Complete Tear of the Achilles Tendon

Complete Achilles Tendon Rupture Rehabilitation Physiotherapy in Singapore

A complete tear of the Achilles tendon, also known as an Achilles tendon rupture, occurs when the strong tendon connecting the calf muscles to the heel bone (calcaneus) is completely torn. This is a serious injury that significantly affects walking, running, and pushing off the foot.

The Achilles tendon is the largest and strongest tendon in the body, playing a crucial role in activities such as walking, jumping, running, and climbing stairs. When the tendon ruptures, immediate treatment and structured rehabilitation are required to restore normal function.

At ACE PHYSIO SPORTS, located on East Coast Road in Singapore, our physiotherapists provide specialised rehabilitation programmes to help patients recover after Achilles tendon rupture surgery and safely return to daily activities and sport.

What Causes a Complete Achilles Tendon Tear?

A complete Achilles tendon rupture usually occurs when the tendon is exposed to sudden or excessive force.

This injury commonly happens during sports or activities that involve explosive movements.

Common causes include:

Sudden Acceleration or Jumping

Activities that require powerful push-off movements, such as sprinting, jumping, or lunging, can overload the tendon.

Rapid Changes in Direction

Sports like football, basketball, tennis, or badminton often involve sudden direction changes that place high stress on the Achilles tendon.

Direct Trauma

A direct blow to the back of the ankle may also cause the tendon to rupture.

Degenerative Tendon Changes

In some individuals, gradual degeneration of the tendon may weaken it over time, increasing the risk of rupture.

Symptoms of a Complete Achilles Tendon Rupture

Symptoms of an Achilles tendon rupture often occur suddenly and may be severe.

Common symptoms include:

• Sudden sharp pain in the back of the ankle or calf
• A sensation similar to being kicked in the back of the leg
• A snapping or tearing sound at the time of injury
• Swelling and tenderness around the heel or calf
• Difficulty pushing off the foot when walking
• Inability to stand on tiptoe
• Bruising around the ankle or calf
• A visible gap or depression in the tendon area in severe cases

Immediate medical assessment is required if an Achilles rupture is suspected.

What Should You Do If You Suspect an Achilles Tendon Rupture?

A complete Achilles tendon rupture usually requires surgical repair.

If you suspect you have ruptured your Achilles tendon, you should seek urgent medical attention at the nearest hospital or emergency department.

While waiting for treatment, the RICE protocol may help reduce symptoms:

• Rest – Avoid putting weight on the injured leg
• Ice – Apply ice to reduce swelling
• Compression – Use a bandage to control swelling
• Elevation – Raise the leg above heart level

Prompt treatment helps prevent complications and improves recovery outcomes.

Physiotherapy After Achilles Tendon Rupture Surgery

Physiotherapy is essential for recovery after surgical repair of a complete Achilles tendon tear.

Following surgery, the ankle is typically immobilised in a cast or protective boot to allow the tendon to heal.

Once immobilisation is removed, a structured physiotherapy programme begins.

At ACE PHYSIO SPORTS, our physiotherapists work closely with orthopaedic surgeons to follow appropriate rehabilitation protocols and support safe recovery.

Early Rehabilitation Phase

The initial stage focuses on protecting the tendon and restoring gentle movement.

Treatment may include:

• Gentle ankle mobility exercises
• Pain and swelling management
• Gradual weight-bearing progression
• Muscle activation exercises

Strength and Mobility Phase

As healing progresses, rehabilitation focuses on improving strength and flexibility.

Treatment may include:

• Calf strengthening exercises
• Tendon loading exercises
• Stretching exercises to restore flexibility
• Soft tissue massage to reduce muscle tension

Advanced Rehabilitation Phase

Later stages of rehabilitation focus on restoring function and preparing for return to sport.

Treatment may include:

• Balance and proprioception training
• Joint mobilisation techniques
• Ultrasound or shockwave therapy
• Functional movement training
• Sport-specific rehabilitation exercises

What Should You Avoid After an Achilles Tendon Rupture?

After a complete Achilles tendon tear, certain activities should be avoided during the early stages of recovery.

These include:

• High-impact physical activity
• Excessive walking or running
• Hot baths or heat therapy early after injury
• Alcohol consumption during the acute stage
• Ignoring rehabilitation guidelines

Following physiotherapy advice helps prevent re-injury and supports optimal healing.

Long-Term Recovery After Achilles Tendon Rupture

Recovery from a complete Achilles tendon rupture can take several months.

Typical recovery timelines include:

• 6–8 weeks: limited weight-bearing and immobilisation
• 3–6 months: progressive strengthening and mobility recovery
• 6–12 months: gradual return to sports and high-impact activities

With proper surgery and structured rehabilitation, most patients achieve a successful recovery and regain normal function.

Achilles Tendon Rehabilitation at ACE PHYSIO SPORTS

At ACE PHYSIO SPORTS, our physiotherapists specialise in sports injuries, tendon rehabilitation, and post-surgical physiotherapy.

Our personalised rehabilitation programmes aim to:

• Restore ankle mobility
• Rebuild calf muscle strength
• Improve balance and coordination
• Prevent future tendon injuries
• Support safe return to sport and daily activities

Our clinic is conveniently located on East Coast Road in Singapore, serving patients from Katong, Marine Parade, and surrounding areas.

To arrange an appointment:

📞 Call +65 81535374 🌐 Visit acephysiosport.com