How to determine if the Achilles heel is broken? There are two reasons for the occurrence of an Achilles tendon rupture: one is previous external force damage, and the other is relative clinical manifestations. In the former case, it is more common to have an overexertion suddenly after not warming up properly, such as playing table tennis, badminton, or basketball, and suddenly experiencing pain at the Achilles heel location after damage.

From the clinical manifestations, in addition to pain, when touching the Achilles heel location with force, it can be significantly felt that there is no tension, and it is soft and has a concave condition. In addition, when lifting the heel while standing up, the pain and lack of energy will be more obvious. These comprehensive symptoms can basically determine whether the Achilles heel is ruptured, and if there are such conditions, active consideration should be given to surgical suture.

At the moment of an Achilles tendon rupture, there may be a popping sound in the area, or a feeling as if someone kicked the area. This is a subjective feeling. Subsequently, there may be difficulty in walking, even fatigue, limping, and a possibility of falling during walking. Subsequently, there may be swelling at the Achilles heel location, but it will not cause significant pain. It is recommended to seek active medical treatment instead of continuing normal activities to prevent further damage and swelling in the area.

After active diagnosis, appropriate treatment should be provided, including surgical treatment, tendon treatment, and fixation with plaster after surgery. After 6 to 8 weeks of plaster fixation, active rehabilitation training should be provided to gradually restore normal or near-normal knee extension and flexion function.

The diagnosis of an Achilles tendon rupture mainly relies on the patient’s medical history, physical examination, and appropriate auxiliary examinations. The medical history mainly includes the patient’s own description, such as abnormal popping sounds at the Achilles heel location, or subjective descriptions of being struck by an object or another person’s heel. In addition, there may be a significant indentation in the area after an Achilles tendon rupture, which means there are symptoms that are not continuous. In such cases, B-ultrasound or MRI can be used to determine the level of the Achilles tendon rupture and the relative distance of the broken tendons.

The above three points can distinguish whether it is an Achilles tendon rupture. In addition, the patient will continue to experience difficulty in walking, fatigue, and even be unable to extend the heel, which is an objective clinical symptom.