If you have suffered anAchilles tendon rupture, then you know how painful and debilitating the injury can be.

An Achilles tear can prevent you from walking normally and can limit your normal work and recreational activity.

You may benefit from physical therapy (PT) for an Achilles tendon rupture.

Photo of a physical therapist examining a patient's Achilles tendon

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So what does a PT exercise program for an Achilles tendon rupture look like?

In general, it’s possible for you to expect to be immobilized initially after your Achilles tendon tear.

During that time, you may take the boot off to start some of your Achilles rehab exercises.

Calf stretch

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In general, physical therapy is started about four weeks after injury.

Stop any exercise that causes pain or swelling around your Achilles tendon.

This may be a sign of overdoing it, and you may need to rest a bit before continuing.

Bosu Ball

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Range of Motion Exercises

Exercises for an Achilles rupture usually starts with gentle range of motion exercises.

These progress from ankles passive ROM to active ROM exercises.

Exercises may include:

Motions should be done in a slow and controlled way.

Woman hopping on road

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Don’t Start Too Soon!

Each stretch should be held for 30 to 60 seconds, and five to 10 sets can be performed.

Strengthening can also help reduce the risk of future injuries to your Achilles tendon.

Active couple biking on scenic road.

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An advanced exercise to try once your Achilles tendon has sufficiently healed is theAlfredson Protocol.

Your physical therapist may have you work on specific exercises to improve your balance.

Plyometrics are specific exercises that require you to quickly jump and land in specificand safeways.

Plyometric exercises may include:

You must remain safe while performing plyometric exercises.

This can have a detrimental effect on your aerobic capacity.

Your physical therapist may have you work on aerobic conditioning to counteract this deleterious effect.

Keep in mind that everyone’s Achilles injury and healing time are different.

In general, you could expect to be back to normal about eight to 12 weeks after injury.

Working with a physical therapist is a good idea to help you get back to normal.

Your therapist can show you which exercises to doand when to do themto fully recover.

The Alfredson protocol is an exercise program created for people withAchilles tendonitisortendinopathy.

To prevent anAchilles tear, it’s important to keep an eye out for early warning signs.

If the Achilles tendon is sore or aches, be sure to rest it immediately.

Slow, basic stretching before exercise will also help prevent an Achilles tear.

Try acalf stretchor aplantar fascia stretch.

Additionally, you should always wear shoes with good arch support and cushioning for the heel.

If possible, make a run at avoid running on hard surfaces or exercising outside in cold weather.

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