Promising results using a simple rehabilitation program to treat partial ruptures in the Achilles midportion

Abstract

Objectives: To assess the outcome of a conservative rehabilitation program in treating partial ruptures in the Achilles midportion. Materials and methods: Twenty-six consecutive recreational and elite-level athletes (22 men and 4 women) with an ultrasound and Doppler-verified partial rupture in the Achilles midportion were followed prospectively during treatments with heel lifts, modified activity level and avoidance of calf stretching exercises for 3 months. Clinical examination, ultrasound (US) with Colour Doppler (DP) examination and pain scores during rest and walking (VAS scores) were assessed at baseline and 3 months after instituted intervention. Patients were followed up by a telephone interview at 6 months. Results: At the 3 months follow-up, there were significantly reduced VAS scores at rest ( p = 0.018) and walking ( p = 0.014), and improvement in the US+DP findings in 25/26 patients. One patient required surgery due to ongoing pain during activity and no tendon healing on US+DP. The 6-month follow-up revealed that 25/26 patients were satisfied with the treatment result. Conclusion: A simple rehabilitation program seems successful at treating partial tears in the Achilles mid-portion.