Achilles tendon rupture

What is an Achilles tendon rupture?

An Achilles tendon rupture occurs when the Achilles tendon partially or completely tears. The Achilles tendon is the strong tendon that connects the calf muscles to the heel bone and provides power for walking, jumping and pushing off. When the tendon is suddenly placed under heavy stress, for example during sports or an explosive movement, the tendon tissue can tear.

In a partial tear, some fibers remain intact, while in a complete Achilles tendon rupture the tendon can tear completely. This often causes sudden pain, loss of strength and difficulty walking.

Recognizable symptoms of an Achilles tendon rupture

An Achilles tendon rupture often occurs suddenly during sports or a powerful movement. Many people describe a snapping or tearing sensation in the calf or ankle.

Common symptoms include:

• A sudden sharp pain at the back of the ankle
• A snapping or tearing sensation during movement
• Difficulty pushing off or standing on the toes
• Swelling or bruising around the Achilles tendon
• Reduced strength in the calf muscles
• Difficulty walking or climbing stairs

If you clearly felt a snap and walking becomes difficult, it is important to have the Achilles tendon examined as soon as possible.

Causes and risk factors

The cause of an Achilles tendon rupture is usually a sudden and high load on the tendon. Especially during sports that involve explosive movements, the tension on the Achilles tendon can increase significantly.

Factors that may increase the risk include:

• Sports such as football, tennis or running
• Explosive movements or sprinting
• Poor warm-up before physical activity
• Stiff or fatigued calf muscles
• Age-related weakening of the tendon tissue
• Previous Achilles tendon complaints

When the tendon has already been weakened by overuse or irritation, the risk of a tear may increase.

Partial or complete Achilles tendon rupture

Not every tear in the Achilles tendon is the same. A distinction is usually made between a partial tear and a complete Achilles tendon rupture.

In a partial tear, only some fibers are damaged and movement may still be partially possible. In a complete rupture, the connection between the calf and heel is interrupted, making it difficult or impossible to push off or stand on the toes.

The severity of the injury determines which treatment is most suitable.

What you can do yourself

If you suspect you have an Achilles tendon rupture, it is important to put as little weight on the ankle as possible.

Some first steps include:

• Stop sports or intensive movement immediately
• Keep the leg elevated as much as possible
• Cool the painful area to reduce swelling
• Avoid putting force on the foot
• Have the injury examined as soon as possible

Early assessment can help start the right treatment quickly.

Examination and treatment plan at De Fysio Man

At De Fysio Man we start with a thorough examination of the Achilles tendon rupture. During this examination we assess:

• Strength and function of the calf muscles
• Mobility of the ankle
• Stability of the tendon
• Walking and movement patterns

Based on this assessment, we determine whether there is a partial or complete tear and create a personal treatment plan.

Treatment may include:

• Targeted exercises to restore the Achilles tendon
• Mobilization of the ankle and foot
• Guidance in gradually increasing load
• Advice on walking and movement
• Support with taping or a brace

The goal is to allow the Achilles tendon to heal safely and rebuild the strength of the calf muscles.

Rehabilitation after an Achilles tendon rupture

Phase 1 – Protection and recovery

In the first phase, protecting the Achilles tendon is essential. Swelling and pain are reduced while the load on the tendon remains limited.

Phase 2 – Mobility and light activation

When the pain decreases, we start with light exercises for the ankle and calf muscles to improve circulation.

Phase 3 – Strength building

During this phase, strengthening exercises are added to improve the strength of the Achilles tendon and calf muscles.

Phase 4 – Return to sport

Once the tendon has sufficiently recovered, sports activities are gradually reintroduced so you can safely return to movement and sports.

Surgery for an Achilles tendon rupture

In the case of a complete Achilles tendon rupture, surgery may sometimes be necessary. During surgery, the ends of the tendon are stitched back together. This is followed by a rehabilitation period where strength, mobility and load capacity are gradually rebuilt.

However, many people also recover well with conservative treatment, depending on the severity of the injury and personal factors.

Prevention and avoiding recurrence

Although an Achilles tendon rupture often occurs suddenly, you can reduce the risk by taking good care of your tendons.

Important tips include:

• Ensure a proper warm-up
• Gradually build up sports intensity
• Keep the calf muscles strong and flexible
• Alternate training intensity
• Wear shoes with proper cushioning

By paying attention to load and recovery, many injuries can be prevented.

Frequently asked questions about an Achilles tendon rupture

What does an Achilles tendon rupture feel like?

Many people feel a sudden snap or sharp pain at the back of the ankle. After that, walking often becomes difficult and the calf feels weaker.

Can you still walk with a torn Achilles tendon?

With a partial tear, walking may still be somewhat possible. With a complete rupture, pushing off is usually no longer possible.

How long does recovery take?

Recovery from an Achilles tendon rupture often takes several months. This depends on the severity of the tear and the treatment.

When should I see a physiotherapist?

If you suddenly experience pain at the back of the ankle or felt a snapping sensation, it is wise to have the injury assessed as soon as possible.

Your next step

Do not continue walking with complaints for too long. With a quick diagnosis and a proper treatment plan, you can work towards recovery after an Achilles tendon rupture and regain confidence in movement.

Make an appointment at De Fysio Man and start targeted recovery of your Achilles tendon.