Achilles Tendon Rupture
Achilles Tendon Rupture
(Rupture, Achilles Tendon; Severely Torn Achilles Tendon)
|Achilles Tendon Rupture|
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- Overworking an inflamed tendon
- Injury from an accident or fall
- Achilles tendinopathy
- Recent increase in activity level
- Weak or inflexible calf muscles
- Previous Achilles tendon rupture
- Involvement in sports that involve running, jumping, twisting, or lunging
- Improper footwear
- Certain medications, such as quinolone antibiotics or corticosteroids, which weaken the tendon
- Collagen vascular diseases, such as rheumatoid arthritis, lupus, scleroderma
- Popping or snapping noise when injury occurs
- Sudden, extreme pain at back of heel
- Swelling near your heel
- Inability to push off from ball of foot
- Inability to walk on affected leg
- Stop your activity and stay off the injured foot.
- Apply an ice pack. Place a towel between the ice pack and your skin.
- Wrap your injured foot and ankle in elastic bandaging. Don't wrap the bandage too tight. It may cut off circulation.
- Elevate your foot above your heart.
- Over-the-counter pain relievers, such as acetaminophen or non-steroidal anti-inflammatory medication (NSAIDs)
- Prescription pain relievers
- Begin with range-of-motion exercise. Often these will focus on the body as a whole.
- Progress to weight-bearing exercises using support devices, such as a walker or crutches.
- Do warm-up exercises before an activity. Cool down with ice to the area.
- Wear proper footwear. Consider heel lifts.
- Maintain a healthy weight.
- Rest if you feel pain during an activity. Avoid activities that cause pain.
- Change your routine. Switch between high-impact activities and low-impact activities.
- Strengthen your calf muscle with exercises.
American Academy of Orthopaedic Surgeons Ortho Info http://orthoinfo.org
American Podiatric Medical Association http://www.apma.org
Canadian Orthopaedic Foundation http://www.canorth.org
Physical Therapy Canada http://www.physicaltherapy.ca
Achilles tendon rupture. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=AV0003. Updated May 12, 2012. Accessed April 25, 2013.
Achilles tendon rupture. American College of Foot and Ankle Surgeons Foot Health Facts website. Available at: http://www.foothealthfacts.org/Content.aspx?id=1363&terms=achilles%20tendon%20rupture. April 27, 2010. Accessed April 25, 2013.
Achilles tendon rupture. EBSCO Publishing DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php. Updated March 18, 2013. Accessed April 25, 2013.
Maffulli, N. Current concepts review—rupture of the Achilles tendon. JBJS. 1999;81:1019-1036.
van der Linden P, Sturkenboom C, Herings R, et al. Increased risk of Achilles tendon rupture with quinolone antibacterial use, especially in elderly patients taking oral corticosteroids. Arch Intern Med. 2003;163:1801-1807.
- Reviewer: Rosalyn Carson-DeWitt, MD; Brian Randall, MD
- Review Date: 04/2013 -
- Update Date: 04/25/2013 -