Related Experiment Video
Updated: Aug 5, 2026
03:50
A Treatment Protocol for Achilles Tendinopathy with Extracorporeal Shockwave Therapy
Published on: August 2, 2024
Protocol for Functional Rehabilitation of Achilles Tendon Ruptures
Chijioke Orji1, Paula Goudie2, Lyndon Mason1
1Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool; Trauma & Orthopaedics Department, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
Foot and Ankle Clinics
|July 31, 2026
Summary
Nonoperative treatment for acute Achilles tendon ruptures offers outcomes comparable to surgery, with lower risks. This approach involves accelerated functional rehabilitation, making it a viable alternative for managing this common tendon injury.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Rehabilitation Science
Background:
- Acute Achilles tendon ruptures traditionally treated surgically due to historical concerns about re-rupture.
- Recent evidence suggests nonoperative management yields comparable outcomes and avoids surgical complications.
Purpose of the Study:
- To provide a comprehensive guide to nonoperative management of acute Achilles tendon ruptures.
- To discuss patient selection, imaging, immobilization, and rehabilitation protocols.
- To address challenges in standardizing care and ensuring patient compliance.
Main Methods:
- Review of current literature on nonoperative Achilles tendon rupture management.
- Analysis of evidence supporting accelerated functional rehabilitation.
- Discussion of practical considerations for clinical implementation.
Main Results:
- Nonoperative treatment demonstrates equivalent re-rupture rates and functional outcomes compared to surgery.
- Accelerated rehabilitation protocols are effective in nonoperative management.
- Key factors include appropriate patient selection and adherence to protocols.
Conclusions:
- Nonoperative management is a safe and effective option for acute Achilles tendon ruptures.
- Accelerated functional rehabilitation is crucial for successful outcomes.
- Standardization and addressing patient-related factors are important for widespread adoption.