# @thelewinclinic on Instagram

- **Type:** Image
- **Original URL:** https://www.instagram.com/p/CINYgqig-Eh
- **Gondola URL:** https://gondola.cc/posts/16038892-thelewinclinic-instagram
- **Thumbnail:** https://img.gondola.cc/tr:w-,h-,fo-auto/thumbnails/609d4fbe10.jpg
- **Posted:** 2020-11-30T09:01:33.000+00:00
- **Account Owner:** The Lewin Sports Injury Clinic (@thelewinclinic) — https://gondola.cc/thelewinclinic

## Caption

We have seen achilles ruptures that head to surgery in footballers, both elite level and non-elite, in tennis players, squash players, basketball players and...... people that fall from a high ladder and land in high velocity, forced dorsi-flexion….⁠
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This one was repaired 12 weeks ago fortiusclinic by Mr Rosenfeld and has progressed very well. The patient has been in the Vacoped boot and progressed through the levels from a very anxious partial weight-bearing on crutches at week 3, to a very comfortable unaided gait by week 9 (still in the Vacoped of course). The Vacoped has been taken 'down a notch' each week to gradually allow more dorsiflexion and patient compliance has been excellent.⁠
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The patient is in his early 60s and desperate to get back on the golf course in the New Year. His knee-to-wall measure has improved weekly from a very tentative MINUS 12cm early on, to a satisfactory 1cm as he heads towards his 12 week follow up this week. (His good side has 14cm so he has a reasonable target of getting as close to that as possible!)⁠
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The Vacoped is likely to be weaned off in the next week and the real work will begin as we start to target calf function, ankle mobility, gait re-education and confidence to begin heavier loading of the calf/achilles. Patient targets? To be able to walk 18 holes with a full set of clubs - and stay off of high ladders.⁠
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#lsic #lsicstaff #ourteam #sportnetwork #essexphysio #essexsportsrehab #physioclinic #sportsrehab #sportsphysio #footballmedicine #gymrehab #vacoped #achillesinjuries #achillesrehab⁠
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- **Likes:** 50
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## Tags

achillesrehab, sportsrehab, essexphysio, sportsphysio, lsic, physioclinic, achillesinjuries, lsicstaff, footballmedicine, gymrehab, sportnetwork, ourteam, vacoped, essexsportsrehab

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