achilles tendon rupture

What is it?

The Achilles tendon is a fibrous band of tissue that links the muscles in your calf to your heel. The strength and flexibility of this tendon are important for jumping, running, and walking. Your Achilles tendon withstands a lot of stress and pressure during everyday activities, as well as during athletic and recreational play.  If it becomes inflamed, swollen, and irritated, it is called tendonitis.

Experiencing an Achilles tendon rupture can be distressing, but understanding the appropriate steps to take is crucial for your recovery. In this guide, we’ll provide valuable insights to help you navigate the healing and rehabilitation process.

Surgery or non-surgical? 

Deciding between surgery and non-surgical treatment is a critical choice you’ll face. Recent research shows that conservative care with an accelerated rehabilitation program can yield comparable outcomes to surgery. It’s essential to weigh the risks and benefits of each option before making a decision.

Risk of not having surgery

Choosing non-surgical treatment for an Achilles rupture may pose certain risks, such as delayed healing and re-rupture. However, studies have shown favourable outcomes for non-surgical management, particularly when combined with an accelerated rehabilitation program. Factors like age, lifestyle, physical demands, and overall health should be considered when assessing the risks and benefits of surgical versus non-surgical treatment options.

Recovery & physiotherapy duration

Recovery time and the duration of physiotherapy vary based on the chosen treatment approach and individual healing progress. Achilles tendon ruptures typically require a structured rehabilitation program spanning several months. Surgical treatment involves immobilisation in a walking brace for approximately six weeks, followed by a gradual transition to weight-bearing and active physiotherapy.

Non-surgical treatment may involve a similar duration of immobilisation in a walking boot, followed by progressive rehabilitation. Full recovery may take nine to twelve months, allowing for tissue healing and restoration of strength and flexibility.

Conservative vs operative approach

The choice between conservative (non-surgical) and operative approaches depends on various factors and should be made in consultation with a healthcare professional. Recent studies have shown promising outcomes for non-surgical treatment, with comparable functional improvement and lower complication risks.

Surgical intervention may be recommended for individuals who prioritise a faster return to sports or activities involving running and jumping. Personal goals, lifestyle, and the advice of your healthcare provider should guide your decision on the most suitable approach for your Achilles rupture.

The goal of surgery

If you opt for surgical treatment, the ultimate goal is to achieve a successful repair of the Achilles tendon and regain optimal function. Following surgery, a comprehensive rehabilitation program will be initiated to promote healing, restore strength, and enhance flexibility. The end goal is to enable you to return to your desired level of activity with restored confidence and functionality.

Summary

Dealing with an Achilles tendon rupture can be challenging, but with the right approach and guidance, a full recovery is possible. Whether you choose surgical or non-surgical treatment, feel free to consult with us, as we are here to provide personalised advice specifically to you. Remember, each case is unique, and a comprehensive rehabilitation program is essential to facilitate healing, restore strength, and optimise long-term outcomes.

Take the necessary steps to ensure proper care for your Achilles rupture, and be patient with the healing process. With time, commitment to rehabilitation, and our guidance – you can overcome this injury and regain an active and fulfilling lifestyle.