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Rehab of Achilles Tendon Rupture

Compression will reduce bleeding and reduce swelling, just as elevation will use rabbit to reduce bleeding and reduce swelling by allowing fluids to flow away from the site of injury. There are many misconceptions about the way to apply ice, especially in this injury; it must be administered correctly. The proper way to apply the ice is for about 15 minutes every 2 hours. This will vary depending on the amount swelling; this can be reduced gradually over the next 24 hours. Do not however apply heat or deep message to the rupture in the initial immediate treatment.

As soon as RICE has been finished, the injured needs to immobile the tendon, lower leg. This is done so the injury will not worsen. As mentioned earlier the individual who ruptures their Achilles tendon should seek prompt medical treatment just as soon as RICE has been administered, When the individual sees a physician, they can confirm the diagnosis and determine whether an operation is the best idea or not, Usually the choice of surgery, is determined patient by patient. In this research paper will explore the surgical treatment of an Achilles tendon rupture, which is described in the repair phase.

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Phase 2- Repair Phase: The goal of surgical repair of an Achilles tendon rupture is to restore tendon nonentity and length to allow the patient to regain his or her functional and desired activity level. Surgical repair usually is a more reliable treatment method as it is less likely to re-rupture; the re-rupture rate is 0-5% lower than that Of a non-surgical repair. It is mostly performed on younger, healthy, more active individuals Who are participating in high school, college, semiprofessional, or professional sports; whereas non-surgical treatment is used on patients who are in active or elderly.

When doing a surgical repair on the tendon, there are multiple ways to operate. The one will go into is called open repair. In an open repair both medial and longitudinal approaches are used. A tourniquet is used and the rupture gap is palpated. Incisions are made through the skin down to the operation, which is the fatty material between a tendon and its sheath. The operation is then divided to uncover the ruptured ends. By plantar flexing the ankle, the ends are then reconnected and secured with heavy sutures using a modified Kessler, Krakow, or Funnel technique, The surgeon has to be sure not to over tighten the repair.

It this occurs the tendon length eight be shorten which would lead to loss of dereliction. After the repair is done, the operation and skin are closed. A cast is placed on the lower leg/foot region following the operation, Phase 3- Rehabilitation Phase: Total recovery from an Achilles tendon rupture is estimated to be between 6-9 months. The general outline of post surgical rehabilitation consists Of 6 to 8 weeks of manipulation, heel lifts, passive and active range of motion exercise, progressive resistance exercise, and ice after workout.

A cast or brace should be placed on the patient for 6 to 8 weeks to protect the repair and skin incision. If the patient is an athlete or just one Who wants to remain healthy and in shape, it is recommended that they take part in conditioning exercises to maintain good general muscle strength and aerobic fitness. Following the cast removal, the patient must undergo a rehabilitation program in order to return to normal movement and function. Heel lifts should be immediately placed in the patient’s shoes.

The reason why the lifts are placed in both shoes is to relive any pressure or tension in the injured toot and in the non-injured toot to keep the person lanced and not potentially hurt the other side (tendon, hip). Because monopolizing the toot in a cast may cause joint stiffness, muscle atrophy, and blood clots, many doctors recommend an early-motion approach, This approach puts the patient in physical therapy within just a few days after the surgery. Therapy may be needed for up to 4 or S months.

Ice, massage, and whirlpool treatments may be used at first to control swelling and pain. Massage and ultrasound help heal and strengthen the tendon, Range of motion exercises should begin while in therapy. About 2 weeks after ROOM exercises have been seed is when the progressive resistance exercises are added. Some of these resistance exercises can be done in the pool. The buoyancy of the water helps people walk and exercise safely without putting too much pressure or tension on the healing tendon.

If the patient chooses a splint may be worn while walking for 6 to 8 weeks after the surgery. Then 10 weeks after the surgery aggressive training exercises can begin. These types of exercises are used more explicitly in phase 4. Phase 4. Return to Play: Almost 3 months after the surgery the patient should be able to advance to more strenuous exercises. The athlete may begin running cutting, and jumping, but they still need to be monitored. It is the physical therapists job to keep the pain and swelling at a minimal during this stage.

The patient needs to be icing after exercising and they should still be wary of their injury. They need to be monitored in the 4th month and on to decrease the chance of re-rupturing the tendon. After about 6 to 9 months the patient should be able to return to normal play: with an improved range of motion and strength, and a normal walking pattern, Once returned to normal play the individual still needs to visit the hysterical therapist occasionally, but they need to be responsible to do exercises and stretches at home.

Even though the patient is given all the information and resources to get better, there also must be a desire to return to normal play. Injuries like an Achilles tendon rupture can be devastating and sometimes mentally crippling. The athlete must overcome any doubts or thoughts that might keep him or her from moving forward in the rehabilitation program. Support from family, coaches, and friends is important in this process also. Encouragement can be a big motivator for the athlete to return to a normal state.


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