I ruptured my Achilles tendon some days ago and had a cast the same day. When should I start physiotherapy?

Q. When should I start my physiotherapy sessions after an Achilles tendon rupture?

Answered by
Mohammed Wajid
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 18, 2022 and last reviewed on: Jul 10, 2023

Hello doctor,

I ruptured my Achilles tendon some days ago and was cast in the emergency room on the same day. Although the foot was positioned down, it was not in a full equinus position. After 10 days, the orthopedic surgeon cast me correctly. Currently, I am taking medications Citalopram, Pantoprazole, and Oxybutynin for hypohidrosis.

After two weeks, I was put into a removable air boot and told I could put weight on my foot. When should I start physiotherapy?



Welcome to icliniq.com.

I read your query and can understand your concern.

As it is two weeks and the cast plaster of Paris has been removed, you can start physiotherapy sessions with an expert physiotherapist. Slowly it would help if you put weight on the ankle and foot but not fully.

As the pain gradually increases with the exercises, ask for ultrasound therapy so that you can recover fully and will be able to walk normally.

Apply an ice pack if you still find stiffness in the ankle.

I hope this helps.

Thank you and take care.

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