What are the nursing and rehabilitation training methods after Achilles tendon rupture?

Walking boots at 5 to 8 weeks, excessive with heel pads, and splint braces at night; compression stockings, continue active or assisted active activities, know to return to normal; Discontinuation of analgesics, increase elastic band resistance to continue confrontation training, BAPS and proprioceptive training; Jog in the water, walk and swim in chest-deep water, and start stationary bike training.

Day 3-4 after surgery: During this time, we usually have to change the dressing once, because the wound has healed a little at this time, and in order to prevent the blood gauze infection from causing non-union, we need to change the dressing once. During this period of time, the first training is mainly to adhere to the previous training, in addition to the thigh muscle strength training, the method is to use the mind to tense, relax the thigh muscles, keep the thigh position unchanged, this method needs everyone to feel themselves, that is, static muscle strength training, you can feel more, do not worry about pulling the Achilles tendon, as long as this plaster period is not affected by external forces, our training will not hurt the Achilles tendon.

Static strength training can be performed for 5 seconds at a time, 10 reps per set, about 5 times a day.

After two months, transition to fully weight-bearing walking; Wear compression stockings and train dorsiflexion until normal, with gentle passive stretching if necessary; If necessary, the NSAIDS drug BAPS, the use of CKC for confrontation training, and the practice of calf raises; Walking in the water, swimming, continuing to practice cycling and increasing resistance, walking.

At the end of 6 weeks, the cast should be removed, the heel of the inner insole should be the same height as the unaffected side, and the foot should be walked on crutches and partially weight-bearing. Heel height enters. The best material is to use more than 10 layers of solid cardboard, gradually reduce the height as the ankle dorsiflexion range improves, and remove one layer every 2 to 3 days until it is completely removed.

Calf raises began 8 weeks after surgery. Gradually wean yourself off the crutches. At the end of 4 weeks, start soaking your feet in warm water, 2 times a day, for 20 minutes each time, and start the roller exercises of ankle function (10 cm diameter log, feet on top and back and forth).

** In the gradual progress, according to their own situation, gradually brisk walking, jogging, fast running, jumping. The brisk running exercise can be accompanied by a calf raiser exercise to strengthen the muscles, and gradually transition from a two-foot calf raise to a one-foot calf raise. Professional training can be gradually resumed after 6 months.

the use of walking boots or the "removal of the cast"; Use crutches, partially weight-bearing; Elevate the affected limb and actively move the toes and ankles with active or assisted assistance; Analgesia, initiation of antiplantar flexion activities with an elastic band with low resistance.

The Achilles tendon is the most powerful tendon in the lower leg of the human body, the upper end is connected to the muscles of the calf area, and the lower end stops between the calcaneal nodes, which is the key to transmitting the calf muscles to the footsteps, and plays a key role in the leg activities such as jumping, walking, and running. Achilles tendon rupture can be said to be the biggest natural enemy of athletes, and Achilles tendon rupture generally does not occur in life, unless some high-intensity sports, such as basketball, badminton, volleyball, etc., are generally caused by sudden excessive force and excessive tension of the Achilles tendon and rupture, or it may be caused by external force or sharp weapon cuts. Achilles tendon rupture is generally divided into complete rupture and partial rupture, and the two take different methods, the former requires surgery, and the latter can choose surgery or conservative.

Why do you want to write this experience, I used to be a patient with Achilles tendon rupture, and the condition was complicated and there was a second rupture, recalling the nightmare at the beginning, now I have palpitations when I think about it, I was playing basketball in early 2013 Achilles tendon rupture, diagnosed as a partial rupture, took a conservative ** without surgery, accidentally stepped on the ground when ** was a month ago, resulting in a second rupture of the Achilles tendon, continued to take conservative**, after half a year ** did not achieve the expected effect, Surgery was performed in September 2013, After surgery, the training method after Achilles tendon rupture surgery was thoroughly and carefully studied. Summing up a lot of useful experience, I am still active on the basketball court, and there is no obvious discomfort in the Achilles tendon, so my ** effect is still very good, so I share my ** experience today, hoping to help patients who are experiencing disasters.

1. 1-3 weeks after surgery: the long-legged plaster brace is fixed, and the crutches are carried out to carry out appropriate activities; After the incision is healed, remove the plaster pad every day, soak the Achilles tendon area in warm water, massage the Achilles tendon, and do not do ankle dorsal extension and plantar flexion exercises; Plaster pads must be worn every day when you go to bed.

2. 4 weeks after surgery: change the short-leg plaster brace (after the long-leg plaster, the brace is sawed short to 3 cm below the small head of the fibula, and the knee joint is started to move). Remove the plaster pad every day, soak the Achilles tendon area in warm water, massage the Achilles tendon, and do ankle dorsal extension and plantar flexion activities appropriately; Plaster pads must be worn every day when you go to bed.

3. After 5 weeks after surgery: 4 weeks after surgery, all ** content of the foot roller exercises.

4. After 6-8 weeks after surgery: remove the short leg plaster cast, walk with shoes, and put a heel pad with a height of cm composed of 10 layers of thin plates between the heel and the sole when walking, and during this period, it should prevent falling or suddenly kicking the ground to pull the Achilles tendon of the hand after surgery.

Leg atrophy to massage the muscles, it is normal to not be able to exert strength, now it is only a little more than a month, can you step on the ground now?

I'm also suffering from this condition now, so I'm asking about it too.

For patients with acute Achilles tendon rupture**The process should pay attention to the rehabilitation according to the time, step by step, as follows:

1. During the fixation of the cast, move the toe to promote blood circulation to prevent swelling. Elevate your lower limbs as much as possible each day for strength exercises to avoid muscle atrophy and walk on crutches.

After weeks the cast goes short below the knee joint.

3. After 7 weeks, start to remove the plaster, practice the extension and flexion of the ankle joint, fill the plastic mineral water bottle with warm water and start the roller exercise with your feet.

Go to the plaster every week, wear a 3 cm heel pad to walk on crutches, it is best to put the heel pad with both feet, otherwise the two feet are not the same height, and it is not easy to walk. During this period, the ankle range of motion exercises were continued, and the leg surface was tense and the hook range of motion was close to normal.

After a few months, I began to transition from slow walking to brisk walking exercises, and walked briskly, jogged, and ran fast according to my own practice. It is important to prevent falls, otherwise the Achilles tendon will rupture again.

Start working on the triceps muscles in the calf at 4 months, starting with a two-foot heel raise, and gradually transition to a one-foot follow-up.

At present, there are only two ways to recover from Achilles tendon rupture. The first is surgery**, which is aimed at patients with complete rupture of the Achilles tendon, which requires surgical repair to connect the Achilles tendon, and the prognosis of surgery is also good, and the recovery time will be faster. The second is conservative**, if the Achilles tendon rupture is not serious, it is still recommended to take conservative**, first use a plaster cast, and then combine drugs and functional exercises after removal, and it can be completely ** after three months.

After the tendon ruptures, it's time to stop exercising. To maintain a quiet recuperation every day, it is necessary to walk less and move less. That's easy**. There are certain benefits for your Achilles tendon rupture.

The ** plan for Achilles tendon rupture is divided into an acute phase and a recovery phase. In the acute phase, a cast is usually performed with or without surgery. After the cast is fixed, it is not just lying still, but the muscles are contracted in equal length.