Summary | Physiotherapy for an Achilles tendon rupture

Summary

An Achilles tendon rupture suddenly occurs from a jerky movement or due to a chronic underlying disease of the tendon. The cause can be, for example, a minor trauma, such as in ball sports with rapid changes of direction or explosive movements, such as when starting from the starting block. More rarely, the tendon tears when it slips off a step or bends over.

Often there are already previous injuries, for example due to achillodynia, cortisone administration over a longer period of time or rheumatic diseases.Overloading in competitive athletes can also be a cause, as the complete calf muscles cannot regenerate sufficiently. If the tendon tears, a clear whip blow can usually be heard, usually over a long distance. A sharp, localized pain is immediately felt.

The ability to bear weight is immediately limited and toe standing is no longer possible. Often a dent is visible and palpable because the tendon has lost contact with the base or origin. A complete tear is distinguished from a partial tear.

The tendon is fixed surgically and may only be loaded gently. The load should be applied exactly according to the doctor’s guidelines. In the further course, exercises to strengthen calves and leg muscles are important and stability training for the entire foot.

Insoles for shoes can support stability and regeneration. It is important to regularly loosen and stretch the calf muscles and fasciae so that the tension on the tendon does not become too high.