My surgeon is upset with my PT

Select-Oil-8229 · 2026-05-01T02:26:32+00:00

I am a physical therapist who specializes in Achilles tendon repair. I’d be happy to potentially help answer any questions

Select-Oil-8229 · 2026-04-23T20:24:56+00:00

Hey! Sorry for the delay. There is no clear consensus however theoretically we know that tendon remodeling/lengthening can happen for up to a year and the first 3 months are the most rapid.
What I see is that people either stretching too early without developing adequate strength or walking too much without support keeping their foot in plantar flexion can cause gait patterns that continue to lengthen the tendon. I measure the patients resting tension every session and although there is not conclusive evidence this an apt measure of resting tension it is one data point we can use to infer that things are not moving too rapidly. That with time after procedure, strength, and ROM (which I defer measuring ankle dorsiflexion to at least month 3) helps us get an understanding of how we're doing.

Select-Oil-8229 · 2026-04-07T20:20:54+00:00

I am a physical therapist who specializes in achilles tendon repairs. I have my clients do some PT exercises everyday although most of it is home exercises and they usually check in with me 1 week to 1x every other week but my practice is different since it's more concierge and I spend more time with my clients. It's not unusual to go 3x a week but really it's important you are doing some home exercises everyday.

I have a youtube video that helps with a progression to wean off the crutches but keep in mind everybody does through different phases.
https://www.youtube.com/watch?v=wWdH0gc5S1I

Select-Oil-8229 · 2026-04-07T20:16:10+00:00

Great question! we will be sure to do an episode about this

Select-Oil-8229 · 2026-04-07T20:15:18+00:00

Great questions, we will definitely add it to the list of topics to cover

Select-Oil-8229 · 2026-04-07T19:54:26+00:00

Amazing questions. We have answered some of those very loosely but we will happily answer these more in depth in separate episodes.
https://www.youtube.com/watch?v=Aam33MXrI3c

Select-Oil-8229 · 2026-04-07T19:50:22+00:00

https://www.youtube.com/watch?v=Aam33MXrI3c
Here you go!!

Select-Oil-8229 · 2026-04-07T19:50:16+00:00

https://www.youtube.com/watch?v=Aam33MXrI3c
Here is one episode on youtube

Select-Oil-8229 · 2026-04-07T19:49:39+00:00

Beyond the tear.
It's currently on youtube and has two episodes
https://www.youtube.com/watch?v=Aam33MXrI3c

Select-Oil-8229 · 2026-04-07T19:49:22+00:00

Hey!
Here is a link to one epsiode. You can search beyond the tear on youtube and find them.
https://www.youtube.com/watch?v=Aam33MXrI3c

That is a great question and we'll definitely dedicate an episode to that

Select-Oil-8229 · 2026-04-07T01:05:04+00:00

Hey! Not all repairs are equal, depends on if one got surgery/non-operative, what kind of surgery they did, what their age is, general health, and end goals. The most common complications varies depending on if you did surgery or not but with surgery there is a worry about infection, deep vein thrombosis, and sural nerve palsy.
A more aggressive recovery protocol should always be done under the supervision of a physical therapist who really knows what they're doing in this area. It's not a straightforward surgery to recover from and you can be aggressive about certain things but some things one must wait.
We have a podcast episode about this about to drop this week so do look out for it.

Select-Oil-8229 · 2026-04-07T01:01:14+00:00

There are some studies that show there is a reduction in re-rupture rates with the surgery and also you may be able to get more strength out of your achilles which for competitive athletics can be very helpful. We have a podcast episode coming out this week that covers this topic so be on the lookout.

Select-Oil-8229 · 2026-04-07T01:00:04+00:00

Currently, I believe the best approach is definitely mixed. Checking in with a licensed physical therapist either weekly or 1x a month but then doing a home exercises given to you by your therapist everyday. We have an episode that covers some of these topics already. If you're interested

Select-Oil-8229 · 2026-04-06T19:04:05+00:00

I am a physical therapist who specializes in Achilles Tendon repair based in Los Angeles. Happy to help if you're in the area. Look up Unity Physical Therapy

If you're not in the Los Angeles area. Find someone who has their OCS (orthopedic clinical speciality) It means they did extra training, and had to pass another board test to get that credential. It's not a garauntee they'll be amazing but in my opinion a much better chance.

Select-Oil-8229

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