Achilles Rupture

Your achilles tendon is a very important structures which is responsible in helping you walk and gives power to your step.

Achilles rupture, also known as Achilles tendon rupture, refers to a tear of the Achilles tendon, which is the large tendon connecting the calf muscles to the heel bone. The Achilles tendon is responsible for the ability to point the foot downward, allowing for activities like walking, running, and jumping.

Achilles ruptures commonly occur during activities that involve sudden, forceful movements of the foot and calf muscles, such as sprinting, jumping, or pivoting. They can also happen as a result of a direct impact or trauma to the back of the leg.

The typical signs and symptoms of an Achilles rupture include:

1. Sudden, severe pain in the back of the leg or ankle

2. A popping or snapping sensation at the time of injury

3. A loud snapping sound at the time of injury

4. Swelling and tenderness in the area

5. A noticeable gap above above the heel where the tendon is torn

6. Difficulty walking or bearing weight on the affected leg

7. Inability to stand on tiptoes or push off with the injured leg

If you suspect an Achilles rupture, it's important to seek immediate medical attention. Your GP or emergency department doctor will conduct a physical examination and may perform additional tests, such as an ultrasound or MRI, to confirm the diagnosis and assess the extent of the injury.

Treatment options for Achilles rupture depend on various factors, including the severity of the tear, your activity level and overall health. Both surgical and non-surgical approaches can be considered:

1. Non-surgical treatment: This typically involves wearing a cast and transitioning to a walking boot that keeps the ankle in a pointed down position, allowing the tendon to heal naturally over time. Physical therapy exercises are important to get your function back.

2. Surgical treatment: Surgery is often recommended for younger, active individuals or cases where the tendon has retracted significantly. The surgical procedure involves making an incision and suturing the torn ends of the tendon together. In some cases, specialised surgical techniques are required to repair or reconstruct the tendon if there are large gaps. After surgery there is usually a period of immobilisation followed by a period of functional rehabilitation.

Recovery from an Achilles rupture can be a lengthy process, regardless of the chosen treatment method. It can take many months before you can return to regular activities and sports. Physical therapy plays a crucial role in restoring strength, flexibility, and function to the affected leg and often is required for 6-12 months.