Problem: Craig ruptured his Achilles tendon in his right leg whilst playing football. He had an operation to re-stitch the tendon together.
Assessment: After undertaking a visual examination and joint mobility I observed the following:
- A large lump (scar tissue) over the repaired area.
- Muscle weakness in the calf muscle and tendon.
- Restricted movement of the ankle.
- Discomfort of the heel caused by the wearing of a cast.
- Loss of feeling over the ankle area.
Treatment: The following course of treatment was then undertaken:
- Tissue massage was applied to the scar tissue to remove and breakdown adhesions.
- Deep massage to the calf muscles to release muscle tightness.
- Gentle soft tissue mobilisation to the Achilles tendon.
- Acupressure massage to the heel to relieve soreness.
Results: After the 1st treatment the client reported a slight increase of mobility in the ankle.
After the 2nd and 3rd treatments the client reported a further range of flexibility, less discomfort in the heel.
On the 4th treatment the scar tissue had been broken down and he was given exercises for rehabilitation to increase flexibility and strength.
On the 5th and 6th treatment the range of movement in the ankle was 90%. The strength was improving and we continued with deep tissue massage to the ankle and calf muscles.
He now receives monthly sports massage to help keep the muscles from re-injuring and to maintain his level of fitness.