How are Achilles tendon injuries treated?

Written in association with: Mr Dakshinamurthy Sunderamoorthy
Published:
Edited by: Conor Lynch

In this article below, esteemed consultant trauma and orthopaedic surgeon, Mr Dakshinamurthy Sunderamoorthy, provides us with a comprehensive overview of all things Achilles tendon injuries.

What is the Achilles tendon?

The Achilles tendon, a robust band of tissue connecting the calf muscles to the heel bone, plays a vital role in walking, running, and jumping.

 

How do Achilles tendon injuries occur?

Achilles tendon injuries commonly occur as a result of overuse, sudden increases in physical activity, or uncomfortable footwear. Athletes, particularly runners and those involved in sports requiring quick bursts of acceleration, are at increased risk. Additionally, factors such as tight calf muscles, poor biomechanics, and inadequate warm-up routines can contribute to the likelihood of injury.

 

What are the associated symptoms?

Symptoms of an Achilles tendon injury may include pain and stiffness in the back of the heel, swelling, tenderness, and difficulty walking or standing on tiptoes. In severe cases, individuals may experience a popping sensation or hear an audible snap at the time of injury, indicating a ruptured tendon.

 

How are Achilles tendon injuries treated?

When it comes to treatment, early intervention is key to preventing further damage and promoting optimal healing. Initially, the RICE protocol (Rest, Ice, Compression, Elevation) can help alleviate pain and reduce inflammation. Non-steroidal anti-inflammatory drugs (NSAIDs) may also be recommended to manage pain and swelling.

 

In cases of mild to moderate Achilles tendonitis or partial tears, conservative treatments such as physical therapy, stretching exercises, and wearing supportive footwear or orthotics can facilitate recovery. Physical therapy focuses on strengthening the calf muscles and improving flexibility, while eccentric exercises, in which the muscle lengthens as it contracts, are particularly beneficial for Achilles tendon injuries.

 

For more severe injuries, such as complete Achilles tendon ruptures, surgical intervention may be necessary to repair the tendon and restore function. Surgical techniques may vary depending on the extent of the injury and the surgeon's preference, but typically involve suturing the torn ends of the tendon back together or using grafts to reinforce the repair.

 

To consult with Mr Dakshinamurthy Sunderamoorthy, visit his Top Doctors profile today. 

By Mr Dakshinamurthy Sunderamoorthy
Orthopaedic surgery

Mr Dakshinamurthy Sunderamoorthy is a highly-regarded consultant trauma and orthopaedic surgeon based in Grimsby, who performs a wide range of adult lower limb surgeries such as foot and ankle procedures, bunion surgery, knee replacements, and other knee surgeries

Mr Sunderamoorthy graduated from the internationally esteemed Madras Medical College in Chennai in India in 1995, with a Bachelor of Medicine and Surgery. He undertook further training in India, before he relocated to the UK in 1998 for more specialised medical training. He completed his basic medical training in South Wales and went on to train in trauma and orthopaedics in various hospitals across Liverpool. In 2000 he earned a MRCS from the Royal College of Surgeons of Edinburgh. To further develop his surgical skill and knowledge, Mr Sunderamoorthy was awarded a fellowship in foot and ankle surgery which he undertook at different University Teaching Hospitals in Leeds, and later a post CCT senior fellowship in lower limb arthroplasty at Great Western Hospital, Swindon. His feloowship experience consolidated his experience in foot and ankle surgery prior to become a consultant.
 
Since 2010, Mr Sunderamoorthy has been on the special register for trauma and orthopaedics. He worked in numerous NHS hospitals across the UK namely Royal Derby Hospital, Mid Yorkshire Hospitals, Nottingham University Hospitals and Leeds University Teaching Hospitals, before becoming a trauma and orthopaedic consultant surgeon at Scunthorpe General Hospital and Goole and District Hospital in 2012. He was the first specialist foot and ankle surgeon at both locations. Privately, Mr Sunderamoorthy treats patients at St Hugh's Hospital, Grimsby.

In addition to his clinical work, Mr Sunderamoorthy is interested in research. He has published various articles in peer reviewed journals in addition to contributing chapters to books on lower limb surgery. He is involved in the training of registrars and also is an examiner for Hull and York Medical School's MBBS. 

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