Achilles Tendonitis Surgery two years ago, still healing.

by Bill W.
(Oregon)

Looks like I'm the first story on here. Cool!

4 years ago I started having pain in my right Achilles Tendon, halfway between the calf and the heel.

I'm a runner, so I didn't want to slow down or stop. I probably should have.

3 years ago the tendon pain got so bad I couldn't run more than half a mile, even when I took a long time to warm up.

I made myself rest for 6 months. I didn't run at all. I elevated my foot as much as I could, did upper body and upper leg strengthening at the gym, stretched my calves.

Ibuprofen and ice packs not as much as I should have.

At the end of the 6 months, I went for two short runs. The day after the end of the second run, my Achilles hurt just as bad as before!

No running was driving me crazy. I rested and tried to work back into running, thinking that it had to be healed and that I just needed to work back into it slowly. 6 months of that and it became clear it wasn't going to heal.

My doctor advised me to have surgery, so I did.

I don't know if I should have. It was another 6 months just to heal from the surgery. Now my Achilles is really tight.

It's so stiff when I wake up in the morning. It's stiff most of the day.

I can walk on it fine, but when I start to jog, it just feels so stiff that I know I should stop. I've been stretching taking it easy for the last 2

years after the surgery.

I will say though, it does hurt less than it did. And I've started hiking instead of running. It's good to do that with my kids. Happened for a reason I guess.



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Joshua Answers:

Hi Bill.

The problem with Rest, as you've discovered, is that it A. doesn't work and B. wastes A LOT of time.

And while Anti-inflammatory drugs like Ibuprofen can be fine to get you through the day, they are also not a fix.

Ice packs, better than nothing but not ideal.


Surgery leaves things tighter for a variety of reasons, including the post-surgery immobilization and the shortening of the Achilles tendon (depending on the surgery).

On the upside, you get to hike with your kids now. The downside being, you can't run (or predictably pain etc will build up/return).

Tendonitis is a dynamic. Its factors were in place and they are still in place.

See: What Is Tendonitis





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
















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Comments for Achilles Tendonitis Surgery two years ago, still healing.

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Jul 30, 2015
Pain in achilles and calf 5 months after surgery
by: Jamie

I went in to see the doctor because of my heal pain , I knew I had a spur on it and thought if I had it remove that the pain would stop.

To my surprise he said my Achilles was torn and I needed to have surgery to fix it.

I elected to have the surgery and now 5 months later I have more pain then I had before the surgery.

The pain is in my heal , ankle foot and calf. I still have swelling and my heal feel like it is dead to the touch .

I did the boot for 6 weeks ice it and need pt three times a week.

Why am I still in pain ? The doctor seems like there isn't anything wrong , and acts like he doesn't care.

What do I need to do , and how do I get out of this pain and this limb ?


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Joshua Comments:

Hi Jamie.

It's not that your doctor is acting like he doesn't care. He actually doesn't care.

Significant pain etc 6 months later is something that -should- bring a doctor to attention.

But it's just easier to shrug it off and either blame it on you or pretend that it's no big deal.

It's no big deal to the doctor, but it is a big deal to you.

So.

1. Was there a bone spur?

2. Was it removed?

3. What exactly was done during surgery? Was the Achilles totally severed and reattached, or....?



Jul 14, 2015
2 achiles surgeries
by: Longtime

My case is the same as some post with a little twist.

I started 1 year of conservative therapy which didn't work.

I was told it was a bone spur. After an MRI I was told a bone spur and Achilles tear.

Surgery number one was performed. Three weeks post surgery I collapsed and was life flighted for massive embolisms in my lungs. I was told I should have died.

I spent 11 days in the hospital, 4 in ICU. After having to see heart/lung specialists I am on blood thinners for life. My first surgeon told me "tough break" but my achilles was gr8, better than ever.

Several months post surgery still couldn't bear weight on my leg. Saw a second surgeon and ended up having a radical second surgery.

My achilles was shredded and too far gone. My tendon to my gr8 toe was severed. My new surgeon transferred another tendon (only one left) to replace the achilles. It has been 17 months post second surgery.

Toe are numb constantly, needs compression wrapped for life. Swelling is horrible. Did several months of PT to gain some use.

Driving is a challenge and steps are a killer.

I guess all I can say is pick the right surgeon the first time. Though my second surgeon was gr8 he told me going in I would be in at least an 18-24 month recovery with extensive nerve damage.

At least I can walk now though limited with swelling. I wish everybody the best with their surgeries. I have been going through this 1 year conservative, 26 months since surgery one.

Again good luck to all......





Jun 14, 2015
Achilles Tendon Swelling
by: Spencer

I ruptured my achilles tendon nearly 1 year ago.

I wore a boot for five months and it healed without surgery.

7 months after taking the boot off and going through physical therapy my ankle is still swollen but does not have any pain.

Not sure if this is normal and I can expect the swelling to reduce in the future.

Sometime I think surgery may have been the best option but took the cheap way out since I didn't have insurance.


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Joshua Comments:

Hi Spencer.

Well, ya gotta do what you gotta do.

The good news is, you can walk around etc.

The bad news is, achilles tears generally (ok, pretty much never) 'heal' back to 100%.

You still have some problem going on in there.

Can you rehab it? Probably.

If you're not an athlete and don't want to be running around, that's a plus.

Getting the swelling gone and back to normal enough function is one thing.

That plus the ability to run/sprint/jump, that may (or may not) be a much bigger deal.

There are a lot of factors at play. You'll need to deal with all of them. Primarily, the factors/dysfunciton that caused the rupture in the first place (if muscles etc aren't working right, then they can't handle the load and that force has to go -somewhere-).

I recommend that you get the Reversing Achilles Tendonitis program. You have to do the same things for tendonitis as you do for recovering from a tear.

And, we're assuming that the tendon itself did in fact reconnect and have a pretty good connection that we can improve upon.

Or if you're really motivated/really need it, the ARPwave System.

(See links to both in this thread).



May 09, 2015
Lacerated Achilles' tendon
by: Carole

I had a bad run in with a piece of metal roofing tin. I was holding the tin up for my husband to grab from up on the roof.

This was something I had done plenty of times and never had an incident. He had a hold of the metal, as I turned to walk away my ankle raised up and hit the edge of the metal.

I instantly knew it was my tendon, my foot went numb. He came off the roof and looked inside and had seen that the tendon was completely in two. No blood, and no pain????

The metal was as sharp as a scalpel.. Needless to say I had an mri and surgery. It's been 7 months and it is still very sore?

Just wanted to know if that's normal? Thanks


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Joshua Comments:

Hi Carole.

Yes, it's common to have soreness/pain etc that far out from reconnection surgery, and even further out.

It's a big chunk of tendon attached to some big/strong muscles.

Keep doing good self care so it will heal as happily/well as possible.


See Related: Achilles Tendon Severed at Heel In Accident



Dec 13, 2014
Gymnastics- 42 year old Full Achlles Tendon Tear
by: Emily D.

On June 3rd, 2014 I was performing my year end coaches demo with a few of my staff members ( a routine which we had been practising for 2 months) That day I had cold feet all day when working and tried really hard to warm them up by wearing socks and shoes when coaching gymnastics that night.

Just before our demo I did my normal stretches ( achilles being one) and yet still could not warm up my feet. So as the demo proceeded I came to my first tumbling line of 3 consecutive backhandsprings and on the third felt like I had hit something with my calf muscle.

I turned around thinking someone or something was on the floor as the gym was filled with parents and gymnasts and nothing was there. So I stepped down and walked towards my corner and knew that something was not right. I happened to just sit out and watch my coaches perform the rest of the demo, not in pain or discomfort at all.

Once done I then hopped up and gave my year end speech and then was carried out and suggest I go to the hospital.

So of course the Dr at the hospital can't totally diagnose this injury but was pretty sure I had torn my achilles.

I was in disbelief as I was in no pain.

I ended up with a fiberglass cast and was told I would hear from the specialist tomorrow.

On June 10 I went for my appointment and had an ultra sound where he showed me the 7cm tear and then discussed my options.

I was devasated as gymnastics is my life and my job and how could I go months without being in the gym. I had the surgery the next day.

Everything went well and I did not have a ton of pain so very lucky. I only missed two days of work and ended up purchasing an IWalk, this was the best thing I could have found as I could actually walk hands free with no crutches.

I could vacuum, carry kids, clean and do normal activites without the burden of crutches.

I was released from my Dr on Sept 3rd exactly three months since my injury and am now running and actually doing some basic gymnastics.

I feel working in the gym is physio for me and after each day my achilles feels better and better.

I am still doing physio two times a week and am looking forward to a full recovery so I can get back into tumbling and jumping like gymnasts do!


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Joshua Comments:

Hi Emily.

That's great you're feeling better and better!

Out of curiosity, are you doing anything other than walking around the gym for self care?

What were/are you doing with the physio?



Jul 14, 2014
Long Recovery after two achilles surgeries that left me worse that I was before
by: BooBoo

Hi all,

My case is similar to many folks out there, back in Dec 2013, I had a bone spur and bone removed from the back of heel since the spur was tearing the tendon up, Dr. had to detached the tendon and reattached with anchors, remained in a cast for 4 weeks then in an orthopedic boot for another 4 weeks, my leg developed so much pain and one Dr. told me I had CRPS on my leg so my healing process was slower.

In may I told my Dr that I couldn't walk normally, the tendon was so tight it was impossible for me to walk off and plant my foot with ease, he the told me that he thought I needed to have another surgery to lengthened the tendon, I told him go ahead and do it immediately since I am on LTD from work (luckily).

So, here I am 2 months after my second surgery and I am not able to walk without dragging or limping, the tendon still is very tight and if I walk for long periods of time my leg swells.

Folks this is so frustrating, it has already impacted me mentally in addition to physically and at times there is no one out there that seems to understand what condition really entails...

Hopeful, Optimistically Staying Strong.


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Joshua Comments:

Hi BooBoo.

That sounds horrible, sorry to hear that.

What are you doing to heal that?

In the future, here are some questions to ask your doctor. Quiz Your Doctor



Apr 22, 2014
Fully Ruptured Achilles Tendon 14 months ago...now facing possible re-tear
by: Simone

Hi...

I fully ruptured my right achilles tendon a litte over a year ago. I did it after deciding to play half-court basketball with my husband and his friends. I had the surgery about a week or so later and went through the long recovery.

The pain immediately after the injury was bad, but then it was just sore. Surgery went well and I worked hard to recover from it. I had been doing REALLY well, running 2x a week, walking and being pretty active. Then my family went on vacation to Arizona for a week. It was my idea to go hiking because of the beautiful scenery out there. The trail we picked was a 4 mile hike, not too too hilly, but overall with some rough terrain, mostly rocks in the dirt that kind of made your foot slip a little when you stepped on them. But nothing that bad.

The next day I was ok, but I wore a pair of wedge heels to a function that we went to. I never felt any pain or anything definite, but the next day my tendon felt sore and swollen and I knew something was different. I bought a wrap for it and took it easy. Came home and went back to work, but wore ankle wrap, etc.

Well I saw my ortho doctor this week and he did the Thompson test, which I failed. He thinks I may have a re-tear, just not sure how bad. I am pretty devastated but have accepted that this is the case...just want to move on and start healing again. I can't get in to get an MRI until next week, but in the interim I am using crutches and taking it easy.

I am fairly certain this cannot be a full tear this time because A) it is not swollen B) I can walk C) after I came back from vacation I was raising up on my toes.

I am hoping that I may just need to wear the boot for a few weeks and let it heal on its own. I am looking into supplements and have ordered some recommended on this site. Would appreciate any advice or help or someone who went through similar issue...Thanks.


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Joshua Comments:

Hi Simone.

How's your leg doing now, what's happened since posting this?

The reason situations like yours happen is because there are specific reasons that Achilles tendons tear in the first place, and surgery to reconnect the tendon in no way address those factors. So recovery is hindered and future tear/pain/problem is entirely common....because the same factors that caused the original tear are still in play.

The ARPwave is the best and fastest fix I know of.

My Reversing Achilles Tendonitis ebook shows you what you need to do for recovery, but depending on the severity of tendon damage it can help but not 'fix' what's going on.

See: The ARPwave System


RELATED: Michael's Post Achilles Tendon Rupture Surgery ARPwave Story



Give us an update and any questions.




Mar 08, 2014
7 Years Later after multiple achilles tendon surgeries
by: Sharon

Hi Joshua

I had my surgery 7 years ago it was a stretching of my Achilles tendon with an anchor in my heel bone due to a sore plantar fascia, after the surgery I could not walk unless on my tip toes due to swelling.

Then after 6 months of physiotherapy it tore 3/4 of the way and medically was told to let it self heal which it never did so 6 months later I had a operation to clean out the swelling and take a closer look.

12 months later I had another operation to take my tendon from my big toe and attach it to my Achilles after this operation I was optimistic however same thing inflammation, so before Christmas 2013 I went into have it looked at again and remove some of the inflammation they found my Achilles had slightly fused to my muscle they released this and said they think they have found the reason why it has been so inflamed all the time.

It is now March 2014 and still the same.

The bottom line is after countless operations and physiotherapy and plaster casts and crutches and boots and anti anti-inflamitries all the other exercise and rest, I can only just walk around 1/2 a mile a day and then I'm done.

It just swells like an orange, there seems to be no end to it.

Any ideas on how to reduce this swelling permanently?


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Joshua Comments:

Hi Sharon.

Have you done anything for self care other than follow the prescriptions of doctors?

Have you learned How To Reduce Inflammation?

Magnesium For Tendonitis?



Feb 06, 2013
Arrgh! Donna, I deleted your response by accident!
by: The Tendonitis Expert

Hi Donna. I'm assuming it was the same Donna that wrote in, but after responding to your next response I accidentally deleted the whole thing. :(

First time in 4 years that I've made that particular mistake.

If you're motivated to do so, please respond again.




Feb 05, 2013
walking again
by: donna

Hi all I am now walking again more or less normaly,I have found the best way to deal with the stiffness is by walking up the waits bare footed and trying to walk on my toes when I first started to do this It was quite difficult but as the weeks go on i have found it easier,i can run but because my walling was so bad at the beginning it causeed a mayor problem with my knees and they were more painful than my feet but having forced myself to walk as normal as i could i have now over come this i am aware that it will take quite a while for this to return to normal but i am coping well .

Having done both of them at the same time i knew that it was going to be a long haul ,so i was prepared and also i wanted to stick two fingers up to my consultant as he said i would never walk normaly again well I am yes at the end of the day I have pain but I am walking and living a normal life so my only words to those who are suffering this condition is just keep going do not let it beat you adjust and over come.


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Joshua Comments:

Yeah, those pessimistic doctors....dumb.

I think '..walking up the waits bare footed..' was a misspelling, but I can't figure it out. 'Walls'?



Feb 03, 2013
Exposed achilles tendon 3 months after surgery
by: eve

I had surgery two mths ago and another one to close a small rupture. Since then the tendon is still expose and the surrounding layers of skin is not covering the tendon.what could my doctor use to fix the problem?


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Joshua Comments:

You've had an open wound/exposed tendon for 3 months???

Your doctor should investigate why in the world your body isn't closing/healing your wound. Since it's been three months, I'm guessing that your doctors aren't going to do that.

Unless you're 90 years old with paper thin skin, you should be healing and the wound should be closing.

Hi Eve.

They stitched it up, right?

The first place to look is nutrition. You don't have enough basic building blocks for the body to do what it's designed to do, so it's not.

More protein, more healthy fat, various nutrients to therapeutically supplement with. No gluten, no processed foods.




Feb 02, 2013
Pain after 2 years
by: Emma

Hi there, 2 years ago I had tendonitis surgery at the time I was 19years old & my doctor didn't know how I would recover as he said it was not normal for someone my age or anyone under 30 to have this issue. They believe I gained this issue by my high level gymnastics & soccer for years.

When it's very hot or very cold I get stiff pain by the heel bone which makes my muscles tight & makes walking painful.

I run fine, walk fine swim fine everything! Other then when I am experiencing temperature pain

Jan 11, 2013
response
by: Anonymous

Thank you for you response ,I am now walking relatively well on a good day .

Yes I did rupture them both at once the left one went first then when I drew the right leg forward the other one went just a loud snap in both no pain then I fell ,as I didn't know what I done I tried to walk them there was pain. I haven't really had much input from any medical professional.although I am nearly back to normal.

I did suffer a few infections and later found a stich under the skin which when I found it and removed it resolved the infection.

Any information you can give me will be gladly received

Thanks donna


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Joshua Comments:

Yeah.....don't expect much from the medical profession.

A little surgery, a little PT, and off you go.

So.

Did you have partial or complete ruptures?

How did the surgeries go?

What's the exact timeline of injury to surgery to walking to now?

How's pain, swelling, etc been?

Basically, write me a very detailed story, including your hopes and wishes for how active you want to be (and why), etc.

The more complete picture I have, the better opinion/commentary I can come up with.






Jan 06, 2013
Ruptured both Achilles running
by: Donna

I am 44 years old and ruptured both Achilles tendons whilst running.

I've had both operated on but i am now two weeks post opp and have no real pain or swelling but i am concerned about walking again i can not find any information about recovery and have no input from my surgeon so if any one out there could give me some ideas about what to do or how to get back on my feet again i will be for ever grateful.

I've been given boots and crutches but i am still in a wheel chair and do try to walk a bit but i have no real balance so i am at a loss as what to do.


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Joshua Comments:

Hi Donna.

Do you mean you ruptured both achilles while running at the exact same time?

I'd be curious to hear more about that.

Granted it's been 3ish months since you submitted this question, but it's good news that 2 weeks post surgery you're not having pain. That's a good sign.

Unfortunately, yes, while one expects good post-surgery advise and self care instructions from one's surgeon/doctor/medical facility, one probably shouldn't. The medical community somehow still thinks that surgery and rest you'll be back to 100%. They often prescribe physical therapy as an expected aspect of treatment, but if you come back with pain, it's always somehow your fault.

So give me an update on where you're at/how you're feeling/what you've done since submitting this and we'll go from there.

I imagine you're out of the cast by now.





Aug 21, 2012
Military 6 months after surgery & still hurts
by: Anonymous

I had surgery in Feb 2012 now it's Aug and I am still having pain in the mornings, with stiffness etc. I also have a slight bulge in the back where they attached it.

It also doesn't help that I'm in the military and i have to wear boots that causes pain throughout the day.

Is the pain normal like this after surgery? Also when i try to run/jog i feel it really tight and it feels like i'm limping.


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Joshua Comments:

Hello Anonarmy.

Unfortunately, Achilles Tendonitis surgery isn't the cure all we'd like it to be.

It was ALREADY tight, that's what caused the original Achilles Tendonitis Symptoms.

Surgery doesn't fix the CAUSE of the achilles tendon pain and symptoms.

SO 8 months later, when things are still tight and painful.....

So, is your situation ideal? No.

Is it 'normal'? For the most part, unfortunately, yes.

Why? Because you weren't given effective post surgery rehab. Because the original causes of the problem weren't addressed by surgery so are still in place.

Get the Reversing Achilles Tendonitis ebook, and get to serious work on it (because it's predictable that if you keep running etc, things will get bad again. I don't want that to happen, but it's predictable).



Jun 09, 2012
A Year Later 3/4 achilles tendon tear and no surgery
by: Anonymous

It has been a year since I ruptured my achilles playing baseball. It was 3/4 of the way torn, so my doctor decided against surgery. It healed pretty well on its own, but I get the absolute worst calf cramps in the morning. I do stretches everyday, I do aquafit and swim, walk, etc. Anyone have any other suggestions on how to stop this cramping?


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Joshua Comments:

See: Magnesium for Tendonitis

The danger is that the cramping is because the nervous system can't fire muscle properly because it's getting a signal from the tendon that the tendon is in danger (3/4 tear of an achilles tendon is -significant-).

See what happens with the magnesium.



Mar 27, 2011
e: Joshua's comment
by: Gena

Hi Josh. And, thanks for responding to my post. "What have I done for my achilles, for the past year?" I did re-hab for 9 weeks. They said I could not leave till I could stand on toes...that never happened.

I have continued with the bands/weights, daily. I try to walk as much as possible. I tend to us my toes and side of foot to do all the work, it seems.

I have complete atrophy in calf muscle. I was VERY athletic before injury. Anything you could add would be greatly appreciated.

I have recently been diagnosed with spondyloarthritis. (I'm not convinced with diagnoses)...You think I should see Rhuemy, or surgeon, regarding issues?

Thanks :)


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Joshua Comments:

Hi Gena.

Here's the reason to be suspicious about that arthritis diagnosis. Technically, you likely do have an irritated joint (I'm assuming you're talking about your ankle). Here's why: TIGHT Achilles is compressing the foot bones into the leg bones. So all movement is 'grinding', and just laying there is compressing.

Not so great. I would focus on reducing that compression.

The reason you don't fire off your big toe side is because your neurology is jacked up due to physical tissue issues, and your brain won't let the right muscles fire for a variety of very good reasons.

Personally, I'd drop $20 on my Reversing Achilles Tendonitis ebook.

You have a serious physical issue, and you need an -effective- strategy to get yourself going again. Clearly rehab and bands/weights, etc, didn't do the trick. Nor will they.

Bands and weights isn't the answer to your multifaceted problem.

Getting rid of inflammation with something like learning How To Reduce Inflammation is an important start.

Opening up the constrictive tissue is another.

The reattachment surgery technically shortened the structure(s) in the back of your lower leg. It was short to begin with, which is likely why it ruptured. You have to lengthen it.

It will take time and effort, but it's doable.



Mar 27, 2011
Still not close to 100%, 1 year after rupture
by: Gena

It will be one year next week since my achilles acute rupture. I am far from 100%, still cannot do heel lifts, and VERY tight. Most days it feels like it's going to just snap, it is so tight.

Cannot do steps or steep slopes. Try to walk about a mile or so a day, use "tens unit", and ice/heat on regular basis. I do believe my running and hiking days are over. It is a very "mental" injury as well as physical.

Best of luck to all who are suffering.


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Joshua Comments:

Hi Gena.

Thanks for sharing.

I assume that you had it surgically reattached, yes? It makes sense it would be super tight now....

So...what are you doing to counter that tightness?

In other words, what have you done for it over the last year?



Feb 05, 2011
A year and 7 months after Achilles Rupture and still feel pain
by: Anonymous

I did not have surgery. I rupture the achilles tendon. A year and 7 months later, I have pain mostly in the back of my heal. When I wake up, it's real tight. I have to take a warm shower and stretch it to loosen it up. I can walk on it and if I walk to fast, it starts to feel a little painful. But when I try to jog lightly, it just feels like it doesn't want to relax. It tightens up.

Isn't the pain supposed to be gone by now?


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Joshua Comments:

Hi Anonymous.

Wouldn't it be great if the pain was gone by now?

But, the fact is, it's not.

The question becomes, why not?

Because the entire structure of the back of your lower leg is TOO TIGHT.

And the pain isn't going to change until that does.


Kind of a brief answer. Let me know if you have follow up questions.




Apr 29, 2010
You're not alone - Achilles Tendonitis Surgery two years ago, still healing.
by: terri

hey you're not alone my Achilles gets stiff and hard too.. sometimes it feels like a robot it dont flex right lol... i cant run either.. n if they offered a billion dollars to tip toe on that one foot i would loose... lol.... in the morning i can not walk...

i started walking a mile a day that got in trouble... i heard walking on the beach is great.. i guess like hiking... but i tore mine from hiking... yikes for me... i guess we dont really recover to 100%.... but me and you are in the same club....

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