Achilles Tendon Injury & Repair in Perth, WA

The Achilles tendon is the largest tendon in the body and plays a crucial role in physical activities. When torn, it can severely impair function and quality of life.

Dr. Samuel Duff provides surgical and non-surgical management of Achilles tendon ruptures for patients in Perth and throughout Western Australia.

What Is the Achilles Tendon?

The Achilles tendon connects the calf muscles (gastrocnemius and soleus) to the heel bone (calcaneus). It’s essential for propelling the body forward during walking, running, or jumping, and any rupture can result in pain, weakness, and difficulty bearing weight.

Recognition and diagnosing

Achilles Tendon Ruptures

Achilles ruptures often cause sudden heel pain, swelling, and difficulty walking. Diagnosis involves clinical tests and imaging to confirm the tear. Early treatment leads to better outcomes.

Tap to openCommon Signs of an Achilles Rupture

Common Signs of an Achilles Rupture

Sudden sharp pain at the back of the heel, often during explosive movement
Feeling like you were “kicked” in the back of the leg
Inability to continue activity, followed by limping
Bruising or swelling around the heel
A palpable gap or hollow in the tendon

Tap to openHow Achilles Ruptures Are Diagnosed

How Achilles Ruptures Are Diagnosed

Diagnosis typically includes a clinical examination, including the calf squeeze test and visual comparison of both legs. Confirmatory imaging like ultrasound or MRI is used to confirm the extent of the rupture. Early diagnosis and treatment are key to better outcomes.

Achilles Rupture Treatment

Options and Early Management

Early boot positioning and specialist assessment are vital after an Achilles rupture. Dr. Duff offers both surgical and non-surgical treatments, tailored to your recovery goals, activity level, and timing of care.

Initial Management and Timing

If a rupture is suspected, the foot should be placed in a toe-pointed (plantarflexed) position using a boot or plaster within 48 hours. This early positioning is critical to prevent tendon shortening. Crutches are usually required, and a blood clot prevention plan should be discussed with your doctor. A specialist opinion should follow to determine whether surgery or structured rehabilitation is most appropriate.

Should You Have Surgery?

This decision depends on multiple factors, including age, activity level, overall health, and how quickly the injury was managed. Dr. Duff will work with you to determine the best course of action for your needs and goals.

Surgery vs. Non-Surgical Treatment

Surgical repair generally provides more strength in explosive movements and a slightly lower chance of re-rupture. Non-surgical rehab avoids operative risks but may result in slightly reduced function. Both methods can be effective when managed early and correctly.

What’s Involved in Non-Surgical Rehab?

Non-surgical treatment involves using a boot with a heel lift for 8–12 weeks. Patients begin partial weight bearing at 2 weeks, then progress to full weight by 4 weeks. The heel raise is removed around 6–8 weeks, and boot weaning starts between 8–12 weeks.

What Happens During Surgery?

Surgical repair is ideally performed within 5–10 days of the injury. The procedure stitches the torn ends together and is followed by a similar boot protocol used in non-operative care. Medication to prevent blood clots is recommended post-op.

Recovery Timeline

Timeline Scroll Progress

Boot removal: ~10 weeks

Unassisted walking: 10–12 weeks

Return to sport: 6–9 months

Full strength recovery: up to 12 months for high-impact athletes

Other Key Considerations

Bringing the tendon ends together early, via bracing or surgery is essential for successful healing. Delays beyond three days without correct positioning can affect recovery potential. Blood thinners are strongly advised during early recovery in most patients.

Book an Achilles Assessment

If you’ve experienced a sharp pain behind your heel or suspect an Achilles rupture, prompt diagnosis and care are essential.

Dr. Samuel Duff offers expert guidance on both operative and non-operative options, helping you return to activity safely.