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, scleroderma
- Popping or snapping noise when injury occurs
- Sudden, extreme pain at back of heel
- Swelling near your heel
- Inability to push off from ball of foot
- Inability to walk on 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. Don't wrap the bandage too tight. It may cut off circulation.
- Elevate your foot above your heart.
- Over-the-counter pain relievers, such as acetaminophen or non-steroidal anti-inflammatory medication (NSAIDs)
- Prescription pain relievers
- Begin with range-of-motion exercise . Often these will focus on the body as a whole.
- Progress to weight-bearing exercises using support devices, such as a walker or crutches.
- Do warm-up exercises before an activity. Cool down with ice to the area.
- Wear proper footwear. Consider heel lifts.
- Maintain a healthy weight .
- Rest if you feel pain during an activity. Avoid activities that cause pain.
- Change your routine. Switch between high-impact activities and low-impact activities.
- Strengthen your calf muscle with exercises.
American Academy of Orthopaedic Surgeons Ortho Info 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 12, 2012. Accessed April 25, 2013.
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 . April 27, 2010. Accessed April 25, 2013.
Achilles tendon rupture. EBSCO Publishing DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated March 18, 2013. Accessed April 25, 2013.
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: John C. Keel, MD
- Review Date: 03/2013
- Update Date: 03/01/2013