Achilles In-Clinic Therapy

Treatment for Achilles tendon tear in the clinic is divided into three phases.

Acute phase exercises: Focusing on improving ankle range of motion and decreasing pain.

    • Ankle pumps
    • Gentle calf stretching, gastroc and soleus
    • Ankle range of motion: dorsiflexion, plantar flexion, eversion, inversion

Sub-acute phase exercises: Focuses on strengthening ankle and bilateral lower extremity muscles and well as restoring balance and proprioception exercises.

    • Aerobic and endurance strengthening
    • Hip, knee, and ankle strengthening with resistance
    • Single leg stance on stable and unstable surface
    • Continued stretching

Chronic phase exercises: Focusing more on dynamic balance and aggressive calf strengthening.

    • Dynamic balancing – single leg stance with arm movements on even and uneven surface
    • Eccentric calf strengthening
    • Plyometrics i.e. hopping, jumping
    • Continued stretching

Modalities:

    • ESTIM can be used to decrease pain
    • Heat for increased blood flow and flexibility
    • Ice to decrease pain and swelling

Manual techniques: Soft tissue mobilization (massage) is performed to surrounding muscles and tissues to increase extensibility. Joint mobilizations may also be performed to improve joint mobility.

Disclaimer:  The information in this blog is intended to be informational only, and is not intended to be used in lieu of medical care.  Consult a doctor or a physical therapist before attempting treatment on your own.

If you are having pain in the back of your foot or have been diagnosed with an Achilles tendon tear, please come see us for a free consultation to see how we can assist you in your recovery.  To request an appointment, click here, or call directly to one of our three locations during regular business hours:

Cool Springs: 615-224-9810
Shelbyville: 931-684-0027
Spring Hill: 931-489-2022

References:

https://orthoinfo.aaos.org/en/diseases–conditions/achilles-tendon-rupture-tear-video/

https://www.verywellhealth.com/rehab-for-achilles-tendon-rupture-4160018

https://www.mayoclinic.org/diseases-conditions/achilles-tendon-rupture/symptoms-causes/syc-20353234

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