How to Recover from an Achilles Tendon Rupture: Treatment and Rehabilitation

Introduction

The Achilles tendon connects your calf muscles to your heel bone. An Achilles tendon rupture happens when this strong band tears. This injury can make walking or standing hard. Because the Achilles tendon is vital for movement, a rupture needs quick attention. Many people with this injury feel sudden pain and may hear a pop. Early treatment helps you heal better. In this blog, you will learn about symptoms, causes, diagnosis, treatment, and recovery for Achilles tendon rupture.

Symptoms

Recognizing Achilles tendon injury symptoms is important. Often, people notice these signs right after the injury. However, some symptoms may appear slowly. Common symptoms include:

  • Sudden, sharp pain in the back of the ankle or calf
  • A popping or snapping sound at the time of injury
  • Swelling or bruising near the heel
  • Difficulty walking or standing on tiptoe
  • Weakness in the affected leg
  • Sometimes, people feel like they have been kicked in the back of the leg. If you notice these symptoms, seek medical help soon.

    Causes and Risk Factors

    Achilles tendon rupture often happens during sports or sudden movements. But, it can also occur with simple activities. Here are some common causes:

  • Sudden increase in physical activity
  • Jumping or pivoting quickly
  • Falling or tripping
  • Stepping into a hole or off a curb
  • Several risk factors can raise your chances of a torn Achilles. For example, these include:

  • Being male and aged 30 to 50
  • Playing sports like basketball, soccer, or tennis
  • Taking certain antibiotics or steroid medicines
  • Having a history of tendon problems
  • Wearing worn-out shoes during activity
  • Knowing these risks can help you take steps to prevent injury.

    Diagnosis

    Doctors use several methods to diagnose an Achilles tendon rupture. First, your doctor will ask about your symptoms and how the injury happened. Next, they will examine your leg and foot. During the exam, your doctor may:

  • Check for swelling or bruising
  • Feel for a gap in the tendon
  • Test your ability to move your foot
  • Sometimes, doctors use special tests like the Thompson test. In this test, the doctor squeezes your calf to see if your foot moves. If needed, imaging tests such as ultrasound or MRI can show the extent of the tear. These tests help guide the best treatment for you.

    Treatment Options

    Treatment for torn Achilles depends on your age, activity level, and the severity of the rupture. Both surgical and non-surgical options are available. Your doctor will help you choose the best plan.

    Non-Surgical Treatment

  • Wearing a cast, boot, or brace to keep the foot still
  • Using crutches to avoid putting weight on the leg
  • Physical therapy to regain strength and movement
  • Non-surgical treatment works well for less active people or those with smaller tears. However, there is a higher chance of re-injury compared to surgery.

    Surgical Treatment

  • Stitching the torn ends of the tendon together
  • Sometimes using a graft to strengthen the repair
  • Surgery may lower the risk of re-rupture. But, it also carries risks like infection or nerve damage. After surgery, you will need a cast or boot and physical therapy.

    Recovery and Rehabilitation

    Recovery from Achilles tendon rupture takes time. Most people need several months to heal fully. During recovery, you will:

  • Wear a boot or cast for 6 to 12 weeks
  • Start gentle exercises with a physical therapist
  • Gradually increase walking and other activities
  • With proper care, many people return to their normal activities. However, it is important to follow your doctor’s advice. Rushing recovery can cause setbacks or re-injury.

    Prevention Tips

    While not all Achilles tendon injuries can be prevented, you can lower your risk. Try these tips:

  • Warm up before exercise
  • Stretch your calf muscles regularly
  • Increase activity levels slowly
  • Wear supportive shoes
  • Avoid running on uneven surfaces
  • Listen to your body and rest if you feel pain
  • These steps can help keep your Achilles tendon healthy.

    When to See a Doctor

    If you feel sudden pain or hear a pop in your ankle, see a doctor right away. Early treatment for Achilles tendon rupture can improve your recovery. Also, seek help if you have ongoing pain, swelling, or trouble walking. Do not ignore these signs, as waiting can make the injury worse.

    Consult an orthopedic specialist for personalized advice on Achilles tendon rupture.