Signs and symptoms of an Achilles tendon rupture include:

• Pain, possibly severe, and swelling near your heel
• An inability to bend your foot downward or "push off" the injured leg when you walk
• An inability to stand up on your toes on the injured leg

Often people report hearing a popping or snapping sound when the injury occurs. With a partial rupture, you may still be able to move your foot, and you may experience less severe pain and swelling.

When to see your doctor
Seek medical advice immediately if you feel a pop or snap in your heel, especially if you can't walk properly afterward. An Achilles tendon rupture requires prompt treatment.

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Your Achilles tendon helps you point your foot downward, rise on your toes and push off your foot as you walk. You rely on it virtually every time you move your foot.

In most cases, ruptures of the Achilles tendon occur at a spot on the tendon that receives less blood flow. This may weaken that section of the tendon, which also tends to degenerate with age.

Ruptures often are caused by a sudden increase in the amount of stress on your Achilles tendon. Common examples include:

• Occasional or increased participation in recreational sports
• Falling from a height
• Stepping into a hole

©1998-2009 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.

Factors than may increase your risk of Achilles tendon rupture include:

• Age. The peak age for Achilles tendon rupture is 30 to 40.
• Sex. Achilles tendon rupture is up to five times more likely to occur in men than in women.
• Obesity. Extra pounds may increase the stress placed on your Achilles tendon.

Recreational sports
Achilles tendon injuries occur more often in sports that involve running, jumping and sudden starts and stops. Examples include:

• Running
• Soccer
• Basketball
• Tennis
• Softball
• Hockey

©1998-2009 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.

Because an Achilles tendon rupture often can impair a person's ability to walk, it's common to seek immediate treatment at a hospital's emergency department.

What you can do
You may want to write a list that includes:

• Detailed descriptions of the symptoms and the precipitating event
• Information about past medical problems
• All the medications and dietary supplements you take
• Questions you want to ask the doctor

What to expect from your doctor
During the physical exam, your doctor will inspect your lower leg for tenderness and swelling. In many cases, doctors can feel a gap in your tendon if a complete rupture has occurred. This may be obscured by swelling, however.

The doctor may also ask you to kneel on a chair or lie on your stomach with your feet hanging over the end of the exam table. He or she may then squeeze your calf muscle to see if your foot will automatically flex. If it doesn't, you probably have ruptured your Achilles tendon.

©1998-2009 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.

If there's a question about a partial or complete rupture of your Achilles tendon, your doctor may order a magnetic resonance imaging (MRI) scan, a painless procedure that uses radio waves and a strong magnetic field to create a computerized image of the tissues of your body.

©1998-2009 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.

Surgery
Surgery is a common treatment for a complete rupture of the Achilles tendon. The procedure generally involves making an incision in the back of your lower leg and stitching the torn tendon together. Depending on the condition of the torn tissue, the repair may be reinforced with other tendons. Afterward, you'll need to spend about six to eight weeks with your leg in a walking boot, cast, brace or splint.

Nonsurgical treatment
This approach typically involves wearing a cast or walking boot, which allows the ends of your torn tendon to reattach themselves on their own. This method can be effective, and it avoids the risks, such as infection, associated with surgery. However, the likelihood of re-rupture is higher with a nonsurgical approach, and recovery can take longer. If re-rupture occurs, surgical repair may be more difficult.

Rehabilitation
After treatment, whether surgical or nonsurgical, you'll go through a rehabilitation program involving physical therapy exercises to strengthen your leg muscles and Achilles tendon. Most people return to their former level of activity within four to six months.

©1998-2009 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.

To help prevent an Achilles tendon injury, gently stretch your Achilles tendon and calf muscles before taking part in physical activities. Perform stretching exercises slowly, stretching to the point at which you feel a noticeable pull, but not pain. Don't bounce during a stretch. To help the muscle and tendon absorb more force and avoid injury, try exercises that strengthen your calves.

To further reduce your chance of developing Achilles tendon problems, follow these tips:

• Avoid activities that place excessive stress on your Achilles tendons, such as hill-running and jumping activities.
• If you notice pain during exercise, rest.
• If one exercise or activity causes you persistent pain, try another.
• Alternate high-impact sports, such as running, with low-impact sports, such as walking, biking or swimming.
• Maintain a healthy weight.
• Wear well-fitting athletic shoes with proper cushioning in the heels.

©1998-2009 Mayo Foundation for Medical Education and Research (MFMER). Terms of use.