Achilles Tendon Rupture

The Achilles tendon joins the calf muscles to the heel bone. It is the largest tendon in the body, and it lets you push off when you walk, run and jump.

Achilles Tendon
How it happens

A rupture usually happens during a sudden push-off or landing, often in stop-start sports such as squash, tennis, badminton or soccer. It is most common in people aged 30 to 50 who play sport occasionally. Many describe feeling as if they had been kicked or hit on the back of the heel, sometimes with an audible snap.

Symptoms
  • Sudden pain at the back of the ankle or calf
  • Difficulty walking and pushing off, or standing on tiptoe
  • A gap that can sometimes be felt in the tendon
  • Swelling and bruising
Diagnosis

The diagnosis is usually made on examination. An ultrasound or MRI scan may be used to confirm it and measure the gap between the tendon ends. Early assessment matters, because treatment is simplest in the first days after the injury.

Treatment

There are two accepted approaches. The choice depends on your activity level, your general health, the gap between the tendon ends and how long ago the injury happened.

  • Non-surgical treatment: the foot is held pointing downwards in a boot with heel wedges so the tendon ends lie together, followed by a structured rehabilitation programme.
  • Surgical repair: the tendon ends are stitched together. In minimally invasive repair, this is done through small incisions, which reduces the risk of wound problems.

BMR Surgeons who Treat This

Dr P. Reddy.

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