Achilles Tendon Rupture: Symptoms, Treatment, and Recovery

Achilles tendon rupture

Hello Doctor,
I sustained an injury while playing badminton in Vietnam on July 26, 2021.
At the time of the injury, I heard a popping sound.
The next day, my foot began to bruise and swell.
After two weeks of icing and taking anti-inflammatory medication, as of August 13, 2021, I am unable to visit a hospital for a diagnosis due to the pandemic.
Now, in the third week, the swelling and bruising have decreased, but I still cannot bend my foot.
Currently, I can only move it to about 90 degrees, and when I touch my calf, it feels soft with no muscle movement sensation.
I can still walk with a limp while wrapped in a bandage, although I experience a tearing pain that is bearable.

Doctor, I would like to know if a tear injury requires surgery, or can it heal on its own? Is it possible to delay seeking medical attention for one to two months after the injury? Due to the situation in Vietnam, I am unable to seek medical care, and I am unsure about the extent of the ankle tear.
I am very concerned about potential complications in the future.
Thank you.

Ms. Zhou, 30~39 year old female. Ask Date: 2021/08/13

Dr. Zhan Xian reply Orthopedics

Hello, it is still advisable for you to seek medical attention; a correct diagnosis is essential for appropriate treatment.
If there is a complete rupture of the Achilles tendon, surgery is required, and delaying the surgery can lead to more complications.

Reply Date: 2021/08/13

More Info

Achilles tendon rupture is a significant injury that can occur during activities that involve sudden acceleration or deceleration, such as playing sports like badminton. The symptoms you described, including the audible "pop" sound at the time of injury, followed by bruising and swelling, are classic indicators of an Achilles tendon rupture.
When the Achilles tendon ruptures, it can lead to a range of symptoms, including pain in the back of the ankle, swelling, bruising, and difficulty in moving the ankle or pointing the toes. The inability to bend the foot or the sensation of weakness in the calf muscle can also be signs of this injury.
In terms of treatment, there are generally two main approaches: surgical and non-surgical. The decision between these options often depends on factors such as the severity of the rupture, the patient's age, activity level, and overall health.
1. Surgical Treatment: This is often recommended for active individuals, especially those who participate in sports. Surgery involves stitching the torn ends of the tendon back together. This approach is believed to provide a stronger and more reliable repair, which can lead to a quicker return to normal activities.

2. Non-Surgical Treatment: This approach may involve the use of a cast or a walking boot to immobilize the ankle, allowing the tendon to heal naturally. This method can be effective, particularly for less active individuals or those who may have other health concerns that make surgery riskier. However, it may result in a longer recovery time and a potentially higher risk of re-rupture.

Given your situation, where you have been unable to seek medical attention due to the pandemic, it is crucial to monitor your symptoms closely. If you are experiencing significant pain, swelling, or an inability to move the ankle, it is essential to seek medical advice as soon as possible. Delaying treatment for an extended period (like one to two months) can lead to complications, including chronic pain, stiffness, and a reduced range of motion.

In the meantime, continue to rest the affected leg, apply ice to reduce swelling, and keep the foot elevated. Over-the-counter pain medications may help manage discomfort. However, it is vital to consult with a healthcare professional for a proper diagnosis and treatment plan as soon as you are able to access medical care.

Recovery from an Achilles tendon rupture can take several months, and rehabilitation is a critical component of the recovery process. Physical therapy will typically focus on restoring strength, flexibility, and function to the ankle and calf muscles.
In summary, while it is possible for an Achilles tendon to heal without surgery, the best course of action is to consult with a healthcare provider who can assess the extent of your injury and recommend the most appropriate treatment. If surgery is indicated, the sooner it is performed, the better the chances for a full recovery.

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