Achilles Tendon Repair Surgery
A rupture or injury to the Achilles tendon can significantly affect your ability to walk, jump or push off the ground. At Welbeck, our specialist surgeons use advanced techniques to repair the tendon, and help you regain strength, mobility and confidence.
At a glance
- Consultation required
- Paediatric Patients Aged 12-18 Seen
- Health insurance
- Self-Pay Available
What is Achilles tendon repair surgery?
The Achilles tendon is the strong, fibrous cord in the lower leg, connecting the muscles of your calf to your heel, which helps you to walk, run and jump. When this tendon tears or ruptures, surgery is usually needed to fix the damaged tendon. Repair surgery brings the torn ends of the tendon together and uses strong sutures, or a tendon graft, to reconstruct the tendon.
The Achilles tendon can also degenerate via a condition known as tendinitis or tendinopathy, which can cause pain and stiffness along your Achilles tendon and near your heel. Having short calf muscles can increase the risk of tendinopathy.
At Welbeck, our orthopaedic surgeons are experts in tendon repair. You’ll be cared for in our state-of-the-art Surgery Centre, with seamless access to diagnostic imaging, physiotherapy, and rehabilitation so you can return to your usual activities as soon as possible.
Paediatrics
We offer appointments to paediatric patients aged 12 to 18. For full information on our paediatrics service, please visit our main Paediatrics page.
More information
When you arrive for your procedure, you’ll be greeted by our clinical team and guided through the check-in process. Your consultant will review your medical history, answer any last questions, and confirm the details of your surgery. You’ll then be shown to a private room where you can change into a hospital gown. You’ll receive a general anaesthetic, so that you don’t feel anything during your surgery, and our team will monitor you closely to ensure you’re safe and comfortable throughout.
During the procedure:
Your consultant orthopaedic surgeon will make a small incision through the skin and muscle of your calf and then through the sheath that surrounds the tendon.
A small scope and camera will be used so the procedure is minimally invasive.
The damaged tendon will be removed or repaired.
If there’s severe damage to parts of the tendon, the damaged parts may be replaced with tendon taken from another part of your foot.
Other repairs may be carried out at the same time.
Your consultant will close the layers of muscle and skin around your calf with stitches.
Achilles tendon repair typically takes between 45 minutes and 1 hour, depending on the extent of the injury. If additional procedures are needed, it may take slightly longer. After your surgery is complete, you’ll be able to relax and recover in private, comfortable surroundings, supported by our specialist nursing team.
Achilles tendon repair surgery is a very safe procedure, but as with any surgery, there are some risks involved. Risks may vary with age, the shape of the muscles and tendons in your foot and leg, and your general health and wellbeing.
Risks of Achilles tendon repair surgery include:
wound issues, such as infection, bleeding, or delayed healing
re-rupture of the tendon (especially if recovery precautions are not followed)
stiffness, reduced ankle movement, or calf weakness
numbness or irritation of nearby nerves (for example, the sural nerve)
deep vein thrombosis (DVT) due to immobilisation
continued pain in the foot or ankle
Your consultant will explain exactly how to prepare, including any fasting requirements. This usually means not eating or drinking for 6 hours before surgery. It’s also important to let your consultant know about any medications you take, including over-the-counter pain relief such as paracetamol or aspirin. You’ll also need to arrange for someone to collect you after your operation.
After your operation, you’ll be able to relax in private, comfortable surroundings as you recover from the anaesthetic, supported by our dedicated nursing team. To protect the repair and allow the tendon to heal, your leg will be placed in a cast or boot to limit movement. Once you’ve been reviewed by your consultant and are comfortable, you’ll be able to go home the same day.
Your consultant will talk you through your personalised recovery and rehabilitation plan, tailored to your lifestyle, activity goals, and the extent of your injury. You’ll be given specific advice on pain relief, wound care, gentle exercises, and the use of cold compression therapy or supportive devices to reduce swelling and protect the tendon.
In the early weeks, rest and elevation are important, but as healing progresses, you’ll gradually begin to restore strength, flexibility, and balance.
Recovery varies from person to person, but a typical process is:
weeks 1 and 2: your foot is kept still in a cast or boot, and you’ll use crutches to avoid weight-bearing
weeks 3 to 6: you’ll transition to a walking boot and begin gentle, controlled movement
after 6 weeks: walking increases gradually, with light jogging and strengthening exercises slowly introduced
after 6 months: you’ll work towards a full return to activity as strength and flexibility continue to improve
Please contact the Surgery Centre for pricing.
At Welbeck, our orthopaedic surgeons are experts in their field and are dedicated to providing world-class care to every patient.
With access to colleagues across other specialties, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.
All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.
To book an Achilles tendon repair, you must be referred by either your GP or an orthopaedic surgeon following a consultation with them. Self-referrals are not accepted for this treatment.
If you would like to schedule a consultation with an orthopaedic surgeon, please get in touch to make an appointment. Your health is important to us, so we strive to offer same-day appointments whenever possible.
Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.
Our specialists
Mr Francesc MalageladaConsultant Orthopaedic Surgeon
Mr Paul HamiltonConsultant Orthopaedic Surgeon
Mr Amit PatelConsultant Trauma & Orthopaedic Surgeon (Foot & Ankle)
Mr Pal RameshConsultant Orthopaedic Surgeon
Mr R. Lloyd WilliamsConsultant Orthopaedic Surgeon
Mr Amit AminConsultant Foot & Ankle Surgeon
Mr Matthew SolanConsultant Orthopaedic Surgeon
Mr Lee ParkerConsultant Foot and Ankle Surgeon
Our locations
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Frequently asked questions
A ruptured Achilles tendon usually happens suddenly and is often described as feeling like being kicked or hit at the back of the ankle. You may hear or feel a pop or snap at the time of injury, followed by sharp pain just above your heel.
Common signs include:
sudden pain or swelling in the back of the lower leg
difficulty pushing off your foot when walking or climbing stairs
weakness when standing on tiptoe or lifting your heel off the ground
a visible dent or gap above the heel
trouble walking, especially on uneven ground or when trying to move quickly
If you notice these symptoms, you should stop activity immediately and seek urgent medical advice. Your consultant can usually diagnose an Achilles rupture with a physical examination and, if needed, confirm it with an ultrasound or MRI scan. Early diagnosis and treatment are essential for the best chance of a full recovery.
A partial tear of the Achilles tendon may sometimes heal without surgery if the torn ends remain closely aligned and the ankle is immobilised in a boot or cast. In these cases, your consultant may recommend a non-surgical rehabilitation programme involving rest, controlled movement, and physiotherapy to allow the tendon to heal naturally.
However, a complete rupture of the Achilles tendon cannot reliably repair itself. Without surgical repair, the torn ends usually separate, leading to weakness, loss of power when pushing off the foot, and difficulty walking or returning to sport. For these injuries, surgical repair offers the best chance of regaining full strength and function. Your consultant will assess your injury with ultrasound or MRI imaging and recommend the most appropriate treatment based on the severity of the tear, your age, activity level, and goals.
In the early stages of recovery, when your leg is in a cast or boot, you’ll need to be very cautious using stairs, as balance and strength are limited. Your physiotherapist will teach you safe techniques to manage stairs, but if your bedroom is upstairs, you may want to set up a temporary sleeping space downstairs until you’re confident on your feet. As your recovery progresses, you’ll gradually return to normal stair use under guidance from your physiotherapist.
You should only start driving again when you can safely control the pedals without pain or delay, particularly in an emergency stop. For surgery on your left leg, and if you drive an automatic car, you may be able to return to driving after around 4 to 6 weeks. If your right leg was operated on, or you drive a manual car, you’ll usually need to wait at least 6 to 8 weeks, depending on your progress. Your consultant or physiotherapist will assess your progress before confirming when it’s safe for you to drive. You’ll also need to check with your insurance provider, as usually they’ll require medical clearance before you’re insured to drive again.