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Achilles Tendon Rupture

WHAT YOU SHOULD KNOW

The Achilles tendon is the cord that attaches the heel to the calf muscles. It runs up the back side of the ankle, and can be torn (ruptured) by a sudden strain. If the tear is small, it will usually take about 8 to 12 weeks to heal.

Causes

The ruptures usually occur during athletics or in an accident. Running, jumping, and tripping can all cause a tear.

Signs/Symptoms

You can expect pain, tenderness, swelling, or bruising behind the ankle. You may find it difficult to move your foot, and it's usually painful to walk.

Care

Your doctor will probably order an x-ray. If you have a small tear, treatment may consist of a cast or splint followed by exercise therapy to bring the tendon back up to strength. If the injury is large, surgery may be needed to fix the tear, again followed by exercise therapy. You'll need to use crutches for a while. If you tore some skin when you were injured, you may need a tetanus shot.

WHAT YOU SHOULD DO

  • Use your crutches as long as directed. Do not stop using them on your own.
  • To reduce the swelling, keep the injured foot on pillows while lying down and on a stool when sitting.
  • Apply ice to the injury for 15 to 20 minutes each hour for the first 1 to 2 days. Put the ice in a plastic bag and place a towel between the bag of ice and your skin.
  • If you are given a plaster or fiberglass cast:
    • Do not try to scratch the skin under the cast by pushing a sharp or pointed object down the cast.
    • Check the skin around the cast every day. You may put lotion on any red or sore areas.
    • If your fiberglass cast gets a little wet, it can be dried off with a hair dryer.
  • If you are given a plaster splint:
    • Wear the splint until your doctor says you may take it off or until your follow-up examination.
    • You may loosen the elastic around the splint if your toes become numb or begin tingling.
  • If you put pressure on any part of the cast or splint, it may break.
  • Keep the cast or splint dry. Cover it with a plastic bag when you bathe. Do not lower it into water.
  • If the doctor prescribes pain medicine that makes you drowsy, don't drive. You also may take over-the-counter medicines for pain. Take all medications exactly as directed.
  • If you are given a tetanus shot, your arm may get swollen, red, and warm to the touch at the site of the shot. This is a normal reaction to the medicine.

Call Your Doctor If...

  • Your cast or splint gets damaged or breaks.
  • You have severe pain that won't go away.
  • You have more swelling than you did before treatment.
  • The skin or toenails of the injured foot turn blue or grey, or become cold or numb.
  • There is a bad smell coming from your cast or splint.
  • There are new stains coming from under the cast or splint.

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