Weeks 1-2
  • Cast immobilization in equinus position

    Weeks 3-4 - Physiotherapy once a week
  • Protective boot with three heel lifts
  • Elevation of the affected leg to reduce swelling
  • Full weight bearing as tolerated using the protective boot, assistance of crutches as needed
  • Isometric plantar flexion by pushing down the forefoot
  • Cycling for 10-20 min while wearing the protective boot

    Weeks 5-6 - Physiotherapy 1-2 times a week
  • Brace with two heel lifts
  • Isometric plantar flexion by pushing down the forefoot
  • Cycling for 10-20 min while wearing the protective boot

    Weeks 7-8 - Physiotherapy 2-3 times a week
  • Protective boot with one heel lift. The remaining heel lift is removed after one week
  • Sitting heel-rise while keeping pressure on the forefoot, avoid pressure on the toes.
  • Active range of motion exercises for the ankle and midfoot
  • One-leg balance with heel lift
  • Cycling without the protective boot, the heel is positioned on top of the pedal

    Weeks 9-12 - Physiotherapy 2-3 times a week
  • Regular shoes with heel lift, assistance of crutches as needed
  • Gait training
  • Standing heel-rise (two legs)
  • Proprioceptive exercises
  • Cycling, gradually increasing workloads
  • Dynamic mobility, squatting and walking up stairs

    Weeks 13-18 - Physiotherapy 2-3 times a week
  • Standing heel-rise (one leg)
  • Heel-rise on leg press machine
  • Sitting heel-rise, gradually increasing workloads using weights
  • Walking up stairs placing only the forefoot on each step
  • Dynamic mobility

    Weeks 19-24 - Physiotherapy 2-3 times a week
  • Walking at a fast pace
  • Gradually begin running
  • Standing heel-rise (one leg)
  • Walking on toes
  • Quick rebounding heel-rises
  • Two-legged jump

    Weeks 25-36 - Physiotherapy 1-2 times a week
  • Running exercises
  • Jumping and hopping exercises
  • Heel-rise with increasing workloads as tolerated
  • Gradual return to sport activities