Phase I (Weeks 0-2)
- Weightbearing: Non-weightbearing using crutches
- Brace: Patient in plantarflexion splint
- No Formal PT
Phase II (Weeks 2-6)
- Weightbearing: As tolerated in CAM Walker Boot with Heel Wedges in place (first wedge removed at 4 weeks, second wedge removed at 6 weeks)– discontinue crutch use
- Brace: CAM Walker Boot at all times except showering and when working with PT
- Range of Motion – PROM/AROM/AAROM of the ankle from full plantarflexion to neutral (NO DORSIFLEXION PAST NEUTRAL), Inversion/Eversion, Toe Flexion/Extension
- Therapeutic Exercises
- Seated heel raises
- Isometric dorsiflexion to neutral
- Resistance bands for plantarflexion/inversion/eversion
- Proprioception exercises – single leg stance with front support to avoid excessive dorsiflexion
- Soft tissue mobilization/scar massage/densensitization/edema control
Phase III (Weeks 6-12)
- Weightbearing: Full weightbearing in sneaker
- Range of Motion – PROM/AROM/AAROM of the ankle – progressive dorsiflexion – 10° intervals (10° of dorsiflexion by post-op week 8, 20° by week 10, 30° by week 12)
- Therapeutic Exercises
- Standing heel raises
- Single leg eccentric lowering
- Step-ups, side steps
- Proprioception exercises – balance board
Phase IV (Months 3-6)
- Progress with strengthening, proprioception and gait training activities
- Begin light jogging at 12-14 weeks
- Running/cutting at 16 weeks
- Return to sports at 5- 6 months
Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, based in Brookfield, CT and Danbury, CT, provides comprehensive orthopaedic care, sports medicine, joint replacements, and interventional pain management to patients of all ages.
Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, provides orthopedic care including: orthopedic examination, foot surgery, ankle surgery, hand surgery, hip surgery, hip replacement, hip resurfacing, knee surgery, knee replacement, orthopedic oncology, shoulder surgery, elbow surgery, and MAKOplasty.
Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, also provides sports medicine, physical therapy, pain management, interventional pain management, radiology, x-ray, ultrasound, cortisone injection, and PRP injections.
Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, treats sprains, fractures, ligament tears, arthritis, musculoskeletal pain, neurological pain, cancer pain, neck pain, and back pain.