Achilles Tendon Rupture - Aftercare

What to Expect

If you have a complete tear, you may need surgery to repair your tendon. Your doctor will discuss the pros and cons of surgery with you. Before surgery, you will wear a special boot that keeps you from moving your lower leg and foot.

For a partial tear:

• You may need surgery.
• Instead of surgery, you may need to wear a cast, leg brace, splint, or boot for about 6 weeks. During this time, your tendon grows back together.

If you have a cast, it will cover your foot and go to your knee. Your toes will be pointing downward. The cast will be changed every 2 to 3 weeks to help stretch your tendon.

If you have a leg brace, splint, or boot, it will keep you from moving your foot. This will prevent further injury. You can walk once your doctor says it is OK to.

Symptom Relief

To relieve swelling:

• Put an ice pack on the area right after you injure it.
• Use pillows to raise your leg above the level of your heart when you sleep.
• Keep your foot elevated when you are sitting.

You can take ibuprofen (such as Advil or Motrin), naproxen (such as Aleve or Naprosyn), or acetaminophen (such as Tylenol) for pain.

Remember to:

• Talk with your health care provider if you have heart disease, liver disease, high blood pressure, kidney disease, or have had stomach ulcers or bleeding.
• NOT give aspirin to children under 12.
• NOT take more pain killer than the dosage recommended on the bottle or by your provider.

Rehab and Activity

At some point as you recover, your doctor will ask you to begin moving your heel. This may be as soon as 2 to 3 weeks or as long 6 weeks after your injury.

With the help of physical therapy, most people can return to normal activity in 4 to 6 months. In physical therapy, you will learn exercises to make your calf muscles stronger and your Achilles tendon more flexible.

When you stretch your calf muscles, do so slowly. Also, do not bounce or use too much force when you use your leg.

After you heal, you are at greater risk for injuring your Achilles tendon again. You will need to:

• Stay in good shape and stretch before any exercise
• Avoid high-heeled shoes
• Ask your provider if it is OK for you to play tennis, racquetball, basketball, and other sports where you stop and start
• Do proper amount of warm up and stretching ahead of time

When to Call the Doctor

Call your provider if you have any of these symptoms:

• Swelling or pain in your leg, ankle, or foot becomes worse
• Purple color to leg or foot
• Fever
• Swelling in your calf and foot
• Shortness of breath or difficulty breathing

Also call your provider if you have questions or concerns that cannot wait until your next visit.

References

Ferri FF. Achilles Tendon Rupture. In: Ferri FF, ed. Ferri's Clinical Advisor 2016. Philadelphia, PA: Elsevier; 2016:34.

Sokolove PE, Barnes DK. Extensor and flexor tendon injuries in the hand, wrist, and foot. In: Roberts JR, ed. Roberts and Hedges' Clinical Procedures in Emergency Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 48.