Achilles Tendon Rupture

Achilles Tendon Rupture: Causes, Symptoms, and Treatment

An Achilles tendon rupture is a partial or complete tear of the Achilles tendon, which is the thick band of tissue that connects the calf muscles to the heel bone (calcaneus). This injury is often painful and can significantly affect your ability to walk and engage in physical activities. Here’s a comprehensive overview of Achilles tendon ruptures, including their causes, symptoms, and treatment:


Achilles tendon ruptures are typically caused by a sudden and forceful contraction of the calf muscles, especially during activities that involve pushing off the foot, such as jumping or sprinting. Common causes include:

  • Sudden acceleration or deceleration
  • Quick changes in direction
  • Landing from a jump incorrectly
  • Trauma or direct injury to the back of the leg
  • Chronic overuse and degeneration of the tendon


The symptoms of an Achilles tendon rupture can vary in severity and may include:

  • A sudden, sharp pain in the back of the calf or heel
  • A popping or snapping sensation at the time of injury
  • Swelling and bruising around the affected area
  • Difficulty walking or standing on the toes of the injured leg
  • Weakness and decreased range of motion in the ankle
  • Inability to push off the foot properly


A healthcare provider will perform a physical examination, looking for signs of swelling, tenderness, and a gap in the tendon. Diagnostic imaging such as ultrasound or MRI may be used to confirm the diagnosis and assess the extent of the rupture.


The treatment approach for an Achilles tendon rupture depends on factors like the severity of the tear, the patient’s activity level, and overall health. Options include:

  • Non-Surgical Treatment: This may involve wearing a cast, walking boot, or brace to immobilize the ankle and allow the tendon to heal on its own. Physical therapy and gradual weight-bearing exercises are typically included.
  • Surgical Treatment: Surgical repair is often recommended for active individuals, athletes, and those with a complete rupture. The torn ends of the tendon are sutured back together. Surgical treatment may lead to quicker recovery and a lower risk of re-rupture, but it requires a longer rehabilitation period.


Whether treated non-surgically or surgically, rehabilitation is a crucial aspect of recovering from an Achilles tendon rupture. Physical therapy is tailored to the individual’s needs and aims to restore strength, flexibility, and function to the affected leg. The rehabilitation process may take several months.


To reduce the risk of an Achilles tendon rupture:

  • Gradually increase the intensity and duration of physical activities.
  • Warm up and stretch before exercise.
  • Wear appropriate footwear that supports the ankle and provides cushioning.
  • Avoid sudden and excessive force on the calf muscles and Achilles tendon.


Achilles tendon ruptures can be debilitating, but with prompt and appropriate treatment, many individuals can recover and regain their previous level of function. If you suspect you have suffered an Achilles tendon rupture, seek medical attention to receive a proper diagnosis and develop a suitable treatment plan tailored to your needs.