint must be placed in the middle imitation standing position in about three weeks, and if there is a brace at this time, it is okay, but it cannot be removed from external fixation within a month and a half.

Problem analysis: Hello, according to your consultation, there should be a situation of Achilles tendon injury in the foot, which is now nearly 3 weeks after the operation, and now you have released the external fixation of the plaster cast by yourself, and there is a situation of re-injury of the Achilles tendon, considering that shortly after your operation, the Achilles tendon has not completely healed, and there may be a situation of re-injury.

Suggestions: It is recommended that you may need to revisit the doctor for examination to see if there is any surgical site avulsion, and consider the need for re-plaster external fixation, it is recommended that the situation without clinician examination should not be lifted at will, so as not to affect the disease**, I hope my reply can help you.

Exercise essentials: Initial ** workout period, valgus, plantar flexion and dorsal extension, circular movement, toe movement, static contraction, 30 sets, 3 sets per day.

Essentials of foot soaking: Soak your feet with traditional Chinese medicine that reduces swelling, invigorates blood and relieves tendons; Traditional Chinese medicine is divided into three times a day, morning, noon and evening, before exercise; Three times in the morning and evening, each time for 20-30 minutes, the water temperature is controlled at about 40 degrees; If the affected foot has not fallen off, do not soak the foot for the time being, and when soaking the foot, the water surface should cover the injured part of the Achilles tendon.

Essentials of rolling bottles: Essentials of rolling bottles, when moving forward, the toes should touch the ground as much as possible, and when going back, the heels should touch the ground as much as possible, (the bottle should be cylindrical, such as a homemade vinegar bottle, filled with water) If the ground is slippery, you can lay a small piece of carpet or yoga mat to play a non-slip role; 20 minutes per set, 3 sets per day.

Analysis: Hello, after Achilles tendon rupture repair surgery, it should be immobilized with a cast for 6 weeks to protect the healing and repair of the injured tendon and prevent premature movement and re-rupture of the socks, resulting in the failure of the operation.

Suggestions: It has been three weeks after the operation, after the local external force, if there is no pain in the Achilles tendon rupture and no obvious swelling, it should not be a big problem, and the plaster can be fixed for observation, and if there is local swelling and pain, or tear-like sensation or abnormal noise when injured, MRI examination should be carried out to determine whether there is the possibility of re-rupture. Good luck soon**.

Problem analysis: The right Achilles tendon was accidentally injured and ruptured, and after **, it has been 2 weeks now, and the external fixation was removed carelessly.

Suggestions: For the Achilles tendon, if it is a rupture, surgical repair needs to be considered, and an external fixed cast is also needed for six to eight weeks after surgery, and now the second weight bearing is also required in combination with clinical considerations, if the Achilles tendon is not able to move at all, it is necessary to consider whether there is a second injury, of course, if it is a secondary injury, it will also cause obvious local pain, and it is recommended that you still need to recheck if necessary.