Achilles Rupture Recovery

w20 / The fear is gone

Fear of re-rupture and elongation disappears

The fear of re-injury fades; respect for the injury remains

(Mar 2nd-8th: 3 mins read – still mostly notes)

TL;DR:

– My beloved chucks return ☺️
– Daily gait exercises now doable barefoot
– Introduction of a ‘Morning Routine’
– Managed 1km @ 10min/km on the treadmill

Milestones (& significant events)
WK20Milestone / Significant Event
D-1Silicon inserts unnecessary in running shoes
D-2First day out in chucks
– sunshine, t-shirt and shorts: spring is here!
D-3Heel-to-toe gait exercise: barefoot doable!
D-4Achilles.Rebuild “Morning Routine” change
– first dynamic’ movements: “Rebound calf raises”
1km @ 6kph = 10min/km / 0.6miles @ 3.7mph = 16min/mile
Stationary bike load increased to 180W
D-5
D-6
D-7
Approx 8k steps / day average

< Note: For a complete list of milestones click <here>.

Physical health (& progressions)

A summary of this week’s physical stuff with various metrics to monitor progress.

Body statistics / metrics

Weight: kg / lbs

Calf size: cm (morning)

Knees-toes: cm (warmed-up)

Elongation: all good

Single leg load:

Double leg deficit:

< Note: decided the knees-to-toes measurement simply needs to be done at a time when the tendon is warm … no point in associating a time with it, because the time of day seems to be irrelevant. Actually, perhaps it makes sense to do a cold/first thing as constant reference and then a warmed-up one too … >

Physio drills / weights / reps / etc.

Ankle Mobility (stage 3) – aka ‘Morning routine’: This looks like being the ‘paradigm shift’. With a bunch of easy-to-perform exercises, no weights necessary, I should be able to do this anywhere; on top of that, I can cut the reps and/or sets to adjust the time ‘on-the-fly’ from around 35mins for the full unit down to maybe 15mins Doing the rebound calf raises is also a psychological boost at the moment, feeling like a real bit of progress.
Consistency: 100%.

Ankle Strengthening (stage 2): .
Consistency: .

Lower Body Strengthening (stage 2): .
Consistency: .

Real-world movement / exercise

Walking: Finally hit 6km/h (10min/km) on the treadmill over a km; walking in the ‘real world’ is getting close to that, mostly around 10.5-11min/km with a cadence of around 120-125 being no problem in the Brooks Arishi; walking in my beloved chucks is something I’m obviously going to have ease myself into … warmed up and with the silicon pads, it’s ok, but cooled down, and with rucksack, it’s still a bit too much -> tendon gets sore relatively quickly.

Cycling: Stationary bike load upped from 150W to 180W, to start with just 10mins … tendon tolerated it fine, so I guess next week I can up the time to 20mins.

(Note: see here for benefits of low load cycling for Achilles rehab)

Climbing: Sunday saw me attempt a VI+ route … got about halfway up. I reckon it’s doable, despite me still not using the booted foot at all, just the knee, but I’d been bouldering a while and the forearms got pumped. The following efforts, going down the grades gradually to VI, VI-, V+ and finally a IV+ were less of a ‘top performance’ climb 😅, more of a sweaty pump … but, as always, still nice just to be able to climb and know I’ve done something good for my condition.

Mental Health (& daily happenings)

It may seem odd that I feel the fear of re-rupturing has faded. Don’t get me wrong, I’m not indifferent to whether it happens or not. However, after my couple of close-calls last week, and the way my tendon and calf are definitely gradually getting better, I’m trying to keep things a little more in perspective: I’m being pretty sensible, I think, wrt everyday movement and behaviour, I’m mostly doing my physio (my local PTs have said I’m working way harder than most), so there isn’t really much else I can do.

So, if it happens, or the tendon ends up having healed on the long side … well, that’ll be the way it is – I’ll get through that, like I’ve gotten through everything else in life.


Future-Sol’s reflections (< to come >)

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