Achilles Tendon Rupture

An Achilles tendon rupture is a complete or partial tear of the Achilles tendon, the large tendon connecting the calf muscles to the heel bone. It typically occurs during sudden acceleration or jumping.

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Typical Recovery Time

6-12 months

Symptoms

•Sudden severe pain in the back of the ankle
•Audible pop at the time of injury
•Swelling and bruising
•Inability to push off or rise onto toes
•Palpable gap in the tendon

Common Causes

•Sudden acceleration or jumping
•Eccentric loading of the calf
•Prior tendinopathy
•Fluoroquinolone antibiotic use
•Steroid injections

Treatment Options

1Surgical repair for active patients

2Non-surgical management with functional bracing

3Physical therapy

4Gradual return to sport over 9-12 months

When to See a Doctor

Immediately — Achilles tendon rupture requires urgent evaluation.

Frequently Asked Questions

What is an Achilles tendon rupture?

An Achilles tendon rupture is a tear of the tendon that connects the calf muscles to the heel bone. It often happens suddenly during running, jumping, or pushing off. Many people describe feeling a pop or being kicked in the back of the ankle.

What causes an Achilles tendon rupture?

It is commonly caused by sudden forceful movements such as sprinting, jumping, or changing direction. Weekend athletes and people returning to activity after time off are at higher risk. Tight calves or prior Achilles pain can also increase risk.

What are the symptoms?

Symptoms include sudden pain in the back of the ankle, weakness, swelling, and difficulty pushing off. Some people cannot rise onto their toes on the injured side. Walking may be difficult or feel unstable.

Do I need surgery for an Achilles tendon rupture?

Treatment can be surgical or non-surgical depending on age, activity level, tendon gap, and goals. Active patients may be referred to discuss surgery, while some ruptures can heal with bracing and rehab. Early evaluation is important because treatment timing matters.

How long does recovery take?

Recovery usually takes several months. Return to running and sports often takes 6 to 12 months depending on treatment and strength recovery. A guided rehabilitation plan is important to reduce the risk of re-rupture.