A gradual ache and morning stiffness at the back of the ankle tell a different story than a sudden pop during a sprint, jump, or quick change of direction. Achilles tendonitis usually develops from repeated stress, while a ruptured Achilles tendon is a partial or complete tear that often happens abruptly. For patients across New Jersey, our OIBortho foot and ankle team includes Meagan Coleman, DPM, a fellowship-trained foot and ankle surgeon whose clinical interests include Achilles tendon conditions.
Achilles Tendonitis Usually Develops Gradually
The Achilles tendon connects the calf muscles to the heel bone. Tendonitis occurs when this tissue becomes irritated from repetitive stress. Running, jumping, a rapid increase in activity, tight calf muscles, footwear, and foot mechanics can all contribute.
Symptoms often build over time. You may notice pain or stiffness along the back of the ankle, tenderness, mild swelling, discomfort that worsens with activity, or stiffness when you first get moving.
Most cases begin with nonsurgical care. Your treatment plan can include activity modification, stretching and strengthening, supportive footwear or orthotics, medication, and physical therapy. Surgery is generally reserved for long-standing cases that do not improve with conservative treatment.
What Does an Achilles Rupture Feel Like?
A rupture means some or all of the tendon fibers have torn. It can happen during sudden acceleration, jumping, an abrupt change of direction, a fall, or another forceful movement.
Many people describe a pop, snap, or sensation of being kicked in the back of the leg. Sharp pain, swelling, bruising, weakness, and trouble pushing off the foot can follow. Some people can still walk after a rupture, so being able to take steps does not rule out a significant injury.
How Can You Tell Which Injury You Have?
The timing of your symptoms can be informative, but an exam is needed to determine what happened. Our clinicians assess ankle motion, strength, gait, and the injured area. Ultrasound or MRI can add detail when imaging is needed.
Treatment for a rupture depends on the extent of the tear, your activity level, and your general health. Surgical and nonsurgical approaches are both possible, followed by rehabilitation to rebuild strength and mobility.
Have Sudden or Persistent Achilles Pain Checked
A sudden pop, new weakness, or ongoing pain at the back of the ankle deserves an evaluation. To see our OIBortho foot and ankle team in Ocean, Monmouth, or Middlesex County, NJ, contact us or call 732-800-9000 to request an appointment.