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Ruptured Achilles Rapid to Ski - Page 2

post #31 of 47

I have a suggestion...

Just keep skiing!

post #32 of 47
Used to have somewhat chronic tendonitis, during a period when I was playing a sport in which I twisted my ankles constantly and then continued to run.

My rupture was different.
It was more about weakness, than the sharp pain of tendonitis, when trying to walk.

They may not be able to really tell what’s going on in there without surgery.
My radiologist was hopeful and thought MRI showed a bit of tissue that may have still been connected. But my ortho said it was just muscle that had gotten stretched in the fall, and it was snipped away during surgery. Achilles was gone and had to be tied back together.

It’s awful that you are in such agony – and in both Achilles too.
But it sounds like you experienced improvement after time on crutches.
Absent a rupture, I would not go out of my way for surgery.
Of course, your ortho will know best.
post #33 of 47
Ultrasound showed lots of damage, and they naturally focussed on the interesting super-inflammed bit at the moment, around the sides. Off to the doctor again next week, and it'll be the usual round of physio etc I imagine. I'd like to actually fix this thing, as I'm sick of it!
post #34 of 47
ouch ant.....

I thought you had this all sorted and now it is back...
post #35 of 47
I looked up Tendonosis on the 'net, and it's quite a different and nastier kettle of fish from Tendonitis, or Tensonyvitis. I've got the lot too, went through the list and ticked it all off. Middle aged males who were keen and high level sports people tend to get this. I'm not a male, but played top-level men's sport, so I ticked that one too.

The things that are meant to help it: stretching and heel raises, really aggravate mine horribly. But I might have to find out if in this case, pushing through the pain and increased inflammation would result in improvement? I've always stopped when these two things made it worse.

It's never been fixed, sadly, only mitigated by the orthotics. When I can go bushwalking again, I'll consider it fixed. I have no ambitions to ever run again, that would be beyond possibility I think.
post #36 of 47


I'm 23 years old and ruptured my achilles playing soccer on October 15th, 2006. I had surgery 6 days after and am currently in a cast. Today my foot was raised to neutral in the cast, and seeing the amount of muscle lost in my calf and the limited range of motion was really dis-hearting.

I stumbled upon this thread and the positive comments about rehabilitation have really boosted my confidence. Thank you.

I played Division 1 soccer and semi-professional soccer before the injury and am hoping to play at that level again. Its only been 3 weeks since surgury, so I guess i'm panicing a bit early...maybe i'll just take up skiing if I can't play soccer no more.
post #37 of 47
The full op is a big one, and when you rupture the tendon, you have no choice. Fair dinkum, you'd be better off breaking a bone than a tendon.

I'm having a MRI on my bad one this week, the surgeon wants to see the extent of the damage. I'm getting set to have an op on both when I get back here in May. The physio was saying that for my problem, it's not such a big op as they are just going in and cleaning it up, getting the thing off that's making it produce too much fluid and inflammation and some other stuff.

Meanwhile, it's not heel RAISES that strengthens the tendon. It's heel LOWERS. You have the heel off a step, go up on tip toe, and slowly lower the heel as far as you can. One one foot, 3 lots of 15 on each, and then again with the knee bent the whole time (builds both muscles up the back of the leg, and the tendon). Then you do it with increasing weights added (in a backpack). And tons of long achilles stretches. So I'm doing those and guzzling huge horse tablets of Naproxyn (1000 mcg).
post #38 of 47
Just a few words of encouragement here. I realize everyone will have different levels of success following an injury but I will give an update on my surgically repaired achilles following a complete rupture 8 years ago.

I started running quite a bit two months ago. I haven't done much serious running in many years. I have zero pain/swelling/tightness or any problems at all with my repaired tendon. I said it before and I'll repeat it. I can sprint all out up hills, as fast as I want as long as my lungs and thighs will allow me to and the last part of my leg I even think about is my achilles.

Now for the bad news. My "good" achilles is always sore lately. It feels like my other one did before it blew up. I almost secretly wish to blow it up too so they can sew it back even better than ever like the surgically repaired one.

I have to give it some rest or that just may happen. It usually does go away if I take the first mile or two nice and slow though, where it has time to stretch and warm up. But sprinting too fast too soon causes me pain.

It seems to me that my repaired tendon is simply stronger and can take much more punishment because it's almost twice the diameter of my normal tendon ever since the surgery. I'm actually better built athletically after my surgery. I know that is common with some bone breaks, but it seems it is even possible with tendons as well.

It is a grueling recovery after the surgery but if all goes well, you may be better than you were before.

Good luck to all you achilles sufferers!
post #39 of 47
I ruptured both my achilles : , not at the same time. My problem now is calcium deposits behind the achilles! I live with chronic achilles tendonititis. At least 2-3 times a year i'm in PT getting my heals back so I can walk with out to much pain. I had a pair of ski boots fit to my feet but by the end of the day i' m ready to get those boots off! I also sleep with bilat foot splints to keep the tendon streched at night.
Ortho doc wants to do surgery on both achilles...like take the achilles right off the bone trim the bone and remove all the regrowth calcium then resew in the achilles. Doc said 8 weeks NWB then rehab then he was going to do the other one. OUCH !!! I dont know.
Looking at the Dale custom boot to make skiing fun again!

post #40 of 47
After a year my achillies feels pretty good and my boot fits, but its a little tight. Bicycling helped keep the swelling down once I started walking on it (~ 3 or 4 months after rupture). Actually, the bicycle was the only thing that helped get me into a dress shoe. Now it helps when it feeling tight.

Stim and ice are great. Never pass it up at PT
post #41 of 47

Achilles Problems

This is the most informative thread I have seen yet on the internet on this injury. I fully ruptured both achilles tendons in a skiing accident in the end of March 2007 and had them surgically reparied a few days later. My goal is to be 100% (or at least 100% functional - albeit with some pain) by the start of the 07/08 season and would love to go to AK at the end of the year. I am very encouraged and informed by the posts here. Thanks everyone for sharing. If some of the folks who posted last year have updates I would love to hear it!!
post #42 of 47
Originally Posted by Hwy2 View Post
This is the most informative thread I have seen yet on the internet on this injury. I fully ruptured both achilles tendons in a skiing accident in the end of March 2007 and had them surgically reparied a few days later. My goal is to be 100% (or at least 100% functional - albeit with some pain) by the start of the 07/08 season and would love to go to AK at the end of the year. I am very encouraged and informed by the posts here. Thanks everyone for sharing. If some of the folks who posted last year have updates I would love to hear it!!
Hey Hwy2 - how's it coming along?

I'm joining the gang. Torn right tendon playing tennis 7/10. Booted it up at an urgent care center and hobbled home. Ortho took a look last Wednesday afternoon and I was laying on the op table Friday. Not completely severed - few threads remained on each side with a large hole in the middle. No plantarflex from the calf squeeze test, so I pretty much knew the course my injury would take. Now at day 2 post-op.

Surgeon says 8 days in cast and then we're going to start rehab. I'm ready (I think) but have a feeling it is going to take mental strength. What was your experience when cast first came off?

I had a popliteal block and the secondary block (which didn't take) so I got some extra goodies in the drip during surgery. I was nearly climbing the wall when the blocks wore off, but am trying not to down the percocet. So far so good.

I've always had tight hamstrings and never bothered to stretch achilles much before activity because I was always stretching on curbs, a rock, or anything else when standing around. My dorsiflexion has always been 21 degrees or so, so I thought "not going to happen to me". Wrong.

I can't imagine ever being able to drive the boot cuff like I used to. I know it's all about tipping now, but nothing like some cuff to tighten an arc. What experiences are out there? Enough strength post-op to put some muscle into the cuff? Any other limitations?

Thanks to all for the info above - sounds encouraging.
post #43 of 47
Medmarco - I was in casts (wheelchair) for 5 weeks, then walking boots for another 4, then shoes with a lift inside the heel for maybe another month, then normal shoes thereafter. I starter PT after the walking boots came off. So, I am 2-3 months into the PT. I have probably another couple months at one day a week of PT left. I am able to ride the bike on the road (cant get out of the saddle and stand on the pedals yet). The ROM is back to a good enough level and I think it will continue to improve. The strength will take a long time to come back. And its not just the soleus and gastrox - its everything below the waist that needs to come back on line. The PTs have great exercisies for all this stuff - but it adds a decent amount of work to do on top of the normal regiment to prepare for a ski season.

I dont think I will be 100% for next season, and am curious to know how critical calf strength really is on the mt. I hear people say they were able to shralp as hard as ever after their injury - even if they describe themselves as having lost strengh and coordination overall. So, i think ski boots go a long way to nuetralize the achilles deficiency. I am cleared to make turns in a couple weeks. Fortunately, I live in seattle and have summer ski options, so i plan to test it out soon. I will report how it goes. my AT boots are floppy as hell, but it will give me a sense of what to expect next season.
post #44 of 47

Just ruptured right achilles on A slope at pico.  Had surgury and now in cast.   Did the left 11 years ago at killington.

You would think that the boot would protect it but no.  Did you get a stiffer boot after? 

post #45 of 47

Failed to stretch and was not working out regularly but was skiing hard like I was. 

post #46 of 47

A friend from work tore his Achilles Saturday at Jay Peak and had surgery this afternoon.  I wonder if the chronic problems he had with that tendon played a role -- he has a bone spur that irritates it. It forced him to give up running several years ago.


I had to present a monthly status at work today in my friends place.  One part is a list of risks and what is being done to manage them.  Since I just came back from knee surgery, I told the third guy on the project that a leg injury for him is now at the top of the list.

post #47 of 47

Hi I know that this happened to you some time ago. I ruptured mine in May and I am hoping to ski again next March. Do you remember what kind or rehab/PT program you followed. Everytime I ask about doing anything, the doctors tell me not too its very frustrating.

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