The problem being treated
The Achilles tendon powers push-off. Ruptures and long-standing degeneration both weaken it and cause pain.
Related conditions: Achilles Tendon Rupture, Achilles Tendinitis, Insertional Achilles Tendinopathy, Heel Spurs.
When surgery may be appropriate
- Acute ruptures in selected patients, particularly athletes
- Ruptures diagnosed late
- Chronic tendinopathy after six months of well-directed rehabilitation
- Insertional disease with a large spur or Haglund's deformity
Many acute ruptures and most tendinopathy are treated successfully without surgery.
How the procedure works
- Acute repair: the tendon ends are sewn together, sometimes through small incisions.
- Debridement: degenerated tendon tissue is removed and the tendon repaired.
- Insertional repair: spur and prominent heel bone are removed and the tendon reattached with anchors.
- Reconstruction: a tendon transfer (often the FHL) reinforces a badly damaged tendon.
Typical restrictions after surgery
- Splint, then boot with heel wedges
- Weight-bearing progressed on a set schedule
- No stretching of the repair until cleared
Your surgeon will give instructions specific to your procedure; these are general guidelines only.
General recovery phases
- Weeks 0–2Splint; non-weight-bearing.
- Weeks 2–8Boot with wedges gradually removed; weight-bearing progressed.
- Months 2–4Physical therapy for strength.
- Months 4–12Gradual return to running and sport.
Frequently asked questions
How long until I can run after Achilles surgery?
Many patients begin a structured return to running around four to six months, with full return to sport later. Timelines vary with the procedure.
Outcomes vary from patient to patient. This page is educational and does not replace a consultation; candidacy is determined after an examination and imaging.