Rupture, or tearing, of the Achilles tendon is a common condition. This typically occurs in the unconditioned individual who sustains the rupture while playing sports, or perhaps, from tripping. There is a vigorous contraction of the muscle and the tendon tears. The patient will often describe the sensation that someone or something has hit the back of the calf muscle.

The diagnoses of a rupture of the Achilles tendon is easy to make, and no XR, MRI or other test is necessary. The defect in the tendon is easy to see and to palpate as seen in this picture.
Pain is suddenly present, and although it is possible to walk, it is painful and the leg is weak. While it is possible to treat this ruptured tendon without surgery, this is never ideal since the maximum strength of the muscle and tendon never returns.

Many years ago, patients with a rupture of the Achilles were placed in a cast in order to heal the tendon. This is no longer used, since the case increases the likelihood of another rupture of the tendon, and creates stiffness of the ankle, and weakness of the leg muscles.
The problem of skin infection has, in the past, led surgeons away from surgical methods of treatment. Fortunately, now there is a new, unique method available for operating on and repairing the tendon. This new mouth requires only a tiny incision of one to two centimeters in length. This is far more accurate surgery. Recovery after this procedure is easier and the surgical complication rate is extremely low.