# @dr.tlesh on Instagram

- **Type:** Video
- **Original URL:** https://www.instagram.com/p/DduLL_Nphe2
- **Gondola URL:** https://gondola.cc/posts/70989751-drtlesh-instagram
- **Thumbnail:** https://img.gondola.cc/tr:w-,h-,fo-auto/postThumbnails/80f1cf8fc8.jpg
- **Posted:** 2026-09-25T19:09:12.000+00:00
- **Account Owner:** Tyler Lesher (@dr.tlesh) — https://gondola.cc/dr.tlesh

## Caption

Another Achilles.

Almost every athlete who tears their Achilles tells the same story. It felt like somebody kicked them in the back of the leg. They turn around and nobody is there.

That kick is the tendon letting go. Your calf muscles (gastroc and soleus) merge into the Achilles and attach at the heel. Every jump, sprint, and cut runs through it, with forces many times your body weight. Most of these tears happen without any contact at all, on a push off or a landing, when the load beats the tissue’s capacity in a split second.

Here’s what the research says about what comes next:

1. Surgery vs no surgery is a real conversation, but both paths now use early functional rehab, and accelerated protocols cut rerupture rates compared to long casting (Willits 2010, Soroceanu 2012).

2. In the NBA, most players make it back, but on average they return playing fewer minutes with lower efficiency, especially in year one (Amin 2013).

3. The comeback is won in the boring middle. Progressive calf loading, tendon stiffness work, and honest strength and power testing beat rushing a timeline (Holm 2015).

The athletes who get back to themselves treat rehab like training. Structured, progressive, and patient.

References:
Willits K et al. J Bone Joint Surg Am. 2010
Soroceanu A et al. J Bone Joint Surg Am. 2012
Amin NH et al. Am J Sports Med. 2013
Holm C et al. Scand J Med Sci Sports. 2015
#athletictrainer #sportsmedicine #athletictraining #achilles

## Stats

- **Views:** 14,454
- **Likes:** 113
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## Tags

achilles, athletictrainer, athletictraining, sportsmedicine

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