The Foot and Ankle Clinic: Birmingham 0121 446 1671, London 020 7484 5321, Sutton Coldfield 0121 323 4577
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The achilles tendon

What sort of problems exist? | The chronically painful Achilles tendon | What symptoms might i have? | Why does the Achilles tendons degenerate? | What treatments are available? | How soon should they work? | What is the chance of success? | What can be done if non operative treatment fails? | Why not inject around a tendon with tendinosis? | What if the Achilles tendon is degenerate (tendinosis)? | What is the rationale behind the operations? | FHL transfer for severe tendonopathy | After the operation | Achilles paratenon stripping and tendon incision | After the operation | Complications | Problems of the Achilles insertion | Treatment of insertional Achilles problems

 

After the operation

The first 24 hours

Pain relief
This is by means of an ankle block and local wound infiltration supplemented by tablets or PCA (Patient Controlled Anagesia).

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 contraindicated.

Length of stay
You will require on average one day 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 3 weeks after the operation date.

At two weeks
Outpatient visit to ensure wounds have healed and a Change of cast.

At three weeks
Commence weight bearing in the cast.

At six weeks
Weight bearing out of cast commenced with physiotherapy. An in-shoe heel raise may be recommended for a few weeks.

At three months
Return to sports gradually.
 
Chance of success
85-95%

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