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Your consultant will perform a full examination to determine the extent of your injury. They may request and ultrasound scan or an MRI. Based on the degree of damage they may recommend conservative treatment including rest, rehabilitation and progressive strengthening. 

If your injury is severe or does not respond to conservative treatment your surgeon may recommend surgery.

What happens during achilles repair or reconstruction?

Achilles repair or reconstruction is usually performed under general anaesthetic. Your surgeon will make an incision (cut) in the back of your leg just above your ankle. They will locate the damaged tendon and bring the ends together using stitches. If the damage warrants, your surgeon may need to reinforce the tendon with a graft from another tendon in your body. They will close the wound using stitches or staples and apply a temporary cast.

After your achilles repair or reconstruction

You will probably remain in hospital 2-4 days. You will be given pain relief medication and may need to take blood thinning medication to prevent blood clots. 

The morning after your surgery your temporary cast will be changed. Our physiotherapists will visit you to help you get mobile and learn to walk without bearing weight on your operated foot. They will also make sure you can manage stairs. You will be non weight bearing for at least three weeks.

Going home after achilles repair or reconstruction

Before you leave hospital our Physiotherapists will tell you about any restrictions you will need to maintain. You will not be able to drive for up to 2 months after your surgery so please arrange for someone to take you home. 

You should elevate your foot as much as possible (including at night) to control swelling. You will need to keep your cast dry. 

You will have a followup appointment to change your cast and wound dressings and remove your stitches about 10 - 14 days after your surgery. 

You will need to use crutches after your procedure. The length of time you will need to be non weight bearing depends on your own situation. Be sure and discuss any weight bearing restrictions with your surgeon. If you have any concerns regarding using crutches, please discuss these with your surgeon and/or physiotherapist prior to your surgery. 

You should also discuss any return to work with your surgeon. If your job requires walking or standing for long periods of time you may need to be off work for several months. 

Your surgeon may refer you to physiotherapy to help you gain strength and increase mobility once your cast is removed.

What complications can happen?

Every surgical procedure has a risk of complications. Be sure and discuss any concerns you might have about these risks with your surgeon.

General complications of any operations:
  • Pain
  • Bleeding
  • Infection in a surgical wound
  • Blood clots
  • Unsightly scarring
Specific complications of achilles repair or reconstruction:
  • Tendon ruptures again
  • Wound does not heal properly
  • Ankle stiffness
Find your nearest hospital that provides this treatment

67 Lansdowne Road, Bournemouth, BH1 1RW

01202 291866
Overall rating View rating

Shenfield Road, Brentwood, CM15 8EH

01277 695695
Overall rating Good

Warren Road, Brighton, BN2 6DX

01273 624 488
Overall rating Good

3 Clifton Hill, Clifton, Bristol, BS8 1BN

0117 906 4870
Overall rating Good

4 Trumpington Road, Cambridge, CB2 8AF

01223 370 922
Overall rating Outstanding
Cardiff and Vale  

Cardiff Bay Hospital, Dunleavy Drive, Cardiff, CF11 0SN

02920 836700

Hatherley Lane, Cheltenham, Gloucestershire, GL51 6SY

01242 246 552
Overall rating Good

Wrexham Road, Chester, CH4 7QP

01244 680 444
Overall rating Good

78 Broyle Road, Chichester, PO19 6WB

01243 530600
Overall rating Good

Rykneld Road, Derby, DE23 4SN

01332 540100
Overall rating Good

Wonford Road, Exeter, EX2 4UG

01392 276 591
Overall rating Good

25 Beaconsfield Road, Glasgow, G12 0PJ

0141 334 9441

Stirling Road, Guildford, GU2 7RF

01483 555 800
Overall rating Good
Haywards Heath  

Burrell Road, Haywards Heath, RH16 1UD

01444 456999
Overall rating Good

Venns Lane, Hereford, HR1 1DF

01432 355 131
Overall rating Good

Foxhall Road, Ipswich, IP4 5SW

01473 279100
Overall rating Good

2 Leighton Street, Leeds, LS1 3EB

0113 388 2111
Overall rating Outstanding

Scraptoft Lane, Leicester, LE5 1HY

0116 276 9401
Overall rating Good
Newcastle upon Tyne  

Clayton Road, Newcastle-upon-Tyne, NE2 1JP

01912 816 131
Overall rating Good
North Staffordshire  

Clayton Road, Newcastle-under-Lyme, ST5 4DB

01782 382551
Overall rating Good

Beech Road, Headington, Oxford, OX3 7RP

01865 307777
Overall rating Good

Derriford Road, Plymouth, PL6 8BG

01752 775 861
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Longden Road, Shrewsbury, SY3 9DP

01743 282 500
Overall rating Good

Staplegrove Elm, Taunton, TA2 6AN

01823 286 991
Overall rating Good

Junction Road, Norton, Stockton on Tees, TS20 1PX

01642 360 100
Overall rating Outstanding
Tunbridge Wells  

Kingswood Road, Tunbridge Wells, TN2 4UL

01892 531 111
Overall rating Good

The Chase, Old Milverton Lane, Leamington Spa, CV32 6RW

01926 427971
Overall rating Good

Winchester Road, Chandlers Ford, Eastleigh, SO53 2DW

02380 266 377
Overall rating Good

Shores Road, Woking, GU21 4BY

01483 227800
Overall rating Good

Haxby Road, York, YO31 8TA

01904 715 000
Overall rating Good

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