Foot-Ankle
Achilles Tendon Rupture

An Achilles tendon rupture is a partial or complete tear of the strong tendon connecting the calf muscles to the heel bone. It usually occurs when sudden force is placed on the tendon and can make walking or pushing off the injured foot difficult.

  • Sudden pain near the heel
  • Popping or snapping sound
  • Swelling around the ankle
  • Difficulty walking
  • Weakness when pushing off
  • Inability to stand on tiptoe
  • Bruising near the heel
  • A gap in the tendon
  • Feeling as if someone kicked the back of the ankle
  • Sudden sharp pain above the heel
  • A loud pop or snap
  • Weak or unstable ankle
  • Difficulty pushing the foot off the ground
  • Pain that may lessen after the initial injury
  • Jumping or landing
  • Sudden cutting or pivoting
  • Rapid acceleration
  • Stepping into a hole
  • Falling from a height
  • Recreational sports
  • Sudden increase in activity
  • Notice whether a pop occurred during the injury
  • Check for swelling or bruising above the heel
  • See whether you can walk normally
  • Do not repeatedly test the injury
  • Do not forcefully stretch the ankle
  • A healthcare professional may perform a calf-squeeze test

Educational only — not a medical diagnosis.

  1. 1Stop activity immediately
  2. 2Avoid placing weight on the injured foot
  3. 3Apply wrapped ice
  4. 4Elevate the ankle
  5. 5Use crutches if available
  6. 6Seek prompt medical evaluation
  7. 7Do not stretch or massage the tendon
  • Open wound near the tendon
  • Severe swelling or deformity
  • Cold, pale, or numb foot
  • Inability to walk
  • Sudden pop followed by weakness
  • Loss of normal ankle movement
  • Severe pain after major trauma
  • Treatment may involve a boot, cast, or surgery
  • Follow weight-bearing restrictions carefully
  • Begin rehabilitation only when directed
  • Gradually restore ankle motion and calf strength
  • Avoid returning to running or jumping too early
  • Complete the full rehabilitation program
  • Return to sports only after medical clearance

For educational purposes only. Not a substitute for medical advice.

Tracks symptoms over time (not a diagnosis).