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Snapped achilles tendon

 Poster: A snowHead
Poster: A snowHead
Non-surgical due to age and other profile elements, including the risks of surgery during Covid.
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 Obviously A snowHead isn't a real person
Obviously A snowHead isn't a real person
It's now been 4 weeks, so a short update. The boot now has a range of movement from the 30 degree downward angle it started with to now allowing it to move through 30 to 20 degrees. I can't really feel much difference, but from the middle of week 3 I dispensed with the crutches and was able to walk around unaided. Stairs are still something I consciously think about and take carefully, and I still spend much of each evening and most of the night with my foot elevated on a large bean bag. Outdoor walks are rare and limited to about 100 metres, otherwise my heel starts to hurt from pressure on the wedge of the boot.

The bruises are now just about gone, and the only real issue now is if I get too hot the leg gets very itchy in the boot. That's easily solved at the moment by standing outside for a few minutes, so I'm glad I didn't do this in the heat of the summer.

I'm also now more than half way through the 45 day course of blood thinning injections, so I'm now able to stab myself each evening with something approaching proficiency. Maybe I can get an extra job as a vaccinator...
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 Well, the person's real but it's just a made up name, see?
Well, the person's real but it's just a made up name, see?
Had a complete rupture of the tendon In 3rd week of July a few years back the consultant said it was the worst he had seen (dr Bircher now has a private practice in ashtead Surrey ) had it operated and put in plaster .
I was back on skis in 3rd if the following January . Was 38 and overweight . You must do a full rehab , exercise everyday .
Am sure you will be on the slopes sometime . If things go well April trip may be possible .
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 You need to Login to know who's really who.
You need to Login to know who's really who.
well, if skiing is out, you can always move to the darkside Toofy Grin
Funnily enough, this week repeat of Ski A&E was a snowboarder who snapped hers & she made a full recovery.
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 Anyway, snowHeads is much more fun if you do.
Anyway, snowHeads is much more fun if you do.
@Mr.Egg, I’d always assumed that boarding would be harder on the Achilles than skiing given the need to angle the feet - is that not the case? Not that I’m likely to try it - too much sitting around for my liking
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 You'll need to Register first of course.
You'll need to Register first of course.
After 55 days of self-injecting Dalteparin to thin my blood and avoid deep vein thrombosis while I have the plastic boot on, today was the last injection. It’s not something I’ll miss - there’s something deeply unpleasant about sticking a needle in your own waistline.

Last checkup at the hospital coming up on Christmas Eve, and then I have a final appointment with the consultant to be signed off.

Yesterday we had an annual walk at the local National Trust property which is part of a family tradition. Not fancying this in a plastic boot, I strapped up my ankle and tried on my walking boots, and after an hour of walking around the house I was confident that it would be OK to wear them outside. The two mile walk around the damp and muddy grounds was our slowest ever, but it was completed without issue, so things are looking up.
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 Then you can post your own questions or snow reports...
Then you can post your own questions or snow reports...
@ousekjarr, yay! Very Happy
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 After all it is free Go on u know u want to!
After all it is free Go on u know u want to!
New year, and a new start - or maybe not. The good news was that I completed my time in the plastic boot and was seen by the consultant on Wednesday who confirmed that the boot was no longer required as I was fully weight-bearing and had a normal range of movement of the ankle.

The bad news is that he asked me to stand on tiptoe on two feet, which I did with no issues, then on only my injured leg, again without issues, and then to stand on tiptoe on only my injured leg, which I could not do at all. It was impossible for me to even lift the heel off the floor. His opinion is that this is symptomatic of two possibilities - that I have lost so much muscle mass/tone in the right leg that I don't have the strength to take the weight, or that the achilles tendon has only partially repaired and is incapable of providing the required force. The only way to confirm which it is is with an MRI scan, which is now in the request queue and will hopefully be scheduled for sometime in the next couple of weeks.

Based on the results of the scan, I will either have physio and strengthening exercises to regain the strength in my leg, or will be referred to an ankle specialist for followup which may involved a surgical reconstruction. Needless to say I was very disappointed at this, but as my weight has always been higher than it should be I suspect that is part of the problem and resolving that has to be part of the solution as well. Surgery would be very much a last resort, but if it is needed then I'll be back in the boot for a further 8 weeks.

On the plus side, I now have an elliptical trainer and today I had my first session on it with an initial 10 minute seated bike followed by another 5 minutes standing and using the handles as well. No real issues apart from I can definitely feel that my right leg is considerably weaker than my left, and I tired very quickly as a result of 10 weeks without exercise.
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 You'll get to see more forums and be part of the best ski club on the net.
You'll get to see more forums and be part of the best ski club on the net.
@ousekjarr, when I get to weight bearing after my TPF I couldn't stand on tiptoe on that leg for months. Fingers crossed it is just due to muscle loss
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 Ski the Net with snowHeads
Ski the Net with snowHeads
I've been around a bunch of these....they take a full year, but they do get there.
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 snowHeads are a friendly bunch.
snowHeads are a friendly bunch.
Thanks both, fingers crossed...
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 And love to help out and answer questions and of course, read each other's snow reports.
And love to help out and answer questions and of course, read each other's snow reports.
I snapped my achilles in 2010, when I was 40 (I'm 51 now), playing squash. After a few weeks in a boot, I had a 3-hour long surgery to repair it (they had to graft in some of the tendon tissue from further up my leg to fill the gap where the tendon had torn), followed by 3 months in a cast, and a further 3 months wearing a boot and intensive physio. It was hard work - there were many times when I thought I'd never get full mobility back in my leg, and the ability to spring off that foot and run, jump etc. But it did eventually start to improve and after about another 4-6 months it was a lot better. I still can't flex that ankle forward as much as my other one, but it hasn't stopped me skiing or doing any other sport or exercise. I was nervous the first time I skied after the injury, but in many ways the ankle being protected in the ski boot makes it feel safe. Stick at it, persevere, work hard at your exercises and stretching and it will improve. It's a rubbish injury but you'll get there eventually. Best of luck.
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 So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
So if you're just off somewhere snowy come back and post a snow report of your own and we'll all love you very much
@Rosey44, thanks - I've seen some improvement over the last week as walking and using an elliptical trainer has started to restore the strength in that leg. When the boot first came off, I was walking up one set of stairs in our house sideways because the treads are narrow and my heel was overhanging the edge of the tread which just wasn't possible for me. After a week, I'm now OK to go straight up those, so that's a clear sign of improvement. No word yet on the MRI appointment, but it's not exactly the best time to be visiting hospitals so unless I see a significant reversal of progress I'm not in any particular rush.

By evening time each day I have some swelling around the ankle, and I typically spend my evenings with the foot raised as before to address this. By morning, everything is normal, so I have to assume that this is to be expected and will improve over time.

This morning I had a 2 mile walk which included some muddy slopes and uneven surfaces, which passed without difficulty. It's getting there...
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