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Rehab Protocol Achilles Tendon Debridement Begin stationary bike in boot with low resistance ROM exercise: continue as before, may progress to gentle stretch to neutral ankle position with the use of a towel
ACHILLES TENDON REHABILITATION PROTOCOL total gym with increased angle for heel raises and short arc squats; begin unilateral eccentric plantarflexion exercise
Haglund’s Deformity Excision Achilles Debridement Rehab Protocol Improve core, hip, and knee strength Light massage and elevation of foot to minimize edema Ankle AROM PROM, gentle resistance band strengthening with dorsiflexion limited to first point or resistance, NO calf stretching dorsiflexion past neutral Control swelling with elevation, massage, and modalities
Rehab Practice Guidelines for: Achilles Tendon Repair Originally written with a metronome set for 30 rises per minute, if one is not available, this could be left out and a heel rise can be performed on command 1 every 2 seconds Patient is to first perform one unilateral heel rise on each side, measuring the heel rise height difference
Achilles Rehab Protocol Peterson - Tristan Juhan, MD Active dorsiflexion to neutral only No passive dorsiflexion Progress to weight bearing as tolerated in boot with 2 wedges (Remove bottom wedge) or KOBE boot set to level 1 At week 5, if using wedges, remove second wedge leaving only one remaining Physical therapy home therapy continues as above
Insertional Achilles Tendon Debridement Procedure Overview: Surgical treatment includes debridement of degenerative Achilles tendon tissue, excision of bone spurs at the calcaneal insertion, and reattachment of the Achilles tendon using suture anchors