Condition

Achilles Tendon Rupture

Sudden or severe pain in the back of your ankle or calf

What is Achilles tendon rupture?

The Achilles tendon, also known as the calcaneal tendon, connects the heel bone to the calf muscles. It helps you rotate your foot and is used in every step you take.

A rupture of the Achilles tendon occurs when it tears either partially or completely. This rupture usually occurs near the heel bone as it has the poorest blood flow, thus impairing its ability to heal, making it more prone to weakness. 

achilles tendon rupture
An Achilles tendon rupture occurs when the tendon tears partially or completely.

What causes Achilles tendon rupture?

An Achilles tendon rupture can occur due to:

  • Sudden and forceful movements without proper warm-up or conditioning
  • Repetitive stress on the tendon over an extended period of time
  • Wear and tear 

What are the symptoms of Achilles tendon rupture?

Symptoms of Achilles tendon rupture includes:

  • Sudden or severe pain in the back of your ankle or calf
  • Popping or snapping sound at the time of injury
  • Difficulty walking or standing on tiptoes
  • Swelling and stiffness in your ankle area
  • Weakness in the affected leg
  • Inability to push off or climb stairs
  • Gap or indentation above your heel where the tendon has torn
If you notice any of the symptoms, make an appointment with an orthopaedic specialist to get an accurate diagnosis and treatment.

Dr Puah KL is our Senior Consultant Orthopaedic Surgeon at Artisan Sports & Orthopaedic Surgery. He used to serve the sports service of Singapore General Hospital - the highest volume trauma centre for orthopaedics in Singapore.

Is Achilles tendon rupture painful?

Yes. While a small number of people do not experience any pain when their Achilles tendon ruptures, most individuals report intense pain.

You may experience sudden and severe pain in the back of your ankle or calf, and you may hear a pop before experiencing immediate sharp pain. For some, the pain may be so intense that it can be difficult to walk or stand on tiptoes.

pain
Pain is characteristic of an Achilles tendon rupture.

Who is at risk of Achilles tendon rupture in Singapore?

Anyone in Singapore can be at risk of Achilles tendon rupture, however, there are several factors that increase your risk such as:

  • Athletes: participating in sports that involve sudden or forceful movements of the ankle increases your risk. This is especially true if you do not warm-up properly or if you do not condition your muscles before exercising. 
  • Gender: a study conducted in 2016 found that an Achilles tendon rupture is 84% more likely to occur in men than in women. 
  • Age: your risk of an Achilles tendon rupture increases between the ages of 30-40.
  • Certain medications: some antibiotics and steroid injections can weaken the Achilles tendon, thus increasing the risk of rupture.
  • Obesity: being overweight or obese puts extra strain on the Achilles tendon, increasing the risk of an Achilles tendon rupture.
  • History of ankle problems: previous ankle problems such as tendonitis and arthritis, increases your risk of an Achilles tendon rupture.

It is important to take proper precautions and maintain a healthy lifestyle to reduce your risk of experiencing or worsening Achilles tendon rupture.

How is Achilles tendon rupture diagnosed?

If you suspect that you may have ruptured your Achilles tendon, it is important to seek medical attention as soon as possible. 

Your doctor will perform the following tests for diagnosis:

  • Physical examination: check for a gap in your tendon, signs of injury,  swelling, tenderness, and discolouration in the affected area. A calf squeeze test, also known as a Thompson test, will be used to check for an Achilles tendon rupture.
  • Magnetic resonance imaging (MRI): an MRI may be requested to confirm the diagnosis and determine the extent of the damage.
calf squeeze test
A calf squeeze test, also known as a Thompson test, will be performed in the diagnosis of an Achilles tendon rupture.

Your doctor will ask you about your symptoms and medical history to rule out other possible causes of your pain and discomfort.

Seeking immediate medical treatment for your injury can help to prevent further/future damage and promote proper healing.

What are the treatment options for Achilles tendon rupture in Singapore?

The treatment options for Achilles tendon rupture will depend on the severity of your injury and individual needs.

These treatment options include:

  • Non-surgical: rest the affected foot, ice the area, and use crutches to avoid putting weight on the foot.
  • Surgery: for severe cases, a surgery known as an Achilles tendon repair is necessary to fix the rupture. 
  • Physiotherapy: physiotherapy involves gentle and therapeutic exercises  that will be used to rehabilitate the tendon and strengthen surrounding muscles.
  • Lifestyle modifications: to prevent future injuries.
Frequently asked questions
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Feeling aches and pains?

Book a consultation with us for a more comprehensive diagnosis and a personalised treatment plan best suited to your needs.

Feeling aches and pains?

Book a consultation with us for a more comprehensive diagnosis and a personalised treatment plan best suited to your needs. What are you experiencing now?

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For emergency appointment, please call or Whatsapp us at (65) 8909 8877. We will arrange for a limousine to send you to our clinic.
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