Overview

Diagnosis

To check for an Achilles tendon rupture, your healthcare professional will:

  • Examine the lower leg — looking for swelling, tenderness, or a gap in the tendon.

  • Perform the calf squeeze test — you may be asked to kneel on a chair or lie on your stomach with your feet hanging off the table. If squeezing the calf muscle doesn’t cause your foot to flex downward, this usually means the tendon is torn.

If it’s unclear whether the tendon is fully or partially torn, imaging tests like ultrasound or MRI can give a detailed view of the injury.

Treatment

The best treatment option depends on your age, activity level, and the severity of the rupture. Younger or more active people often choose surgery, while older adults may prefer nonsurgical care. Both approaches can lead to good recovery.

 

Nonsurgical Treatment

This approach usually includes:

  • Resting the injured tendon with crutches

  • Applying ice to reduce swelling

  • Taking over-the-counter pain relievers

  • Wearing a cast or walking boot with heel wedges to keep the foot flexed downward for several weeks

Benefits:

  • Avoids surgery and its risks (such as infection).

Considerations:

  • Slightly higher chance of re-injury.

  • Recovery may take longer, though early weight-bearing rehab improves results.

Surgical Treatment

Surgery involves:

  • Making an incision in the lower leg.

  • Stitching the torn tendon back together.

  • Sometimes reinforcing the repair with another tendon if needed.

Benefits:

  • May lower the risk of re-rupture.

  • Often preferred for athletes and younger patients.

Risks:

  • Possible infection or nerve damage (less common with minimally invasive techniques).

Rehabilitation

Rehab is essential whether you choose surgery or not. It typically includes:

  • Physical therapy to rebuild strength and flexibility.

  • Functional rehabilitation that focuses on movement coordination and balance.

  • Most people can return to normal activity in 4 to 6 months, though full recovery can take up to a year.

Important:
Newer rehab approaches involve earlier movement and faster progression to help speed recovery.

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