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Achilles Tendon Rupture
(Rupture, Achilles Tendon; Severely Torn Achilles Tendon)
|Achilles Tendon Rupture|
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- Overworking an inflamed tendon
- Injury from an accident or fall
- Achilles tendinopathy
- Recent increase in activity level
- Weak or inflexible calf muscles
- Previous Achilles tendon rupture
- Involvement in sports that involve running, jumping, twisting, or lunging
- Improper footwear
- Certain medications, such as quinolone antibiotics or corticosteroids, which weaken the tendon
- Collagen vascular diseases, such as rheumatoid arthritis, lupus, and scleroderma
- Popping or snapping noise when injury occurs
- Sudden, extreme pain at the back of the heel
- Swelling near your heel
- Inability to push off from the ball of the foot
- Inability to walk on the affected leg
- Stop your activity and stay off the injured foot.
- Apply an ice pack. Place a towel between the ice pack and your skin.
- Wrap your injured foot and ankle in elastic bandaging. Do not wrap the bandage too tight. It may cut off circulation.
- Elevate your foot above the level of your heart.
- Over-the-counter pain relievers, such as acetaminophen or non-steroidal anti-inflammatory medication (NSAIDs)
- Prescription pain relievers
- Complete range-of-motion exercises for the legs. Ankle motion will begin when healing allows.
- Progress to strengthening and balance exercises as your condition improves
- Use crutches or a walker to protect the healing tendon
- Be advised of other exercises and activities that are safe for you
- Do warm-up exercises before an activity and cool down exercises after an activity.
- Wear proper footwear.
- Maintain a healthy weight.
- Rest if you feel pain during an activity.
- Change your routine. Switch between high-impact activities and low-impact activities.
- Strengthen your calf muscle with exercises.
American Academy of Orthopaedic Surgeons http://orthoinfo.org
American Podiatric Medical Association http://www.apma.org
Canadian Orthopaedic Foundation http://www.canorth.org
Canadian Physiotherapy Association http://www.physiotherapy.ca
Achilles tendon rupture. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=AV0003. Updated May 2012. Accessed February 28, 2014.
Achilles tendon rupture. American College of Foot and Ankle Surgeons Foot Health Facts website. Available at: http://www.foothealthfacts.org/Content.aspx?id=1363&terms=achilles%20tendon%20rupture. Accessed February 28, 2014.
Achilles tendon rupture. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated March 18, 2013. Accessed February 28, 2014.
Maffulli, N. Current concepts review—rupture of the Achilles tendon. JBJS. 1999;81:1019-1036.
van der Linden P, Sturkenboom C, Herings R, et al. Increased risk of Achilles tendon rupture with quinolone antibacterial use, especially in elderly patients taking oral corticosteroids. Arch Intern Med. 2003;163:1801-1807.
- Reviewer: Teresa Briedwell, PT, DPT
- Review Date: 02/2014
- Update Date: 02/28/2014