What is it?
A neglected Achilles rupture is a tear that was not diagnosed or treated at the time, often because the injury was thought to be a sprain. Over several weeks the tendon ends pull apart and fill with weak scar tissue.
What causes it?
- An Achilles rupture that was missed or not treated early.
Common symptoms
- Weakness pushing off, and difficulty climbing stairs.
- A limp, and being unable to stand on tiptoe on that leg.
- Swelling around the back of the ankle.
How is it diagnosed?
Your surgeon will examine the leg, and an ultrasound or MRI scan measures the gap between the tendon ends.
Things you can do now
- Bring any scans and letters from when the injury happened
- Avoid activities that put sudden strain on the calf
- Keep up general fitness with cycling or swimming
Treatment
Treatment is tailored to your individual needs, symptoms and goals. Depending on your situation, it may include a brace and physiotherapy, for some people with lower demands and surgical reconstruction, which may use a tendon transfer or graft.
Mr Jeyaseelan will talk you through the options that are right for you at your consultation.
When to see a specialist
- Your calf feels weak months after an injury
- You can't push off or stand on tiptoe properly
- A previous Achilles injury was missed or never fully healed
What to expect
Even months after the injury, reconstruction using a tendon transfer or graft can restore strength. Some people with lower demands manage well with a brace and physiotherapy.
Common questions
Where can I see a specialist about neglected (chronic) Achilles rupture in London?
Mr Lucky Jeyaseelan, a consultant orthopaedic surgeon who specialises only in the foot and ankle, sees private and insured patients with neglected (chronic) Achilles 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.