Can an Achilles Tendon Heal on Its Own?

Achilles tendon injuries can be a frustrating and debilitating experience, but the good news is that in some cases, the tendon can heal on its own without the need for surgery. Understanding the healing process and the steps you can take to support it can help you get back on your feet more quickly.

Partial Tears Can Often Heal Naturally

When it comes to Achilles tendon injuries, there are two main types: partial tears and complete ruptures. Partial tears, where some of the tendon fibers remain intact, often have a better chance of healing on their own with the right treatment approach.

The key to allowing a partially torn Achilles tendon to heal naturally is to avoid putting weight on the injured leg. This can be achieved through the use of a cast, boot, or crutches to keep the foot and ankle immobilized and in a downward-pointing position. This positioning helps bring the torn ends of the tendon closer together, facilitating the healing process.

In addition to immobilization, icing the tendon can help reduce inflammation and pain, while gentle stretching and physical therapy exercises can help maintain flexibility and strength as the tendon heals.

Complete Ruptures Typically Require Surgical Intervention

In the case of a complete Achilles tendon rupture, where the tendon has completely severed, the tendon is unlikely to heal on its own without surgical intervention. In these cases, the torn ends of the tendon need to be surgically reattached to ensure proper healing and restoration of strength and function.

Surgical repair of a ruptured Achilles tendon is typically an outpatient procedure, followed by a period of immobilization in a cast or boot, and then a course of physical therapy to regain strength and mobility.

While the recovery process can be lengthy, with proper treatment and rehabilitation, most people are able to return to their normal activities, including sports and exercise, after an Achilles tendon injury.