By Gregory Caronis, MD – Orthopedic Foot & Ankle Surgeon, Fellowship-Trained
An Achilles tendon rupture is one of those injuries patients rarely forget. It is a dramatic event often accompanied by a loud “pop,” sudden sharp pain, and the unmistakable sensation that something has “snapped” in the back of the lower leg.
While it can happen to anyone, an Achilles tendon rupture usually occurs during explosive athletic movements—such as pushing off, jumping, or pivoting—leaving the individual unable to push off their foot or walk normally.
Recognizing the Symptoms
Prompt diagnosis is critical for a successful recovery. If you suspect an Achilles tendon rupture, look for these common clinical signs:
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A “Pop” Sound: Most patients report hearing a distinct snap at the moment of injury.
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Visible Swelling and Bruising: Rapid inflammation typically occurs around the heel and calf.
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A Palpable Gap: In many cases, you can actually feel a “dent” or gap in the tendon just above the heel bone.
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The “Thompson Test”: A medical professional will squeeze the calf muscle; if the foot doesn’t flex, an Achilles tendon rupture is likely.
While an MRI can confirm the extent of the tear, an experienced orthopedic surgeon can often diagnose an Achilles tendon rupture through a physical exam alone.
Treatment Options for Achilles Tendon Rupture
The best path forward depends on your age, baseline activity level, and overall health. Generally, treatment falls into two categories:
| Treatment Path | Best For… | Key Benefits |
| Non-Surgical Management | Less active patients or those with specific health risks. | Avoids surgical complications; involves immobilization in a boot. |
| Surgical Repair | Athletes and active individuals. | Lower risk of re-rupture and a generally stronger repair. |
Non-Surgical Recovery
For those opting out of surgery, the process involves placing the foot in a “plantar-flexed” position (toes pointed down) in a cast or functional boot. This allows the ends of the tendon to knit back together naturally, followed by a strictly structured rehabilitation program.
Surgical Intervention
For the active individual, surgery is often the gold standard. During the procedure, the torn tendon ends are rejoined using durable, high-strength sutures. Modern techniques allow for smaller incisions, which can lead to faster rehabilitation and a quicker return to sport. Most patients go home the same day and begin guided physical therapy within just a few weeks.
The Road to Recovery
Regardless of the chosen method, patience is key. With proper treatment and diligent physical therapy, nearly all patients recovering from an Achilles tendon rupture return to their desired activity level—often with a renewed appreciation for their body’s resilience.
Expert Tip: Don’t ignore “Achilles tendonitis” or lingering heel pain. Chronic inflammation can weaken the tissue, increasing the long-term risk of a complete Achilles tendon rupture.
Schedule a Consultation
If you’re experiencing heel or Achilles pain, don’t wait for it to worsen. Early diagnosis and treatment can make a significant difference in recovery.
Gregory Caronis, MD
Orthopedic Foot & Ankle Surgeon – Northern Illinois
