IMPORTANT SURGERY INFORMATION
Rehabilitation Protocol: Achilles tendon repair
Phase 1 (Weeks 0-2)
• Weight bearing: Non-weight bearing with crutches
• Cam boot: Heel wedges in place, wear at all times
• No formal PT
Phase 2 (Weeks 2-6)
• Weight bearing: As tolerated, in Cam boot with heel wedges
o Remove first wedge at 4 weeks, second wedge at 6 weeks
• Range of motion
o PROM/AROM/ AAROM ankle from full plantarflexion to neutral (NO DORSIFLEXION PAST NEUTRAL), inversion/eversion, toe flexion/ extension
• Therapeutic exercises
o Seated heel raises
o Isometric dorsiflexion to neutral
o Resistance bands for plantarflexion/ inversion/ eversion
o Proprioception exercises- single leg stance with front support to avoid excessive dorsiflexion
o Soft tissue mobilization/ scar massage/ desensitization/ edema control
Phase 3 (Weeks 6-12)
• Weight bearing: Full
o Cam boot remove all wedges
o Discontinue boot at 8 weeks
• Range of motion: PROM/AROM/ AAROM ankle
o Progressive dorsiflexion- 10° intervals
▪ 10° dorsiflexion at post-op week 8
▪ 20° dorsiflexion at post-op week 10
▪ 30° dorsiflexion at post-op week 12
• Therapeutic exercises
o Standing heel raises
o Single leg eccentric lowering
o Step-ups, side steps
o Proprioception exercises- balance board
Phase 4 (Months 3-6)
o Progress with strengthening, proprioception and gait training activities
o Begin light jogging at 12-14 weeks
o Running/ cutting at 16 weeks
o RETURN TO SPORTS at 5-6 months
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