Rehab for Mid Calf Lengthening
Our team will walk you through your rehabilitation program after surgery. This table is a guide and changes may be required depending on your progress.
On your mobile? Click the green + to see the full instructions for each week
| Week | Exercises | Boot | Weight bearing | Returning to Pre-Surgical Function | Other |
|---|---|---|---|---|---|
| 0-2 | Hip and knee active ROM exercises | Plaster cast/Splint | Touch Weight bear | Staying home with the foot elevated above heart level for 23 hours a day | Sleeping with foot at plantargrade (right angle) |
| 2-4 | Hip, knee band resisted exercises. Toe AROM – wriggling, flexing, extending. Ankle AROM and isometrics minimising ankle DF Begin physio guided calf/soleus stretching, balance and gait retraining. Theraband resisted ankle DF, PF, inv, ev. DL heel raises progressing to SL | Regular footwear/ removable controlled motion boot | Weight bear as tolerated | Return to work – sedentary occupation. | Sleeping with foot at plantargrade (right angle) Sutures removed at 2 weeks |
| 4-6 | Continue exercises as above Add further weight bearing strengthening for calf (both gastroc and soleus strength) | Full weight bear | Return to light duties – labour intensive occupation | Sleeping with foot at plantargrade (right angle) | |
| 6-8 | Physio guided balance and gait retraining. Continue exercises as above. Increase walking distance towards normal at 8 weeks | ||||
| 8-10** | Return to controlled weight bearing activities (eg. stationary bike, swimming, elliptical). Dynamic balance and plyometric training (eg. hopping, skipping etc) | May return to full duties (clinical assessment required) | |||
| 10-12* | Gradual return to pre-surgery activities and sport. | ||||
| 12+ | Continue to progress as above. |
This rehabilitation plan was developed by Mr Goldbloom in conjunction with Physiotherapists Brodie Leonard-Shannon and Brendan Mason from Back in Motion, Aspendale Gardens.
