19May
Ruptured Achilles Tendon: Healing Time, Recovery Stages, and What to Expect

What is an Achilles Tendon Rupture?

The Achilles tendon is the largest and strongest tendon in the body, allowing you to walk, run, and jump. A rupture occurs when the tendon tears completely or partially, often accompanied by a sharp pain in the back of the ankle, a popping sound, and sudden weakness in the leg.

Common Causes:

  • Sudden increase in physical activity
  • Jumping or pivoting
  • Falling or tripping
  • Previous tendonitis or tendon degeneration

Healing Time for a Ruptured Achilles Tendon

The healing time for a ruptured Achilles tendon depends on the severity of the injury and the chosen treatment method (surgical or non-surgical). On average, full recovery can take 6 to 12 months.

Surgical vs Non-Surgical Recovery:

  • Surgical treatment may offer a faster return to sports and lower re-rupture rates but involves higher risks of infection.
  • Non-surgical treatment typically involves immobilization and physical therapy but may require a longer rehabilitation period.

Recovery Stages After Achilles Tendon Rupture

1. Initial Recovery (Weeks 0–2)

  • Immobilization with a splint or cast
  • Elevation and icing to reduce swelling
  • Non-weight bearing with crutches

2. Early Rehabilitation (Weeks 2–6)

  • Transition to a walking boot with heel wedges
  • Gentle range-of-motion exercises
  • Partial weight-bearing as tolerated

3. Progressive Strengthening (Weeks 6–12)

  • Gradual removal of heel lifts
  • Start of physical therapy focused on calf strengthening
  • Walking without the boot by week 8–10 (varies)

4. Advanced Rehabilitation (Months 3–6)

  • Increase in mobility and strength exercises
  • Return to low-impact activities like cycling or swimming
  • Emphasis on balance and proprioception training

5. Return to Sport or Full Activity (Months 6–12)

  • Gradual reintroduction to high-impact activities
  • Plyometric and sport-specific training
  • Ongoing physiotherapy support

What to Expect During Recovery

  • Pain and stiffness are common in the early stages
  • Muscle weakness may persist for several months
  • Scar tissue and decreased flexibility may affect performance
  • Compliance with physical therapy is crucial for optimal recovery

Tips for a Successful Recovery:

  • Follow your orthopedic surgeon or physical therapist’s instructions closely
  • Avoid premature return to activity
  • Maintain a healthy diet to support tissue healing
  • Stay positive and patient—the recovery process takes time

When to See a Doctor

Seek immediate medical attention if you experience:

  • Sudden sharp pain in the heel or calf
  • A popping sound during activity
  • Difficulty walking or standing on your toes
  • Swelling and bruising in the lower leg

Final Thoughts

A ruptured Achilles tendon can be a serious setback, but with the right treatment and a dedicated recovery plan, most individuals regain full function. Whether you choose surgical or conservative treatment, understanding the recovery stages and managing your expectations is essential to a successful return to your normal activities or sports.