Achilles Tendon Rupture

By Matt Paulus, MS, ATC, Site Coordinator

How Do I Know if I Ruptured by Achilles Tendon?

The Achilles tendon is the largest tendon present in the body and spans from the heel to the middle of the lower leg. Its function is to attach the calf muscle, which is comprised of the two heads of the gastrocnemius muscle and the soleus muscle, to the heel bone called the calcaneus.

Image of Achilles Rupture with labels for anatomy

Achilles Rupture

These structures combine to allow for the ankle to perform the movement of plantar flexion or pointing your foot away from you. Plantar flexion has a major role in standing on your tiptoes, pushing off to run, or landing from a jump.

Our JOI Foot and Ankle Specialists will typically diagnose injuries to Achilles Tendon through a detailed physical examination of the affected area, looking for signs of tenderness, swelling, and injury. Often, the Thompson test is a test used for Achilles Tendon ruptures.  In some cases, imaging tests such as an ultrasound or MRI may be necessary to confirm the diagnosis and assess the extent of the heel tendon injury.  Our team at JOI and JOI Rehab are here to help you if you have an Achilles injury.  Please feel free to give us a call!

Achilles Tendon Injuries

Despite the size and strength of the Achilles tendon, it is prone to injury.  This is due to the high amount of stress on the tendon because of its inherent function. Certain conditions can increase a person’s risk of serious injury. The effect of aging can weaken the tendon, as well as chronic tendinopathy from disuse or poor gastroc-soleus muscle length. A torn Achilles tendon is an injury that can result from a weak muscle and can be a partial or full tear (most common).

Mechanism of Injury to the Achilles Tendon

Typical mechanisms of injury include a sudden change of direction, requiring a push-off, or landing from a jump. In this condition, the ankle goes into dorsiflexion, resulting in high-tensile forces.  Resulting in the tendon failing. Common signs and symptoms involve a sudden onset of severe pain (feeling a kick in the back of the leg), an audible “pop”, swelling/bruising, and severe weakness in the ankle. Seeking medical advice immediately is important, as early intervention typically improves the outcome.

Prevention

Preventing heel tendon injuries, like the Achilles tendon strain or rupture, is possible with the right steps. Here are some helpful tips to help you avoid these injuries:

Firstly, always warm up your muscles and stretch properly before any physical activity. Start with light cardio, such as jogging or cycling, to get your blood circulating, followed by gentle stretches for your calf muscles and strained Achilles.  Stretching your calf muscles is often overlooked.

Calf Stretch by JOI Rehab

Calf Stretching

Secondly, choose the right footwear. Shoes that provide proper arch support and cushioning can make a significant difference. Avoid high heels or shoes with inadequate support, which can stress your Achilles tendon. Consider using orthotic inserts or heel cups for added support.

Remember, if you experience a pop or severe sharp pain the back of your lower leg, it’s crucial to seek medical attention and avoid further injury.  Our trusted team of foot and ankle specialists can help you!

Contact JOI Rehab today for an appointment at 904-858-7045.  Please read these related articles: How to stretch your Achilles tendon,  Hammer Toes: Causes, Symptoms & Treatment and Achilles Tendon Strains.

JOI and JOI Rehab

At JOI Online, we understand the difficulties of recovering from Achilles tendon injuries. Our team of foot and ankle professionals can guide you through a comprehensive rehabilitation program tailored to your needs, ensuring a successful recovery. Contact us today to learn more about how we can assist you on your journey towards a pain-free and active life.  JOI is Northeast Florida’s most respected and experienced orthopedic practice.

JOI Physicians continue to offer online new patient appointments. Make an appointment by calling (904) JOI-2000 or schedule online.  A new option, you can now schedule and cancel follow-up appointments with your physician at the JOI Patient Portal. 

By: Matt Paulus, MS, ATC

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