How Long Does a Ruptured Achilles Take to Heal? A Complete Recovery Timeline
What Is a Ruptured Achilles Tendon?
The Achilles tendon connects the calf muscles to the heel bone and plays a vital role in walking, running, and jumping. A rupture occurs when the tendon tears completely, often causing a sudden snap or pop, followed by sharp pain and difficulty walking.
How Long Does a Ruptured Achilles Take to Heal?
Recovery from a ruptured Achilles tendon typically takes 6 to 12 months, depending on the severity of the tear, treatment method (surgical vs. non-surgical), and the individual’s age, activity level, and rehabilitation program.
Here’s a detailed look at the Achilles rupture recovery timeline:
Achilles Rupture Recovery Timeline (Week-by-Week)
Weeks 0–2: Initial Injury and Immobilization
- Treatment begins with a cast, splint, or boot to immobilize the ankle in a pointed-down position.
- Surgery may be performed (if chosen) within this period.
- Crutches are used to avoid putting weight on the injured leg.
- Goal: Protect the tendon and reduce swelling.
Weeks 2–6: Early Healing Phase
- Gradual transition to a walking boot with heel lifts.
- Begin gentle range-of-motion exercises under the guidance of a physical therapist.
- Still non-weight-bearing or limited weight-bearing, depending on doctor’s advice.
Weeks 6–12: Weight-Bearing and Strength Building
- Begin putting more weight on the foot.
- Increase physical therapy sessions focusing on flexibility, balance, and calf muscle activation.
- Start low-impact activities like stationary biking or pool therapy.
3–6 Months: Functional Rehabilitation
- Continue strength training and functional movement exercises.
- Begin walking without a boot and possibly light jogging by month 5–6.
- Athletes can begin sport-specific drills (non-contact).
6–12 Months: Return to Activity
- Full recovery can take up to 12 months.
- Return to high-impact sports or running often occurs between 9–12 months.
- Continued physical therapy may be necessary to regain full strength and flexibility.
Surgical vs. Non-Surgical Treatment Recovery
| Factor | Surgical Treatment | Non-Surgical Treatment |
|---|---|---|
| Re-rupture Risk | Lower (5–10%) | Slightly higher (10–15%) |
| Recovery Time | Similar overall | Similar overall |
| Scarring | Small incision | None |
| Physical Therapy | Essential | Essential |
Both methods can be effective, and the best approach depends on your health, activity level, and surgeon’s recommendation.
Tips for a Smooth Achilles Recovery
- Stick to your rehab plan: Physical therapy is crucial for regaining strength and flexibility.
- Don’t rush: Pushing too hard, too soon can delay healing or cause re-injury.
- Eat well and rest: Nutrition and sleep support tendon repair.
- Stay consistent: Regular check-ins with your doctor or physical therapist ensure you’re on track.
When to See a Doctor
If you suspect an Achilles rupture—such as hearing a pop, feeling sudden pain in the back of the ankle, or having difficulty walking—seek medical attention immediately. Early treatment leads to better outcomes.
Final Thoughts
Healing from a ruptured Achilles tendon is a gradual process that requires patience, commitment, and proper care. Most people can return to their normal activities within 6 to 12 months, especially with a comprehensive rehabilitation program.
For best results, follow your doctor’s recommendations, attend regular physical therapy, and listen to your body throughout recovery.