Achilles Rupture: Surgery vs Bracing – Which is the Best Option?
An Achilles tendon rupture is a serious injury that affects the ability to walk, run, or push off the foot properly. The Achilles tendon connects the calf muscles to the heel bone, and when it tears, it can cause sudden pain, swelling, and difficulty walking.
Treatment options typically include either surgical repair or non-surgical management with bracing. But which is the better option?
What Happens When the Achilles Ruptures?
- Patients often describe hearing a "pop" followed by sharp pain at the back of the ankle.
- Swelling and difficulty pushing off the foot make walking difficult.
- A gap in the tendon may be felt above the heel.
Surgical vs Non-Surgical Treatment
- Surgery involves stitching the torn tendon back together, followed by rehabilitation. It often results in a lower re-rupture rate and a faster return to activity.
- Bracing (non-surgical treatment) involves wearing a boot that keeps the foot in a position that allows the tendon to heal naturally. This approach avoids surgical risks but may have a higher re-rupture rate.
Which Treatment is Best?
- Surgery is favoured for younger, active individuals who want to return to sports.
- Bracing may be suitable for older adults or those at risk for surgical complications.
- Both treatments require extensive rehabilitation with physiotherapy to restore strength, flexibility, and function.
A physiotherapist plays a crucial role in rehabilitation after both treatment options. Exercises focus on gradual strengthening, balance training, and mobility work to ensure a safe and effective recovery. Choosing between surgery and bracing depends on individual goals, lifestyle, and medical history, and should be discussed with a specialist.