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Any medics on here - Partial Rupture Achilles Tendon


alittlebitfrench

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Earlier in the summer I dropped a hedge trimmer on the back of my heal. Ouch. I thought I just cut my heel but in fact after an echograph there was a contusion on the tendon. Which I think is a cut ????

It has been over a month now and I still have pain and can't walk properly. Had another echo this morning and now there is a partial rupture. The bloke who did the echo said your foot needs to be put into boot/boite/cast. Go back to your doctor to get referred to a specialist.

My doctor is not working today and the earliest appointment is Tuesday.

What do I do on a weekend in this situation ? Even Frog in doors has no idea. Does it need to be sorted ASAP or can I wait ?

The question is, can I fully rupture the tendon in the meantime ? I walk like a penguin so I am not putting stress on it.
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I do sympathise.

I did a similar thing not to my Achillies tendon but to the one that goes on the outside of the ankle (can't remember what it's called)

This was on a Friday, local A&E useless, said go home and rest, if no better on Monday see your Doc.

V. Painful over the weekend, went to Doc on Monday who took one look and said it's either broken or damaged tendon (Gee thanks A&E).

Off to specialist 3 days later, general anesthetic and CT scan.  Tendon holding on by a thread apparently so they stitched it up.  In various casts for 6 weeks or so then strappings etc. 18 months before I could walk without pain, 4 years until the limp went.

So I would say as long as you take it easy and elevate your foot you should be ok for a few days

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The men in our household have had such accidents and not got them treated for quite some time, and it all got sorted in the end.

IF you can put up with the pain, then wait to see your GP, and if you cannot go to les urgences. I would try and time your visit to les urgences carefully and not on a Sunday afternoon, we ended up there all too often, with like a lot of others, sports accidents and would be there until the dead of night usually.

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Well well.

You're fine.

Mr Betty got taken out by a "Sorry mate, didn't see you" driver on a roundabout last May (2015), resulting, among many other things, in a partial rupture of his Achilles. He didn't go to hospital despite an ambulance being called, because he's bloody-minded like that, and he prefers the thrill of seeing my face when I walk up the drive and see him covered in blood, staring at me through the kitchen window.

I digress. He didn't therefore get a diagnosis until about a month after the accident, when he finally realised that he wasn't just a bit bruised and sore, and that his badly damaged coccyx and inability to sit was not the reason for his sore leg.

Three months in a moon boot, some fairly intensive physio and 16 months later he still walks with a limp but has an intact Achilles. No operation...but his tendon has healed and is now too long. Which basically means he will never be a ballerina or stand on the pedals of his bike when cycling uphill. As the alternative would be an operation to sever the tendon and shorten it, he's happy not to bother.

In short, unless you've practically severed the Achilles already to the point that it's probably going to go 'ping' anyway, you should be fine to wait until you can harness the full force of the mighty French medical system to supply you with a camion full of medicine and daily visits from an aide soignante and a kiné.

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Thanks for the replies.

Well managed to get hold of our doctor (who works afternoons Fridays) yesterday and she saw me after her last patient which was about quarter to eight last night. I thought that was very kind of her.

So yep, will be the proud owner of a moon boot/ski boot today and some crutches and enough specialist appointments to keep me busy for the next three months.

life is going to be interesting on the Paris metro.

So the moral of the story, if you have such an accident in France go straight to the emergency to prevent having to do the appointments retrospectively which invariably involves walking and making the injury far worse.
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If you had been a littlebitmoreFrench then you would have just called an ambulance.

 

I am pretty sure that being a walk in at a French A&E really puts their noses out of joint and bucks the system.

 

Whenever I have been for an out-patient appointment I seem to be the only person there who has not come by ambulance or VSL and is accompanied by 2 paramedics to the accueil for the prise en charge, I get the feeling that by driving myself there i am doing several people out of a job [:P]

 

Even a car park scratching of bumpers will result in all the occupants of both cars being taken to hospital by ambulance and yet there is not the whiplash no claim no fee incentive here, I think its just because everyone wants to rip the proverbial out of the system and their mutuelle. 

 

Come to think of it, probably a lot of the ones that call Samu are the ones that cannot get an immediate appointment with their médecin.

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Another little piece of advice. Do the physio assiduously, not sure why they are giving you crutches, but use the leg and its other muscles as much as you prudently can.

Apart from the Achilles thing, grandson of a friend in France tore his ACL skateboarding last year, and my son#2 has just managed to partially tear his own ACL, along with the meniscal ligament and a ruptured cartiledge, again from skateboarding.

Having seen and spoken to 3 people in the last year, age range from early twenties to much older, all with tendon and ligament damage, the one thing they have all said is that the muscle wastage from not using the leg is impressive and takes a LOT of work to recover. So much so that my son is having six weeks of physio before any operation to build the associated muscles, as a preventative measure, whereas his French counterpart was put in a solid plaster cast for about the same period and his recovery time was largely taken with DAILY physio to repair muscle wastage (and he is the youngest of the three).

Mr Betty had a moon boot and no crutches for three months and still ended up with one calf about half the width of the other.
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@ Betty

In terms of crutches, the doctor suggested them but I could not see the logic either. I will find out on Monday. I have seen a picture of the boot but I am not sure I would want to walk with it in the rain.

However, I have to do 8 kms walking per day going backwards and forwards to here there and everywhere so it seems (after googling it) that walking with crutches is a very good cardio workout so all that walking with crutches will replace my 1-2hrs cycling I do everyday. After three months I will be super fit and strong.

That is my positive thinking anyway.
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If it's the same sort of boot Mr Betty enjoyed, then it's pretty robust. He commuted to London every day whilst wearing it, although he did take his motorbike to the station this end instead of the 15 minute walk, but still managed the 20 minute walk at the other end. He also did half an hour on his bike in the static trainer every day which might just be another example of bloody mindedness, or might be because it put no pressure on his heel. As I said above, as long as he didn't have to stand on the pedals with his bum off the saddle it was OK 'cos that's the only action that needs the Achilles.

Good luck, and hope you heal well.
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I'd completely forgotten about the crutches.

I used them for about 3 weeks as it was too painful to take the weight on my ankle. I could drive my (auto) car to the station then take the train to Liverpool street.  I still had about 1.5 Km hobble to my office but the staff at Liverpool St. took pity on me and would let me in/out the back way from the station which cut a big chunk off my walk.

As for being a ballerina, I cheekily asked the nurse if I would be able to dance when this was better.  In her best 'There, there' voice she said 'Yes of course'  'Oh good' says I 'because I couldn't dance before' [:D]

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