Achilles Tendonitis & Tendon Rupture
Achilles Tendonitis
Table of Contents
What is Achilles tendonitis?
Achilles tendonitis is inflammation of the Achilles tendon — the strong band of tissue that connects your calf muscles to your heel bone. It typically results from overuse, especially in runners or people who suddenly increase their physical activity.
Early stages may cause mild aching above the heel after exercise, but symptoms can worsen if left untreated, potentially leading to degeneration of the tendon or even a rupture.
What are the symptoms of Achilles tendonitis and rupture?
Common signs of Achilles tendonitis include:
Pain and stiffness in the back of your heel
Swelling or thickening of the tendon
Tenderness when walking, running, or climbing stairs
Tight calf muscles
Warmth over the tendon
A ruptured Achilles tendon usually causes:
Sudden, sharp pain in the back of the ankle or calf
A popping or snapping sound at the time of injury
Difficulty walking or standing on tiptoe
A visible gap or depression in the tendon above the heel
Toetal Podiatry uses in-office ultrasound and imaging to assess the severity of the damage. For more complex cases, diagnostic arthroscopy may be used to get a closer look at the injury.
How is Achilles tendonitis or rupture treated?
For Achilles tendonitis, early intervention is key. Initial treatment includes:
Rest, ice, and elevation
Anti-inflammatory medications
Custom orthotics or heel lifts
Stretching and strengthening exercises
Physical therapy, including laser therapy and ultrasound
Biologics like PRP (platelet-rich plasma) injections for chronic inflammation
In cases of Achilles tendon rupture, conservative treatment may include immobilization in a boot to allow natural healing, but surgery is often recommended, especially for active individuals or complete tears.
Toetal Podiatry offers minimally invasive tendon repair procedures and comprehensive post-op rehab plans to restore full strength and function.
Do I need surgery for Achilles injuries?
Mild to moderate tendonitis typically improves with non-surgical care, but a complete rupture usually requires surgery to reattach the torn ends of the tendon.
Surgical repair may also be recommended for chronic tendonitis that hasn’t responded to conservative treatment. The Toetal Podiatry team provides personalized care plans, including advanced surgical techniques and early rehabilitation to speed your recovery.
For expert diagnosis and treatment of Achilles injuries, call Toetal Podiatry or book an appointment online today.
FAQs about Achilles Tendonitis & Rupture
Q: How long does it take to heal from Achilles tendonitis?
A: Mild cases may heal in a few weeks. More severe or chronic cases can take several months with proper treatment.
Q: Can you walk with a ruptured Achilles tendon?
A: Some people can still walk, but usually with difficulty. It’s important to get checked immediately if a rupture is suspected.
Q: Is surgery always required for a rupture?
A: Not always. Conservative treatment can work, but surgery is often preferred for younger or athletic patients.
Q: Can tendonitis come back after treatment?
A: Yes, especially if underlying causes like poor footwear or training errors aren’t addressed.
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