What is Achilles tendon repair surgery?
The Achilles tendon connects the calf muscles to the calcaneus (heel bone) and is one of the important tendons in the human body. The Achilles tendon is a strong, fibrous cord in the lower leg. It connects the muscles of your calf to your heel. It’s the largest tendon in your body. It helps you walk, run, and jump.
Achilles tendon repair surgery is a type of surgery to fix a damaged Achilles tendon. In some cases, the Achilles tendon can tear, or rupture. This is usually due to a sudden, strong force. It can happen during tough physical activity. It can happen if you suddenly move faster or pivot on your foot. Having a foot that turns outward too much can increase your risk of a torn tendon. A ruptured Achilles tendon can cause pain and swelling near your heel. You may not be able to bend your foot downward. The Achilles tendon can also degenerate. This is also known as tendinitis or tendinopathy. This might cause symptoms like pain and stiffness along your Achilles tendon and on the back of your heel. This is most often through overuse and repeated stress to the tendon. It can result from repeated stress on your tendon, especially if you have recently been more active. Having short calf muscles can increase your risk of tendinopathy.
During the surgery, an incision is made in the back of the calf. If the tendon is ruptured, the surgeon will stitch the tendon back together. If the tendon is degenerated, the surgeon may remove the damaged part of the tendon and repair the rest of the tendon with stitches. If there is severe damage to a lot of the tendon, the surgeon might replace part or all of your Achilles tendon. This is done with a tendon taken from another place in your foot. In some cases, the Achilles tendon repair surgery can be done as a minimally invasive procedure. This is done with several small incisions instead of one large one. It may use a special scope with a tiny camera and a light to help do the repair.
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How much does Achilles tendon repair surgery cost in Iran?
The cost of Achilles tendon repair surgery in Iran is around $700.
The average cost of Achilles Tendon Repair Surgery in Iran less than the cost of Achilles Tendon Repair Surgery in other countries.
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After Achilles tendon repair surgery
Early mobilisation following Achilles tendon repair has been reported to be beneficial in terms of postoperative recovery and improved tendon vascularity.
Describes three phases of post-surgical rehabilitation following Achilles tendon repair.
Phase I typically lasts three weeks. Goals of this phase are as follows: Control oedema and protect the repair site Minimize scar adhesion and detrimental effects of immobilization Progress to full weight bearing as tolerated/indicated Pain 5/10 or less, strength 4/5 all lower extremity muscles except plantar flexors Phase I interventions include: Modalities for pain and oedema Stretching of large lower extremity muscle groups, gastrocnemius/soleus added at week 3AROM: plantar and dorsiflexion 3×5; 3 times daily; add inversion and eversion at week 2Foot/ankle isometrics at week 2; band exercises week 3Proprioceptive training for lower extremities; Gait training Upper extremity cardiovascular exercise Joint mobilisation and soft tissue work, as indicated
Phase II typically lasts from post op week 4-6.
Goals for this phase are as follows:
Normalized gait pattern Full ankle ROM5/5 lower extremity strength Return to full ADL ability Pain reported to be <2/10Proprioceptive reactions equal to non-surgical side
Phase II interventions include:
Ankle flexibility at various knee angles Progressive closed kinetic chain lower extremity strengthening Cardiovascular progression Proprioceptive training on variety of surfaces Manual resisted exercises and joint mobilization, as indicated
Phase III typically lasts from post op week 6-15.Goals for this phase are as follows: Initiate running program Improve balance and coordination Increase velocity of activity Return to sport Phase III interventions include: Progressive ankle and lower extremity strengthening Agility exercises Double heel raise/lower progressing to single leg heel raise at various speeds A recent systematic review by Brumann and colleagues (2014)identified the most up-to-date rehabilitation protocol for an Achilles tendon repair.
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Is Achilles tendon repair a major surgery?
Achilles tendon tear is a serious injury from forceful stretching of the tendon. If there is severe damage to a lot of the tendon, the surgeon might replace part or all of your Achilles tendon. This is done with a tendon taken from another place in your foot. In some cases, the Achilles tendon repair surgery can be done as a minimally invasive procedure.
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How long does it take to recover from Achilles tendon surgery?
How long it takes for you to heal will depend on how bad your injury is. Tendinitis involves pain and discomfort but no damage to the tendon, so that might be just a few weeks of rest and ice packs. A complete rupture is a totally different story that could take up to a year to heal. Some people have surgery for Achilles ruptures, and some don’t. In general, those who have surgery have a greater chance of complete healing and a lower risk of injuring it again. No matter which option you choose, here’s what you can expect during recovery.
You will need to wear a cast or walking boot for 6 to 12 weeks after surgery. At first, it may be set to keep your foot pointed downward as the tendon heals. You may be able to put weight on your affected leg after a few weeks. But it will be several months before you have complete use of your leg and ankle.
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How can I make my Achilles tendon heal faster?
Minor to moderate Achilles tendon injuries should heal on their own. To speed the process, you can:
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Can a torn Achilles tendon heal without surgery?
If Achilles tendon left untreated, the condition of Achilles tendinitis usually gets worse. You will likely begin to feel chronic pain and the tendon may get ruptured. The condition could become very serious and could lead to serious injury. Minor to moderate Achilles tendon injuries should heal on their own. Nonsurgical treatment starts with immobilizing your leg. This prevents you from moving the lower leg and ankle so that the ends of the Achilles tendon can reattach and heal. A cast, splint, brace, walking boot, or other device may be used to do this. Both immobilization and surgery are often successful. They both help the tendon to heal.
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10 common question about Achilles Tendon Repair Surgery