1 week post-op Achilles Tendon Tear repair, pain increasing
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
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 ebook, 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.
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Joshua Tucker, B.A., C.M.T.
The Tendonitis Expert