Minimally Invasive Achilles Tendon Repair Rehabilitation

Week 0–2

• Backslab cast in slight equinus, non-weight bearing.

Week 2–6

• Change to cam walker with 2 x 1cm heel wedges.
• Start partial weight bearing, initially max 20 kg first 2 weeks, then increase to ½ bodyweight.
• Boot off for showers and physio.
• Physio = active assisted range of movement (ROM), max plantar flexion.
• Dorsiflexion limited to minus 10 degrees.
• Patient should do gentle active rom daily.

Week 7

• Remove 1 x wedge, graduate to full weight bearing.
• Physio = start gentle strengthening with Theraband.
• Increase range of movement (ROM) to max 10 degrees dorsiflexion.

Week 8

• Remove last wedge, physio same.

Week 9

• Graduate out of cam walker, start weight bearing strengthening with physio as tolerated.
• Range of movement (ROM) unrestricted as tolerated.
• Gradually increase walking distance / time as tolerated.

Week 12

• Allowed to start running.