⚠️ Important Note: This information does not replace medical advice! If you suspect an Achilles tendon rupture, seek medical attention immediately.

Emergency Help & FAQ

Help! I just tore my Achilles tendon – what now?

Just happened? Emergency!

You heard a sudden pop, like someone hit you from behind – but no one is there? Your foot feels strange, you try to walk, but it doesn’t work? These are classic signs of an Achilles tendon rupture. The situation is scary, but you're not alone: many people describe exactly these symptoms. Now it’s all about staying calm and taking the next steps.

💡 Tips & Tricks

  • 🚑 Seek medical help as soon as possible – go to the ER or call emergency services.
  • 🤲 Compare both heels: the torn tendon often feels softer or “empty”.
  • 🧊 Gently cool the affected area – but never directly on the skin!
  • 🚫 Avoid any weight-bearing, stop walking, and support yourself.
  • 🦵 Elevate your leg, ideally in a pointed-toe (plantarflexion) position – this relieves tension on the tendon.

❓ Questions & Answers

What happens at the hospital?

You’ll usually get a cast with your foot in a pointed position to reduce tension. Ultrasound or MRI is often used for diagnosis. Doctors will explain the next steps in detail.

Will I recover fully?

Chances are very good! With the right therapy and some patience, you can walk, work, and even play sports again. The first few weeks are crucial, but most people recover well after rehab.

When will I be fit again? When can I do sports?

It takes time – but don’t worry, you’ll get all the info during rehab. Right now, focus on healing the tendon. Sports will come back later.

I don’t feel any pain – is that possible?

Yes, it happens! Some feel no pain, just a strange “empty” feeling or instability in the foot. The pop is often the clearest sign. Still: go to the doctor right away!

What should I prepare at home?

Make your home crutch-friendly: remove tripping hazards, set up a shower stool and non-slip mats. A plastic bag for the cast when showering is essential. A comfy chair helps with getting dressed and resting.

You're in shock – surgery or not?

Surgery or not?

Surgery or not: it’s a personal decision that depends on your life situation. For young, active people, surgery is usually the best option – but it comes with risks. Non-surgical treatment is less risky but can result in a longer tendon and less strength. Talk to your doctor and trust the joint decision. More in my Surgery Report (DE) or Surgery Report (EN).

💡 Tips & Tricks

  • 📝 Write down all your questions beforehand so you don’t forget anything at the doctor.
  • 🧳 Pack a small hospital bag with everything you’ll need.
  • 🚿 Enjoy your last pre-surgery shower – it’ll get trickier afterward.

❓ Common Questions

What happens during surgery?

It’s very individual – and yes, you’ll hear that often! Basically, the tendon is stitched and stabilized. For all the details and a personal story, check my Surgery Report: German / English. It’s normal that things sound “individual” – trust the doctors and the process.

How long will I stay in the hospital?

Usually 2–3 days. The surgery is routine, but aftercare and initial mobilization take time.

Will my doctor inform and advise me beforehand?

Yes, absolutely! You’ll get thorough explanations and can ask all your questions. Don’t worry – you’re not alone with your concerns.

Is anesthesia involved?

Usually you can choose between general anesthesia and local anesthesia. Talk to the anesthetist about what’s best for you.

How long does the surgery take?

Usually 60–90 minutes. The exact time depends on the technique and your individual case.

Will I ever walk normally again?

Rehab Phase (Boot, Physical Therapy)

Disclaimer: I'm currently in week 10 of rehab, this section is constantly being expanded. The content is based on my own experience and post-op protocol. Ask for a post-op protocol early – it provides security and answers many questions!

The hardest part wasn’t the leg – it was the mind. Phantom pain, doubts, frustration about everyday life with crutches: showering, shopping, laundry – everything became a struggle. A blister delayed wound healing. Every bit of progress was a victory, but never without setbacks. What helps: solid routine, small goals, focus on technique over volume. Don’t over-Google – read purposefully, e.g., r/AchillesRupture. And: breaks are just as important as training. Fresh air, good care, clear thoughts – that’s what moves you forward.

💡 Tips & Tricks

  • ⏳ Be patient – healing takes time
  • 🏋️ Stick to physical therapy
  • 👠 Gradually wean off the boot as planned
  • ⚠️ Watch out for warning signs (swelling, pain)

❓ Common Questions

When can I ... again?

Depends on your post-op protocol. See my Post-Op Protocol (DE) or Post-Op Protocol (EN).

Note: This is how it was for me – your timeline may vary!

  • 🚗 Drive: when full weight-bearing is safe
  • 🚲 Bike (road): after 3–4 months
  • 🏊 Swim: after 3–4 months
  • 🚶 Nordic walking: after 4 months
  • 🏃 Jog: after 5–6 months
  • 🚴 Trail biking: after 5–6 months
  • 🛼 Inline skating: after 5–6 months
  • 🏈 Contact sports: after 6–9 months
  • ⛷️ Skiing / snowboarding: after 9 months
How long does swelling last?

On average 6–10 weeks. I had it for about 8 weeks and used pads and Achillotrain for relief.

When can I switch to the boot?

Depends on the protocol. For me, after about 3 months – but there are more progressive approaches too.

What’s the purpose of the boot?

The boot – like the VacoPED or Künzli Ortho Shoe – protects the tendon after rupture and surgery. It holds your foot in plantarflexion so the tendon can heal. The angle is adjusted step-by-step to slowly reintroduce movement.

  • VacoPED: A sturdy, adjustable orthopedic boot with air cushions and variable foot positions. Offers strong protection but is bulky. The angle can be changed by your doctor or physio for gradual mobility.
  • Künzli Ortho Shoe: A lighter boot with heel wedges that are removed step-by-step. More comfortable in daily life but slightly less protective.

Both models allow early mobilization without risking tendon healing. The choice depends on your protocol and doctor’s recommendation.

Can I train?

Yes! You can train your upper body and the uninjured leg. Cross-education helps maintain muscle and motivation.

How do I know if I’m overdoing it?

My doctor said: On a scale from 0–10, it should not exceed 3. If it does, pause and check in with your care team.

How much load is safe?

Depends on the protocol. I was allowed full weight-bearing in the boot from week 3, once the wound had healed.

How do I stay motivated when progress stalls?

Some days feel like setbacks. Don’t forget where you started – from the injury! Every bit of progress counts. Talking to others helps.

When can I walk barefoot again?

Depends on the protocol. For me, after 3 months once I was out of the boot.

What equipment helped you?

Ask your physio. For me, a board, a few dumbbells, and a step were enough.

How long until I walk normally again?

For me, about 3 weeks until permitted – 4 weeks until smooth walking again, including stairs and longer walks.

Can I shower without protection?

Once the wound is healed, yes – you can shower without protection.