We’ll treat your ruptured Achilles tendon based on the severity of the tear, your age, and your activity level. Depending on the injury, both surgical and nonsurgical repair can be equally effective in healing.
Nonsurgical treatment typically involves:
- Resting the tendon by using crutches.
- Applying ice to the area.
- Taking over-the-counter pain relievers.
- Keeping the ankle from moving for the first few weeks, usually with a walking boot with heel wedges or a cast, with the foot flexed down.
Surgery involves stitching the torn tendon together, and we might reinforce the repair with other tendons. We do this through one of two procedures:
- Open surgery. We make an incision in the skin to repair the tendon.
- Percutaneous surgery. We use needles to access the tendon.
Studies that compare nonsurgical vs. nonsurgical repair (a review of overlapping meta analyses) show that surgical treatments reduce the chance of re-rupture, and percutaneous repair has a lower chance of wound infection. Your orthopedic specialists will discuss the best treatment plan for your case.