What is it?
An Achilles rupture is a complete tear of the Achilles tendon. It most often happens to people aged 30 to 50 during sport that involves sudden pushing off or jumping.
What causes it?
- A sudden, forceful push-off or change of direction.
- Previous tendon problems.
- Some medicines, including steroids and certain antibiotics.
Common symptoms
- A sudden feeling of being kicked or hit at the back of the ankle, sometimes with a 'pop'.
- Weakness when pushing off.
- Difficulty standing on tiptoe.
- Sometimes a gap you can feel in the tendon.
How is it diagnosed?
Diagnosis is usually made on examination, including a simple calf-squeeze test. An ultrasound scan is sometimes used.
Things you can do now
- Stop activity straight away and avoid putting weight through the foot
- Keep the foot pointed down
- Seek medical assessment the same day
Treatment
Treatment is tailored to your individual needs, symptoms and goals. Depending on your situation, it may include treatment in a special boot with heel wedges and an accelerated rehabilitation programme and surgical repair of the tendon.
Mr Jeyaseelan will talk you through the options that are right for you at your consultation.
When to see a specialist
- You felt a sudden snap or a kick at the back of the ankle
- You can't stand on tiptoe on the injured side
- Seek assessment within 48 hours: early treatment gives the best results
What to expect
Most people return to normal activities and sport with either a boot or surgical repair, followed by a structured rehabilitation programme over six to twelve months.
If you think you have ruptured your Achilles tendon, seek medical advice promptly, as early treatment matters.
Common questions
Where can I see a specialist about Achilles tendon rupture in London?
Mr Lucky Jeyaseelan, a consultant orthopaedic surgeon who specialises only in the foot and ankle, sees private and insured patients with Achilles tendon rupture at Align Orthopaedics on Harley Street, The London Clinic on Devonshire Place, HCA London Bridge Hospital, HCA UK at The Shard, HCA UK City of London on Old Broad Street and The Holly Hospital in Buckhurst Hill, Essex. See all clinic locations or request an appointment.
Do I need a GP referral?
Self-funding patients can book directly, though a GP letter is helpful. Most insurers need a GP referral before they authorise your consultation, so check with yours first.
This information is general and is not a substitute for a medical consultation. Your diagnosis and treatment plan will be tailored to you.