You have torn your Achilles tendon. (The Achilles tendon is also called the heel cord.) It connects the calf muscles on the back of the lower leg to the bone at the base of the heel. Sometimes a tendon tear is called a rupture.
Treatment for an Achilles tendon injury depends on how badly the tendon has been torn. A cast or splint can often treat a partial tear. If your tendon has completely torn, you may need surgery. You and your orthopedic doctor will choose a treatment plan, so it is important to go to any follow-up appointments.
The Achilles tendon connects the calf muscle to the heel bone. A badly torn Achilles tendon causes pain and sudden loss of strength and movement. Sometimes this is called a rupture.
An Achilles tear is most often caused by a sudden, forceful motion that stresses the calf muscle. This can happen during intense sports activity or even during simple running or jumping. Middle-aged adults are more likely to get this kind of injury.
A tendon that is badly or completely torn is most often treated with surgery. Sometimes a tear may be treated with a cast, splint, brace, or other device that keeps the lower leg from moving.
An Achilles tendon can partially or completely tear. A tear usually occurs in the lower part of the tendon. Some doctors believe that this area is most likely to tear because of a limited blood supply.
If you don't treat a badly torn Achilles tendon, your tendon may heal with time. But your leg may not be as strong as if the tear had been treated.
Symptoms of an Achilles tendon tear may include:
If you have only a partial tear of the Achilles tendon, you may have near-normal strength after the injury. Some people with partial tears may not have any symptoms.
Treatment for an Achilles tendon tear includes:
Treatment takes time, but it usually works. Most people can return to sports and other activities.
If you are healing from an Achilles tendon tear, don't smoke or use other tobacco products. Smoking slows healing. This is because it decreases blood supply and delays tissue repair.
Courtesy of Intermountain Medical Imaging, Boise, Idaho.
Figure 1 shows magnetic resonance imaging (MRI) of a normal heel and Achilles tendon. Figure 2 shows a torn Achilles tendon with fluid collected at the site of the tear.
Home treatment is often used as part of rehabilitation (rehab) after an Achilles tendon tear. Here are some things you can do to help you rest, heal, and strengthen your Achilles tendon. These can also help prevent further injury.
Avoid all activities that strain the tendon. This includes climbing stairs and running. Try other things, such as swimming, while you give your tendon the days, weeks, or months it needs to heal. Your doctor will tell you what you can and can't do.
Do gentle stretching and strengthening exercises. Focus on calf stretches.
Smoking slows healing. It decreases blood supply and delays tissue repair.
Your doctor may suggest this if your Achilles tendon shortens and stiffens while you sleep. The brace keeps your foot in a neutral position.
Surgery is often used to reattach the ends of a torn Achilles tendon.
Surgery works best when you have surgery soon after your injury. Recovery may take months. Most surgeons will wait a few days for swelling to go down. Then they'll do the surgery as soon as they can. It's usually done within 4 to 6 weeks. You'll also need a rehabilitation (rehab) program to help heal and strengthen the tendon.
Surgery for an Achilles tendon tear can be done with a single large cut (incision). This is called open surgery. Or it can be done with several small cuts. This is called percutaneous surgery.
Things that increase your risk for an Achilles tendon tear include:
Overuse and repeated movements can weaken the tendon. Playing sports and doing activities at work and at home can raise your risk.
These include:
Most Achilles tears occur in people older than 30.
People who are very heavy have a greater risk.
Men are more likely than women to have an Achilles tendon injury.
Wearing shoes that don't support your feet or cushion your heel can increase your risk.
An Achilles tendon tear is most often caused by a sudden, forceful motion that stresses the calf muscle. This can happen during an intense sports activity or even when you just run or jump. Middle-aged adults are more likely to get this kind of injury.
An Achilles tendon tear—sometimes called a rupture—can be partial or complete. Partial tears may cause no symptoms. But complete tears cause pain and sudden loss of strength and movement. Middle-aged adults doing sports activities are more likely to get this kind of injury. Tears also happen in older adults.
If you have a torn Achilles tendon, you may have a choice of treatment. You may have surgery to repair the tendon, or you may let it heal while using a cast or brace (immobilization). Both surgery and immobilization are usually successful. With either treatment, recovery will take months, and both will require rehabilitation (rehab).
You might want to consider surgery if:
You may not want to have surgery if:
Your doctor can help you weigh the pros and cons of these options so you can decide what's right for you.
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