Achilles Tendon Repair

WHAT IS ACHILLES TENDON REPAIR?

Achilles tendon repair is a procedure used to treat a tear/ruptrue of the Achilles tendon—the strong tendon that connects the calf muscles to the heel bone. Injuries normally happen during sports such as basketball, softball, pickleball or any activity when you start and stop quickly. A complete rupture often accompanies a “pop” feeling or sound. The torn and ruptured tendon causes pain, weakness, difficulty walking, and loss of push-off strength.

Achilles injuries commonly occur during sports or sudden movements but can also develop gradually from chronic overuse and tendon degeneration. These degenerative tears are not associated with weakness but rather slowing increasing pain over the back of the heel.

HOW IS ACHILLES TENDON REPAIR TREATED?

Treatment depends on the severity of the injury, your activity level, and your long-term goals. Dr. Mike Sims uses a step-by-step approach, beginning with conservative treatment whenever appropriate.

Non-Surgical Treatment Options

Activity modification
Immobilization in a walking boot or cast
Anti-inflammatory medications
Heel lifts or supportive footwear
Physical therapy
Custom orthotics

For some partial tears or less severe injuries, these treatments can help reduce pain and support healing.

When the tendon is significantly torn or conservative care is no longer effective, surgical repair may be recommended. In many cases, minimally invasive techniques can be used to restore strength and function while minimizing disruption to surrounding tissue.

Primary Achilles Tendon Repair
Reattaching and repairing torn tendon fibers to restore strength and stability.

Minimally Invasive Achilles Repair
Using smaller incisions and specialized instruments to reduce soft tissue disruption and support recovery.

Debridement of Damaged Tendon Tissue
Removing degenerated or unhealthy tissue in cases of chronic tendon damage.

Tendon Transfer or Augmentation
In severe or chronic tears, nearby tendons may be used to reinforce the repair and improve function.

Minimally Invasive Surgical Options May Include:

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