Definitions:
When the Achilles tendon is stretched beyond its normal capacity, a complete or partial tear may occur. This condition is called an Archilles Tendon Rupture. Forceful running or jumping, pivoting, and sudden acceleration can overstretch the Achilles tendon and cause a rupture.
Signs and Symptoms:
If you have a torn Achilles tendon you may experience one or more of the following symptoms:
- A popping or snapping sensation
- Sudden pain in the back of the ankle or calf
- Swelling between the heel and the calf
- Trouble walking, especially when attempting to walk uphill or downhill or upstairs and downstairs
- Pain and difficulty rising up on toes.
Diagnosis:
Occasionally an MRI or other imaging method will be used to diagnose an Achilles Tendon rupture. Typically, however, the diagnosis is quite straight forward without imaging. The doctor will ask questions about how, where, and when the injury was received and if a previous injury with similar symptoms had occurred. The surgeon will examine the foot and ankle, assessing range of motion, muscle strength, and the area for indications of a tear.
Treatment:
Both surgical and non surgical treatment options are available for an Achilles Tendon rupture. Various surgical methods exist so that the surgeon can choose the best method for the patient. Although non surgical methods are generally the preferred course of action, surgery does offer some benefits. A surgically repaired tendon will have less likelihood of re-rupture and the repair often increases the patient’s push-off strength, muscle function, and ankle movement.
Following surgery, the repaired tendon will be immobilized using a cast or removable walking boot. It is important to keep weight off of the tendon until told by the physician that it is OK to put weight on it. Physical therapies are always used as an important treatment method, whether or not surgery or on surgical methods are chosen.
