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Achilles Tendon Injury

Inflammation or tearing of the Achilles tendon, which connects the calf muscles to the heel.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ortopedi ve Travmatoloji department. Book Appointment →

What is Achilles Tendon Injury?

The Achilles tendon is the thickest and strongest tendon in the body, connecting the gastrocnemius and soleus muscles to the heel bone (calcaneus). It plays a critical role in activities such as walking, running, and jumping.

Achilles tendinopathy is a degenerative, painful process caused by accumulation of microdamage in the tendon. Complete Achilles rupture usually occurs in men aged 30-50 who exercise occasionally, during a sudden push-off or acceleration movement.

In complete rupture, a 'pop' sound is heard and a sensation of being hit in the heel by a sharp object occurs. Long-term rehabilitation is required in both conservative and surgical treatment options.

Symptoms

Pain and stiffness behind the heel (especially in the morning)
Pain worsening with running and jumping
'Pop' sound at the moment of rupture and sudden weakness in the heel
Inability to rise on the toes
Swelling and tenderness behind the heel
Gap sensation along the tendon line in complete rupture

Risk Factors

Sudden activity increase (weekend athlete syndrome)
Fluoroquinolone group antibiotic use
History of corticosteroid injection
Excessive pronation and biomechanical disorder
Use of hard, flat-soled shoes
Middle age, male sex

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Sudden 'pop' sound followed by inability to walk (suspected rupture, emergency)
  • If you cannot rise on your toes
  • If tendinitis pain lasts longer than 2 weeks
  • If swelling in the heel area is increasing
  • If you want to return to sports activities

Treatment Methods

01
Tendinitis: eccentric exercises, eccentric loading protocol
02
Rupture: conservative treatment with cast/functional brace
03
Surgical repair (primary suture or with graft)
04
PRP injection (for tendinopathy)
05
Heel lift and support orthotic
06
Progressive weight-bearing and sport rehabilitation

Which Department to Visit?

You can visit our Ortopedi ve Travmatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ortopedi ve Travmatoloji Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.