Achilles Tendon Rupture Treatment - Postcode Lottery?
Posted , 24 users are following.
Hi All,
First time poster here.
I wanted to find out a little more about various NHS trusts treatment of Achilles Tendon Rupture (ATR). I'm especially interested as I get the feeling the treatment on offer to me is not optimal and I wonder if I'm the victim of being under the wrong trust. One that is trying to save costs.
My Background : 44 yo male, healthy and fit, with suspected ATR. currently 3 weeks in short leg cast.
I have an Ultrasound tomorrow (4 weeks after incident). No Surgery being offered at all, Consultant says they only provide conservative treatment with cast as surgery gives to many risks. Treatment is 3x3 weeks of short leg casts, final cast is 90 degree to floor. It seems no load to be applied at all during this time.
My main concerns are :-
(1) Risk of re-rupture seems to be on average 20% with non surgical option.
(2) 1 in 3 patients on non surgical never recover function fully.
(3) No option of Airboot being offered to me.
(4) Various studies show that early restricted mobilisation of ankle in non surgical option reduces chance of RR to same levels as surgical. This will obviously not be available if I'm in cast for 9 weeks.
(5) I don't see how I can be offered a set treatment path prior to Ultrasound.
I've never heard of 3x3 weeks cast only option. What are you being offered? I'm absolutely not going to settle for walking with a limp or a weakened leg because my trust are watching their pennies. I will be taking a private second opnion but also wanted to hear your thoughts?
Thanks
David.
1 like, 109 replies
robert_77 david97308
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rob
odette06380 robert_77
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robert_77 odette06380
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thanks again for the info
rob
paul48239 david97308
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Like you I am so frustrated at the level of treatment I am getting from the NHS ,I am a 43 yr old male and I hurt my achilles playing in the park with my daughter running after a ball heard a popping sound went to A and E told them what happened and was sent home and told to rest it after 2 weeks still in pain went back and was told to go to my G.P who then referred me for an ultrasound scan which I had 6 weeks after the injury happened and was told I had a partial tear and now I have been referred for an MRI scan it is now 13 weeks and I am still waiting I have had no medical advice no cast no boot no nothing and here I am leg still swollen still limping and been told it could take another 3 weeks to get the scan so that would be 4 months of absolutely nothing I am thinking the same as you now surely there is something wrong here but i keep getting told I have to wait I am at the end of my tether with it and now seriously thinking of contacting a solicitor about the treatment I have received
danny25168 paul48239
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danny25168
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robert_77 paul48239
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rob
Wholefruit david97308
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i got an orthopaedic leg trolley today for in the house. Brilliant! I think i must look daft paddling it along with my crutch - but definitely easier than crutches.
robert_77 Wholefruit
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rob
odette06380 Wholefruit
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Wholefruit odette06380
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I agree about the outcomes with surgery or not. I asked a few physios and surgeons plus i've realised the people in the plaster rooms see ALL! They know exactly what treatment they would have for most things.
Brilliant you have healed so well. I am praying for same result.
odette06380 david97308
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robert_77 odette06380
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not good . it does seem that it indeed does take a VERY long time in recovery , its this bit that worries me .
rob
odette06380 robert_77
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robert_77 odette06380
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rob
odette06380 robert_77
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robert_77 odette06380
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rob
Wholefruit robert_77
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tim50stroud Wholefruit
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samantha_16366 tim50stroud
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odette06380 samantha_16366
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odette06380 tim50stroud
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jonathan28999 odette06380
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Any help would be great.