The achilles tendon After the operation The first 24 hours Pain relief This is by means of a regional femoral and sciatic nerve blockade supplemented by tablets or PCA . Cast/splintage A temporary plaster cast will be applied after the operation and changed the next day to a lightweight cast. DVT prophylaxis Aspirin 150mgs, used for 6 weeks unless Contra-indicated. Length of stay You will require on average one to two days post operatively in Hospital. Physiotherapy Within 24-48 hours you will be mobilised non weight bearing. This means using two crutches for walking. Generally this continues for 4-6 weeks after the operation date. At two weeks Outpatient visit to ensure wounds have healed and a Change of cast. At six weeks Weight bearing out of cast commenced using an Aircast Achilles walking boot. Physiotherapy supervision of progressive range of movement followed by strengthening excercises. 
The Achilles Aircast walking boot. A variety of heel raises are available, to offload the Achilles tendon.

The Aircast Achilles walking boot.
At three months Out of Aircast boot progressively. You will require an in-shoe heel raise for a month or two. No sports for six months. Full strength may take 12 months to achieve. |