Achilles Tendon Rupture (Partial)

What is a Partial achilles tendon rupture?

A partial achilles tendon rupture can occur in athletes from all sports but particularly running, jumping, throwing and racket sports. The tendon tears but not completely. Scar tissue will form which is likely to lead to inflammation of the tendon. Often the athlete will not feel the achilles tendon rupture at the time but will become aware of it later when the tendon has cooled down.

Symptoms of a partial achilles tendon rupture:

A sudden sharp pain in the Achilles tendon. (Sometimes the athlete may not feel a sharp pain at the time of the tear but pain is likely to come on when cooled down or the following day).
When returning to exercise after a short period of rest, there may be a sharp pain which disappears when warmed up only to return when stopped.
Stiffness in achilles tendon first thing in the morning.
A small swelling in the tendon.

Treatment of partial achilles rupture:

What can the athlete do?

Apply cold therapy or R.I.C.E. (Rest, Ice, Compress, Elevate) for the first two to three days.
See a sports injury specialist or doctor who can advise on treatment and rehabilitation.
A proper diagnosis is essential. If the rupture is a complete achilles tendon rupture then immediate surgery is usually indicated. Thompson's test (video) is one way of determining if a total rupture may be present.

What can a Sports Injury Specialist or Doctor do?

Correctly diagnose the injury - Thompson's test (video) is one way of assessing the achilles tendon.
Tape the Achilles to support it.
Use ultrasound.
Prescribe anti-inflamatory medication such as ibuprofen.
Prescribe a rehabilitation programme.
They might put you in a plaster cast for 4 to 6 weeks.
Operate