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Achilles Tendon Rupture Discharge Instructions


About this topic


A tendon is a strong band of tissue that connects muscles to bones. The Achilles tendon connects the calf muscle to the heel bone. It helps your foot push forward when you walk and lets you rise up on your toes. It is the largest tendon in the body. If this tendon gets stretched too much, it can tear. It can tear just a little or all the way. If the tendon tears all the way, this is an Achilles tendon rupture. ‚  


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What care is needed at home?


  • Ask your doctor what you need to do when you go home. Make sure you ask questions if you do not understand what the doctor says. This way you will know what you need to do.
  • Rest. Allow your injury to heal before you do slow movements.
  • Place an ice pack or a bag of frozen peas wrapped in a towel over the painful part. Never put ice right on the skin. Do not leave the ice on more than 10 to 15 minutes at a time.
  • Prop your leg on pillows to help with swelling.
  • Cast or walking boot for 6 to 8 weeks to let the tendon heal
  • Heel lift in your shoe after the cast or boot is no longer needed
  • Crutches to take pressure off your injured leg
  • Exercises

What follow-up care is needed?


Your doctor may ask you to make visits to the office to check on your progress. Be sure to keep these visits. Your doctor may send you to physical therapy once your cast is taken off. ‚  

What drugs may be needed?


The doctor may order drugs to: ‚  
  • Help with pain and swelling
  • Fight an infection

Will physical activity be limited?


You will need to be in a cast or walking boot for 6 to 8 weeks. After the cast or boot is no longer needed, it may take a few months of rehab before you can go back to your normal activities. Most people can return to sports 4 to 6 months after the injury. ‚  

What can be done to prevent this health problem?


  • Warm up slowly and stretch your muscles before you work out. Use good ways to train, such as slowly adding to how far you run. Do not work out if you are overly tired. Take extra care if working out in cold weather.
  • Stay active and work out to keep your muscles strong and flexible.
  • Keep a healthy weight so there is not extra stress on your joints. Eat a healthy diet to keep your muscles healthy.
  • Avoid walking or running on uneven surfaces.
  • Wear the right equipment when playing sports.

When do I need to call the doctor?


  • Signs of a very bad reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; seizures; or swelling of face, lips, tongue, or throat. Go to the ER right away.
  • Signs of infection. These include a fever of 100.4 ‚ °F (38 ‚ °C) or higher, chills, or wound that will not heal.
  • Pain or swelling gets worse
  • Health problem is not better or you are feeling worse

Teach Back: Helping You Understand


The Teach Back Method helps you understand the information we are giving you. The idea is simple. After talking with the staff, tell them in your own words what you were just told. This helps to make sure the staff has covered each thing clearly. It also helps to explain things that may have been a bit confusing. Before going home, make sure you are able to do these: ‚  
  • I can tell you about my condition.
  • I can tell you what may help ease my pain.
  • I can tell you what I will do if I have more pain or swelling.

Where can I learn more?


American Academy of Orthopaedic Surgeons ‚  
http://orthoinfo.aaos.org/topic.cfm?topic=AV0003 ‚  
American College of Foot and Ankle Surgeons ‚  
http://www.foothealthfacts.org/footankleinfo/achilles_tendon_rupture.htm ‚  

Consumer Information Use and Disclaimer


This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you. ‚  

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