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Achilles Tendon Rupture Treatment in Los Angeles

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Los Angeles woman showing tear in Achilles tendon due to excessive force, seeking repair, on couch

overview

What is an Achilles Tendon Rupture?

An Achilles tendon rupture is a complete or partial tear of the Achilles tendon, typically caused by sudden force or excessive strain, resulting in pain, swelling, and difficulty walking. The Achilles tendon is a strong, thick structure that helps move the ankle and foot downward and propels the body forward during walking and running. Made of thousands of fibrous bands, it originates from the calf muscle (gastrocnemius) and attaches to the heel bone (calcaneus).

Acting like a “rubber band,” it stretches and contracts with each step. However, excessive force can cause the tendon to tear or rupture. Left untreated, a rupture or partial tear can lead to chronic pain and Achilles tendinosis.

At Foot and Ankle Specialty Group, Dr. Soomekh helms a compassionate, experienced team that is dedicated to providing you with the best Achilles tendon rupture treatment in Los Angeles at our state-of-the-art, conveniently located Beverly Hills office.

Signs and Symptoms of an Achilles Tendon Rupture

Many patients describe feeling as if they were kicked in the back of the leg, followed by a "snap" and sharp pain, which then subsides. Walking becomes difficult but not impossible. Symptoms include:

Inability to push the foot downward or rise onto the toes
Difficulty walking upstairs or performing activities
Significant bruising and swelling around the ankle and lower leg
Deep, aching pain that worsens with movement if left untreated

Los Angeles woman with swelling, pain, difficulty walking due to achilles rupture.

causes

Causes of Achilles Tendon Rupture

An Achilles rupture can occur when sudden force is applied to the tendon before it has time to stretch. This often happens when transitioning abruptly from a stationary position to running, jumping, or when landing on the ball of the foot with the heel forced downward. Risk factors include:

Pre-existing Achilles tendinosis

Prior cortisone injections into the tendon

Shortened muscle/tendon complex (equinus)

Both athletes and non-athletes can be affected

Diagnosing Achilles Tendon Rupture

Diagnosis is based on a clinical examination and advanced imaging. Dr. Soomekh evaluates symptoms, activity level, and gait, performing a hands-on assessment of the tendon. Key diagnostic tools include:

Physical Exam: Identifying gaps or voids in the tendon
Diagnostic Ultrasound: Performed in-office to assess the tear
MRI: Determines the severity and separation of the rupture

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Doctor in Los Angeles pointing at ultrasound imaging on computer screen during achilles exam

Ultrasound imaging may be used during a consultation to determine the severity of the achilles rupture

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Achilles Tendon Rupture Treatment Options

Dr. Soomekh teaches that early diagnosis and treatment of Achilles tendon rupture are the keys to successful treatment, faster recovery, and pain-free mobility.

Conservative Treatment for Achilles Tendon Rupture

Conservative treatment for an Achilles rupture is an option in a limited number of cases. It focuses on reducing pain, minimizing inflammation, and promoting healing of the torn tendon with the following:

Immobilization in a cast with the ankle fully flexed downward
Non-weight-bearing for six to 12 weeks
Pain and inflammation management with ice therapy and NSAIDs
Gradual transition to a walking boot for up to six weeks if healing occurs

There is a high risk of re-rupture compared to surgical treatment.

Surgery for Achilles Tendon Rupture

Percutaneous Repair of Achilles Tendon Rupture

The Percutaneous Achilles Repair System (PARS) is a minimally invasive surgical procedure that requires a small incision over the ruptured tendon. Using a special “jig,” several high-tensile stitches are passed through the skin and into the tendon ends, which are then tied together. The patient will be in a cast, non-weight-bearing with crutches, for four to six weeks. Physical therapy is essential for muscle and tendon rehabilitation. When activity resumes, custom-molded orthotics are recommended. The procedure is performed in an outpatient setting.

Open Repair of Achilles Tendon Rupture

In many cases, the extent of tendon damage requires open surgical repair. An incision is made along the back of the leg over the rupture. Damaged tendons and tissue are removed, and specialized stitches are placed at both ends of the tendon before being tied together. To enhance healing, Dr. Soomekh may use Platelet-Rich Plasma (PRP) with stem cells from Bone Marrow Aspiration (BMA), a special graft material, or Amniox™ regenerative tissue. The skin is closed using plastic surgery techniques. Patients will need four to six weeks in a cast with crutches and no weight-bearing. Physical therapy is essential for recovery, and custom-molded orthotics are recommended when activity resumes. The procedure is performed in an outpatient setting.

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‍Achilles Tendon Rupture

Where to Find the Best Ankle Surgeon in Los Angeles for Achilles Tendon Rupture

For expert Achilles tendon rupture treatment, Dr. Soomekh offers advanced surgical and non-surgical solutions tailored to each patient’s needs. His extensive experience, innovative techniques, and state-of-the-art facilities ensure optimal recovery and long-term success. Schedule a consultation to receive the highest level of specialized ankle care in Beverly Hills.

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