Apex Sports Clinic

How to Fix a Hurt Heel: Understanding Achilles Surgery


 Understanding the Achilles Tendon

The Achilles tendon is a crucial structure in the human body, connecting the calf muscles to the heel bone. It plays a vital role in everyday activities such as walking, running, and jumping. However, due to its frequent use and exposure to stress, the Achilles tendon is prone to injury. When the tendon becomes damaged or torn, it can lead to significant pain and mobility issues. In such cases, Achilles surgery may be necessary to repair the tendon and restore function to the affected area, with guidance from orthopedic surgeons specializing in tendon injuries.

Types of Achilles Surgery

There are several types of Achilles surgery, each tailored to address specific issues related to tendon damage or rupture:

Open Surgery:

Open surgery involves making a large incision in the back of the leg to access the damaged Achilles tendon directly. This approach allows the orthopedic surgeon to visualize the extent of the injury and provide precise repair. During the procedure, any damaged or torn portions of the tendon are removed, and the remaining healthy tissue is stitched back together. In some cases, a graft may be used to reinforce the repair and promote better healing. While open surgery provides excellent visibility and control, it typically requires a longer recovery period and may result in more noticeable scarring.

Endoscopic Surgery:

Endoscopic surgery is a relatively newer technique that utilizes a tiny camera called an endoscope to visualize and repair the Achilles tendon. A small incision is made near the damaged tendon, and the endoscope is inserted to provide a clear view of the internal structures. Using specialized instruments, the orthopedic surgeon can then repair the tendon with greater precision while minimizing damage to surrounding tissues. Endoscopic surgery offers many benefits, including smaller incisions, reduced postoperative pain, and faster recovery times. However, it may not be suitable for all cases of Achilles tendon injury, and the availability of this technique may vary depending on the healthcare provider.

Recovery Process

Regardless of the type of Achilles surgery performed, the recovery process typically follows a similar trajectory:


After surgery, the affected leg may be placed in a cast or brace by the orthopedic surgeon to immobilize the foot and ankle and allow the repaired tendon to heal properly. This immobilization is crucial for preventing further injury and promoting optimal recovery.


Once the initial healing phase is complete, a structured Physiotherapy program is often prescribed by the orthopedic surgeon to restore strength, flexibility, and function to the affected leg. Physiotherapy may include exercises to improve range of motion, strengthen the calf muscles, and gradually reintroduce weight-bearing activities.

Gradual Return to Activity:

As healing progresses and strength improves, patients can gradually return to their normal activities under the guidance of the orthopedic surgeon. However, it’s essential to avoid pushing too hard too soon, as this can lead to reinjury or delayed healing.

Long-Term Rehabilitation:

While many patients are able to resume their normal activities within a few months of Achilles surgery, some may require ongoing rehabilitation to optimize outcomes and prevent future injuries. This may include continued strength training, flexibility exercises, and modifications to activity levels to minimize stress on the Achilles tendon.


Achilles surgery is a highly effective treatment option for individuals with severe Achilles tendon damage or rupture, guided by orthopedic surgeons specializing in tendon injuries. By understanding the different types of Achilles surgery available and the recovery process involved, patients can make informed decisions about their treatment and rehabilitation. With proper care and rehabilitation, many individuals can return to their normal activities and enjoy a full recovery following Achilles surgery. However, it’s essential to work closely with orthopedic surgeons to ensure the best possible outcomes and minimize the risk of complications.

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