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Diagnosis of a Torn Achilles Tendon

A torn Achilles tendon, also called an Achilles tendon rupture, is an injury affecting the Achilles tendon, the heel and the back of the calf. Sometimes referred to as the "heel cord," the Achilles tendon is the fibrous, strong cord that connects the heel bone and the muscles in the back of the calf.

  1. Symptoms

    • When an Achilles tendon tears, there is often a snapping or a popping sound followed by a sharp pain in the ankle and the back of the calf. Achilles tendon ruptures make it impossible to walk normally and to rise up on the toes of the affected leg.

    Diagnosis

    • Physicians typically diagnose a torn Achilles tendon based on the patient's symptoms and a detailed history of physical activity and similar injuries.

    Testing

    • Physicians often use the Thompson test, also called the Simmonds' test, to diagnose a torn Achilles tendon. Many doctors confirm a diagnosis with a magnetic resonance imaging (MRI) scan.

    Treatment

    • Surgery is typically necessary to repair a torn Achilles tendon. Physical therapy techniques, such as strengthening exercises and stretch therapy, often help individuals recover from surgery more quickly.

    Causes

    • The primary causes of torn Achilles tendons include overstretching the muscle, stepping in a hole or falling from a height. Achilles tendon ruptures can be complete or partial.

    Considerations

    • Torn Achilles tendon diagnoses are most common in persons who participate in recreational sports. Those ages 30 to 40 have a higher risk of suffering from a torn Achilles tendon.

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