Achilles tendon rehabilitation go to rehabilitation center

1. If you have been walking for 55 days now, you can walk normally. Of course, the premise is that your functional rehabilitation exercise can be carried out normally. Whether you want to go to the rehabilitation center or not depends on the effect of your own functional rehabilitation exercise at home

2. Rehabilitation training starts in a month and a half. It's mainly to do kinetic energy exercise of Achilles tendon. It's necessary to help the building owner find two relevant information step by step. I hope it can help the building owner. 1,

3. Rehabilitation training: starting from removing the plaster one month later, it is divided into three stages. The purpose of early and mid-term training is to release ankle and heel injuries, postoperative adhesions, and recover ankle flexion and extension range of motion and fine motor regulation. In the early stage (46 weeks after operation), the non impedance extension and flexion function of ankle joint in bed was the main activity. In the middle stage (1.5-3 months after operation), walking on the ground and further functional exercise should be carried out, such as walking forward and backward, pedaling power bicycle, and rolling logs. When training on the ground for the first time, the heel should be properly raised to rece the tension on Achilles tendon, and then graally rece the heel after adaptation. In the later stage (3-6 months after the operation), the muscle strength training to restore the anti traction tension of ankle heel muscle and tendon was mainly used, such as weight-bearing heel lifting exercise and ankle back extension resistance exercise, so as to make the final preparation for returning to the training ground< Objective: to relieve pain and swelling; to improve the quality of life; to improve the quality of life; to improve the quality of life; to improve the quality of life; Early muscle strength exercise, as far as possible to avoid muscle atrophy< (1) on the same day:
after the anesthesia subsided, the toes began to move; If the pain is not obvious, try to contract the quadriceps femoris (that is, the front thigh muscle tension and relaxation)< (2) one day after operation:
1. But never cause ankle joint movement! 5 points / group, 1 group / hour It is of great significance to promote circulation, eliminate swelling and prevent deep venous thrombosis)
2. Isometric exercise of quadriceps femoris (muscle group of the front side of thigh), that is, thigh muscle stretching and relaxation. Do as much as possible without increasing pain (3) 2 days after operation:
1. Continue the above exercises
2. You can walk on your feet without touching the ground, but it's only necessary daily activities to go to the toilet
3. Start to try to lift your leg - lift your leg to 15 cm from the bed with your heel, and keep it until you are exhausted. 10 times / group, 2-3 groups / day (it may be unable to complete e to too heavy plaster). Methods see Appendix 1 - Figure 4)

according to the injury and characteristics, in order to make the Achilles tendon heal firmly, the plaster bracket generally needs to be worn for about 3-4 weeks. Fixed period without the doctor's permission can only carry out the above exercise, blind activity is likely to cause injury< In the second and middle stages, the range of motion and muscle strength exercise period (4-12 weeks)
reexamination, according to the situation, the doctor should lift the plaster to below the knee joint at 3 or 4 weeks. You must wear it except when you practice
Objective: to start activity training, strengthen leg muscle strength training, start weight-bearing training, and graally return to normal gait walking< (1) 4 weeks after operation: (according to the situation, the doctor decides to start the range of motion exercise.)
1. Start the side leg lifting exercise, 30 times / group, 2-4 groups / day, and rest for 30 seconds between groups Methods see Appendix 1 - figures 5 and 6.)
2. Start ankle range of motion exercise: actively bend and extend the ankle joint, that is, slowly, forcefully and maximally stretch the toes and hook the toes No or slight pain range! Because early tissue healing is not strong enough, excessive traction may cause adverse consequences.) 10-15 minutes / time, 2 times / day. Soak your feet in hot water for 20-30 minutes before practice, so as to improve the tissue temperature, improve the ctility and strengthen the effect of practice
3. Start the knee flexion exercise (because the range of motion of the knee joint will decrease after a long time of fixation, there may be pain at the beginning of the exercise, and it can be improved by persisting in the exercise.)
4. Start stretching exercise (sitting position suspension): put a pillow on the heel to make the affected leg leave the bed completely, relax the muscles and make the knee joint stretch naturally See Appendix 1-figure 14) 30 minutes / time, once a day, until the affected leg can be straightened and the healthy leg is the same

Achilles tendon rupture

5. Start leg muscle strength exercise: to recover the atrophic thigh muscle ring plaster fixation

exercise absolute strength, choose medium load (finish 20 movements that is the load of feeling fatigue), 20 times / group, 2-4 groups of continuous exercise, rest between groups for 60 seconds, until fatigue< (2) 5 weeks after the operation
1. Start the "roller" exercise: select a solid cylinder (such as wine bottle, pop can, etc.), repeat the exercise for 20 minutes, soak your feet, sit on the chair, bend your knees, step on the cylinder, roll back and forth, graally increase the force and increase the activity, 1-2 times a day
2
3. Strengthen various muscle strength exercises< (3) 6 weeks after the operation: remove the plaster bracket
1. Cut the cardboard into the size of the heel, pad it about 3 cm inside the heel, start walking with crutches, remove a layer of cardboard in about 2-3 days, finish it in 2-3 weeks, and then walk with flat shoes
2 See Appendix 1 - figures 21, 22, 23) Note: the Achilles tendon should not have excessive traction< (4) 7 weeks after operation:
1. Start squatting or sliding against the wall to strengthen the leg strength< (5) 8 weeks after operation:

1, 1 to 2 weeks to achieve normal gait
2. Strengthen the intensity of pedaling exercise, graally transition to appendix 1-fig. 24, 25, and graally increase the load to appendix 2-fig. 6, 7, 8, 9) 30 times / group, 4 groups / day
3. Strengthen the muscle strength and start to treat 45 cases of single leg ° Half squat, knee flexion and extension. 5 minutes / time, 4 times / day< Objective: to strengthen the range of motion of the joint to be the same as that of the healthy side. Strengthen muscle strength and improve joint stability. Recovery of daily life and graal recovery of motor ability
1. Fixed bicycle exercise, no load to light load, no obvious traction feeling at Achilles tendon. 30 minutes / time, 1-2 times / day

2. Start pedaling (see Appendix 2-figure 12)
3. Start swimming. But never slip
ring this period, the sutured tendon is not strong enough, so the practice and training should be carried out step by step, not forced or blindly. And should strengthen muscle strength to ensure the stability of ankle joint in the movement, and should pay attention to safety, absolutely avoid falling again< Objective: to resume exercise or strenuous activity. Strengthen your muscles and start running and jumping
1. After three months, you can start to transition from slow walking to fast walking
after 2, 5-6 months, the heel lifting exercise began, and the heel lifting exercise graally transited from two feet to one foot
heel lifting exercise - standing with toes, including feet separated and shoulder width, toes straight forward“ "Outside the eight character" stand“ There are three postures of standing. To practice different muscles and different parts of muscles. 2 minutes / time, 5 seconds rest, 10 times / group, 2-3 groups / day
3. Step by step! According to their own practice graally walk - jog - run - jump
4, 10-12 months to start recovery exercise.

4. There are too many places to do rehabilitation in Beijing. You can go to the China Rehabilitation Research Center and ask. What they do is quite detailed.

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6. Changsha, of course, is the provincial hospital of traditional Chinese medicine or people's hospital. It is better to do the rehabilitation of Achilles tendon rupture, as long as there is a rehabilitation department.

7. The whole recovery process of my patient's Achilles tendon rupture: 1. Straight leg lifting exercise
lie on your back on the bed, first straighten your legs with maximum strength, and then lift your legs to the height of about 15 cm from the bed surface. Attention must be paid to straighten the knee joint, so as to fully mobilize the muscle fibers of quadriceps femoris. Each time lasted for 10 seconds, 20 times as a group, at least two groups a day, athletes in three groups
2. Raise your leg straight from the inside
lie on your left side, bend your right leg, and step your right foot on the bed behind the popliteal fossa of your left leg (that is, the fossa behind the knee joint) to help support and keep your body stable. Then straighten your left leg and lift it up (that is, to the right) until your ankle is about 10 cm away from the bed. Each time lasted for 10 seconds, 20 times as a group, at least two groups a day, athletes in three groups
3. Raise your legs straight from the outside
lie on your right side, and bend your right leg and lay it flat on the bed surface to help stabilize your body. After that, straighten your left leg and lift it up (that is, to the right) so that the two legs are separated, about two or three feet away from each other. Each time lasted for 10 seconds, 20 times as a group, at least two groups a day, athletes in three groups
4. Back leg lifting exercise:
lie on the bed, straighten your legs, and then lift your legs back to the position where your toes are 5-10 cm away from the bed. Each time lasted for 10 seconds, 20 times as a group, at least two groups a day, athletes in three groups
it is particularly important to note that every movement must be standardized, prone, lateral and supine, and the body must be straight, otherwise the corresponding muscles cannot be practiced
at 9:00 am on June 5, 2010, the patient was in a badminton match organized by the company. When a smash fell to the ground in the back court, when the left Achilles tendon was in tension, the right toe stepped on the left Achilles tendon. Immediately heard a ll sound (similar to the ball burst, feel something hit the Achilles tendon), left leg paralysis. At 11 am, Langfang people's hospital diagnosed a transverse fracture 4 cm above the bone nole of the Achilles tendon root of the left foot, and immediately hospitalized for surgical treatment. After the analysis, the reason why the tip of the right foot stepped on the left Achilles tendon was that excessive fatigue led to movement deformation, because the day before yesterday afternoon played basketball for about 2.5 hours, drank about 4 bottles of beer in the evening, and took part in the badminton game the next morning< At 9:00 am on June 8, 2010, the Achilles tendon rupture was repaired after spinal anesthesia in 401 Hospital of Chinese people's Liberation Army. At 11:20 noon, the operation was completed and the patient returned to the ward. The injured leg was cast (about 10 cm above the knee joint) for 2 weeks, the ankle joint was 30 degrees, and the knee joint was 120 degrees. First dressing change 2 days after operation, second dressing change 3 days after operation, and then 5 days
first day (July 29, 2010)
morning: thigh muscle strength exercise (as above); Ankle joint active dorsiflexion, plantar flexion, varus, valgus, ankle pump. The total time is about 2 hours
afternoon: hot compress for 15 minutes; Massage the Achilles tendon for 10 minutes; The rehabilitation teacher exercises passive back bending for about 5 minutes; Lay on your back and step on the wall, 1 minute each time, 5 times as a group, a total of one group (after the practice, the passive back extension angle can reach 90 degrees). Active dorsiflexion and plantar flexion group, 6 seconds each time, 20 times as a group; Active varus, eversion, 6 seconds each time, 20 times as a group; Balance board exercise: the balance board axis is placed horizontally, and the injured foot is driven forward and backward on the axis. When stepping backward, the good foot helps to add force to improve the passive back extension angle for 15 minutes. This group of exercises mainly improves the back extension angle and joint flexibility. Cold compress for 15 minutes. Ultrasound for 10 minutes. The total cost is 250 yuan
two days (July 30, 2010)
morning: thigh muscle strength exercise (as above); Ankle joint active dorsiflexion, plantar flexion, varus, valgus, ankle pump; Stretch the rubber band passively, hold the rubber band by hand, pedal the injured foot slowly, bend the back and bend the plantar for 6 seconds, 20 times a group; Flat pedal to 90 degrees, 1 minute at a time, 5 times a group, do a group in the morning
it was found last night that the joint between Achilles tendon and root bone was in pain when the passive back extension reached the extreme position, and the joint between Achilles tendon and root bone of both feet was in pain when pressed down. After consulting Dr. Lin, it was thought that it was a long-term strain, which led to slight inflammation at the end of Achilles tendon. Suggest ultrasonic treatment, do not often rub
afternoon: hot compress for 15 minutes; Massage the Achilles tendon for 10 minutes; The rehabilitation teacher exercises passive back bending for about 10 minutes; 5 minutes each time, 5 times as a group, a total of one group (after the practice, the passive back extension angle can easily reach 90 degrees). Rubber band plantar flexion exercise, hands with rubber band hook the front foot, toe active plantar flexion exercise, each plantar flexion position stay 6 seconds, 30 times as a group. The rubber band is fixed at the foot of the bed, and the front instep is used to hook the rubber band to do the back bending exercise. Each time, stay in the back extension position for 6 seconds, 30 times as a group. Sit on the chair, put your feet flat, lift the heel to the limit position (try your best to raise the rear heel), stay at the highest position for 6 seconds, 30 times as a group (rubber band plantar flexion, back bending, sitting position heel lifting all practice calf muscle strength). Balance board exercise: the balance board axis is placed horizontally, and the injured foot is driven forward and backward on the axis. When stepping backward, the good foot helps to add force to improve the passive back extension angle, a total of 15 minutes. Ultrasonic injury foot 7 minutes, good foot Achilles tendon press pain, do ultrasonic 5 minutes. Back to the ward after thigh muscle strength exercise
there was severe pain at the root of both feet, so the resident decided to have an examination tomorrow. At the same time of practice, several interns of Beijing Sport University gave me "chat", ha ha. Tomorrow, I'll take a rest and arrange for another therapist to guide me
the third day (July 31, 2010)
morning: thigh muscle strength exercise group 1: hanging two 4 jin sandbags on the upper part of the ankle (avoiding the wound), lifting the leg forward, lateral, medial and posterior, 6 seconds at a time, 20 times at a time; Pressure ball psoas exercise: supine, knee place a soft balloon, diameter about 50cm, do waist lifting exercise, each stay at the highest point for 6 seconds, 30 times a group; Hot compress for 15 minutes; Group A: active dorsiflexion, plantar flexion, varus, valgus, ankle pump, 6 seconds each time, 20 times; Rubber band plantar flexion exercise, both hands with rubber band hook the front foot, toe active plantar flexion exercise, each plantar flexion limit position stay 6 seconds, back bending limit position stay 6 seconds, 30 times as a group. Massage for 10 minutes; The rehabilitation teacher passive back bending, back bending to the limit position for 30 seconds, rest for one minute, passive back bending again to the limit position for 30 seconds. After finishing the above exercises, you can reach 90 degrees with a little push on the flat, 1.5 minutes at a time, five times in a group, and one in the morning. Ice for 10 minutes, end in the morning
on the way back to the ward, I met a broken friend who broke his right badminton for a second time. After an operation in the Third Hospital of Beijing Medical University, he recovered well. He went to work 1.5 months later and tripped over the threshold of the company 2.5 months later, which led to a second break. Then he went to the Third Hospital of Beijing Medical University. The doctor treated him conservatively. At present, he walks with slight claudication. But he said that because of the conservative treatment of the secondary fracture, Dr. Lin Xuanhong said that the healing of the conservative treatment was not very firm, and he suggested that we should not play basketball and badminton in the future, otherwise the possibility of the secondary fracture was very high, so he was very depressed. It seems that the second fracture still needs surgical treatment. He said that doctors in the Third Hospital of Beijing Medical University are not willing to do the operation of Achilles tendon rupture. First, the operation is very small, no difficulty, no challenge; Second, the cost of the operation is very low, but it is also very troublesome. An operation does not cost more than 5000 yuan. The operation of cauda equina fracture lasts about three hours, while the operation time of knee joint is almost the same, but the cost is tens of thousands of yuan. Therefore, the Third Hospital of Beijing Medical University always likes to do conservative treatment, but after conservative treatment, we can no longer carry out intense exercise. All the friends who do conservative treatment should be considered
afternoon: one group of thigh muscle strength exercises, the same as in the morning; Hot compress for 15 minutes; Group A: active dorsiflexion, plantar flexion, varus, valgus, ankle pump, 6 seconds each time, 20 times; In the balance board exercise, the balance board axis should be placed horizontally, and the injured foot should step on the axis to drive forward and backward. When stepping backward, the good foot should help to add force to improve the passive back extension angle, a total of 15 minutes; Toe activity exercise, supine, injured foot standing, hold towel or pen with toes for 6 seconds, then grasp again, a total of 30 times; Sit on the chair, put your feet flat, lift the heel to the limit position (try your best to raise the heel), stay at the highest position for 6 seconds, 30 times as a group; Ultrasonic injury foot 7 minutes, good foot Achilles tendon press pain, do ultrasonic 5 minutes. After the ultrasound, I felt the Achilles tendon softened obviously. I went back to the training bed and sat on a group of supine and stepped on the wall. With a little force, I reached 90 degrees. Each step lasted for 1.5 minutes, five times as a group; Ice for 10 minutes
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8. Achilles tendon rupture is a kind of very serious trauma. It will take about two years for the Achilles tendon to be fully connected after surgery. After two years, the corresponding rehabilitation training can be carried out

9. -
rehabilitation training: starting from removing the plaster one month after the operation, it is divided into three stages. The purpose of early and mid-term training is to release ankle and heel injuries, postoperative adhesions, and recover ankle flexion and extension range of motion and fine motor regulation. In the early stage (46 weeks after operation), the non impedance extension and flexion function of ankle joint in bed was the main activity
middle stage (1. 5-3 months) should walk on the ground and further functional exercise, such as walking forward and backward, pedaling power bicycle, foot rolling log exercise, etc. When training on the ground for the first time, the heel should be properly raised to rece the tension on Achilles tendon, and then graally rece the heel after adaptation
in the later stage (3-6 months after the operation), muscle strength training to restore the anti traction tension of ankle heel muscle and tendon was mainly used, such as weight-bearing heel lifting exercise, ankle back extension resistance exercise, etc., so as to make the final preparation for returning to the training ground. Objective: to relieve pain and swelling; Early muscle strength exercise, as far as possible to avoid muscle atrophy.

10. Condition analysis: the premise of rehabilitation is safety first, according to their own body feeling to carry out rehabilitation training
suggestions: in addition to walking, it is suggested that you should do the movement of lifting your toes up and down at ordinary times. At the beginning, you can do it a few times less and graally increase the amount until you can bear it. The purpose is to exercise the strength and activity of Achilles tendon, do not make it adhesion, can also do physical therapy. It will take about half a year to recover. However, it varies from person to person. If you exercise well, you will recover quickly. It's up to you.