There are two kinds of Achilles tendon ruptures. Both can benefit from non-operative treatments like rest, activity modification, physical therapy, and more.
Acute injury: A partial or complete tear caused by sudden, forceful movements such as jumping or running. See a specialist as soon as possible to diagnose the damage, which can be with a physical exam alone. More severe ruptures may require surgery.
Chronic, painful ruptures: Ruptures and micro-tears can cause ongoing pain during physical activity. Non-operative treatments are usually effective. However, surgery may be recommended for more severe cases.
Overview of procedure/treatment
- Rest
- Crutches
- A cast to immobilize the foot and ankle and allow faster healing
- Anti-inflammatory medications
- Physical therapy
Pre-treatment considerations
- See your specialist for a definitive diagnosis if you have severe sudden Achilles tendon pain or chronic pain over time
- Acute and severe Achilles tendon injuries may require surgery instead of non-operative treatments
- Chronic tendon pain from ruptures is usually treated with non-operative measures
- If pain does not improve, MRI images may be ordered to show whether injury and causes could be remedied through surgery
- NOTE: Corticosteroid injections are NOT recommended because they can cause additional ruptures
Post-treatment considerations and recovery
Follow recovery instructions as directed
Pros & Benefits
- In chronic tendon rupture cases, non-operative treatments can be effective in reducing pain and healing tears
- Can be done by patients in their own home
Cons, risks, and possible side effects
- May not heal all ruptures
- Surgery may be needed to repair and reinforce the tendon and remove bony areas that rub against the tendon
Why Rothman
- Each year, Rothman's foot and ankle specialists help thousands of patients with a wide variety of conditions, including how to treat Achilles tendon ruptures without surgery.
- As recognized leaders nationally and in the Greater Philadelphia area, our specialists use innovative treatments and the latest technology, as well as tried-and-true approaches.
- Our orthopedic specialists are board-certified, fellowship-trained and have many years of extensive experience. Some have been team physicians for area professional sports teams.
- Rothman specialists regularly publish research in prestigious medical journals and lecture worldwide to share their vast knowledge with the next generation of orthopedic specialists.
- Our nationally recognized orthopedic team is consistently ranked among the best in the Delaware Valley by U.S. News & World Report.
Consult with a Rothman orthopedic specialist about treatments that may be right for you.
