Achilles Tendon Pain or Rupture

Hello - I'm Kumar Kunasingam. The Achilles Tendon is the strongest tendon in your body - but it can become painful or even rupture completely. This video explains Achilles tendon problems, how they are diagnosed and the treatment options available. The Achilles tendon connects your calf muscles to your heel bone - allowing you to push off when walking; running; or, jumping. Problems can develop gradually through overuse, or suddenly through acute injury. Both situations can significantly affect your mobility and quality of life, if not properly addressed. Achilles Tendinopathy causes: Pain; stiffness; and, swelling at the back of your heel. It often develops gradually; and may worsen with activity. Risk factors include: Sudden increases in exercise; Tight calf muscles; and, certain footwear. This is a common condition for runners, and active individuals. There are two main types of Achilles Tendinopathy. 'Insertional Tendinopathy' affects where the tendon attaches to the heel bone, and may involve bone spurs. 'Mid-portion Tendinopathy' occurs higher up in the tendon itself. The location of your pain, will help guide the most appropriate treatment approach. An Achilles Tendon rupture is more dramatic. You may hear, or feel a sudden snap at the back of your ankle - followed by difficulty walking or pushing off. This requires prompt medical assessment. Diagnosis typically involves a physical examination - where I assess the tendon for - tenderness, swelling, and weakness. An ultrasound, or MRI scan can confirm the extent of damage, and help plan treatment. Imaging is particularly important for ruptures, as it shows whether the tendon ends have separated significantly. Treatment for 'Achilles Tendinopathy' usually begins with physiotherapy, eccentric strengthening exercises, and activity modification. Shockwave therapy may also help in persistent cases. If conservative measures fail - surgery to remove damaged tissue or repair the tendon may be considered. I use minimally invasive techniques wherever possible to support faster recovery. For Achilles ruptures - treatment options include, surgical repair or conservative management in a boot. The best approach depends on your activity level, overall health, and personal goals. I will discuss these options with you carefully, explaining the benefits and considerations of each approach. When surgery for rupture is chosen, I typically use minimally invasive techniques. This involves smaller incisions compared to traditional open repair, which reduces wound healing complications and may allow faster rehabilitation. Early controlled movement after surgery can help the tendon heal with greater strength while maintaining ankle flexibility. If you are experiencing persistent Achilles pain, or suspect a rupture, prompt assessment is important. Please contact my team to arrange a consultation. Together - we can develop a treatment plan to help restore your mobility.