AnAchilles tendon ruptureis a traumatic injury that can cause significant disability after it occurs.
This condition typically happens without warning and can make it challenging to walk or bear weight through your leg.
While many people end up having their tendon surgically repaired after a tear, this is not always necessary.

Oleg Breslavtsev/ Getty Images
Oleg Breslavtsev/ Getty Images
What Is an Achilles Tendon Rupture?
This important structure is both the thickest and strongest tendon in the human body.
Huge amounts of force are transmitted through the Achilles on a daily basis.
Occasionally, the Achilles tendon can eitherpartially or completely rupture(also known as an Achilles tear).
It is frequently accompanied by a popping sensation in the lower portion of the calf.
A ruptured Achilles can impact anyone.
That said, several groups are more likely to experience this condition than others.
For example, men tear their Achilles at a higher rate than women.
In particular, males in their 30s, 40s, and 50s are at a higher risk.
Do I Need Surgery?
This tendinous healing can ultimately allow you to regain function and strength in your ankle.
How Effective Is Nonoperative Treatment?
While the specifics can vary from surgeon to surgeon, several hallmark rehab components are typically present.
Casting is usually the first step in treating an Achilles tear without surgery.
After several weeks, the cast is removed and a walking boot is worn in its place.
Generally, a heel lift is placed in the boot to reduce the strain on the healing tendon.
Gentle mobility exercises may also be initiated by your therapist during this time.
After several weeks, your doctor will permit you to transition into a shoe.
When this occurs, initial calf strengthening and balance exercises are usually also initiated.
In total, your entire rehabilitation can take up to six months or longer.
Summary
An Achilles tendon rupture can significantly affect your ability to walk or run.
Surgical repair may be done, but there are also nonoperative options.
A cast and then a walking boot may be used.
After a few weeks, you may graduate to a shoe and begin exercises with a physical therapist.
University of Michigan Health.Achilles tendon problems.
2019;364:k5120.