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Patient exercises

Achilles tendon rupture protocol


Weeks 1-2

  • Immobilised in plaster of Paris backslab set in plantar-flexion as determined by surgeon at the time of surgery.
  • To stay in cast full-time.
  • To mobilise non-weight bearing on crutches.
  • No ankle movement.
  • Routine care of adjacent joints etc taught to patient pre-discharge from hospital.

Weeks 2-4

  • Out of cast and fixed ankle brace/boot fitted in plantar flexion.
  • Continue to mobilise non-weight bearing on crutches.
  • Patient to stay in brace at home at all times, including sleep.
  • Supervised exercises only.
  • No unsupervised exercise.

Outpatient physiotherapy to include:

  • Muscle stimulation x 2 per week.
  • Active assisted range of movement.
  • Swelling control.
  • Soft tissue work and scar mobilisation.
  • Gentle passive non-weight bearing calf stretches.
  • Brace adjustment bringing ankle towards plantar grade in line with dorsiflexion range achieved in each treatment session. Allow movement between plantar flexion and dorsiflexion barrier, rather than fixing brace at one angle.

Weeks 4-6

  • Unsupervised range of movement exercise permitted.
  • Progress range of movement exercises - active all directions. Can add theraband resistance at week 5.
  • Continue soft tissue work.
  • Can use exercise bike.
  • AIM: neutral dorsiflexion by week 6.
  • Commence partial weight bearing in brace with crutches at week 4, increasing amount of weight bearing between week 4 and 6.

Weeks 6-8

  • Can progress to fully weight bearing in brace without aids from week 6.
  • Commence weight bearing calf stretches at week 6.
  • Commence double leg heel raises.
  • AIM: fully weight bearing independently by week 8.

Weeks 8-12

  • Remove brace at week 8 if functional dorsiflexion has been achieved. Use heel lifts in shoes or shoes with a small heel until week 12.
  • Graded increase of weight bearing activity.
  • Continue lengthening and strengthening work, exercise bike, gait re-education.
  • Proprioceptive training.

Weeks 12+

  • Begin single leg heel raises or progress from 50/50 double heel raises to increase load on affected side.
  • Start jogging on trampoline and to treadmill via a walk-run programme.
  • Eventually progress to 20 minute outdoor run before adding cutting and figure-8 drills.
  • Plyometrics eg double to single jumps/ hops/ lunges on toes, acceleration/ deceleration work.
  • Sport specific exercises as required.


Please contact us to book an appointment or for more information on any of the services available at our clinic in Kensington.



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Areas covered

Our services cover the following locations (if your location is not listed please don't hesistate to get in touch and ask us if we can help you):

Kensington - W8 - W14 - SW7 - Notting Hill - W11 - W2 - W10 - Chelsea - SW10 - Knightsbridge SW1 - SW3 - Fulham - W6 - Hammersmith - W6 - W12 - Hyde Park and Holland Park, Paddington, Bayswater, Marylebone W1, W2


Insurance providers...


Physiotherapy
Physiotherapy
Our physiotherapists specialise in restoring your normal function and movement patterns so you can get on with everyday life.


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Pilates
Pilates
Pilates focuses on building the body�s core strength and improving posture through a series of low repetition, low impact stretching and conditioning exercises.

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Sports injuries
Sports injuries
At Sprint Physiotherapy we are experts at treating a variety of sporting injuries, including; swimming, running, golfing, etc.


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Massage Therapy
Massage Therapy
Our massage therapists specalise in a range of massage techniques; remedial, sports, pregnancy, etc.


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Kensington Clinic
Sprint Physiotherapy
2 Drayson Mews
West London
W8 4LY
Paddington Clinic
In Motion Physiotherapy
Winston Churchill Wing
St Mary's Hospital
Winsland Mews
London
W2 1NY
Hammersmith Clinic
Hydrotherapy Department
Ground Floor, South Wing
Charing Cross Hospital
Fulham Palace Road
London
W6 8RF
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