Achilles Tendon Rupture Treatment Options

Non-surgical treatment is often recommended for patients who have minimal physical demands, patients with significant health concerns, or patients with partial tears. This approach involves immobilization of the foot and ankle to allow the tendon to heal via scar formation.This approach involves immobilization of the foot and ankle to allow the tendon to heal naturally. For complete ruptures, patients should be evaluated as soon as possible and placed into a splint in plantarflexion.

1. Immobilization The foot is placed into a splint in plantarflexion or walking boot with heel lifts in order to maintain a position that facilitates the torn ends of the tendon to heal with adequate tension. The splint immobilization typically lasts for about 2 weeks and then the patient is transitioned into a boot with heel lifts for another six to eight weeks. Over time, the foot position is adjusted by removing heel lifts and patients can perform gradual stretching and strengthening of the tendon.
2. Physical Therapy If non-operative management is recommended, patients typically begin a structured physical therapy program within the first few weeks of injury to help restore flexibility, strength, and range of motion. Therapy focuses on gradual weight-bearing exercises and calf strengthening to prevent re-injury.
3. Benefits and Risks Non-surgical treatment reduces the risk of complications such as wound infection or nerve damage associated with surgery. However, this method carries a slightly higher risk of re-rupture and typically does not restore full strength and function in highly active individuals.

Surgical intervention is often recommended for complete Achilles tendon ruptures, particularly in younger, active patients or those who wish to return to high-impact activities.

1. Open Surgery Open surgery involves making an incision along the back of the lower leg to expose the torn tendon. The surgeon sutures the tendon back together, reinforcing the repair to promote healing. This technique is highly effective in reducing re-rupture rates and restoring tendon strength.
2. Minimally Invasive Surgery Dr. Boden also offers minimally invasive surgical techniques, which involve smaller incisions and the use of specialized instruments to suture the tendon. This approach reduces the risk of infection and promotes faster recovery compared to traditional open surgery.
3. Post-Surgical Rehabilitation Following surgery, the foot is placed in a splint or boot for several weeks. Early mobilization is encouraged to prevent stiffness and improve tendon healing. Physical therapy plays a crucial role in regaining full mobility and strength. Patients typically return to normal activities within four to six months, although high-impact sports require at least 9 months of rehabilitation.
4. Benefits and Risks Surgical repair lowers the risk of re-rupture and improves long-term function. However, potential risks include infection, nerve damage, and blood clots. Dr. Boden carefully evaluates each patient to minimize complications and ensure optimal outcomes.

Recovery from Achilles tendon rupture, whether managed surgically or non-surgically, focuses on early mobilization and structured rehabilitation program. Initial focus is placed on reducing swelling and protecting the tendon, followed by gradual weight-bearing and strengthening exercises. Full recovery can take up to a year, depending on the severity of the injury and the chosen treatment method.

Physical therapy remains a cornerstone of the recovery process, emphasizing progressive loading, balance training, and muscle conditioning. Dr. Boden works closely with patients throughout their rehabilitation journey to monitor progress and adjust treatment as needed.

She educates her patients on preventive strategies, especially for those who are returning to sports or demanding physical activities after recovery.

Whether through non-surgical methods or advanced surgical techniques, Dr. Boden tailors each treatment plan to the unique needs of her patients, ensuring optimal results and long-term tendon health.