How can I tell if I’ve ruptured my Achilles tendon?

A ruptured Achilles tendon usually happens suddenly and is often described as feeling like being kicked or hit at the back of the ankle. You may hear or feel a pop or snap at the time of injury, followed by sharp pain just above your heel.

Common signs include:

• sudden pain or swelling in the back of the lower leg

• difficulty pushing off your foot when walking or climbing stairs

• weakness when standing on tiptoe or lifting your heel off the ground

• a visible dent or gap above the heel

• trouble walking, especially on uneven ground or when trying to move quickly

If you notice these symptoms, you should stop activity immediately and seek urgent medical advice. Your consultant can usually diagnose an Achilles rupture with a physical examination and, if needed, confirm it with an ultrasound or MRI scan. Early diagnosis and treatment are essential for the best chance of a full recovery.