What Are Your Options for a Ruptured Achilles Tendon?

2 April 2024
 Categories: , Blog


A ruptured Achilles tendon can be a painful and debilitating injury, but many individuals are able to recover fully and get back to their regular activities by following a comprehensive treatment program. In this article, we will explore the various treatment options available for a ruptured Achilles tendon to help you understand what to expect during your recovery process.

Non-Surgical Treatment

For some individuals with a partial rupture or a less severe injury, non-surgical treatment may be recommended. This approach typically involves wearing a cast or walking boot to immobilize the foot and allow the tendon to heal on its own. Physical therapy exercises may also be prescribed to help strengthen the muscles surrounding the Achilles tendon and improve flexibility.

Surgical Treatment

In more severe cases of Achilles tendon rupture, surgical intervention may be necessary to repair the tendon and restore function to the foot and ankle. There are several surgical techniques that may be used.

  • Open Surgery: In open surgery, a single large incision is made in the back of the leg to access the ruptured tendon. The surgeon then sutures the torn ends of the tendon back together. This technique is often used for acute injuries or cases where there is a significant gap between the torn ends of the tendon.
  • Percutaneous Surgery: Percutaneous surgery involves making several small incisions around the area of the rupture and using specialized instruments to reattach the tendon. This minimally invasive approach can result in less scarring and a faster recovery time compared to open surgery.
  • Tendon Transfer: A tendon transfer may be performed if the tendon is beyond saving. During this procedure, a healthy tendon from another part of the body is used to replace the damaged Achilles tendon.


Regardless of whether you undergo surgical or non-surgical treatment for a ruptured Achilles tendon, rehabilitation plays a crucial role in your recovery. Physical therapy is often prescribed to help restore strength, flexibility, and range of motion to the affected leg. Your physical therapist will work with you to develop a personalized rehabilitation plan based on your individual needs and goals.


Once you have recovered from a ruptured Achilles tendon, it is essential to take steps to prevent future injuries. 

  • Gradually increase your activity level to avoid overloading the tendon.
  • Wear appropriate footwear that provides adequate support and cushioning.
  • Regular stretching exercises should be performed to keep your calf muscles and Achilles tendon flexible.
  • Avoiding sudden changes in intensity or duration when participating in physical activities.

A ruptured Achilles tendon can be a challenging injury to overcome, but with prompt diagnosis and appropriate treatment, many individuals can make a full recovery. By understanding your treatment options and working closely with your orthopedist and physical therapist, you can take proactive steps towards regaining strength and mobility in your foot and ankle after an Achilles tendon rupture.

Contact a medical professional like Dr. Mark Drakos Orthopedic Surgeon to learn more.