Physio Network [Case Studies] Achilles repair recovery: the rehab roadmap with Scott Greenberg
Jun 25, 2025
In this insightful discussion, Scott Greenberg, a physical therapist at UF Health with a strong background in sports medicine, shares the journey of a gymnast recovering from an Achilles rupture. He delves into the crucial decisions between surgical and conservative treatment options. Scott emphasizes key rehabilitation strategies, highlighting the importance of controlled stretching and strength exercises for athletes. With a focus on personalized care, he outlines an effective return-to-sport roadmap, ensuring that injured athletes can regain their peak performance.
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Elite Gymnast Achilles Case
- Scott treated an elite gymnast who ruptured her Achilles and had surgery.
- They had extensive video, ultrasound data, and testing to track her recovery progress.
Surgery Preferred for Young Athletes
- Surgical repair is preferred for young, high-level athletes for quicker, more aggressive rehab.
- Conservative management is less common because surgery supports better early healing and return to performance.
Post-Surgery Rehab Goals
- Focus on three goals post Achilles repair: wound healing to prevent infection, avoid tendon lengthening, and rebuild strength.
- Avoid early aggressive dorsiflexion stretching to prevent loss of tendon rigidity and power.