Achilles Insertional Tendonitis – Arthroscopic Debridement

Post Operative Instructions

Dressing:

  • You will have a dressing over your wound and a sandal/shoe following surgery

  • A sandal/shoe will be worn for 2 weeks

  • At 2 weeks, you will wean off the shoe and begin walking in a regular shoe

Wound:

  • The surgical incision has been closed with sutures

  • Do not get the dressing or wound wet for the first two weeks. When showering place a bag over the dressing and secure with tape to your leg to avoid the cast and wound getting wet

  • Do not remove the dressing until your 2 week appointment – the first dressing change will occur at your 2 week appointment

  • Stitches will be removed at your 2 week appointment

  • After the stitches are removed, you may begin to shower after 2-3 days

  • Do not immerse the foot in water (bath, hot tub, pool) for 4 weeks

  • Do not apply any lotions or creams on the wound for 6 weeks

Weight Bearing:

  • You will be fully weight bearing immediately after surgery

  • You will be given crutches after surgery to help you for the first two weeks if needed (or you may bring your own)

Medications:

  • You will be given a prescription for pain medication and Aspirin (blood thinner)

  • Pain medication should be used regularly for the first 24-48 hours, when required for the first 1 to 2 weeks, followed by Regular Tylenol

  • Aspirin should be taken for 10 days (unless you have an allergy to aspirin)

Driving:

  • For right foot surgery you are not permitted to drive for 6 weeks

  • For left foot surgery, please contact your insurance company to see if you are permitted to drive

  • Driving is not permitted while on narcotics

Work:

  • Two weeks off work is recommended for initial recovery

  • If you are able to get to work safely, and will be seated for the majority of the day, you may return to work a couple days after surgery. This is assuming you are not taking narcotic pain mediation.

  • From 2-4 weeks sedentary duties is recommended

  • By 4 weeks you can gradually return to full duties

  • If your job is physically demanding, return to full duties is usually possible around 6 weeks post operatively

Follow Up:

  • You will have your first appointment 2 weeks after surgery in the Fracture Clinic

  • Your next appointments will be at 6 weeks, 3 months then 6 months post operatively

Recovery:

  • It is normal to experience mild to moderate pain, numbness, or tingling for the first 2 weeks following surgery

  • Please come to the emergency department if you are suffering from severe pain

  • You will get back to most of your activities by 8 weeks

  • Swelling often remains for 6-12 months

  • You are expected to experience a FULL recovery (no pain, no swelling, ability to walk, etc.) in 6 months

Physiotherapy:

  • Two weeks after surgery you will be referred for physiotherapy