Ruptured Achilles Tendon Prognosis

The Achilles tendon is the largest tendon in the body. This tendon may become weak with advancing age or lack of activity, making it more prone to rupture. A ruptured Achilles tendon is a painful condition that may take weeks or even months to heal and return to normal function.

Identification

• The Achilles tendon is a band of tissue that aids the body in running, walking and jumping. An Achilles tendon rupture or tear usually occurs approximately 2 inches above the bone of the heel.

Causes

• This injury is most common in middle-aged athletes who are engaging in activities such as basketball, baseball or tennis. A ruptured Achilles tendon may also occur in those who are injured from a fall. Arthritis and diabetes may increase the risk of rupturing an Achilles tendon, as well as certain medications such as corticosteroids or antibiotics.

Signs and Symptoms

• The outlook is usually good for those who experience a ruptured Achilles tendon. However, early treatment is key to a quick recovery, so it is important to recognize the symptoms of a tendon tear. A sharp pain at the back of the ankle or swelling of the ankle may indicate a rupture of the Achilles tendon, as may a visible gap about 2 inches above the ankle.

Treatment

• The treatment for this condition may be surgical or nonsurgical, depending on the severity of the injury and the overall prognosis. Either surgical or nonsurgical treatment will require casting for at least 6 weeks. Physical therapy may be prescribed by the doctor in order to keep the muscles from becoming weak and stiff.

Potential

• Most people who have a ruptured Achilles tendon will go on to return to normal activities. If surgery is performed, the tendon may be stronger and less likely to rupture again. Typically, weight-bearing activities, such as walking, may resume 6 weeks after injury. Athletes usually return to sports 4 to 6 months after the injury has occurred.

Prevention/Solution

• In order to prevent an Achilles tendon rupture or a reinjury, it is important to stretch properly before activities. Those who exercise on a regular basis often return to activities and heal much more quickly than those who do not exercise.