Rotura del tendon de aquiles, ejercicios y rehabilitacion postcirugia en la fase aguda

The best exercises for Achilles tendon rupture rehabilitation after reconstructive surgery. Return to sports as quickly as possible. The Achilles tendon is the largest and strongest tendon in our entire body. It is made up of the soleus and gastrocnemius tendons, better known as the twins. Both insert into the calcaneus, the very solid bone that forms our heel. We commonly see Achilles tendon injuries in impact sports, predominantly in male athletes. While recent studies from 2017 demonstrate no significant differences in Achilles tendon rehabilitation between surgical and conservative treatment, the chance of relapse in conservatively treated tendons was higher, leading us to the conclusion that nonsurgical treatment may not be suitable for all types of injuries, depending largely on the severity of the injury. However, there is a clear benefit to accelerated rehabilitation, including early mobilization, versus immobilization, as demonstrated in the 2014 Brumman study. In the first phase, typically lasting two weeks after surgery, the goals are to properly educate the patient on the limitations and recovery times of each phase, ensuring that the wound is healing properly and that inflammation is under control. The patient may need to wear a walking boot with 30° plantar flexion, walking with full weight bearing on the surgical foot. The goal of the rehabilitation program in the first phase is to strengthen the muscles of the entire leg, so let's get to it. During the two-week acute phase, we will perform these exercises daily, at a rate of four sets of 10 repetitions each. First, wiggling the toes, alternating between flexion and extension, is a great way to stimulate circulation and maintain the intrinsic muscles of the foot. Next, we can perform straight-leg raises, which can be a great exercise for strengthening the quadriceps hip flexors. The weight of the walking boot will make the exercise more challenging. Strengthening the gluteus medius is essential for maintaining good pelvic balance for walking; we can easily work on it lying on our side, doing lateral raises. If you feel strong, you can add weight, making sure your ankle is always in a neutral position and parallel to the floor. To move on to the second phase, we must ensure that the swelling has not increased and that the pain has decreased considerably.