An Achilles tendon rupture is a traumatic tear of the Achilles tendon. This is the tendon that connects the gastrocnemius and soleus muscles in the calf to the heel bone. The injury often results from a noncontact mechanism rather than a direct blow to the ankle. Examples include abruptly changing directions or immediately sprinting from a standing position.
As I discuss in this video, both surgery to repair the torn tendon and nonsurgical treatment with a cast or boot are acceptable options for most patients. Achilles tendon ruptures are most frequently repaired surgically in high-level athletes, although some studies show fairly equal healing rates between surgery and nonsurgical treatment.
Full recovery and return to sports and exercise can take many months, whether or not the injury is treated with surgery. The patient often wears a cast or boot in the early phases of healing, and then he or she must regain motion of the ankle and strength of the leg.
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