Diagnosis management and post-surgical rehabilitation of an Achilles tendon rupture: a case report

摘要

Chiropractors, as primary contact practitioners, assess a wide variety of musculoskeletal related complaints. Among these, a certain percentage of patients, generally small, will present for assessment and treatment of extremity injuries. Spontaneous Achilles tendon rupture (ATR), although a relatively common extremity injury, can sometimes present as a clinical diagnostic challenge. Failure to establish an early diagnosis and immediate referral for further assessment and appropriate rehabilitation can impair recovery, decrease functional capacity and increase the rate of re-rupture. The author presents the case of a 25-year-old male presenting to a chiropractic office for assessment, treatment and rehabilitation of an acute left ATR. Physical examination characteristically reveals swelling, tenderness, loss of true gastrocnemius and soleus resisted plantar flexion, weak or absent Achilles reflex, a palpable gap in the tendon and a positive Thompson test. The challenge associated with the diagnosis of an ATR is discussed. The debate surrounding surgical versus conservative management of this condition is compared. Chiropractic treatment, case management and rehabilitation protocols are reviewed and highlighted.