Restoring Strength and Mobility
The Achilles tendon is the largest and strongest tendon in the body, connecting the calf muscles to the heel bone. It plays a crucial role in walking, running, and jumping. Achilles tendon injuries, including partial tears and complete ruptures, can significantly affect mobility and function. Prompt treatment is essential to restore strength and prevent long-term complications.
Achilles tendon injuries can result from sudden movements, overuse, or degenerative changes due to ageing. Treatment options depend on the severity of the injury, lifestyle factors, and individual recovery goals.
Causes & Risk Factors of Achilles Tendon Injuries
- Sudden Movements or Trauma – Common in sports involving jumping, sprinting, or abrupt stops.
- Overuse & Repetitive Strain – Activities like running or excessive hill climbing can weaken the tendon over time.
- Inadequate Warm-Up or Stretching – Tight calf muscles increase stress on the Achilles tendon.
- Age & Degeneration – The tendon weakens with age, making middle-aged individuals more susceptible.
- Improper Footwear – Wearing unsupportive shoes during high-impact activities can contribute to tendon injuries.
- Underlying Conditions – Diabetes, obesity, and certain medications (such as corticosteroids or fluoroquinolone antibiotics) can increase the risk of tendon rupture.
Signs & Symptoms of Achilles Tendon Injuries
- Sudden pain or a snapping sensation in the back of the ankle
- Swelling and tenderness along the Achilles tendon
- Difficulty pointing toes or pushing off while walking
- A visible gap or indentation in the tendon (in cases of complete rupture)
- Weakness and reduced range of motion in the affected leg
Diagnosis of Achilles Tendon Injuries
- Physical Examination – The Thompson test assesses tendon integrity by squeezing the calf muscle.
- Ultrasound or MRI – Used to confirm the extent of tendon damage and guide treatment decisions.
- X-rays – Occasionally performed to rule out fractures or bony abnormalities.
Treatment Options for Achilles Tendon Injuries
Non-Surgical Treatment (For Partial Tears & Mild Injuries)
- Immobilisation – Using a walking boot or cast to allow the tendon to heal.
- Physiotherapy & Stretching Exercises – Strengthening and flexibility programs help restore function.
- Heel Lifts & Orthotics – Reduce strain on the tendon and support recovery.
- Anti-Inflammatory Medication & Ice Therapy – Manage pain and swelling.
Surgical Treatment (For Complete Ruptures or Severe Tears)
- Open Repair Surgery – The torn tendon is stitched back together through a small incision.
- Minimally Invasive Surgery – A less invasive technique that uses smaller incisions, reducing scarring and recovery time.
- Tendon Grafting (In Complex Cases) – A tendon from another part of the body may be used to reinforce the repair if there is significant tissue loss.
Recovery & Rehabilitation
- Initial Immobilisation – The foot is kept in a protective boot or cast for 6-8 weeks post-surgery.
- Gradual Weight-Bearing & Mobility Exercises – Supervised physiotherapy restores strength and movement.
- Full Recovery Timeline – Most individuals regain full function within 6-12 months, depending on rehabilitation progress.
Why Choose Advanced Orthopaedics for Achilles Tendon Repair?
Specialist Foot & Ankle Care
Led by Dr Sarbjit Singh, a Senior Consultant Orthopaedic Surgeon, our clinic provides diagnosis and personalised treatment plans for Achilles tendon injuries.
Comprehensive Treatment Approach
We offer both surgical and non-surgical solutions, ensuring each patient receives the most effective treatment for their condition and lifestyle.
Rehabilitation & Support
Our structured rehabilitation programs focus on restoring mobility, strength, and long-term function, reducing the risk of re-injury.
Take the Next Step
If you have experienced an Achilles tendon injury or persistent heel pain, early treatment is key to preventing further complications. Schedule a consultation with our team at Advanced Orthopaedics to explore the best treatment options for your recovery.