Achilles tendon surgery is a significant procedure, and the recovery period is equally important. Proper post-operative care substantially aids healing and rehabilitation. Understanding how to manage your limb during this recovery greatly influences the outcome.
Immediate Post-Surgery Elevation
Immediately following Achilles surgery, leg elevation is important for several days to weeks. For the first 48 to 72 hours, keep the leg elevated above the heart to minimize swelling and pain. Some protocols advise elevating the ankle at chest level for nearly 23 hours a day during the first week. This strict elevation continues for approximately 0-14 days, often in a splint, protecting the surgical repair and managing inflammation. Timelines vary, but this initial phase is important for reducing immediate post-operative complications and promoting effective healing.
Why Elevation Aids Recovery
Elevating the leg after Achilles surgery helps by reducing swelling. By positioning the limb above the heart, gravity assists in draining excess fluid away from the surgical site, preventing its accumulation. This reduction in swelling can significantly decrease pain and discomfort. Proper elevation also supports better circulation and blood flow, beneficial for delivering essential nutrients and oxygen to healing tissues. It also contributes to preventing deep vein thrombosis (DVT), a serious condition involving blood clots, by keeping blood flowing more easily.
Proper Elevation Techniques
Effective leg elevation involves positioning the foot above the level of the heart. This can be achieved by lying down and using pillows, cushions, or specialized elevation wedges to support the entire lower limb. Avoid placing a pillow directly under the knee, as this can lead to stiffness or discomfort; instead, support should be placed under the ankle to keep it higher than the heart. Aiming for the elevated leg to be about six inches above the heart can optimize fluid drainage. Maintaining comfort while ensuring the foot is adequately raised is important.
When to Gradually Reduce Elevation
The transition from continuous to intermittent elevation begins as swelling subsides and pain decreases. While the initial weeks demand consistent elevation, some patients may begin to reduce elevation frequency around two to four weeks post-surgery. Signs indicating it might be appropriate to reduce elevation include a noticeable decrease in swelling and improved pain management. It is important not to stop elevation prematurely, as swelling can return, potentially impeding recovery progress. The surgeon will provide specific guidance on when and how to gradually decrease elevation, often correlating with the progression of weight-bearing activities and physical therapy.