你好，
本人大約八個月前曾因小腿阿基里斯腱斷掉而施行微創手術接合，然後做了三個月物理治療但又因傷口感染而開刀將里面縫合腱的線拆掉，之後再繼續了四個多月的復健（物理治療，超音波，短波，紅外線），腳的角度（從腳尖到小腿量度）從超過九十度到兩個月前的七十度後就沒有改善，本人每天都有跑步，踩單車和拉腱，但現在腿腱還是很硬和很粗（比正常的兩到三陪）而角度也沒變。
因本人在台灣工作，之前的手術和治療都在台灣做的，所以不太清楚有那一位醫師比較好。想請教是否治療不當？本人想回港治療，有沒有比較有名的骨科或復健科醫師可以轉介？非常感謝﹗
高先生
阿基里斯腱 手術與復健問題
2006-12-21 12:28 am
回答 (3)
2006-12-21 12:47 am
✔ 最佳答案
首先, 阿基里斯腱(archill's tendon)的復健本來就會較麻煩的, 加上你曾因感染而再開刀, 復口的受創的組織已經比普通的受傷為多。阿基里斯腱斷掉, 通常是發生於中年男性身上, 約是40歲多, 又或因意外而令它斷裂。在手術中, 是將阿基里斯腱斷掉的兩端接疊並加以連接的, 因而會令阿基里斯腱的長度減短了, 所以足踝關節的幅度會受影響。肌肉的長度及活動幅度有關, 但就與肌肉的強度及後腿腱的粗幼無關, 而後腿腱很硬則會對幅度有反效果。
進行復健後, 必須進行一連串的物理治療來增強腳部活動幅度及肌肉訓練。超音波，短波，紅外線只是其中一些手法, 再重要的是加強腳部活動幅度!! 除了這些手法以外, 還有一些高階的手法治療方面, 是利用肌肉的物理及生理性質而協助放鬆的。
參考: 本人是物理治療師, 歡迎來信
2006-12-21 4:16 am
Yes arh~~~Oscar is a good physiotherapy who please to answer your question.....
I think he is experienced to help you........
the doctor I see had broken achille tendon too.......He said he swim swim swim can help him to recover.....He look like walk very fast too...........
So, I advice you to see physio and also swimming.......at least 2-3 times per week.....
Hope you get well soon~~~
2006-12-20 20:18:14 補充：
sorry~~~forget to tell you.....swimming do after your inflammation gone......
I think he is experienced to help you........
the doctor I see had broken achille tendon too.......He said he swim swim swim can help him to recover.....He look like walk very fast too...........
So, I advice you to see physio and also swimming.......at least 2-3 times per week.....
Hope you get well soon~~~
2006-12-20 20:18:14 補充：
sorry~~~forget to tell you.....swimming do after your inflammation gone......
參考: I also suffer muscloskeletal pain
2006-12-21 12:58 am
呢d嘢你可以直接問吓物理治療師, 安全d呀!!
我有個師兄弟之前都好似你咁, 我叫佢出院後自己找物理治療師同佢做治療, 要一d時間, 但好過你咁囉。
不過呢度唔可以做介紹, 你自己找找啦, 又或問人啦
我有個師兄弟之前都好似你咁, 我叫佢出院後自己找物理治療師同佢做治療, 要一d時間, 但好過你咁囉。
不過呢度唔可以做介紹, 你自己找找啦, 又或問人啦
收錄日期: 2021-04-12 19:35:26
原文連結 [永久失效]:
https://hk.answers.yahoo.com/question/index?qid=20061220000051KK01979