Achilles Tendon Rupture

Diagnosis

The Achilles tendon can rupture or tear during a sporting activity, typically a sudden push-off. People report a feeling that someone has struck them at the back of their heel during a game of squash, basketball, netball or even while dancing!

The diagnosis is usually obvious clinically but sometimes an ultrasound may be useful to determine the level of the injury.

Treatment

The Achilles tendon has a tremendous healing capacity. The aim of treatment is to allow return to pre-injury level of function. This can be achieved with both operative/surgical repair and with non-operative treatment. The end result is often similar with both methods and this has been proven in several large research studies on the topic. Surgical repair may significantly reduce the risk of re-injury and is thus recommended in younger or active patients. Return to full athletic activity takes 6-12 months regardless of which treatment method is chosen.