Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
131 Doctors are Online

Achilles tendon tear - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2228 Questions
User :   Hi, I am in a remote foreign country and just ruptured my Achilles tendon playing tennis. A doctor here diagnosed it and I'm pretty sure he's right from what I have read. I am due to leave in 2 days, and fly back to the (through and). He will bandage it for me, but they don't have casts here. He says surgery probably isn't necessary. My questions are: 1) Can I wait to get back to the to get a second opinion on surgery vs non-surgery?, 2) Should I try to get a cast during my stopover in or can it wait until I get back? 3) I am flying business class, but are there increased risks of DVT because of the trauma to my ankle? Thank you.
Doctor :   Hi
User :   Hi
Doctor :   How can I help you ?
User :   Did you see my initial question?
Doctor :   Yes, please let me go through the query.Give me few minutes to answer you better.
User :   Ok.
Doctor :   Let me answer your questions one after the other.
Doctor :   Before that could you tell me if you see any gap in the Achilles tendon ?
User :   Yes, I definitely see a gap.
Doctor :   Ok.
Doctor :   Let me give you few steps to follow.
Doctor :   And the answers for your questions.
Doctor :   1. You can wait till you get back to if you are leaving in not more than 2-3 days.
User :   Ok, I am leaving in 2.5 days, but it takes more than a day to get back.
User :   Actually it takes about 48 hours to get back.
Doctor :   2. It depends on how much time you stay in & Are you getting an opinion from an Orthopedician or Arthroscopist ?
User :   I will be in for about 12 hours, but I could delay my flight if it is a better idea to see a doctor.
Doctor :   3. To answer your third question there is no great risk of getting a DVT.
User :   I'm not sure who I would see in.
Doctor :   Now let me give you my inputs into your injury .
User :   But I have travel medical insurance that would probably cover me.
Doctor :   Ok, That would be very helpful.
User :   So, would you recommend stopping in to see a doctor?
Doctor :   1. It has to be examined by a Specialist - Ortho for proper diagnosis of a complete or incomplete tear.
Doctor :   If you get an appointment with one in ., I would suggest you to see him.
User :   Ok, thank you.
User :   If it is a complete tear, do I have to have surgery?
Doctor :   Yes, if a complete tear a suregery is mandatory , if incomplete a cast above the knee for six weeks and below the knee for six weeks.
Doctor :   A Plaster of Paris Cast.
Doctor :   As first aid I recommend you to follow the following steps : Doctor :   1. Use lots of ice packing.
Doctor :   2. Take NSAIDS like Advil tab. thrice daily 400mg. for 3 days.
Doctor :   3. Please use a Crepe band , and ask a primary to help you out.And try to restrict movements in the injured foot.
Doctor :   Hope you have followed.
Doctor :   Is there anything else you would like to ask ?
User :   On #1, I have an ice pack that my leg is resting on but it is too big to wrap it.
User :   On #2 -- the Advil is just for swelling, I guess? Or is it also for pain?
Doctor :   It both for pain & swelling
User :   On #3, I am getting a physician to wrap my foot later tonight.
Doctor :   And if 400mg doesnt work you can go ahead for 6oomg , nothing wrong.
User :   Ok, thank you.
Doctor :   Thank you for consulting me. The earlier the surgery the greater is the chance for recovery and strength.
Doctor :   Hope you get well soon.
User :   Sorry, just to check -- surgery is absolutely mandatory for a tear?
Doctor :   If at all it is complete then surgery is the best possible help.
Doctor :   It is called Early repair for Achilles tendon if done before one week of injury and has better recovery results.
User :   Ok, thanks for that. Is it full anasthesia, generally, or only partial?
Doctor :   No, its just Spinal.
Doctor :   Or any other Speciality centers in , Not a complicated surgery.
User :   Ok, thank you for your help.
User :   I appreciate it.
Doctor :   Thank you for consulting me
Doctor :   Take care, Bye for now.
User :   Bye.
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor