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Achilles Surgery
After an Achilles rupture repair or Achilles tendonitis procedure, protecting the repair and managing swelling is your top priority. You'll need specific equipment from the moment you leave theatre - and different items as your recovery progresses. This page outlines everything, along with where to get it.
Achilles rupture or tear
An Acute Achilles tear is a traumatic event which needs to be treated with urgency. One will have a sharp stabbing pain in the back of the heel, usually during a sports activity. It will feel like someone kicked you, but with no one around. The Achilles tendon connects the calf muscle to the heel and is important for plantar flexion (the movement of the foot in a downward motion away from the body). This allows you power for walking, doing stairs, running etc. If not fixed properly, this may cause chronic pain and loss of power.
After the surgery, you will have a circular cast of the lower limb. Your cast will remain on for approximately 4 weeks, then a moonboot and Achilles wedges will be needed. It is important to keep the cast and the wounds dry; a cast protector is advised. During the first 6 weeks after surgery, you are not allowed to bear weight on your operated foot. Crutches, a kneestrider or a wheelchair is advised during this period. At 10 weeks after the surgery, you will be able to transition into tekkies with Silicone Wedges, with continuous rehabilitation
Achilles Tendonitis:
An Acute Achilles tear is a traumatic event which needs to be treated with urgency. One will have a sharp stabbing pain in the back of the heel, usually during a sports activity. It will feel like someone kicked you, but with no one around. The Achilles tendon connects the calf muscle to the heel and is important for plantar flexion (the movement of the foot in a downward motion away from the body). This allows you power for walking, doing stairs, running etc. If not fixed properly, this may cause chronic pain and loss of power.
After the surgery, you will have a circular cast of the lower limb. Your cast will remain on for approximately 4 weeks, then a moonboot and Achilles wedges will be needed. It is important to keep the cast and the wounds dry; a cast protector is advised. During the first 6 weeks after surgery, you are not allowed to bear weight on your operated foot. Crutches, a kneestrider or a wheelchair is advised during this period. At 10 weeks after the surgery, you will be able to transition into tekkies with Silicone Wedges, with continuous rehabilitation
Phase 1: Day of Surgery
Surgeries this applies to: Achilles rupture repair · Achilles tendonitis surgery
Crutches or KneeStrider
Why you need it: Non-weight-bearing mobility.
Note: It is your choice to use crutches or a KneeStrider. You will need a mobility device for at least the first six weeks after surgery. The doctor will advise you at the follow-up appointments how long you should continue using these devices. Please note that you cannot use a KneeStrider if you have had previous knee surgeries.
Cast Protector
Why you need it: Waterproof shower cover.
Note: You can use this every time you shower, just ensure it is dry before use. It is advisable to sit on a chair while showering, so that the water does not flow directly into the opening of the cast protector
Elevating pillow / leg support
Why you need it: Reduces swelling.
Note: Elevate your leg above heart level when resting. You can use pillows from your home. Use at least 3 pillows.
Ice Packs
Why you need it: Manages pain and swelling.
Note: Use for 15-20 minutes at a time, ensuring that the cast remains dry.
Phase 2: Once the cast is removed
(around 4 weeks after surgery)
Moon Boot
Why you need it: Protects the repair; keeps foot in safe position
Note: You will start using a moonboot as soon as the circular cast is removed. Please ensure to follow doctor’s instructions on the duration of use.
Achilles wedges
Why you need it: To comfortably place the foot in plantar flexion to offload the Achilles tendon during rehab.
Note: This wedge slightly elevates your heel can relieve strain on the tendon and provide a cushion that lessens the force exerted on your Achilles tendon.
Silicone heel wedges
Why you need it: To help relieve foot pain and tension on soft tissue.
Note: If you have to use these wedges on a daily basis, it is best to purchase one for each of your frequently used shoes.
Compression socks
Why you need it: Helps prevent blood clots (DVT) and reduces swelling.
Note: Wear during the day and remove at night unless otherwise instructed.
