What are Achilles Tendon Injuries?
An Achilles tendon injury occurs when the tendon becomes strained, inflamed or torn due to overuse or sudden stress. These injuries can range from mild tendinitis (inflammation) to a complete rupture, where the tendon fibers tear and can no longer function properly.
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What Causes an Achilles Tendon Injury?
The Achilles tendon can handle a lot of force, but it’s not indestructible. Common causes of injury include:
- Overuse or repetitive stress from running or jumping
- Sudden increase in physical activity or training intensity
- Tight calf muscles that strain the tendon
- Falling or landing awkwardly on your foot
- Wearing improper footwear or unsupportive shoes
Symptoms of an Achilles Tendon Injury or Rupture
Symptoms depend on the type and severity of the injury, but common signs include:
- Sudden sharp pain or a “pop” in the back of the ankle
- Swelling or stiffness near the heel
- Difficulty walking, running or standing on tiptoe
- Weakness or tenderness along the tendon
- Bruising or visible indentation (in the case of rupture)
Seek immediate medical attention if you experience a popping sound and can’t push off or walk normally — this may indicate an Achilles rupture.
How Are Achilles Tendon Injuries Treated?
To diagnose your injury, our doctor will start with a physical exam, checking for swelling, tenderness and gaps in the tendon. They may also perform the Thompson test, where your calf is gently squeezed to see if your foot flexes normally. Imaging tests such as ultrasound or MRI may be ordered to confirm the extent of the damage and rule out other issues.
Treatment depends on the severity of the injury and your activity level.
Nonsurgical treatment options for Achilles tendon injuries can include:
- Rest and immobilization with a boot or brace
- Ice and elevation to reduce swelling
- Physical therapy to strengthen the tendon and surrounding muscles
- Anti-inflammatory medications
Surgical treatment may be recommended for full ruptures or for active individuals who need to restore full function. During surgery, the torn ends of the tendon are reattached and reinforced. Recovery typically involves several months of rehabilitation.
How Can I Prevent Rupturing My Achilles Tendon?
You can help protect your tendon by:
- Stretching and strengthening your calf muscles regularly
- Increasing activity levels gradually
- Wearing supportive footwear
- Avoiding overtraining or repetitive high-impact activities
- Warming up before exercise and cooling down afterward
Treat Achilles Tendon Injuries at OrthoNebraska
Looking for Achilles tendon relief in the Omaha area? At OrthoNebraska, we want to make sure that our patients feel understood, safe and confident to take on an appropriate treatment plan. With proper management, we can help you reduce pain levels and improve quality of life.
