Achilles Tendonitis and Achilles Rupture – Restoring Strength, Flexibility, and Motion

Overview

 

The Achilles tendon is the strongest tendon in the human body — connecting your calf muscles (gastrocnemius and soleus) to your heel bone (calcaneus). It enables essential movements such as walking, running, and jumping. However, its strength also makes it prone to overuse and injury, particularly in active individuals and athletes.

Achilles tendonitis occurs when the tendon becomes inflamed or irritated due to repetitive stress, while an Achilles rupture involves a partial or complete tear of the tendon fibers. Both conditions can cause severe pain and limit mobility, but with expert care, recovery is entirely possible.

At Dr. Burke Orthopedics, we provide evidence-based diagnosis, personalized treatment, and comprehensive rehabilitation for Achilles tendon injuries to help patients across Pearland, Houston, Friendswood, and Southeast Texas regain strength and function.

Understanding Achilles Tendonitis and Rupture

 

The Achilles tendon endures significant stress during physical activity. Over time, repetitive strain can lead to microtears and inflammation — a process known as tendinopathy. If left untreated, chronic tendonitis weakens the tissue, increasing the risk of rupture.

An Achilles rupture usually occurs during a sudden push-off movement — such as sprinting, jumping, or pivoting — especially when the tendon is already compromised. Patients often describe the injury as feeling like being “kicked in the back of the leg.”

Common Causes and Risk Factors

 
Achilles Tendonitis Causes:
  • Repetitive running, jumping, or climbing activities.
  • Sudden increase in workout intensity or duration.
  • Tight calf muscles or limited ankle flexibility.
  • Inadequate warm-up or stretching.
  • Poor footwear or improper arch support.
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Achilles Rupture Causes:

  • Sudden forceful movements during sports (basketball, tennis, sprinting).
  • Falling or tripping with the foot dorsiflexed.
  • Direct trauma to the tendon.
  • Degenerative changes from untreated tendonitis.
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Risk Factors:

  • Age 30–50, especially in recreational athletes.
  • Flat feet or high arches.
  • Prior cortisone injections into the tendon.
  • Chronic overuse or poor conditioning.
  • Use of certain antibiotics (fluoroquinolones).
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Symptoms

 

Achilles Tendonitis Symptoms:

  • Gradual onset of pain or stiffness in the back of the heel or lower calf.
  • Tenderness or swelling along the tendon.
  • Pain during activity that improves with rest.
  • Morning stiffness or discomfort after periods of inactivity.
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Achilles Rupture Symptoms:

  • A sudden, sharp pain in the back of the lower leg (often described as a “pop”).
  • Difficulty walking or standing on the toes.
  • Swelling and bruising near the heel.
  • A visible gap or indentation above the heel in complete tears.
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If a rupture is suspected, immediate medical attention is required to avoid long-term disability.

Diagnosis

 

At Dr. Burke OrthopedicsDr. Robert L. Burke performs a thorough evaluation to determine whether the injury is inflammatory, degenerative, or structural.

Diagnostic process includes:

  • Medical history and physical exam: Identifying activity level, symptom onset, and prior injuries.
  • Palpation test: Checking for tenderness, swelling, or a palpable gap in the tendon.
  • Thompson test: Squeezing the calf — absence of foot movement indicates rupture.
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Imaging:

  • Ultrasound: Assesses tendon integrity and detects partial tears.
  • MRI: Provides detailed visualization for surgical planning or chronic cases.
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Accurate diagnosis helps tailor treatment to the injury’s severity and patient’s activity goals.

Treatment Options at Dr. Burke Orthopedics

 

Dr. Burke tailors each treatment plan based on the injury’s extent, patient age, activity level, and healing goals.

Non-Surgical Treatments (Primarily for Tendonitis or Partial Tears)

  • Rest and activity modification: Reducing strain on the tendon to allow healing.
  • Ice and compression: To reduce inflammation and swelling.
  • Heel lifts or orthotics: To reduce tendon tension during movement.
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  • Focuses on eccentric calf strengthening, flexibility, and gradual loading.
  • Includes ultrasound or shockwave therapy to promote healing.
  • Restores normal gait and calf balance.
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  • Platelet-rich plasma injections may enhance healing in chronic tendonitis or partial tears by stimulating tissue regeneration.
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Most patients improve significantly within 4–6 weeks of consistent therapy and home care.

Surgical Treatments (for Full Ruptures or Refractory Tendonitis)

 

When the tendon is completely torn or fails to heal with conservative care, Dr. Burke may recommend surgical repair or reconstruction.

Surgical options:

  • Achilles Tendon Repair:
  • Torn tendon ends are sutured together using minimally invasive techniques.
  • In chronic cases, tendon grafts may reinforce the repair.
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  • Used for extensive tears, degenerative tissue, or re-ruptures.
  • May involve transferring neighboring tendons for added strength.
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These procedures restore normal length and tension to the tendon, allowing for a return to full activity with proper rehabilitation.

Recovery and Rehabilitation

 
Typical recovery timelines:
  • Non-surgical (Tendonitis): 4–6 weeks for pain relief and mobility improvement.
  • Surgical (Rupture Repair): 3–6 months, with structured rehabilitation for full function.
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Rehabilitation goals:

  • Restore strength and flexibility in the calf and ankle.
  • Improve balance and gait.
  • Gradually return to walking, running, and sport-specific training.
  • Prevent re-injury through proper conditioning.
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Physical therapy begins soon after surgery (under guidance) to prevent stiffness and accelerate recovery.

Long-Term Outlook and Prevention

 

With timely treatment, most patients regain full mobility and return to their pre-injury activity level. Neglected or untreated injuries can result in chronic pain, weakness, and limited ankle function.

Prevention tips:

  • Warm up properly before exercise or sports.
  • Increase activity intensity gradually.
  • Stretch calves and Achilles tendons regularly.
  • Wear supportive, cushioned footwear.
  • Cross-train to avoid repetitive strain.
  • Listen to early warning signs like stiffness or soreness.
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Early care is key to preventing chronic degeneration or rupture.

When to Seek Medical Care

 

You should contact Dr. Burke Orthopedics immediately if you experience:

  • A popping sensation or sharp pain in your calf or heel.
  • Difficulty bearing weight or standing on your toes.
  • Persistent swelling, tenderness, or stiffness.
  • Recurring tendon pain that does not improve with rest.
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Prompt treatment helps ensure optimal recovery and long-term tendon health.

 

Take the First Step Toward Recovery

If you’re suffering from heel pain, calf tightness, or a suspected tendon injury, professional care can help you heal properly and prevent future complications.

At Dr. Burke Orthopedics, we specialize in diagnosing and treating Achilles tendonitis and ruptures with cutting-edge regenerative and surgical care.

We proudly serve Pearland, Houston, Friendswood, and Southeast Texas, helping patients restore mobility and confidence one step at a time.

Call (713) 436-3488 or Request an Appointment Online to schedule a consultation with Dr. Robert L. Burke, board-certified orthopedic surgeon with advanced expertise in lower-leg and tendon repair.

Medical Disclaimer:

This page is intended for educational purposes only and should not be used as a substitute for professional medical advice or diagnosis. Always consult your healthcare provider before beginning or changing any treatment plan. If you experience sudden pain, swelling, or hear a “pop” in your lower leg, seek immediate medical attention.

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