Achilles Tendon Rupture Website c.2016

A quick reference all text, mobile friendly resource for people or persons recovering from a Achilles Tendon Rupture Injury
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  • Weeks 2 to 4

  • This is when things will start getting a bit easier. And you life start coming back a little towards normal.

    The VacoPed Boot

    The Vacoped Boot is a fabulous thing. It resembles a ski boot, but with Velcro straps and is more open in design. It comes with a sloping sole that is used in the weeks 2 to 6. This sloping sole keeps the foot at a 15 degree and or 30 degree angle, which for the first 2 weeks post fitting is 30 degrees (similar angle to foot whilst in plaster). The good thing now is that you can put weight on your foot.

    I will not go in to detail here with regards to the boot as you can look that up on the VacOped instructions.

    Increased Mobility

    When you are first fitted with the boot it will feel very strange, after all you have not put any weight on you foot for four weeks, so walking on it again will feel weird and uncomfortable. . . .

    Walking

    Walking at  first will be difficult and after being fitted with your new boot you will almost certainly need to use crutches for a minimum of 24 hours. This is as much a trust exercise as it is a practical learning thing. But although it may be quickest to get around on crutches in the first instance it is important that you do put weight on the foot, this is all part of the healing process. The theory being that the gentle use of the tendon, whilst in the boot helps the scar tissue for in the right way, so that you will develop optimal movement in the weeks o come.

    Washing

    This is still a dangerous time, and you risk going back to square one if you slip in the shower (see Be Careful! - above). The safest bet it to put a plastic chair in the shower and sit on this whilst you take off you boot, then have a shower, get dry, and put the boot back on whilst still sitting on the chair in the shower.

    It is worth mentioning at this point that you will likely have quite a lot of dead skin accumulated on the sole of you foot. Yuck. So a scrubbing brush to get this off is good. DO NOT scrub your wound!

    Driving - Part 2

    How easy it is for you to keep driving will depend on which Achilles you have ruptured (left or right).

    Note on Insurance

    Being able to physically drive, and being able to legally drive are two different things. After all I drove myself back home after rupturing my Achilles (right foot), so you can do it, but not legally. The problem being insurance. If you knowingly get in to a car and are unable to apply the brake. . . and this leads to an accident. . .then your insurance will not cover you. You bad leg will be a "contributing factor". So if you drive car with a inoperable right foot, then you are essentially (simplified) driving without insurance.

    Left Achilles Rupture

    If you have snapped / ruptured your left Achilles and you drive an automatic, then lucky you you may be able to drive if your doctor will sign a chit to say it is OK for you to drive. Your work may rent you an automatic car rather than have you off sick for weeks at a time, so that is an option too. If all else fails then why not buy an automatic car. . . . .

    Right Achilles Rupture

    Oh dear. There is one thing you can do to keep driving. That is to take a specialised driving test, so as to drive an automatic with your left foot. I did have the idea of renting a car with hand controls, but again this would require you to take a special driving test. BUT if it is this or go bankrupt then best get on with it.

    Cycling

    Perhaps your saving grace. Just 4 or 5 days after fitting my VacOped Boot I was cycling. I have done a blog post on this "Cycling in a VacOped Boot". I am not sure if this a good idea or not, but it can be done. Even in your 30 degree boot. You will need fairly wide pedals, preferably with metal spikes on them to stop you foot slipping off (particularly in the wet). If you live in a flat area then I would have no hesitation doing this, as you can pretty much cycle with your good leg on its own, whilst the bad one is carried around on the pedal.

    E Bikes

    I am not sure on the detail here, but you do not need insurance for an E Bike (Bike with electric motor) so one of these rented with a "twist and go" throttle setup may save your bacon if you need to get to work. You could even buy a kit and modify your existing bike.

    Quick Guide to Renting an E Bike: Ask for: Twist and Go Throttle, Upright Ride & Bags to Put Stuff In (Also ask "Is the battery big enough to get me to work and back?")

    Flying

    I was told I would need a doctors note, to explain why I was wearing a boot. I flew to London City and back absolutely fine. You may be asked to take off you boot and put in through the scanner. But whether you do or not you should be fine to fly. You can also ask to be wheel chaired around if you want whilst in the airport.

     

    Environmental Consultants London