Achilles tendon rupture is a sudden injury affecting the tendon at the back of the ankle. It can cause pain, weakness and difficulty walking, and often occurs during sport or a sudden push-off movement.

Mr Edward Dawe is a Consultant Foot & Ankle Surgeon specialising in the assessment and treatment of Achilles tendon rupture, offering both non-surgical and surgical treatment options where appropriate. Clinics are available in Chichester, Worthing and Haywards Heath.

What is an Achilles tendon rupture?

An Achilles tendon rupture occurs when the tendon tears fully or partially. This can lead to loss of strength when pushing off the foot and difficulty with walking or standing on tiptoe.

Symptoms of Achilles tendon rupture

Common symptoms include:

  • Sudden pain at the back of the ankle or calf
  • A popping or snapping sensation at the time of injury
  • Weakness when walking or pushing off
  • Difficulty standing on tiptoe
  • Swelling or bruising around the ankle

Initial treatment after injury

If you think you may have ruptured your Achilles tendon, early assessment is important. Initial treatment usually involves immobilisation in a boot or cast and assessment to determine the most appropriate treatment plan.

Non-surgical treatment

Many Achilles tendon ruptures can be treated without surgery, particularly if the injury is identified early and managed appropriately.

Non-surgical treatment usually involves immobilisation in a specialist boot, followed by a structured rehabilitation programme.

Surgical treatment

Surgery may be considered depending on the pattern of the rupture, the timing of presentation and individual patient factors.

The aim of surgery is to repair the torn tendon and support recovery. The choice between surgical and non-surgical treatment is made after specialist assessment and discussion.

Recovery after Achilles tendon rupture

Recovery from Achilles tendon rupture is gradual and usually involves a structured rehabilitation programme. The exact protocol depends on whether treatment is surgical or non-surgical.

Return to normal activities and sport varies between individuals and depends on the type of injury and progress with rehabilitation.

When to seek specialist advice

If you have sudden pain at the back of the ankle, weakness, difficulty walking or loss of push-off strength, urgent assessment is recommended.

Frequently asked questions

Can an Achilles tendon rupture heal without surgery?
Yes, many Achilles tendon ruptures can be treated successfully without surgery, particularly if the injury is identified early and managed with appropriate immobilisation and rehabilitation.
How is an Achilles tendon rupture diagnosed?
Diagnosis is usually made through clinical examination and may be supported by imaging such as ultrasound.
How long does recovery take after Achilles tendon rupture?
Recovery takes time and usually involves several months of rehabilitation. The exact timeline varies depending on the injury and treatment approach.
When is surgery needed for Achilles tendon rupture?
Surgery may be considered depending on the timing of presentation, the nature of the rupture and individual patient factors.