An Achilles tendon rupture is when the tendon is stretched too far. Jumping, pivoting and running can overstretch the tendon and cause a complete or partial tear. An injury to the tendon can also happen when falling or tripping.
Achilles tendon ruptures most often happen to "weekend warriors" who are typically middle-aged people participating in sports. Sometimes illness or medications can weaken the tendon and contribute to an injury.
Symptoms of an Achilles Tendon Rupture
- Sudden pain in the back of the ankle or calf, which may turn into a dull ache
- A popping or snapping feeling.
- Swelling on the back of the leg between the heel and the calf
- Difficulty walking upstairs or uphill and problems rising up on the toes
Until the patient is able to see a foot and ankle doctor, the "R.I.C.E." method should be used. The R.I.C.E method includes: Resting (stay off the injured foot and ankle), ice (put a bag of ice covered with a thin towel on the injury) compression (wrap the foot and ankle in an elastic bandage) and elevation (keep the leg up to reduce the swelling).
Diagnosis of an Achilles Tendon Rupture
When diagnosing an Achilles tendon rupture, the foot and ankle surgeon will ask questions about the injury, examine the foot and ankle, and evaluate range of motion and muscle strength. Sometimes the foot and ankle surgeon may order an MRI, x-ray or other imaging tests.
Treatment for an Achilles Tendon Rupture
Non-surgical treatment is for minor ruptures, less active patients, and people with medical conditions that prevent them from having surgery. Non-surgical treatment may include the use of a cast, walking boot, or brace to keep the foot and ankle still and allow the torn tendon to heal. There are also medications such as Ibuprofen that can help reduce inflammation.
Surgical Treatment for an Achilles Tendon Rupture
Surgery can decrease the chances of re-rupturing the Achilles tendon, but can increase the patient’s push-off strength and improve muscle function and movement. An experienced foot and ankle surgeon can recommend the best type of surgery for the patient.
After surgery, the foot and ankle are placed in a cast or boot to keep it still. When the ankle is ready, physical therapy can help the healing process.
Remember, any type of foot or ankle pain is never normal. A foot and ankle doctor can examine your feet and give you the best course of action.
Please call 626-447-2184 (Arcadia) or 818-408-2800 (San Fernando) to speak to a foot and ankle specialist about your foot and/or ankle needs.
