Achilles Tendon Repair or Reconstruction

This information is provided to give you an idea of what to expect after your Achilles tendon repair or reconstruction surgery. Most of the time, this protocol is followed, however, variations in healing or individual situations may alter the timeline.

What can I expect after surgery?

Week 1-2: You will be in a post-operative splint which should not be removed. Do not bear weight and keep the splint dry. Elevate your leg above the level of your heart whenever you are not going to the bathroom or getting meals.

Week 2-6: You will be placed in a fiberglass cast that you may bear weight on as long as it is comfortable. You may wean from your crutches as tolerated. Elevation will still be important as swelling is expected.

Week 6-9: The cast will be removed and you will receive a removable cast/boot. You should wear the boot at all times while walking. You may remove it for showering and to begin gentle range of motion exercise.

Week 9-12: Physical therapy will be started for the range of motion and strength training. You may wean out of the boot on safe, level ground, but should continue to use it when outdoors or on uneven ground.

Week 12-24: Physical therapy and home exercise will continue. Swelling still may be present and is not unusual for up to 6-9 months.

How long until I can resume activities?

Work: Depends on your job. Desk: 1-2 weeks; Manual: 3months.

Walking without crutches/walker: 2-4 weeks.

Walking without cast/boot: 12 weeks.

Stationary bike: 6 weeks in boot.

Swimming: 9-12 weeks.

Running/Sports: 6-9 months.