Ruptured Achilles Tendon 

A ruptured Achilles tendon is a serious injury that requires immediate medical attention. Whether you’re a competitive athlete or simply stepped the wrong way, this type of injury can severely impact your mobility and quality of life. With expert care from Boston’s leading orthopedic foot and ankle specialist, Dr. George Theodore, you can expect a fast, accurate diagnosis and a treatment plan tailored to your needs. 

What Is a Ruptured Achilles Tendon? 

The Achilles tendon—the largest tendon in the body—connects the calf muscles to the heel bone and plays a critical role in walking, running, and jumping. A rupture is a partial or complete tear of this tendon, often caused by a sudden movement or force. 

One reason the Achilles is especially vulnerable to rupture is its relatively low blood supply, particularly in the area just above the heel. This limited circulation can slow healing and make the tendon more prone to injury over time. 

Achilles tendon ruptures can happen to anyone, but the causes often differ by age. In younger patients, ruptures are usually the result of sudden, forceful activity. In older individuals, particularly those who play sports like tennis or pickleball, the tendon may already have underlying degeneration—making it more susceptible to injury even with routine movement. 

Symptoms of a Ruptured Achilles 

A rupture typically occurs without warning and may feel like a sudden, sharp pain in the back of the ankle. You might experience: 

• A popping or snapping sound at the time of injury 
• Sudden, severe pain in the calf or heel 
• Difficulty walking or pushing off the foot 
• Swelling and bruising in the lower leg 
• Weakness or inability to rise on your toes 

Many patients describe it as feeling like they were kicked or hit in the back of the leg—even when no one is there. 

Causes and Risk Factors 

A ruptured Achilles often results from a sudden injury, such as: 

• Pivoting or accelerating during sports 
• Jumping or falling from a height 
• Sudden increase in physical activity 

Certain factors may increase your risk, including tight calf muscles, previous Achilles problems, or the use of certain medications (like corticosteroids or some antibiotics). 

Repetitive microtrauma from daily movement and prolonged stress on the tendon over time can also contribute to degeneration. This type of wear-and-tear injury may not be obvious until a more serious rupture occurs. 

Why You Need Immediate Care 

A ruptured Achilles tendon requires prompt diagnosis and treatment. Delaying care can lead to poor healing, chronic weakness, or permanent loss of function in the affected leg. 

Dr. George Theodore, with over 20 years of orthopedic experience and more than 2,000 surgeries performed, is a nationally recognized expert in treating Achilles tendon injuries. He serves as the foot and ankle consultant for top athletic organizations including the Boston Red Sox, New England Patriots, Boston Ballet, and Harvard Athletics, making him uniquely qualified to handle complex Achilles conditions. 

Diagnosis and Treatment Options 

Dr. Theodore uses a combination of clinical evaluation and imaging tests—such as ultrasound or MRI—to confirm whether the tear is partial or complete. Treatment recommendations will depend on the severity of the rupture, your activity level, and overall health. 

Non-Surgical Treatment 

In select cases, especially for less active individuals or partial tears, non-surgical care may include: 

• Immobilization with a cast or walking boot 
• Physical therapy 
• Gradual weight-bearing and strengthening exercises 

Surgical Treatment 

For more active patients or complete ruptures, surgery may be recommended to: 

• Reconnect the torn ends of the tendon 
• Restore strength, alignment, and function 
• Reduce the risk of future re-rupture 

Dr. Theodore will explain all available options and help you make an informed decision that fits your lifestyle and goals. 

Recovery After a Ruptured Achilles 

Recent advancements in rehabilitation protocols often emphasize controlled early movement to stimulate tendon healing and prevent stiffness—something Dr. Theodore may incorporate based on each patient’s needs.  

Recovery time varies depending on the treatment approach, severity of the injury, and the patient’s overall health. Because the tendon receives relatively low blood flow, the healing process can be slower than with other soft tissue injuries—making personalized rehab especially important. Most patients can expect: 

• Several weeks in a boot or cast 
• Physical therapy for flexibility and strength 
• A gradual return to daily activities 
• Full recovery in several months, with a cautious return to sports 

Dr. Theodore and his care team provide close follow-up and a personalized rehabilitation plan to support a safe, successful recovery.