Achilles Tendon Rupture

Being the strongest tendon in the body, the Achilles tendon is unfortunately also the most frequently torn. This type of injury primarily affects individuals between the ages of 30 and 50, particularly those who participate in sports as “weekend warriors.” In fact, approximately 25% of these cases are initially misdiagnosed.

Surprisingly, the majority of these injuries can be effectively treated without surgery by utilizing a specialized boot and following a precise program of intensive rehabilitation. However, it may take more than 6 months to fully regain previous levels of activity.

Long-term outcomes for most patients are generally positive. However, there is a subgroup of patients who experience residual weakness in the Achilles tendon, resulting in limited function during activities such as going up and down stairs or driving.

Fortunately, there is a surgical solution to address this issue. The procedure involves rerouting the tendon, connecting it from the big toe to the heel bone. This significantly enhances the ankle’s push-off power and enables a return to high levels of function. Following the operation, the ankle must be immobilized in a cast for up to 4 weeks, followed by intensive physiotherapy.

I am one of the few surgeons in the UK, and the only specialist in our region, who performs this sophisticated operation fully endoscopically through two small incisions at the back of the heel. This approach minimizes damage to the surrounding soft tissues and facilitates a speedy recovery.

If you are dealing with a chronic Achilles tendon rupture and seeking a solution, I would be delighted to discuss potential treatment options with you.