I recently ruptured my achilles. There was a 6mm gap, equines went to 4.7mm, I was in a cast for 3 days then put in a vacoped, 2 weeks on no3, 2 wks at no 2, 2wks at no1, 2wks at 0 with lower sole. Then nearly ready for physio. The tendon is back together and feels tight, thicker buy can still feel a dip where the rupture was. Negating thompsons test at 10 weeks. I was fully weight bearing at 2 weeks with minimal to no pain

Thank you for your presentation and uploading it! Very informative and loved the jokes. 10/10

thank you very much sir

Is there a way to find part 1 lecture?

Thanks for this. Interesting chat, one question i wanted to know is if a very small chip to the talus following an ankle sprain can heal without surgery. Its causing a lot of pain intermittently but daily (especially with bare feet) but i can still weight bear, run with supportive shoes, cycle etc. Thanks

Thank you very much for sharing. Greetings from the US and Puerto Rico !

Can uyou please send me the ppt for this.

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Great presentation punctuated with great humour

Great presentation 👍

Superb excellent explanation 👍

Thank you for making this video!

WELL COCEPTUALATED

I’m wondering what Dr Devalia uses for cartilage in his procedure if there is a significant loss of it.

Love these really informative lectures that help you to understand the basics of a given subject. Keep the uploads coming, really useful for an aspiring MSK Podiatrist 👍

Terrible audio 😖

Thanks Doctor, very well education, so brilliant ❤

Planus foot Not caused by tight posterior muscles other way around flexible feet excessive pronation and muscle adapt to foot collapse same way wearing high heel shoes all the time. Generally a good over view but limited knowledge in foot function and the use of foot orthotics, and based around Root theory which is wrong. I have lectured in biomechanics and bespoke foot orthotics for 37 years

In TC coalition with HF deformity >15 degrees, would it be useful to start with hindfoot realignment as first stage and do bar resection as second stage only if needed after realignment. But maybe Mr Monteagudo came to practice realignement only, after seeing that such second stage was very rarely necessary.

excellent

Thank you so much. That's really helpful and interesting.

Very interesting and informative. But why no months with "B" in it?

Am having a tumor on my Left foot

This was very well articulated. Thank you very much.

amazing presentation.

Is this surgery recommended for a professional football athlete if no what would you recommend in a similar case of chronic Insertional achilles tendonitis without Haglund's deformity

Probably the worst lecture so far. Most people with big toe fusions run long distances very well. Also, MTP joint fused almost always causes IP joint arthritis so why be scared to fuse both? There’s studies showing ipsilateral joint fusion patients do very well.

This was a really interesting and well delivered talk. Thank you. There is one comment I would like to make: With an insertional achilles tendinopathy it is imperative to avoid moving the foot/ankle into a dorsiflexed position when performing the calf raises. This is because compression of achilles against the calcaneus with an irritated tendon will only make it more painful. As we know, tendons respond very well to tensile loading but poorly to compression. I would therefore avoid calf stretches and only perform calf raises from a flat surface (rather than a step). From my clinical experience, insertional achilles tendinopathies respond very well to eccentric calf raises from a flat surface and ESWT. With only a small proportion requiring surgical intervention.

I love this

There is a shoe insole, Podophylus, that has worked great in drying foot wounds quickly. Etsy has it. No infection no amputation...

Excellent talk from Mr. Tanaka. I wanted to ask for a chance for a late question. If we are doing FPT fixation on unstable ankle fracture in the elderly patient with portic bone and we think that medial malleolus screws are only cosmetical, should we not be putting bicortical medial malleolus screws (cortical screws up to lateral cortex of the tibia)?

new subscriber your channel , thanks for share

Hiw much pain will I have after a soft tissue biopsy of a plantar fibroma

Great wit and humor

Is there a power point of this presentation to access?

Thanks for this. I am day 3 post-rupture. I am very active female, 51 years of age. I’m an academic researcher and yoga teacher but I also want to be able to continue physical activity at a high level-run, jump, dance, rock climb, etc. After waiting 3 hours in A&E, I was told timing doesn’t matter. So, I went home and returned the next day. I had Simmonds test and x-ray in minor injury A&E clinic on Sunday at Manchester Royal Infirmary. I was told I might not even need an ultrasound and that surgical or non-surgical approach depended on the doctor not the state of the injury. They put me in a surgical boot (air cast) and sent me home with crutches. I was told not to put any weight on it and that an appointment would be made with an ankle specialist for next week or so. A trauma nurse called me on Monday to say it looked like I wouldn’t need surgery and she would refer me for an appointment with the specialist. After doing my own research, including looking at some of the medical literature and this video, I rang her back and will be seen at 11am today by an ankle specialist nurse. I will press for ultrasound and if I fit conservative treatment protocol then I will ask for the proper boot. I am disturbed by the comment below that the consultant had not even heard of the vacoped boot.

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SPELLING: WE WRITE ACHILLES' TENDON BUT WE WRITE TENDO ACHILLIS; THE LATTER IS THE LATIN POSSESSIVE DECLENSION WHICH IN ENGLISH TRANSLATES INTO THE TENDON OF ACHILLES.

Really helpful even for someone (like me) who is in the early stages of TA rehab (Conservative). However, it does seem to be a post code lottery around what treatment you have. My 2nd consultant, who is apparently a foot and ankle specialist, didn't even know what a VACOPED boot was when I bought one. Some trusts issue VACOPED, others like mine (Addenbrookes - University Hospital... Really?!) still use surgical boot which doesn't achieve Equinous (perceived yes, true no). I still have no idea around my treatment plan and I'm at week 5, but this has helped alot, thanks. It's interesting to know the mechanics behind it and how true 'gold standard' Conservative treatment should work.

Good video, age-restricting seems excessive.

Any idea if we could use hydrogen peroxide for open trauma wounds (post debridement) before stump closure? I have seen it in developing countries. Thanks

Great Presentation! Thank you for that!

Do you use Graston technique which is very popular in USA ?

What can explain a talus turned outwards?

Absolutely Superb. Such a brilliant ability for explaining confusing concepts - as someone who's taking FRCS in a couple of weeks - many thanks.

Best lecture yet. Thank you.

Absolutely brilliant! Thank you.

Very engaging and informative. I loved your thought process- same as mine so i understood really well. Thank you BOFAS & Mr Stanley.

A very helpful overview. thanks Mr Ritchie.

Side effects of radiotherapy of the ankle after long time