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      4 Phase Post Procedure Rehab


      Phase 1: 1-2 weeks post-procedure:

      • Isometric strengthening, muscle activation, and firing of muscle-tendon unit

      • Joint mobilizations and gentle stretching of the muscle-tendon unit

      • Evaluate and treat other regional weaknesses and imbalances in the kinetic chain

      • Desensitization of the tissues with deep tissue and myofascial release work

       Phase 2: 2-6 weeks post-procedure:

      • Progressive strengthening of the muscle-tendon unit and regional muscles; fix atrophy

      • Controlled low-load, high repetition concentric followed by low load eccentrics

      • Tissue remodeling with deep tissue work in line with collagen fiber orientation of tendon

      • Basic sport-specific skills reintroduced without loading the tendon significantly

       Phase 3: 6-10 weeks post-procedure:

      • More dynamic and balanced concentric and progressive eccentric loading of the tendon

      • Some early sport-specific, less ballistic skill reintegration with moderate tendon loading

      • Likely will need a recovery day after more significant loading

       Phase 4: 8-12 weeks post-procedure:

      • Return to sport-specific skills in a progressively more dynamic and ballistic fashion

      • Progressively load tendon cyclically (recovery dictates daily vs every other day loading)

      • May begin a phased return to a running program if indicated (separate handout)

      • Game/Activity simulation with a therapist to recreate the environment

      **Consider progression to a personal trainer if more training is needed prior to returning to sport

      **Note: Pain up to 3-4/10 is acceptable so long as it remits on the recovery day

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