Conservative management of ruptured Achilles tendon: A physiotherapist’s perspective

• Author Details:   
• Himani Gupta
• Lalit Gupta ^*

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Ruptured Achilles tendons are a common injury, often occurring among athletes and middle-aged individuals involved in recreational activities. In patients, such as those with partial ruptures, small tendon gaps, or medical comorbidities, conservative management without surgical intervention is an effective alternative option. This approach requires immobilization through a below knee cast holding ankle in plantarflexed position or walking boot, followed by rehabilitation through gradual weight-bearing and structured physiotherapy sessions. Rehabilitation focuses on pain management through mobility restoration, calf muscle strengthening, and balance improvement. Physiotherapy aided by early mobilization and progressive weight bearing helps in improving active tendon healing, muscle strength, and functional recovery. Physiotherapists play a crucial role in guiding the rehabilitation process, as they educate and motivate patients on adherence, monitoring their progress, guiding and modifying rehabilitation to prevent complications like re-rupture or tendon elongation. Studies have shown that properly implemented conservative treatment, especially in low demand patients, can provide outcome results similar to surgical treatment. Advancements in recovery support technology like wearable devices and platelet-rich plasma (PRP) are expected to boost restoration efforts and enhance recovery in future.