Surgery usually isn't
needed to treat
Achilles tendinopathy. But in rare cases, someone
might consider surgery when rubbing between the tendon and the tissue covering
the tendon (tendon sheath) causes the sheath to become thick and fibrous.
Surgery can be done to remove the fibrous tissue and repair any small tendon
tears. This may also help prevent an Achilles tendon
Achilles tendon rupture
Surgery is often used to
reattach the ends of a ruptured Achilles tendon. It may provide a better chance of
preventing the tendon from rupturing again compared to using a cast or other device that will keep your lower leg from moving
Surgery works best when you
have surgery soon after your injury. Recovering from surgery may take
months. Most surgeons will wait a few days for swelling to go down, then do the surgery as soon as possible. Surgery is usually done within 4 to 6 weeks. You will also need a
rehabilitation (rehab) program to help heal and strengthen the
Surgery for an Achilles tendon rupture
can be done with a single large incision, which is called open surgery. Or it can be done with several small incisions. This is called percutaneous surgery.
What to think about
The differences in age and
activity levels of people who get surgery can make it hard to know if Achilles
tendon surgery is effective. The success of your surgery can depend on:
- The type of surgery you have.
- How damaged the tendon is.
- How soon after rupture the surgery is done.
- How soon you start your
rehab program after surgery.
well you follow your rehab program.
Talk to your surgeon about his or her surgical
experience. Ask about his or her success rate with the technique that would best treat your
- Achilles Tendon Rupture: Should I Have Surgery?