Tendon

Achilles Tendon Rupture

An Achilles tendon rupture is a complete tear of the tendon, often felt as a sudden "pop" in the back of the ankle during sports or sudden push-off. Rapid diagnosis matters — repair is best performed within the first 2–3 weeks.

Medically reviewed by Michael G. Lyons, DPM — Board-Certified Foot and Ankle Surgeon

Written and reviewed by the physicians of Foot Health Centers, Hernando & Southaven, MS. Meet our doctors

Common symptoms
  • Sudden "pop" or feeling of being kicked in the back of the heel
  • Inability to push off or rise onto the toes
  • Swelling and bruising at the back of the ankle
  • Palpable gap in the tendon
Common causes
  • Sudden forceful push-off in middle-aged athletes (basketball, tennis, pickleball)
  • Pre-existing Achilles tendinosis
  • Fluoroquinolone antibiotic use
  • Steroid injections directly into the tendon
Conservative treatment
  • Non-operative treatment in a functional brace with controlled motion (selected patients)
  • Strict immobilization protocol followed by physical therapy
When surgery is considered

Surgical repair is generally recommended for active adults, younger patients, and athletes — it reduces re-rupture risk and improves push-off strength.

Recovery

Typical timeline: 2 weeks non-weightbearing, then progressive weightbearing in a boot, transitioning to a shoe by 8–10 weeks. Most patients return to full activity at 6–9 months.

Frequently asked questions

Can an Achilles rupture be treated without surgery?

Yes, with a specific functional bracing protocol — but re-rupture risk is higher than with surgery. The right choice depends on age, activity level, and how soon you were evaluated.

How soon after the injury should I be seen?

Ideally within 1–2 weeks. The tendon ends retract and become harder to repair the longer surgery is delayed.

Schedule a consultation

Tell us about your achilles tendon rupture — our team will follow up to schedule.

Please do not submit private medical information, Social Security numbers, detailed symptoms, photographs, or urgent medical concerns through this form. For urgent or emergency concerns, call the office or seek emergency care.

Or call 662-449-3663

Ready to Get Relief?

Call Foot Health Centers to schedule your visit in Hernando or Southaven.

Call 662-449-3663