http://myachillesrupture.com - No matter where you find yourself on the path to healing and physical performance following an Achilles Tendon rupture injury, each of us can embrace and apply the idea of adjustments on our quest. What do I mean by this? Well, let's assume you have been given the clearance by your surgeon to begin a program of formal physical therapy or some sort of deliberate range of motion and exercise protocol. You will undoubtedly find yourself being pretty robotic for the first few weeks. Part of this is reversing the effect of muscle atrophy and the "forgetfulness" of your muscle memory. Part of this is fear. Embrace the fear. Accept the fear. Don't let the fear block your ultimate goal though. Now that you've safely corralled your fear and have realized that your muscle memory *WILL* get back on track, channel your thinking and energy into a systematic plan of increasing your range of motion while paying attention to what your body is telling you. It's essential to not possess the exact mindset you utilized prior to your injury because it will not be compatible with your current physical state. It takes time and you would want to be more cautious than careless since inducing some sort of setback would not be a wise thing to do. Patience (for many of us...) is a difficult characteristic to express when things are going well, but even more of a challenge during times of injury, healing and physical rehabilitation.
Let's talk about adjustments. Inevitably, you will arrive at a plateau in your respective movements. Whether you are doing
VERY EARLY range of motion movements or a prescribed set of
"active" stretches, the lesson I'd like to leave you with is the idea that you CAN slightly tweak a movement for some added benefits. I was reminded of this when I went for a walk earlier this evening at a local park. I was walking around a blacktop track and would alternate on the track and off the track on the very uneven grass terrain. This track was in the middle of a park with plenty of trees and far from level surfaces and THAT is the type of thing that can positively impact your muscle memory and allow for gains to be made. You don't want to remain on a plateau for too long. The body gains no useful benefit from this prolonged action and you may even be setting yourself up for injury because you are not allowing your dynamic musculoskeletal system to be challenged in a reasonable manner. The key to this is to listen to your body and ensure you have an understanding as well as a consistent ability to perform the baseline movements within your physical therapy protocol. Next, attempt to make a minor adjustment within the movement(s) and the idea of making a note (as in, use a hardcopy/analog notebook or your cell phone) of these adjustments so you can keep a running tally of this to determine the benefits seen or the possibility of making other minor adjustments. It's essential that you be systematic if you intend on yielding benefits that go beyond the default.
Keep in mind that there is no specific "rule" for introducing adjustments into your protocol. I simply wanted to present the idea because I think it's worthwhile, I believe in it, have done it and was given the assurance from my surgeon and physical therapist that fine adjustments do provide benefit to the body and mind-body connection.
If you have any questions or need for me to clarify anything I've written in this post, feel free to leave a comment or connect with me in any of the other ways that I have setup.
**photo, courtesy of Sami Taipale**