1 week post-op Achilles Tendon Tear repair, pain increasing

by Patrice

I am Patrice, a healthy and active 40 year old. I tore my achilles tendon at work on 12/12/10. I had surgery to repair the tendon on 1/19/11. The surgery was performed under general anesthesia, and surgeon described outcome of surgery as "excellent."

I went home the same day as surgery, and experienced little pain until the next day. That pain was just what I had expected- soreness around calf and ankle, and a pressure like pain when injured foot was not elevated. Spent next week on couch, only getting up to answer the call of nature. Stopped taking pain meds (norco) after 4th day.

Over the last 2 nights, I've been experiencing a different and more uncomfortable kind of pain.

The pain is in my heel, and is best described as an intense burning. It seems to intensify in the evenings and pain medications do nothing to alleviate it. I keep the injured foot elevated while in bed, so there is no difference in positioning.

I wake up at least 4 times a night as a result of the intense pain, and have to just wait until it eventually lessens enough for me to go back to sleep. Each episode lasts from 10 to 20 minutes, and the pain is simply remarkable.

The doctor said pain is to be expected, and offered a different kind of medication, but the level and reoccurance of the pain is surprising to me. I am just curious if anyone else who has had this surgery has had a similar experience and can sympathise or offer a solution. thank you


Joshua Answers:

Hi Patrice.

Part of the Tendonitis dynamic is long term muscle and connective tissue tightness.

Specific to Achilles Tendonitis, the calf muscles and the Soleus muscle underneath, and the connective tissue tightly wrapping it all, pull on the Achilles tendon.

Your muscle(s) could no longer absorb the force of the load, and the tendon gave way (which effectively created more length.

You had surgery which (assumably) pulled that tear back together. This effectively got rid of the new length.

So surgery reconnected the tendon itself.

But in no way shape or form does it reverse the Pain Causing Dynamic that has been feeding on itself to create more and more tightness.

So forces are still pulling. Even more so after the insult of surgery.

The Achilles tendon attaches to your heel, basically. It makes sense that that heel connection is now getting pulled on more than usual. This irritates the tissue. Thus pain.

Two thoughts, other than getting my Reversing Achilles Tendonitis program, is:

Magnesium for Tendonitis

and Self massage. Just get in there and start squeezing gently. Squeeze harder/deeper only if it doesn't hurt, but over time work your way down, lengthening too tight tissue, and creating circulation (old stuff out, new stuff in).

More questions, more answers.

Please reply using the comment link below. Do not submit a new submission to answer/reply, it's too hard for me to find where it's supposed to go.

And, comments have a 3,000 character limit so you may have to comment twice.

Joshua Tucker, B.A., C.M.T.
The Tendonitis Expert

Subscribe to The Tendonitis Expert Newsletter Today!

For TIPS, TRICKS, and up-to-date Tendonitis information you need!




Don't worry -- your e-mail address is totally secure.

I promise to use it only to send you The Tendonitis Expert Newsletter.

Comments for 1 week post-op Achilles Tendon Tear repair, pain increasing

Average Rating starstarstarstarstar

Click here to add your own comments

Jun 12, 2017
Achilles tendon rupture - burning pain
by: Katalin

I had a full Achilles tendon rupture. I had an operation a week ago. Until now i had no pain, but this afternoon the burning pain in my heel started and when it comes it is pretty bad, it actually makes me cry. My doctor did not mention anything about this pain. I still have a hard cast.

I read the previous comments, but there was not mentioned how long we can expect this pain to be this bad.

Please give me some info about it. Thanks.


Joshua Comments:

Hi Katalin.

That's great you had a week post-surgery without pain! Lucky you. (Not joking).

But, your doctor didn't mention anything about bad pain. They often/usually don't.

But, your achilles tore in half. Then a surgeon cut through your skin, probably cut your tendon (to clean up both sides), pulled the ends together and stapled (?) them back together.

That is a MAJOR injury.

So it's probably going to hurt, and bad, for a while. How long, I don't know...it depends.

- How overstretched are your lower leg muscles now? (the reattachment process essentially shortens the tendon so it's pulling on the muscles and connective tissue).

- How bad is your inflammation process?

- How fast can your body dial down the inflammation process and clean out the pain enhancing chemical it releases?

- What's your nutritional status? Meaning, how sufficient are you in the nutritents needed to relax muscles, recover from the stress of pain/trauma/injury/etc?

It's unlikely your doctor gave you any self care short of rest, staying off it, elevating, and painkillers and anti-inflammatory drugs.....and you're stuck in a hard cast so you can't ice dip.

So at this point, pain killers, anti-inflammatories, elevation and positive thoughts.

Your body is severely injured and trying to heal.

More questions, more answers.

Jun 09, 2017
Response to Joshua
by: Shsnnon


Yes, I am in a half cast with fluffy stuff on top and ace wraps. My first post op appt in this Monday. I would really love to get in a boot!


Joshua Comments:

As soon as the hard cast comes off, get to ice dipping A LOT for a while.

Jun 08, 2017
Burning/pain almost 2 weeks PO
by: Shannon

I, too am having all night burning pain. I will be 2 weeks PO tomorrow. The last 2 nights have been pretty bad.

(I googled the symptoms and found your blog!)


Joshua Comments:

Hi Shannon.

Are you (still) in a hard cast?

Feb 06, 2017
Burning pain
by: Annette

I too am having the horrible burning pain in the back of my heal. Sometimes enough to cry and bring me down like a hot iron.

I am 7mo. out its driving me crazy. I do have horrible RA so I thought that may be why. I see doctor next week.


Joshua Comments:

Hi Annette.

We need more details.

By RA do you mean Rheumatoid Arthritis? Why exactly do you think you have RA?

You've had achilles tendon rupture and/or surgery?


Aug 26, 2016
post-op achilolesàhaglands deformity surgery
by: barb

I have had 2 operations for this prob, been in 4 casts I have severe pain while in cast

Burning aching causing crying during first surgery all went well no post-op pain at all site was super glued it was still draining was sent home with a dressing and told could could return to work.

I am a floor nurse no sitting wound reopened again to surgery this time after 10day post-op cast # 4 was applied I am having severe pain with castup (L) side of leg around to back oh leg with some burning.

Dr said repair was more extensive moved wound from one side of ankle to other pulling skin formimg a huge bulge what can I do for the pain.


Joshua Comments:

Hi Barb.

The doctor returned you to full duty to an on-your-feet job?? While the surgery wound was still open and draining? That's crazy!

In the short term, it's painkillers to deal with the pain to get you through the day.

When the cast comes off I'd jump into the Reversing Achilles Tenonitis program.

You're going to need to do some work to rehab what's going on in there.

And the second the cast comes off you'll want to go heavy with the ice dipping you're learn in the How To Reduce Inflammation page.

In the mean time:

- keep your toes and ankle moving a little tiny bit in the confines of the cast. Keep things moving.

- increase your protein and good fat intake

- natural anti-inflammatories like turmeric

- read this entire thread and follow the links/read those pages too.

May 07, 2014
topaz surgery on june 26 2013 and its not looking good
by: Kim

I am a 42 yr old 230lb black female.I started having pain in my left heel early may while working. I work in a warehouse walking 9 hrs at a fast pace.

So with my heel pain I couldnt work. I went to the podiatrist and he took a X ray which should that I have a hugh bone spur. So before he could give me a cortisone shot he orderd a mri.

The mri showed a small interstitial tear at the lateral aspect is what the report says along with showing mild to moderate plantar fascitis and plantar calcneal spur with stress reaction also mildly hypertrophic PB and PL tendinopathy and peritendinitis ATFL sprain and last low grade PT tendinopathy. Deltoid ligament sprain.

So I dont know what any of this means but he suggested I wear a boot and threapy did that from may 16 till june 16 and no relief also taken off wk.

So he suggested the topaz surgery with will focus only on the tear because he said that he didnt think the bone spur was the cause of the pain. It was from the tear. So mins before they put me to sleep the dr asked me exactly where my pain is so he can mark off where he will perform the procedure I told him where and 2 days layer when I can take the bandage off I noticed he didnt do it where we discussed.

As day go by 3 day exact I have a hugh knot where he did the surgery. So now on top of my old pain I also have new pain. The site of the surgery hurts along with my WHOLE foot and angle. So my check up visit was july 5 2013. First I wanted to know if the site should look like it does.

The nurse was obviously concerned with the look before the dr came in its dark spots above the site and the knot. So the dr comes in and he looks at it looking concerned as well.So he says that the knot is my bone and I can see it better so thats a bunch of mess.

I asked was he sure it wasnt a cyst and he says o no its not a cyst. So I asked why he did it where I told him it didnt hurt and he first says that's the focal point then he said I told him it hurt right there and I told him I've never had pain there till now so he says I want to keep u close to me. Come back in 3 weeks and to stay off it which I have pretty much and he also said that since I was stretching like I was advised to that maybe ive strecth to much and to stop but he wants me to go back to therapy which focuses on stretching.

I think I have made a big mistake with this dr.

Still in alot of pain and extra pain.


Joshua Comments:

Hi Kim.

A doctor asking where he's doing surgery moments before actually doing that surgery is not a sign of a good doctor.

Nor did he ask or inquire or consider WHY you were having pain/problem in the first place. An MRI is just a picture of current events. Doctors SHOULD wonder WHY the MRI looks like it looks.

Pain and tear etc doesn't just show up for no reason. And those reasons are still in place after surgery.

It's been a good long while since you posted. Give us an update and we'll go from there.

Mar 23, 2014
Burning sensation from Achilles surgery
by: Anonymous

My husband is 4 days post surgery and also having same intense burning sensation that worsens at night. Pain meds do not help the burning.

Does he need to be on a different type of medication ?


Joshua Comments:

Hi Anonymous.

I don't know if he needs meds or not. You'll have to hope your doctor has something to offer there.

Surgery cuts into flesh and causes injury (which causes a lot of inflammation side effects, etc). There's going to be pain, etc. If any little nerve was bruised/damaged/cut, there will be issue from that too.

Aug 15, 2011
Post Achilles Tendon surgery question
by: James Guy

Hi. I injured my Achilles tendon about 3 months ago playing basketball. It started as a high grade tear and started to scar but last Sunday it popped and I had to have surgery. So on 8/8/2011, my surgeon repaired it and gave me meds and im in a splint. Now the last couple of days, my calf muscle has a pain similar to like a Charlie horse pain. When my leg is elevated it doesn't hurt but when I get up, and of course im using crutches, it hurts.

My surgeon's nurse said its normal. What is wrong?? Can anyone help?? Thanks


Joshua Comments:

Hi James.

Unfortunately, it is common.

Your tendon ruptured. You had surgery to reconnect it, which effectively shortens the structure. Plus all the trauma of surgery (cutting, torn flesh, punctures and cuts etc.

So now when you're upright, even the pressure of blood and gravity is going to cause it to hurt. You have a crazy unhappy Process of Inflammation.

And if you put any weight on it (I assume you're in a cast) the tension on all that unhappy tissue makes it hurt.

The charlie horse is likely from your traumatized muscles now being pulled apart 24/7 from the new tension of a shorter structure.

I highly suggest you get an ARPwave unit (see The ARPwave System). Not only for the fast pain relief results (neurologically setting short muscles to length) but for the 4-8 week full recovery it can help provide.

Magnesium for Tendonitis would also be highly suggested.

More questions, more answers.

Click here to add your own comments

Join in and write your own page! It's easy to do. How? Simply click here to return to Achilles Tendonitis Surgery Stories.