Achilles tendon ruptures can happen in athletes from overuse or extreme sports, or adults ( especially over the age of 40), or the elderly.
In young individuals, the patient knows they did something. There is often an audible pop when the tendon ruptures. This is followed by burning and weakness in the back of the ankle.
In the elderly they may not be aware they have damaged their tendon because their tendon has gradually degenerated and the rupture may be much more subtle. Either way, this condition needs to be addressed!
Treatment Plan
Conservative treatments using immobilization techniques (casts, boots) vs. surgical treatment ( primary repair of the tendon), are recommended depending on the degree of rupture, level of rupture , and the activity level of the patient. The surgery can be straightforward but the recovery time is what takes a while!
The repaired tendon must be protected, which means no weight on the foot until significant healing of the tendon has been accomplished. The reason for the long recovery time is because of the amount of force that is placed on the Achilles tendon. Following an Achilles tendon rupture repair, these forces must be eliminated until the tendon has healed back together.