Achilles tendon rupture

Overview

An Achilles rupture is a complete tear of the tendon, usually during sudden push-off in sport. It is often felt as a snap with sudden weakness. Both surgical and non-surgical pathways exist, followed by a structured rehabilitation programme.

Symptoms

• A sudden snap or pain at the back of the ankle
• Difficulty pushing off or rising on toes
• Swelling and a possible gap in the tendon
• Weakness in the calf

Causes

• Sudden explosive push-off
• Tendon degeneration with age
• Certain medications increasing risk

Treatment

• Prompt assessment and immobilisation
• Surgical or non-surgical management as advised
• Structured, progressive rehabilitation
• Gradual return to running and sport