I’m currently recovering from Achilles Tendon rupture surgery. My tendon completely pulled off the heel bone. This has been eye opening. I was just trying to avoid stepping on my dogs paw. Thanks for the great information! Jill
@TalkingWithDocs
5 жыл бұрын
Hi Jill. Sorry to hear about your operation. Dogs are awesome however they do get in the way sometimes. All the best during your recovery and glad we could provide a little info. Thanks for watching.
@bambis46
5 жыл бұрын
The doctor ain the orange caps reminds me of Adam Sandler! Thankyou for this video! I tore my Achilles 2 weeks ago now! I had a walking boot put on 4 days ago. Seeing a surgeon on Monday!
@TalkingWithDocs
5 жыл бұрын
Hi bambis46. Thanks for the kind words - Adam Sandler is very funny. The walking boot will help immobilize the tendon and your surgeon can spell out the recovery path for you. Good luck on what sometimes seems like a long journey. Thanks for watching.
@cyber8872
7 жыл бұрын
Well. Not sure about the weekend warrior thing. I am 43, been active my whole life, been going to the gym and working out since I was 13.... played HS and college sports, stayed active after college.... training for mud races, 5k's, half marathons...go to weight room weekly, yearly physicals for my job, healthy and fit. Tore mine in 2016. No signs or symptoms, no pain....playing basketball. I agree weekend warriors get hurt but sometimes "life's wear and tear" can get you too even when are a physical specimen, freak of nature . My point is, don't think it can't happen to you even when you are in great shape and not a "weekend warrior". Good luck out there. Good video too.
@TalkingWithDocs
7 жыл бұрын
Thanks Cyber Cop. We agree, it certainly can happen to anyone. Keep active for sure!
@thullinger319
6 жыл бұрын
Hey Cyber Cop, how did your achilles heal? I tore mine 2/25/18 playing in a Police v. Fire bball game at 32. Pretty active especially for my career and also lift, run, and do obstacle course races. I am just over 12 weeks post-operative and mainly had issues with my ankle joint. Hope to get back on the streets by 4 months. I stopped playing bball 10 years ago because of family history of knee issues and a bad sprain of my left knee in college playing bball.
@marlonmendoza2882
5 жыл бұрын
Agree 100% Cyber Cop. I am a 51 y.o. male , i have been active my entire life. I love boxing, jiu jitsu, running, yoga and do lots of things to keep me in shape. I missed work for almost 1 week now due to achilles tendonitis and it is driving me crazy. My Doctor warned me that if i do not listen to his advise i that i may need surgery and possibly be out of work for 1 year. That is when i realize that i needed to listen to my doctor and needed to make a decision.
@vuls81
5 жыл бұрын
Cyber Cop Your story is exactly why I haven’t picked up a basketball in four yrs. I can count on three hands the number of friends\ relatives I have that suffered the same fate.
@anthonydunkley7844
3 жыл бұрын
Sounds like overuse caused your problems
@alecharper515
5 жыл бұрын
Thanks for posting this informative video. Surgery likely... will take me away from my long hikes in the Colorado Rockies for some time. Grateful that technology exists to have this surgically repaired. Very watchable video.
@TalkingWithDocs
5 жыл бұрын
Hi Alec. Thanks for watching. Surgery is a very personal choice and there are pros and cons to both. The goal of either type of treatment - operative or non operative - would be to get you back hiking in the Rockies. Good luck.
@jonathanlawson-brown1103
5 жыл бұрын
Thanks for such a reassuring video the doctor who saw me at the hospital for complete Achilles’ tendon rupture yesterday just put my leg in a cast and told me to turn up to the fracture clinic next Wednesday. No information provided on what options will be considered during that appointment. Glad I now know what to expect thanks for your time in making the video for foolish people like me. (It was football which I haven’t played for 2 years...started sprinting and snap it went)
@allthingsdandan.2711
3 жыл бұрын
Literally my scenario. Lying here trying to decide whether to have surgery or not.
@allthingsdandan.2711
3 жыл бұрын
Realise this was 2 years ago 😂 let me know how you got on!
@jonathanleach1776
7 жыл бұрын
thanks Docs, Really appreciate that video. It has come across as the most important thing is patience and managing my mid forties expectations of being a weekend warrior. Non op for me , protein diet and heaps of dull yet necessary phiso. Thanks again from the UK
@TalkingWithDocs
7 жыл бұрын
Physio and realistic goals are certainly important for Achilles tendon injuries. Slow and steady usually wins the race.
@allbec11
3 жыл бұрын
You two doctors are great in explaining procedures along with really good sense of humor. Some of my doctors have the bedside manners of a prison guard.
@TalkingWithDocs
3 жыл бұрын
Thanks so much The Bear. That's funny. We do our best to get the information out there in a useful and entertaining fashion. All the best. Thanks for watching, subscribing and sharing if you did.
@alidavalentinagosgnach700
2 жыл бұрын
Hey docs! Very interesting and informative video you guys deserve a 10! You should also post a video about bunions for the toes.
@TalkingWithDocs
2 жыл бұрын
Yes Alida. In the works. Thanks for watching and subscribing
@ibm690
4 жыл бұрын
Thank you for the valuable details. I got injured two weeks ago and my doctor suggested non-op. Hope I can go back to soccer after 12 mo.
@TalkingWithDocs
4 жыл бұрын
Hi T Lu. You are very welcome. Good luck to you. We are sure your doctor will discuss this but soccer is likely 9-12 months away. Don't want to re-rupture. Thanks for watching and subscribing if you did.
@GreggBB
2 жыл бұрын
Came over to this one because of the weekend warrior video you just did. GREAT discussion about this injury!! Loved the information. Since this has been a few years since you did this video, has much changed for 1) the approach of surgery vs. non-surgery or 2) the advances on the things like boots used for recovery? Thanks again for this!
@TalkingWithDocs
2 жыл бұрын
Hi Gregg. So we haven’t changed our practice. There are some surgeons who routinely will advocate for surgery. Yes the boots often have different wedges to adjust the amount of ankle flexion during recovery. Thanks for watching and subscribing
@GreggBB
2 жыл бұрын
@@TalkingWithDocs Thanks. One other question. In professional American football, there are a lot of Achillies ruptures. Many of them return to playing before the time frames you talked about for being back to "normal". Are they getting treatments and/or therapy that the average person doesn't have access to, or is it because they are in such good shape to begin with?
@dadadadad7787
Жыл бұрын
@@GreggBB man thats a great question
@beckysimpson5868
2 жыл бұрын
I am having surgery on mine in 2 weeks. I have to have my heel shaved where it's shredding my tendon and damaging it. I am scared of the pain but have no choice. I had knee replacement surgery 10 months ago so I hope the foot will be easier. Thanks for the video.
@TalkingWithDocs
2 жыл бұрын
We suspect it will Becky. Tkr is a brutally painful operation. Good luck with your upcoming procedure. Thanks for watching and subscribing
@Smoove-w4t
6 жыл бұрын
This the most information I've found on Achilles Rupture I've found on KZitem you guys are great. I'm 9 weeks non op
@TalkingWithDocs
2 жыл бұрын
Thanks so much Ike. Thanks for watching and subscribing if you did
@macyloves
7 жыл бұрын
I definitely ruptured my achilles. Only found out because I did the Thompson test on myself. I went to the ER they said it was a sprain and sent me on my way. Then 2 week later i went to the doctor and saw a nurse practitioner who said it was just a strain and she put me in a 90° boot *which is super painful* and I've been in the 90° boot for 2 weeks. If I get maybe surgery and do physical therapy could I walk normal? Because I was just about to start training with a personal trainer. I'm frustrated.
@TalkingWithDocs
7 жыл бұрын
Hi Macyloves. The most important thing to do is to confirm or rule out the diagnosis of an Achilles tendon tear. This should be done by a health care professional. At home if you are unable to push down hard like you are trying to depress a gas pedal, that is often a sign of a tear but you could have a partial Achilles tear or a gastrocnemius (calf muscle) tear and both of these can be painful but require different treatment. It is hard to say if you would need surgery - you first need a diagnosis. Good luck
@marronfamilyfun3090
5 жыл бұрын
Sue the hospital
@financialadvisor1000
8 жыл бұрын
You two are great. Thanks, non operative here and going well.
@trebenjamin
6 жыл бұрын
AliveAgain how did you heal is everything back to normal
@TalkingWithDocs
2 жыл бұрын
Why thank you AliveAgain. Thanks for watching and subscribing if you did
@rizzo32bandit
2 жыл бұрын
Thank You guys, this info was very helpful
@TalkingWithDocs
2 жыл бұрын
Our pleasure rizzo! Thanks for watching, subscribing and sharing with someone if you did.
@rayferrara
Жыл бұрын
Hello doctors! Love watching your channel on KZitem. I recently ruptured my left achilles tendon playing racquetball. I decided on the "recommended" braided suture repair surgery so I can quickly get back to my "weekend warrior" activities :) I'm still confused on how a completely ruptured tendon can heal non-operatively on its own. Pulling the two ends together and ensuring they're aligned, then suturing them makes the ONLY sense to me. Can you explain how two ends of "a broken rubber band" align back together, touch each other, and heal together without any surgery? I just don't get it!!! Thanks so much! Keep up the great work! (sent an email as well).
@TalkingWithDocs
Жыл бұрын
Hi Ray. Those broken ends sit inside the same tube so when you point your toes down they come together and that is when your body starts to connect them with a combination of scar and connective tissue. Then you slowly stretch it out while it is healing to elongate the tendon. Voila!
@rayferrara
Жыл бұрын
Thank you for the prompt response. I did not know they were in a “tube”, so that makes more sense.
@alexajacques6152
7 жыл бұрын
Dam, wish I had you guys! Great bed side manners!!!
@TalkingWithDocs
7 жыл бұрын
Thanks Alex! We do our best. Hope the video helped.
@sheilajohnson6478
2 жыл бұрын
I’m a 58 year old woman who is short. I was at the grocery store and couldn’t reach something on the top shelf. I just stepped on the bottom shelf reaching and when I came down I felt it pop. I knew it had to be tendons because my bone didn’t hurt. I also had a big indentation on the back of my ankle. Note to self: never step on a shelf. I chose surgery, which will happen next week.
@TalkingWithDocs
2 жыл бұрын
Sorry to hear that. Good luck with surgery Sheila. Thanks for watching and subscribing if you did
@Wie24
7 ай бұрын
Thank you. Could I use the special boot right away without the cast? And is 30 degrees angle a save adjustment?
@yprime651
5 жыл бұрын
Thanks for the great information! I just ruptured my Achilles tendon today. Should I still go the ER or do I go directly to an orthopedist?
@TalkingWithDocs
5 жыл бұрын
Hi Warrior Loft. How do you know you ruptured your Achilles? In Canada, you have to be referred to a specialist however if you can go directly there, that may be a more practical approach. Good luck and keep us posted.
@walters6628
5 жыл бұрын
Thanks for making this video guys. I am ten weeks post Achilles rupture. Treated non operatively. I guess I won’t be back on the golf course anytime soon. Terrific.
@TalkingWithDocs
5 жыл бұрын
Hi Eric S. We tell our patients usually around 4 months for golf. With a cart. Make sure your surgeon and physio sign off on it. Until then, work on your putting - that is where all the money is anyway! Thanks for watching.
@oneguy250
7 жыл бұрын
Thanks for the video, docs! Great overview. You started to talk about instances where someone has ruptured both tendons (not at the same time, but with a couple years in between). Once both tendons have been ruptured, what is the risk of either tendon being re-rupturued following treatment and eventual return to sport? Is the fact that both tendons have ruptured in the past indictaive of higher risk factors in the individual? Or once the tendons have healed (in my case, both operativly, and both have grown back much thicker than pre-injury)? Thanks again!
@TalkingWithDocs
7 жыл бұрын
Hi Matt. The risk of re-rupture does not necessarily go up if you have ruptured both tendons. The risk of re-rupture varies from study to study but generally is around 5% for surgical treatment and 7% for non surgical treatment. The tendon often heals slightly thicker than the native tendon in both scenarios. Hope that helps
@gm995
7 жыл бұрын
Great video guys! And much appreciate you putting out this type of education. I just ruptured my Achilles tendon on Sunday, July 9th. Got the boot on yesterday, July 10th and scheduled for surgery on July 18th. After watching your video, I'm now thinking about non-operative and just being patient, rest, and physical therapy. My question is, can I start physical therapy right away? Are there some things I can do right now to start the recovery process besides just wearing the boot?? Again, thank you very much for this invaluable education.
@TalkingWithDocs
7 жыл бұрын
Hi Greg. First, it is a good idea to have a discussion with your treating surgeon before changing your mind. There are pros and cons to both treatments. With respect to early physiotherapy, there is a trend toward that in the literature and likely why more and more of these types of injuries have been successfully treated without surgery. As well as the invention of the adjustable boot. Hope that helps but as for physio, discuss this with your surgeon and therapist first. Good luck
@gm995
7 жыл бұрын
Thank you very much and will have that discussion first.
@TalkingWithDocs
7 жыл бұрын
You are very welcome
@jamesmiles5011
5 жыл бұрын
Thank you, from UK. 18 weeks in. 1cm gap rupture. Non operative.
@TalkingWithDocs
5 жыл бұрын
Hi James. Well you are well on the road to recovery then. Good luck going forward! And thanks for watching.
@jamesmiles5011
5 жыл бұрын
@@TalkingWithDocs Thank you! Do you know what has really moved me forward in the last couple of weeks? Icing. Unfortunately I was never guided to do this by anyone. Only a colleague said I should be icing, 10 mins every so often throughout the day. I've come on leaps and bounds in the last 2 weeks. If I'd been doing this before, I think I'd be a lot further in front. All the best!
@DBergkamp
4 жыл бұрын
Just ruptured my achilles on Saturday and Im going non surgical. I should be in a boot next week. Hopefully when im in the boot i can start walking again
@TalkingWithDocs
4 жыл бұрын
Hi Dbergkamp. All protocols are different but there is some evidence and a trend to early mobilization with the proper device. Good luck to you and thanks for watching and subscribing if you did. Good luck in your recovery.
@hiltz0007
6 жыл бұрын
What is the prognosis for recovery from levofloxacin induced achilles rupture?
@TalkingWithDocs
6 жыл бұрын
Hi Hiltz0007. So prognosis for recovery from levofloxacin induced Achilles rupture is comparable to other types of tears. There is still a chance of rerupture whether it is treated surgically or non-surgically. It is a long process but patients traditionally do quite well. Thanks for the question and for watching.
@jamieyoch806
4 жыл бұрын
I stood up in a restaurant to pay the check and thought I had been shot. So loud and so painful. Fainted and passed out for 30 minutes. Complete left Achilles rupture. Surgery 2 days later. Fell in boot and sprained ankle of same foot at about 1 month post-op. Delayed healing and PT. Unfortunately, other foot Achilles problems slowed progress. MRI shows tendonosis and corrosion where surgery is also needed and a tendon will be taken from my toe of that foot for repair. COVID postponed my second Achilles surgery and now I’m freaking out at the thought of doing this again. I was 47. NOT a weekend warrior. More like a “sit on your asser.” 4 sport athlete back in the day and quite active until about 2 years prior to rupture when I did start to have constant pain, and called it “aging.” So, I’m a complete mystery. Maybe overuse. Maybe CIPRO although it had been many years since I had taken it. Maybe due to my premature birth at 6 months. No one knows, but this recovery is no joke and I’m not looking forward to doing it again. Thanks for all the info. I had no health issues and no sudden sports movement but somehow ended up with two bad Achilles. Lucky me.
@TalkingWithDocs
4 жыл бұрын
Hi J Y. Thanks for sharing your story. Sorry to hear you are having such a difficult time. Best of luck with your recovery and your upcoming surgery. COVID has messed us all up. Take care of yourself and thanks for watching
@joshuawagnon2819
2 жыл бұрын
I'm not sure where you guys are located, but I'm in the USA and my doctor highly recommends surgery and doesn't even want to talk about non surgical treatment. I don't have insurance and the operation is going to cost me around $7,500 if we go surgical. I feel like they're only wanting the money. Should I go see another doctor? It's $250 per visit and I don't want to just keep going to doctors until one tells me what I want to hear, but I would like to atleast have the option. I'm 3 days into a ruptured Achilles tendon and it really doesn't feel bad. I had a boot on within 16 hours of it happening. What should I do?
@TalkingWithDocs
2 жыл бұрын
Hi Joshua. Sorry about your Achilles. We are in Canada and many surgeons treat these non operatively. There is a small increased risk of Re-rupture for non operative vs operative. . Seeing someone else is not unreasonable. Best of luck. Thanks for watching and subscribing Check out this article from fhe New England Journal 2022 pubmed.ncbi.nlm.nih.gov/35417636/
@garyalgozzine745
3 жыл бұрын
5 weeks ago I ruptured left Achilles tendon.. MRI results on day 4 post trauma/injury showed complete tear at myotendinous junction through the proximal critical zone, 14mm tendon gap. Initial ortho consult at that time ordered 4-6 weeks of PT and rest/rehab. Now have ortho f/u this week, minimal pain on weight bearing with a walker but tenderness with dorsiflexsion beyond neutral; 64 yom hospital pharmacist hoping to get back to work, biking and kayak, NO running/tennis, basketball, golf. Is non operative still an option, or just continued rest & PT?
@TalkingWithDocs
3 жыл бұрын
Hi Gary. We typically put people in a hinged brace that controls the amount of dorsiflexion and adjust it every 2 weeks. We let you walk around 6 weeks with ankle locked at 0 dorsiflexion and full plantar flexion and then increase to 15 dorsiflexion and then 30 and then full. Physio usually starts around the 4-6 week mark for you. Thanks for watching, subscribing and sharing if you did.
@weswandy
6 жыл бұрын
Hi Docs, thx for d great video. My achilles is FULLY ruptured, what's the chance of having the tendon connect back together again? My orthopaedic surgeon said it's like very low chance and it's gonna be very long to wait for it if I choose a non operative approach.
@TalkingWithDocs
6 жыл бұрын
Hi Wandy. So there is still a good chance that a completely ruptured Achilles tendon can heal non operatively. Every case is different and without examining you and reviewing your imaging it is difficult to give a specific answer, however, it is very possible. You should discuss pros and cons of surgery and non operative treatment with your surgeon. Good luck
@brianhemmert9394
3 жыл бұрын
Great video 👍 thanks Doc's
@TalkingWithDocs
3 жыл бұрын
Glad you like it Brian! Thanks for watching, subscribing and sharing with someone if you did
@brianhemmert9394
3 жыл бұрын
@@TalkingWithDocs two weeks out from ruptured achilles tendon surgery. Looking forward to a strong and healthy recovery. Thanks again for the very informative video!
@darlenericotta7550
3 жыл бұрын
Thanks Docs! Just wanted to say hello!
@TalkingWithDocs
3 жыл бұрын
Stay safe Darlene!
@darlenericotta7550
3 жыл бұрын
@@TalkingWithDocs thank you! Just wanted you to know things are getting closer toward surgery. My dental visit has started the ball rolling, I got a good dentist this time, the saga continues. Stay well.
@Damien1847
3 жыл бұрын
I’ve ask this question on multiple channels but no good answers yet. Why aren’t long lasting absorbable sutures used for this repair? I understand the tendon needs support at first but eventually the tendon heals and supports itself. So those permanent sutures are just there for no reason.
@TalkingWithDocs
3 жыл бұрын
Hi Damien. So that is a good question. The main issue is that the tendon and scar tissue that fills in the tear is not normal tissue and does not have the same strength. The thought is that this provides long lasting support for the tendon to reduce the risk of rerupture. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did
@dgillies5420
Жыл бұрын
The prognoses are outdated. With physical therapy starting at 4w (before the boot comes off), re-rupture risk is equal between surgical and nonsurgical treatment. Also for some injuries such as a complete tear, operative is the only feasible option and it skews the results.
@TalkingWithDocs
Жыл бұрын
We would respectfully disagree. We treat complete tears in adjustable MC walkers every week. And can’t remember the last rerupture. Both treatments have low rerupture. Surgery just has all the risk of surgery.
@MrMessyb
5 жыл бұрын
Thank you for your work. I play soccer weekly. I feel the same pain in the back of my ankle almost every time after playing. Then I struggle to even walk properly for a couple days. Where do you feel the pain with an Achilles injury? As I say I feel pain the back of my ankle, more specifically the heel bone. Many thanks for your channel and your answer in advance.
@TalkingWithDocs
5 жыл бұрын
Hi MrMessyb. You are welcome. So if you have Achilles tendonitis you would feel the pain usually above the bone along the tendon and if you had a tear often 2-3 inches above the insertion at the bone (which happens to be called the calcaneus). Hope that helps.
@MrMessyb
5 жыл бұрын
Talking With Docs thank you for your speedy response. I hope you get the recognition for your quality and attentive work! I am experiencing a sharp pain specifically in the “subcutaneous calcaneal bursa” area. It hurts especially if I press on this area whilst the area is relaxed. And it is worst when walking or after sports like soccer.
@TalkingWithDocs
5 жыл бұрын
Hi MrMessyb. Sounds like you have an insertional tendonitis. Typically this is treated with physio and anti-inflammatories either by mouth and/or topically. Good luck
@MrMessyb
5 жыл бұрын
Talking With Docs thank you for your response. Keep up the good work. Thanks again. All the best
@sharonhope-birkes3906
Жыл бұрын
Do you have a video on calcific non insertional achilles tendon?
@TalkingWithDocs
Жыл бұрын
Unfortunately no. But We can add it to the list Sharon. Thanks for watching and subscribing
@markseaforth1613
6 жыл бұрын
I wish I saw this video as soon as I had my rupture. I had no idea there was a problem until after a full month, I could still not push off my injured side. Finally saw a doctor then Orthopaedic surgeon doctor and had surgery 5 weeks post Injury. Had three weeks in a cast non-load at home. Switch to angled Air Boot 4 weeks post op. Just returned from a pre-booked 10 day family holiday in Spain with crutches and a Knee Mobile ( which I highly recommend) which helped a lot. Seeing my Orthopedic surgeon next week for evaluation. Hoping to start therapy and DRIVE again soon. Still a little tender. Very concerned about a Re rupture as It was 5 weeks after my injury before my surgery. I had no idea I had hurt myself so badly. Please wish me luck.
@TalkingWithDocs
6 жыл бұрын
Hi Mark. Glad you enjoyed the video. Sounds like you actually did try to "walk it off". Happy to hear that you are through surgery and well on your way to recovery. Lots of physio ahead but you have the right approach. Risk of rerupture is always a concern for both operative and non operative patients however the risk is still low. Work on getting strong and mobile and don't return to sports too soon. Good luck.
@janjohnson7982
Жыл бұрын
Hi !!Watch you two all the time, Love you both.... Now I need answers and I come to you.. I am in my 2 weeks of Achilles Conservative repair. I didn't know I had the rupture until a week in. Thought I bruised a heel.. But I am wondering is there any therapy I should be doing, I was just told come back in 4 weeks .. Each week start adding my 25% weight, 50%, 75%, then 100%..seems like I should be doing more??? What do you think? JJ
@TalkingWithDocs
Жыл бұрын
Hi Jan. Sorry to hear this. Usually no physio for first 6-8 weeks then slowly stretch and strengthen. Best of luck. Thanks for watching and subscribing
@duanebuckner4529
6 жыл бұрын
Hey guys- thanks for the great resource. My question concerns the viability of non operative treatment with a severe rupture. Is there a limit to non operative treatment in that regard? How common is a full rupture? My physician seemed to discount (immediately) any course but surgical. I'm sure his reasons are valid- I'm just curious.Thanks so much.
@TalkingWithDocs
6 жыл бұрын
Hi Duane. Complete ruptures are common. There is good success with non operative treatment. Similarly there is good success with surgical treatment as well. There is a slightly higher chance of a rerupture with non operative treatment (some say 5% VS 7%). The main benefit of non operative treatment is that you still heal but avoid the risks of an operation. Newer protocols of early mobilization and better appliances have helped non operative treatment improve greatly over the last 20 years. Hope that helps.
@SJachilles
6 жыл бұрын
Hi guys, just wondering when would a patient be ready to return to golf and skiing? My rupture actually occurred from a pickup game of basketball which I'll never do again but I'm keen to get back to golf and skiing and I was wondering if those sports use the achilles tendon much? Also which country are you guys from? I'm glad to hear that most of your patients went down the non-surgical route as I am currently doing.
@rqjgaming
5 жыл бұрын
How did it go
@TalkingWithDocs
2 жыл бұрын
Usually 6 months SJ. Carefully. Thanks for watching and subscribing if you did
@wilq84
6 жыл бұрын
Hi Doctors. Great video I'm really impressed how many information you could transfer in this short video. I'm raptured my achilles tendon playing futsal one week ago, surgery occurred next day. I had also two cuts in my heel bone from both sides where some wires have been put into the center of tendon. Do you know this method of repairation? I'm one week post operation and it's still hurts a lot cannot sleep due to this. I see that my leg is swollen. I'm taking injections in belly every night to avoid blood clots. Is that normal that is painful for 7 days after surgery?
@TalkingWithDocs
6 жыл бұрын
Hi Tomasz. Thanks for the questions. There are many types of repairs for Achilles tendon ruptures. Pain at 7 days is not uncommon. You want to ensure that the pain is not increasing and if so you should likely follow up with your surgeon. Good luck!
@wilq84
6 жыл бұрын
Talking With Docs. Thanks for reply. Do you know if it's worth to take some supplements for joints/tendons? To complement recovery process??
@TalkingWithDocs
6 жыл бұрын
Hi Tomasz. There is little evidence for most supplements. Stick with a healthy balanced diet and you usually can't go wrong.
@wilq84
6 жыл бұрын
Talking With Docs Hi. Yesterday I had follow up visit with my surgeon 2 weeks past operation. They removed stitches and said that wound is ok and I can wash it two days later. They put my foot to the orthopedic boot Walker with 3 of 5 wedges. They tried with only 2 but my ankle was totally blocked. I have to remove one by one wedge each week on Fridays. In the morning when I was sleeping I woke up with huge pain below my heel. It was like burning with tingle feeling. Is it because a foot has new position (angle) or it can hurt due to boot itself. Do you think that this pain will pass away soon? I was reading that this can be due to damaged nerves that are rebuilding. Can it be true?Happy Easter
@Walkwithaftab
5 жыл бұрын
I had an accident in the toilet and had a cut on my leg which included slightly my achilles tendon, i had a surgery, when should i start walking? I am in bed with a cast for ten days now... With a pillow under my leg.
@armindurakovic832
6 жыл бұрын
Find this very useful guys.Thank you. When you mention re-rupturing Ac. tendon,,do you mean with non surg. method is bigger % or re rupturing tendon while healing ,or when is totally healed??
@TalkingWithDocs
6 жыл бұрын
Hi Armin. So typically non surgical treatment has a slightly higher re-rupture rate however both are quite low. Complete healing is variable but typically 1 year. Hope that helps.
@armindurakovic832
6 жыл бұрын
It helps.Have all info that I needed.Guys,thanks a lot.Salute from Bosnia
@HowardFeinstein
2 жыл бұрын
Hey Docs, over the last few years I’ve been having pain on and off at my heel that comes on suddenly and goes away after a few weeks, I finally convinced the VA to give me an MRI. Imaging reveals a small tear, scar tissue and a tiny bone fragment in the tendon. Advised by OS I would use a heel lift, orthotics and PT to help me stretch my Achilles’ tendon and calf. If that doesn’t help, then surgery this fall. What do you think of this plan? Will PT be worth the time?
@TalkingWithDocs
2 жыл бұрын
Hi Howard. Without examining you and your imaging sounds very reasonable. Physio is for sure worthwhile. Best of luck! Thanks for watching and subscribing
@ananymousincrypd4296
2 жыл бұрын
My tendon snapped in half i havent had any treatment or anything its been almost 2 years now .my calf got really small will it stay like that forever? Is there anything i can do to get my calf looking normal again ?
@TalkingWithDocs
2 жыл бұрын
Hi Ananymous. Physio may help but it may not be connected to the distal tendon which is critical. Maybe see a surgeon. Thanks for watching and subscribing
@johnanthonyvergabera9815
5 жыл бұрын
Nice Video Doc, I ruptured my achilles last Dec 8, and was placed on cast since then. My question is, the gap on the torned tendon as noted on the MRI is around 4cm.. can Non-Surgical path able to fix and connect it? Thanks in advance.
@TalkingWithDocs
5 жыл бұрын
Hi PorkAdobo PH. So the short answer is yes that gap can be filled because the torn tendon remains within a sheath or sleeve so by holding your foot down and slowing bringing it up your body repairs the tear. This is not with totally normal fibers but fibers that can be strong and allow you to return to the vast majority of your pre-injury activities. Hope that answers your question. And thanks for watching.
@helloiamcharlie5801
5 жыл бұрын
@porkadoboph naoperahan ka ba? I just tore mine tonight it hurts i cant walk but i dont want surgery. But I'm afraid I wont be able to play 100% anymore
@earlraglin4597
4 жыл бұрын
Week 13 for me. Out the boot and walking with a limp. 🤨
@TalkingWithDocs
4 жыл бұрын
Hi earl. Well ... you are most of the way there. It does take a long time to do a single foot toe raise which is part of the return to sport measure. Best of luck in the rest of your recovery. Thanks for watching.
@theronblair6314
2 жыл бұрын
Hi Docs, I'm scheduled to have surgery on my achilles next Thursday. I'm supposed to be flying from NY to Michigan on Monday. Should i reconsider traveling? Are blood cloths a serious concern even if I'm on a blood thinner ?
@TalkingWithDocs
2 жыл бұрын
Hi Theron. Good luck with your surgery. Travelling may be a bit tricky but if on a blood thinner blood clots are much less of an issue. Confirm with your surgeon though. Thanks for watching and subscribing
@Knyce457
2 жыл бұрын
I just ruptured my LT achilles hurts like heck. So I'm in a Aircast takes some getting used to but can you take it off while sleeping? Got a bit of swelling around the ankles 3wk followup with my Ortho ** Non surgical route. Thanks for informative video.
@TalkingWithDocs
2 жыл бұрын
Hi Keri. Our approach is only to take it off for short periods when cleaning. Otherwise keep it on including sleeping for the first 6-8 weeks anyway to avoid the risk of dorsiflexing your ankle and disrupting the healing. Thanks for watching and subscribing
@shadhenderson6000
2 жыл бұрын
Hey, ruptured my right achilles two weeks ago. The boot was causing a lot of swelling, pain and discomfort from the heat. Found that removing the boot and resting the foot angled down and sideways on a pillow when working during the day eliminated all these issues. However, slightly unsure if this is okej or if it may affect the healing process, could not find anything on it online. So, my question is, is this a sensible thing to do. I'm still using the boot when sleeping and when moving around. Thanks
@TalkingWithDocs
2 жыл бұрын
Hi Shad. Just need to make certain that the toes are always pointing down. Be careful. Thanks for watching and subscribing
@shadhenderson6000
2 жыл бұрын
@@TalkingWithDocs Thanks 4 your input and your videos.
@kohort1
5 жыл бұрын
I didn't even know there was a non operative option. It just doesn't seem possible if there is a full rupture. I assume something needs to hold the tendon together while it heals.
@TAEMAN197
5 жыл бұрын
It's basically like popping a rubber band
@TalkingWithDocs
5 жыл бұрын
Hi Clarence. The torn tendon remains with a sheath (a tube) and the ends are able to reconnect that way without surgical intervention. Hope that helps. Thanks for watching.
@MarkSmith-js2pu
5 жыл бұрын
Please tell this layman how that huge tendon reconnects without surgery. I get the cast pointed down for a while helps, making the gap shorter but aren’t the calf muscles pulling the other end away from the lower end of the tendon bundle? And since there are so many small tendons, do they naturally re connect to their original tendon place? How many calf muscles winnow down the the Achilles’ tendon?
@TalkingWithDocs
5 жыл бұрын
Hi Mark. Great question. The tendon is within a sheath and because you are not walking the calf muscles are not contracting and the tendon ends are brought together by pointing the toes down. Then slowly stretching them out allows them to heal further. The insertion of the muscle to the tendon is a broad and long one rather than an abrupt transition which makes healing possible but also makes this area vulnerable. Hope that helps. Thanks for watching.
@rphselias
6 жыл бұрын
Thanks this is really helpful I think repured my Achilles and I want to get back to playing basketball again and going to the gym
@wintanawo5162
7 жыл бұрын
If you suffered an achilles tendon rupture, what can you say about the risk of the other side rupturing as well?
@TalkingWithDocs
7 жыл бұрын
It depends on which study you ready but likely in the vicinity of 5-10%. If you already have symptoms of Achilles tendonitis on that side it may be higher. Hope that helps.
@davidsenay2811
3 жыл бұрын
I'm pretty sure have a partial tear, weird trampoline accident. I can't fully dorsiflex and I can't do a single leg calf raise. I started rehabbing for two weeks, the first week I just iced,elevated and slept. Week 1. Rehab couldn't walk on my toes. Week 2. I can walk on my toes again, still no power in my Achilles and I lost a inch of calf muscle. Before the accident I was jumping 39-41 inches and my top speed was 25mph. I'm just scared I got some of this information to slow and might've lengthen my Achilles. How would I know if this is the case?
@davidsenay2811
3 жыл бұрын
My left ankle is back to being healed, but my right ankle(Achilles injury foot) seems to be extremely stuff along with the ability not to do a single leg calf raise and I have my balance back on single leg 100% left leg and maybe 80% or so on my right leg from having 0% stability.
@TalkingWithDocs
3 жыл бұрын
Hi David. If you think you have a torn Achilles you should see a doctor ASAP. if you have good power in plantar flexion you likely do not have a tear. Get checked out. Thanks for watching and subscribing if you did
@davidsenay2811
3 жыл бұрын
@@TalkingWithDocs thanks and I can only walk on my toes, but has to be assisted. I can't do a deficit single calf raise properly or do a regular single calf raise on my (suspected torn calf it has zero power) before the injury I could do 445 or so for calf raises sets and now on a seated calf I can barely do no weight for 8 on the bad leg. Also no insurance atm.
@arturoambriz11
2 жыл бұрын
Im about a week in since I got. If I did have a ruptured would I be able to point my toes or flex it back? I feel a lot of pain in my Achilles area but still have motion with flexing and stretching. Thanks for your help!
@TalkingWithDocs
2 жыл бұрын
Hi Arturo. The limitation will be pointing your ankle down. Good luck. Thanks for watching and subscribing
@jakeabrunson3625
3 жыл бұрын
Does age play a role in how fast you recover? I’m on the younger side, I ruptured mine and had surgery back in May playing basketball. Is it rare that someone my age (16) could come back in that 6 or 7 months period? Because I play basketball year round! And wanna try to play the beginning of my season this November or December, but my surgery says January which is 8 months:(
@TalkingWithDocs
3 жыл бұрын
Hi Ja'Kea. Yes younger patients probably heal faster however it still does take 6-12 months to get back to game strength and speed. Wishing you the best of luck during your recovery. Thanks for watching, subscribing and sharing with someone if you did.
@regulardude2011
4 жыл бұрын
Hello Docs! I sliced the back of my foot yesterday at work . I have at least a partial cut of my Achilles according to urgent care physician. I got stitched up and he gave me a boot but it’s 90 degree. I took it off and just point my toes down because it doesn’t hurt as bad. I can’t stand on my toes. I’m supposed to go to orthopedist sometime next week. If the orthopedist suggests surgery, can I request to not have a surgery?
@TalkingWithDocs
4 жыл бұрын
Hi Evan. Sorry to hear about your injury. Traumatic lacerations are a little different and more frequently require surgery because the tendon sheath has been violated. Best to follow your surgeon's advice. Good luck to you. Thanks for watching and subscribing if you did.
@regulardude2011
4 жыл бұрын
Thank you for your response. Quite frankly I’m terrified of having surgery.
@cheriontempo
3 жыл бұрын
One day after the rupture, I had the surgery. It's been 3 days now. First surgery ever. It feels weird. When do you think I'm suppose to not feel slight pain anymore ? Sometimes my toes tingles and I feel swollen (sometimes). Thanks
@TalkingWithDocs
3 жыл бұрын
Hi JuleZ. So it will feel swollen for weeks for sure. As long as the pain is not getting worse you are probably on the right path. It will feel odd when you stand up - like blood is rushing to your toes and this is normal and gets better with time. Best of luck to you! Thanks for watching, subscribing and sharing it if you did.
@B_ElitePerformance
5 жыл бұрын
hey guys thank you for this very informative vid. So unfortunately 3 weeks ago i was an achilles tendon rupture victim while playing soccer. i'm 27 and i have decided not to have surgery, i was put on a splint asap and then the ortho put me in a plaster cast. I'm concerned that being in the cast for 6 weeks will inhibit my progress because i have read a lot about early functional rehab reducing the chance of re-rupture and increased strength of my tendon. What should i do?...also, is being pain free and having good strength of my toes a positive sign? Thank you.
@TalkingWithDocs
5 жыл бұрын
Hi Braiam. Often we will keep patients in a cast for 2-3 weeks. The exact protocol for non operative treatment varies between surgeons. Early movement has recently been shown to be beneficial. Ultimately this is a discussion to have with your surgeon. Pain is often less of an issue as time progresses and movement in the toes is a good sign. Hope that helps. Good luck.
@B_ElitePerformance
5 жыл бұрын
@@TalkingWithDocs Thank you! after 3 weeks of being in a cast i asked the doc to put me in a orthoses walking boot with wedges. He agreed and told me that the gap from the rupture is no longer there! i am currently on a 3cm wedge. Another question i have for you is, how long until i pass the Thompsons test?
@Silencer1914
5 жыл бұрын
@@B_ElitePerformance Hi Braiam Duran, Do you by any chance know how far the gap was between the broken ends of your tendons? Mine are 3.5 cm apart and my Dr. wants to pull them together.
@B_ElitePerformance
5 жыл бұрын
Silencer1914 hi according to my doctor I had about a 3cm gap. It’s been 5 months and a half and I feel great. To see some of my progress you can follow my channel under my name, and you can also follow my IG page futbol_sst. If u have more questions feel free to ask! =)
@dhikajanuzaj6528
5 жыл бұрын
What is the gap become more width than since the first time injury? And when the gap filled?
@TalkingWithDocs
5 жыл бұрын
Hi Dhika. If it is a closed injury, sometimes the gap can increase at first. Usually the gap is filled by 3-4 months. Good luck in your recovery.
@dhikajanuzaj6528
5 жыл бұрын
@@TalkingWithDocs thank docs.. I have partial injury 7 week ago, what is the gap/curve will filled by new tendon muscle or by scar tissue?
@king-weldon
5 жыл бұрын
I was playing 🏀 ball and a guy accidentally kick or came down on my Achilles, I felt a pop, but I was not sure if it was my Tendon or the guy stomping down on my Achilles. When I point my toes as you guys stated I do feel my gastrocnemius flex but it’s very sore and a lil inflammation going on around my ankle.
@TalkingWithDocs
5 жыл бұрын
Hi Mikey Mike. The only way to know for sure what is going on is to get properly assessed but if you can actively point your toes down a complete tear of your Achilles is unlikely. It can be painful in that area as a result of direct trauma however. Good luck.
@ranchoramirez2211
6 жыл бұрын
thanks 👍
@TalkingWithDocs
6 жыл бұрын
You are very welcome Rancho!
@JoseTorres-in4fs
5 жыл бұрын
Is this Durant Durant
@TalkingWithDocs
5 жыл бұрын
Hi Jose. Yes this is the injury that Kevin Durant has. Thanks for watching.
@rosycruz7053
6 жыл бұрын
Hi i had a surgery in my akilles tendon in march 2016 and 3 months ago i found a lump in my scar so i went to my dr and he did an MRI and it was a tear in the same tendon that i had a surgery so dr.put me back in the bootcam for 6 weeksis anything that i can do to prevent it again
@TalkingWithDocs
6 жыл бұрын
Hi Rosy. It sounds like you are doing the right thing. Allow the tendon to heal in the boot and then return to physiotherapy to stretch and strengthen the tendon. Good luck.
@wilq84
6 жыл бұрын
Hi Do you know how to fight with adhesions after surgery?Is there some way to eliminating its side effects as soon as possible?I'm 23 days post surgery of fully ART and when I try to just put my foot in neutral position is totally blocked and I'm bit worried if that can be due to already created adhesions inside?
@TalkingWithDocs
6 жыл бұрын
Hi Tomasz W. Scar tissues, or adhesions, are often a part of the healing process in both surgical and non surgical cases. In the setting of an Achilles tendon tear, that scar tissue can be part of what is holding the tendon together. Typically the ankle is mobilized slowly to gradually stretch the healing tissue but allowing it to remain intact. Best way to deal with this situation is be under the guidance of a good physiotherapist and do what you are told. Good luck.
@wilq84
6 жыл бұрын
Talking With Docs thank you for help. By the way I started FWB with orthopedic boot after 4 weeks. Do you know when I could sleep without this boot?
@wilq84
6 жыл бұрын
Hi Talking With Docs. Thank you for response - it is always professional and completed. I would like to ask you about one thing. I started physio last week - 2 sessions so far. Massage , electro stimulation of scar tissue and ankle moblization. Since yesterday I have a big pain in my calf muscles when I want to stand up. Is that normal or I should check with physio or doctor? I started Physio when I was 4 weeks post open method surgery
@wilq84
6 жыл бұрын
Hi Docs. Many thanks for answer. I'm 6th week after surgery, walking in normal shoes but still limping. On physio session therapist is using shockwave therapy around my scar tissue and also on calf muscles ( but I have never heard about this that is used after surgery) He also suggested to doing calf raises with both feet and doing ankle stretching. Is this not so fast? However I don't have any pain when doing these excercises. Can you advice?is not too aggressive approach???I have never seen in internet that someone is doing that so fast..and this shockwave therapy....worried if it's good..
@Ewandabbles
6 жыл бұрын
I have a full ruptured Achilles’ tendon, should I be concerned that it doesn’t hurt at all?
@TalkingWithDocs
6 жыл бұрын
Hi Ewan. It is not uncommon for Achilles tears to not hurt. Often patients will complain of pain at the time of the injury but after that the main issue is weakness in plantar flexion. No specific need to be concerned about a lack of pain. Good luck during recovery.
@jaacquelineinnamorati2540
5 жыл бұрын
I ruptured mine while walking to the beach, the initial snap an pain brought me to my knees. After that it didn’t hurt anymore. Just knew something wasn’t right saw a Orthopedic Dr. the next day, was put in the boot for a week,then surgery.
@janjohnson7982
Жыл бұрын
I was placed in a boot with I think 5 pads..
@TalkingWithDocs
Жыл бұрын
Yes that can work. Thanks for watching and subscribing
@oilcanrob
7 жыл бұрын
When you talk non operative... What is the percentage of an Achilles tear do you decide That having an operation is the best method
@TalkingWithDocs
7 жыл бұрын
There are many factors that are taken into account when discussing operative versus non operative treatment of Achilles tendon injuries - the size of the tear being one of them. There is not a specific number that makes surgery the best option. This is something that should be discussed with a health care provider along with the other risks and benefits of both surgical and non surgical treatment
@k5669
6 жыл бұрын
so sad to find out I'm a 'weekend warrior'feel so stupid now lol
@TalkingWithDocs
6 жыл бұрын
Hi k5669. Don't feel stupid. Weekend warrior is not meant to be a negative term. It is used to described middle aged people who love to still compete at sports. It's a good thing!
@k5669
6 жыл бұрын
Talking With Docs omg thanks for reply, recovering 2nd week from ruptured achillies, they took xray and did the squeeze calf test and said it was mild rupture, but from all the reading ive done i dont knw if there such thing as mild rupture or what is even the difference or for example a moderate/servre rupture is. could you guys help explain? ps watched this vid night i ruptured achillies and it gave me amazing info, comfort and solace. thanks
@TalkingWithDocs
6 жыл бұрын
Hi k5669. So the difference between a partial versus a complete tear is the severity of the rupture - or if there are any fibers that remain intact. The treatment typically remains the same.
@naganisrinivas8630
6 жыл бұрын
Thank you docters, i have injury Achilles tendon nd 6weeks ago serjery is completed,pls any suggestions of these,i want to do walk,running,when i do that pls suggest me.
@TalkingWithDocs
6 жыл бұрын
Hi Nagani. Glad you enjoyed the videos. The first priority for Achilles tendon injuries is to allow the tendon to heal and then to gradually restore strength and range of motion. This should be done under the supervision of a physician after confirming the diagnosis. You should see a surgeon locally and then get referred to a qualified physiotherapist. Hope that helps.
@naganisrinivas8630
6 жыл бұрын
Talking With Docs thank you
@tyblack544
5 жыл бұрын
Ruptured both left in my 30’s my right at 50 that one got infected and they went back in smh
@TalkingWithDocs
5 жыл бұрын
Hi ty. That's tough having both rupture. Hopefully the infection cleared and you went on to heal. Thanks for watching.
@macyloves
7 жыл бұрын
Woah you have 911 subscribers right now. That's like such a quinkydink
@TalkingWithDocs
7 жыл бұрын
927 now!
@404chillwill
4 жыл бұрын
Do potential of blood clots apply to both options?
@TalkingWithDocs
4 жыл бұрын
Hi 404chillwill. Yes blood clots can happen with any lower extremity injury regardless of operative or non operative treatment. Thanks for watching and good luck.
@404chillwill
4 жыл бұрын
@@TalkingWithDocs thank you and great video.
@teesshits
6 жыл бұрын
If you rupture or have semi torn your achillies will your calf muscle hurt and be tight?? PLS ANSWER BC I HAVE SOME ACHILLES PROBLEMS AND THE DOCTORS ARE ALL STUPID AND MY DR. NOW SAID IF IT HEALED WRONG I POSSIBLY NEED SURGERY PLS ANSWER ASAP!!! THANKS
@TalkingWithDocs
6 жыл бұрын
Hi Taliyah. It is difficult to give a specific answer without performing a physical examination and reviewing any imaging you have had done. Generally speaking, when a patient has a torn Achilles tendon - partial or complete - they will typically complain of some pain in the lower portion of the calf. This is commonly related to the tear. If however you have severe pain in your calf, or chest pain or shortness of breath, you should go to the ER and make sure that you do not have a blood clot (or deep vein thrombosis) in your leg as this is much more serious and potentially life threatening. This occasionally occurs in association with Achilles tendon injuries. Surgery is an option for Achilles tendon injuries but non operative treatment is often successful. Hope that helps.
@teesshits
6 жыл бұрын
Talking With Docs thanks you that helped I just hope my doctor will give me an answer today about my injury
@oscargar63
7 жыл бұрын
Hi..I also broke my Achilles tendon...did your calf hurt as well? This is my second week since I injured my Achilles tendon...my calf hurts so much...is it normal?
@TalkingWithDocs
7 жыл бұрын
Hi Oscar. Calf pain is a common complaint with Achilles tendon tears however if your pain is severe, the one thing that is a more serious concern is a blood clot (or a deep vein thrombosis - DVT). This commonly presents with calf pain and swelling. It is associated with lower body injuries - like Achilles tendon tears. It can also lead to something called a pulmonary embolism (PE) due to a blood clot that becomes mobile and gets lodged in the lungs. If your pain is severe, you should be reassessed by a physician and possibly get an ultrasound to ensure that you do not have this complication.
@oscargar63
7 жыл бұрын
Thank you so much doctor! I will also consume some baby aspirin just to make sure I don't gain any blooth cloth. My MRI says as follow: "There is a subacute appearing full-thinckness tear in Achilles tendon at the distal musculotendinous junction. There is a 13mm of tendon retraction from the tear site. There is a small fluid collection at the tear site. There is no discrete fluid collection or soft tissue mass. The tear is seen in association with a mild degree of atrophy in the medial and lateral head of the gastrocnemius musculature. The neurovascular bundles have a normal appearance." With all of this being said in the report... (13mm) is equivalent to 1.3cm....I don't believe surgery is necessary. Please give me some advice based on your years of experience. Thank you so much!
@oscargar63
7 жыл бұрын
The MRI states: "There is a subacute appearing full-thickness tear in the Achilles tendon at the distal musculotendinous junction. There is a 13mm of tendon retraction from the tear site. There is a small fluid collection at the tear site. There is no discrete fluid collection or soft tissue mass. The tear is seen in association with a mild degree of atrophy in the medial and lateral heads of the gastrocnemius musculature. The neurovascular bundles have a normal appearance.".....What is all of that mean? The 13mm is only about 1.3cm, so surgery should not be necessary correct?
@TalkingWithDocs
7 жыл бұрын
So Oscar it seems like it would be a good idea to have a discussion with a surgeon regarding the risks and benefits of operative versus non operative treatment. It certainly needs treatment but what is best would be a decision you would have to make with your surgeon.
@flossycee1012
7 жыл бұрын
oscargar63 Garcia I also have Achilles Tendonitis and my calf hurts like hell.
@dannyduncan6964
5 жыл бұрын
Is their a test I can do at home to know how strong or how weak my Achilles tendon is? Like is it calf raises?
@TalkingWithDocs
5 жыл бұрын
Hi Danny. Yes if you can do a single leg calf raise that is a very good sign that your calf is strong. Did you have an Achilles tear?
@dannyduncan6964
5 жыл бұрын
Talking With Docs No sir but I have had Achilles problems for the last 5+ months. Doctors I’ve been to haven’t taught me much at all. You don’t understand how much I appreciate your time 😊I’ve been searching for an answer to that question the last 5 months. Have a great Weekend guys! 😁 also I’m 15 year old male. Hopefully I’ll be able to play basketball next month. 🤞
@majinmyles7143
5 жыл бұрын
Why does this video say 2 years ago
@TalkingWithDocs
5 жыл бұрын
Hi Myles. It was released 2 years ago but title edited to help people understand Kevin Durant's injury. Thanks for watching.
@rosemariahcube9480
5 жыл бұрын
Hi drs.. l have taken cipro and l felt pain around my hips and l am of tendon rupture.. is there any medicine or pill to cure it?
@TalkingWithDocs
5 жыл бұрын
Hi rosemariah. If you have a confirmed tendon rupture, there is no medication that will heal the tendon. It is important to confirm the diagnosis and been seen by a health care professional to discuss the treatment options that may include surgery. Ciprofloxacin related tendon ruptures in the hip are not very well documented in the literature but it may be related. Good luck and thank you for watching.
@rosemariahcube9480
5 жыл бұрын
Talking With Docs after taking just the first ceproflaxacin and waking up with pain around my hips and whe l research about it and on KZitem and l was shocked to read all the comments that some people woke up the same feelings
@TalkingWithDocs
5 жыл бұрын
Hi rosemariah. Yes it has been reported but just less frequently than the Achilles tendon. Good luck.
@nurlatifahmohdnor8939
Жыл бұрын
ba-ruh = about paddy field.
@nurlatifahmohdnor8939
Жыл бұрын
Page 153 burgess = n 1 (in England) a citizen, freeman, or inhabitant of a borough. 2 English history. a Member of Parliament from a borough, corporate town, or university. [C13: from OF burgeis; see BOROUGH]
@TalkingWithDocs
Жыл бұрын
We have no idea what that means. Thanks for watching and subscribing
@madelynwebb5871
4 жыл бұрын
are you guys surgeons?
@TalkingWithDocs
4 жыл бұрын
Hi madelyn. Yes. In Canada.
@AbdulBasit-ie6mo
5 жыл бұрын
Can I travel after 3 weeks and after how many months I can play football/soccer and hit gym?
@TalkingWithDocs
5 жыл бұрын
Hi Abdul. If it is a complete tear, the recovery for sports is typically 6-12 months but every patient, tear and surgeon are a bit different. Travelling is a different story. It would depend on what you wanted to do and how far you wanted to go. You may be non weightbearing for the first 6 weeks or so. Good luck and thanks for watching.
@TalkingWithDocs
5 жыл бұрын
Hi Abdul. So it depends on the grade of the tear. Often our patients will be in an adjustable boot for 3 months. Usually no competitive sports for 6-12 months. It is a long slow process. The main concern is re-rupture if you push too hard. Walking is typically ok but within your limit. Good luck.
@TalkingWithDocs
5 жыл бұрын
Hi Abdul. That sounds like good news. Just discuss return to sports and other activities with your surgeon.
@AbdulBasit-ie6mo
5 жыл бұрын
@@TalkingWithDocs Thank You sir. Yes I will. Do I need any special boots now for traveling? If I walk much then I can get tear or not?
@AbdulBasit-ie6mo
5 жыл бұрын
@@TalkingWithDocs Sir he said you can walk now I need to go for Physio therapy. Can I get cupping therapy too?? It will help blood circulation.
@landiesugarplum2183
7 жыл бұрын
hmmm - how about 10 yrs or 16 yrs after the fact??
@TalkingWithDocs
7 жыл бұрын
Tendonitis can be a chronic problem. The treatment and symptoms vary depending on the severity of the pathology but it sounds like you would benefit from a fresh assessment and start with some physiotherapy
@psrpippy
5 жыл бұрын
I went down the non operative path for 2 years but still have very swollen ankles, Achilles tendinitis and plantar fasciitis (i was really unlucky as I managed to damage both ankles at the same time) I’ve thrown the towel in and am now having my surgery in 2 weeks but only operating on 1 ankle. Im reasonably active and a very young 50 year old. I’ve been told 3 to 6 months recovery. Is there anything I could do to speed it up? By the way I’m in London UK. Many thanks.
@TalkingWithDocs
5 жыл бұрын
Hi psrpippy. Thanks for the question. It sounds like a difficult situation. It is always best to discuss the pros and cons of both operative and non operative treatment for any patient and for any condition. If you feel like you have exhausted non operative treatment it is not unreasonable to consider surgery as long as the physical examination and imaging confirm your diagnosis. Good luck
@longmai1884
7 жыл бұрын
Hi Dr my right foot Achilles tend rupture on 22/7/2017 I went hospital they no surgrical just wear boot and hill up my toe down but I worry my job forlift driver jump up and jump a lot . I worry rerupture . Should I surgical to make Achilles' tendon stronger ? Thank you very much.
@TalkingWithDocs
7 жыл бұрын
The risk of rerupture after surgical and non surgical intervention is now quite close - 5 and 7 % approximately respectively. I think if you are concerned this is a good conversation to have with your treating physician who can explain all of the risks and benefits of both treatments.
@therealhypehype5617
5 жыл бұрын
Weekend warriors
@TalkingWithDocs
5 жыл бұрын
We know right! Weekend warriors. Golden State Warriors. Clairvoyant. Thanks for watching.
@terrylavigne9413
5 жыл бұрын
Hi guys. I am approx 12 weeks after injury. 50% tear of my left achilles. Just started physio this week. My question is, will that tear heal or fill in? Or will there always be a hole or gap in the tendon? The PT says she can feel a 'good sized hole' and that it will always be there. Says it may fill in with scar tissue but that's not the same as tendon tissue. Is that right? I was under the impression that the tear would heal over with low grade collagen strands and eventually refine into useful tissue. I am concerned about this 'hole' business.
@TalkingWithDocs
5 жыл бұрын
Hi Terry. It is reasonable to say that the tendon will slowly reattach with a scar tissue type material that will fill in the gap. It will not be normal tendon tissue but has a reasonable chance to restore approaching normal function. The main gauge of healing is function. Hope that helps.
@SL-pg4dh
5 жыл бұрын
Kevin durant.
@TalkingWithDocs
5 жыл бұрын
Hi serge. Yes it does appear that Kevin Durant's injury has been upgraded from a calf tear to an Achilles tendon tear which is much more serious. We will wait to hear about the MRI results. Having said that, watching him walk off the court we are suspicious that it may be a high grade partial rather than complete which may be better. At any rate, very unfortunate and possibly avoidable. Fingers crossed he can return next season. Lots of nervous Knicks fans for sure. Thanks for watching.
@SL-pg4dh
5 жыл бұрын
Talking With Docs Thanks Docs. Awesome reply. I maintained all along that he shouldn’t have been rushed back, upon the fear that he would torn his Achilles; and lo and behold. Unfortunately for him, and the us the fans who will now be robbed of an entire season of a great player. The warriors org dropped the ball.
@dongjinlanthier798
6 жыл бұрын
I have plantar fasciitis and Achilles tendinitis, my plantar fasciitis is much better now , almost healed , but my Achilles tendinitis still killing me , but it does get better after 6 months so far , I have been doing every workout that no jumping , no pounding , so since I got much better , I started to pick up workout on my feet still no jumping , but my heels hurt so much and when I touch it I feel there are some knots right under my heel and the burning of my Achilles and my soleus is so sore and has big knots over my whole calf . I am so bumped, now the pain is 3-4 level , sometimes level 2 , depends the day and I have to take ibuprofen daily , if I don’t take it I feel more burning of my Achilles and pain of my heel . Since I am at the level 2-4 pain , should I I start to do some rehab exercise? I did for few days , I think I did too much , it made my feet pain leveled up .
@TalkingWithDocs
6 жыл бұрын
Hi Dong. Physiotherapy often is beneficial depending on the specifics of the diagnosis. Best to be supervised by a therapist and a physician. Good luck.
@dongjinlanthier798
6 жыл бұрын
Thank you
@heezmagnif
7 жыл бұрын
Hey Docs, I'm at 7 weeks non-op recovery. Should the gap between my tendon ends have closed up by now? When does the gap usually close up and mend?
@TalkingWithDocs
7 жыл бұрын
Hi JH. So the gap slowly closes between the two ends of the tendon. The torn fibers on either side of the tear live inside the tendon sheath and they slowly reconnect as you heal. Then as you are slowly allow to increase your range of motion, the fibers are stretched but because it is done slowly and carefully, they typically do not retear. Hope that helps.
@morcs
7 жыл бұрын
Thanks for making this :) 8 weeks non operative here
@TalkingWithDocs
7 жыл бұрын
Glad you found it useful James
@trebenjamin
6 жыл бұрын
James Morcom how is it going I just hurt mine last week
@livewitdaytim3468
6 жыл бұрын
James Morcom how did u feel in your 8th week ?
@livewitdaytim3468
6 жыл бұрын
tango bravo how are u now I'm on my 5th week
@deanlabayen
6 жыл бұрын
James. How is the recovery going? Just tore mine. I would avoid surgery is possible.
@terrylavigne9413
6 жыл бұрын
Definitely a dedicated weekend warrior. Softball 4-5 nights a week. Gym, biking, and volleyball. 50% tear of my Achilles 9 days ago. They put me in a hard cast with about 30 degrees plantar flexion for 4 weeks before reassessing. I expect a boot with wedges for 4-6 weeks afterwards gradually lowering the heel to neutral. I see your response to another post saying the treatment for partial and full rupture is the same. I'm going non surgical because my ortho says partials are always non surgical. Question is, does the partial tear heal quicker than the full rupture? Or as well? My ortho mentioned scenarios where if not positioned correctly or for long enough the 50% that is torn will heal together but not completely knit with the other 50% and I risk blowing the other half up later. I'm wanting to get back on the ball field when all is said and done.
@TalkingWithDocs
6 жыл бұрын
Hi Terry. Thanks for watching and for your questions. Sounds like you have a sensible treatment plan in place. We would say that partial tears have a higher chance of healing due to some intact fibers. There is always the risk of re-rupture with surgical and non surgical treatment. Baseball would be 6-12 months down the road after a lot of physio but should be possible. Hope that helps. Good luck
@mr.bigweld8138
6 жыл бұрын
Every few months my Achilles will hurt incredibly badly when I raise my foot up this will stop after about 10 minutes but will happen again later on in the day or in the next few days. Eventually it will stop happening and then happen again in a few months. I can’t walk when this happens. This has been happening for almost two years. It is incredibly painful what could this mean doc? I also have had the ability to “pop” my ankle for as long as I remember. Thanks!!
@higher-faster
Жыл бұрын
Quite generic talk here, given that i expected doc-level statements. Instead is a middle-of-the-ground discussion with generic statements that kind of do not ‘upset’ either side of the problem here: getting a surgery or not. True is that no-one person is the same. Some mor athletic, some less and some (i would say most people) who do not ‘know’ their body well enough to be able to perceive progress - so very subjective. I tore my Achilles by playing squash, and go regularly to gym training, for years. One comment. If You’re in a country whose medical system is working well (enough) - you get immediate MRI or ultrasound and a decision is taken within hours from injury. It’s critical to act fast as this tendon does not get better by itself, no matter how much research we throw at this diagnostic. If you do not operate: 1. It takes much longer to heal. Period. 2. You have less strength in your leg / calf. Also period. That most people cannot sense this strength difference is of course subjective - how many % of people do regular training so that can observe and measure strength objectively? Less than 5% at best. If you operate: 1. You recover faster. 2. Your strength in recovered leg is back to previous level (almost) All athletes recover with surgery, and a lot of physio - takes 8-month to get back to previous level. I will not receive updates from this channel, it’s bordering commercial talk on topics that should not be treated as lightly.
@Ptpau1970
2 жыл бұрын
Hi Docs. I’ve just had Achilles Tendon Repair with using flex tape and Spur removal. I’m going into my 5th week post op and it’s getting better with each passing day. I must say, this has been the roughest surgery I’ve experienced compared to other previous surgeries that I’ve had and I’m sure that the foot being the part operated on accounts quite a bit regarding the pain. I’m looking so forward to completing the healing process and complete recovery. Wearing the Cam Boot when walking and doing flexion exercises daily as instructed. I’m so grateful and appreciative for my doctor. Thanks for posting this video. A video on heel spurs would be great. I’m a subscriber.
@TalkingWithDocs
2 жыл бұрын
Best of luck during your recovery Linda. Thanks for watching and subscribing
@calliemyers5987
6 ай бұрын
I have a partial tear of left achilles tendon,tendinitis and very large bone spur,what would you recommend
@longmai1884
7 жыл бұрын
Hi doctor thank you I choose your advice non surgical first hospital put cast 8 weeks after wear cam boot 1 week and than wear shoes with Hill up .. but my leg rupture feel very warm and when push my skin or I wear sock my skin dent take long time go back normal. Could you tell me how long it normal? And can I drive car ? It’s my right foot ? Should I put ice a round my leg ? Thankyou .
@TalkingWithDocs
7 жыл бұрын
Hi Long Mai. Without examining you it is difficult to provide specific advice. Often healing of an Achilles tendon injury can take 6-12 months. The swelling will gradually decrease over time. Driving often takes longer than 3 months. Icing is always a good idea to reduce pain and swelling. Physio will be an important part of your recovery.
@longmai1884
7 жыл бұрын
Thank you dr now i am Physio . Can I take medicine magnesium . It’s said good bone and muscle or what medicine quick for muscle ? Thank you
@TalkingWithDocs
7 жыл бұрын
Hi Long Mai. It is always best to discuss medications with your physician. Good luck at physio
@longmai1884
6 жыл бұрын
Thank you doctor
@TalkingWithDocs
6 жыл бұрын
You are very welcome.
@cccEngineer
11 ай бұрын
What are the demographics of the patients that went non-op vs op in terms of age and tear gap size (full rupture?)
@vickieboechler3786
4 жыл бұрын
I’m an RN, MN and recently fractured my left fibula. I got more teaching and what to do from you two than I did being cared for by an ortho Doc at the Ortho Cast Clinic in a large city Hospital in Edmonton. Sad when our patients have to find medical advice on utube. Thankfully you have seen the gaps in patient safety and care and have done something about it. LOVE your teachings and style!!!!
@TalkingWithDocs
4 жыл бұрын
Thanks so much Vickie! Best of luck during your recovery. Thanks for watching and subscribing if you did.
@SfumatoProductions
5 жыл бұрын
Appreciate the knowledge (& humor!). Docs, is there a certain gap distance on a full rupture that would make you think non-op is a bad idea, such as 2. 5 cm?
@TalkingWithDocs
5 жыл бұрын
Hi Joe. Thanks for the positive feedback. We try to keep it informative but light. There is not a specific distance where we would consider surgical intervention. The main reasons for us to consider surgery would be delayed presentation or re-rupture. Hope that helps. Thanks for watching.
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