An Achilles tendon rupture is a serious injury that can be quite painful. The level of pain can vary depending on the individual and the extent of the injury. Generally, an Achilles tendon rupture is described as a sudden, sharp pain in the back of the leg or ankle, often described as feeling like a "pop" or a "snap." Immediately after the Achilles tendon rupture, individuals may experience intense pain and find it difficult or impossible to bear weight on the affected leg. Swelling, bruising, and a feeling of weakness or instability in the ankle area are also common symptoms. The pain may subside to some extent in the hours following the injury, but it often remains significant.
The treatment for an Achilles tendon rupture depends on various factors such as the extent of the injury, the individual's activity level, and their overall health. Generally, The non-surgical treatment approach is typically considered for individuals who have a partial rupture or for those who are not good candidates for surgery. Non-surgical treatment may involve immobilization. The leg may be placed in a cast or walking boot that keeps the ankle and foot in a fixed position to allow the tendon to heal. This helps protect the tendon and promotes proper alignment during the healing process. Once the initial immobilization period is complete, physical therapy exercises are gradually introduced to help restore strength, flexibility, and range of motion in the affected leg.Surgery is often recommended for young, active individuals and for those with a complete Achilles tendon rupture. Surgical treatment typically involves the surgeon will make an incision in the back of the leg and stitch the torn ends of the Achilles tendon back together. In some cases, additional reinforcement with sutures or other techniques may be used. After surgery, the leg is immobilized in a cast, splint, or walking boot. Physical therapy is initiated gradually to help regain strength and mobility. The recovery process is typically longer for surgical treatment compared to non-surgical treatment.