Achilles Tendon Surgery
Treatment
Treatment
What is Achilles Tendon Surgery?
Achilles tendon surgery is a procedure to repair a damaged or torn Achilles tendon, the strong band of tissue that connects your calf muscles to your heel bone. Whether you’re dealing with a tendon rupture or another type of Achilles tendon injury, this surgery helps restore function and reduce pain.
Achilles Tendon Surgery
When is Achilles Tendon Surgery Needed?
You might need Achilles tendon surgery if:
- You have a severe tear or rupture in your Achilles tendon that cannot heal on its own.
- Non-surgical treatments like rest, physical therapy, or medication haven’t helped alleviate your symptoms.
- You’re experiencing chronic pain or difficulty walking, affecting your daily activities and quality of life.
- You have an Achilles tendon injury that repeatedly affects your mobility or causes frequent discomfort.
- There's significant damage to the tendon from long-term overuse or degeneration that impacts your ability to perform routine tasks or engage in physical activities.
Benefits of Achilles Tendon Surgery
Achilles tendon surgery offers several advantages for those suffering from a severe Achilles tendon injury or tendon rupture:
Pain Relief
Reduces or eliminates chronic pain caused by a damaged Achilles tendon.
Improved Mobility
Restores the ability to walk, run, and engage in physical activities without discomfort.
Enhanced Strength
Rebuilds the strength of the Achilles tendon and surrounding muscles.
Prevention of Further Injury
Corrects the issue, preventing further damage or complications.
Achilles Tendon Surgery
Risks & Complications of Achilles Tendon Surgery
Like any surgical procedure, Achilles tendon surgery carries certain risks and potential complications. Here are some possible risks and complications:
- Infection: As with any surgery, there is a possibility of infection.
- Nerve Damage: Potential for nerve damage, which can lead to numbness or tingling around the surgical area.
- Blood Clots: Risk of developing blood clots in the legs, which can travel to the lungs (pulmonary embolism).
- Re-rupture: There's a chance the tendon could re-rupture, especially if proper rehabilitation is not followed.
- Stiffness: Some patients may experience stiffness or decreased range of motion in the ankle.
Achilles Tendon Surgery
Preparing for Achilles Tendon Surgery
Proper preparation for Achilles tendon surgery can help ensure a smoother procedure and recovery. Here are some steps to take before your surgery:
- Medical Evaluation: Undergo a thorough medical evaluation, including blood tests, imaging, and a physical examination.
- Discuss Medications: Inform your surgeon about any medications, supplements, or herbs you are taking. You may need to stop certain medications before surgery.
- Stop Smoking: If you smoke, try to quit or reduce smoking, as it can affect your healing process.
- Prepare Your Home: Set up a comfortable recovery area at home with easy access to necessary items and consider installing safety aids like handrails if needed.
- Follow Fasting Instructions: Follow your surgeon's instructions on fasting before the surgery. You should usually avoid food and drink after midnight the night before.
- Plan for Time Off: Arrange for time off work and other activities, allowing sufficient time for rest and recovery.
Achilles Tendon Surgery
How is Achilles Tendon Surgery Performed?
Achilles tendon surgery involves repairing the damaged tendon to restore function and alleviate pain. Here’s an overview of the surgical process:
You will receive anaesthesia to keep you comfortable and free from pain throughout the procedure.
The surgeon makes an incision in the back of your lower leg to access the damaged Achilles tendon.
The torn or damaged portions of the tendon are stitched together. In some cases, tendon grafts from other parts of your body may be used to strengthen the repair.
Any damaged or dead tissue around the tendon is removed to promote better healing.
The incision is closed with stitches or surgical staples.
Your foot and ankle are placed in a cast or brace to keep the tendon in a proper position for healing.
Achilles Tendon Surgery
How Long Does Achilles Tendon Surgery Take?
Achilles tendon surgery typically takes about 1 hour. The duration may vary depending on the complexity of the repair and any additional procedures that might be needed. Your surgeon will provide a more accurate time estimate based on your specific condition.
Achilles Tendon Surgery
Recovery After Achilles Tendon Surgery
Recovery after Achilles tendon surgery involves a period of rest and immobilisation to allow the tendon to heal properly. Patients must avoid putting weight on the affected leg for several weeks, using crutches or a walker to assist with mobility. Pain and swelling are expected during the initial recovery phase, but these can be managed effectively with prescribed medications and appropriate care. Typically, full recovery takes about 6-12 months, depending on the individual’s progress and adherence to rehabilitation.
Recovery Timeline
The recovery timeline for Achilles tendon surgery involves several key stages. Here’s an overview:
- First 1-2 Weeks: Rest and immobilisation with crutches or a walker. Manage pain and swelling with medication.
- 2-6 Weeks: Begin gradual weight-bearing and start physical therapy to improve mobility. Continue using a walking boot or cast.
- 6-12 Weeks: Increase physical therapy intensity to strengthen the tendon. Most can walk without crutches, though a boot may still be needed.
- 3-6 Months: Continue therapy and start low-impact activities. Avoid high-impact exercises until cleared by your surgeon.
- 6-12 Months: Full recovery may take up to a year. Resume normal activities as advised by your surgeon.
Post-operative Care
Effective post-operative care is crucial for a successful recovery from Achilles tendon surgery. Follow these guidelines to ensure optimal healing:
- Wound Care: Keep the surgical site clean and dry. Follow your surgeon’s instructions for dressing changes.
- Pain Management: Take prescribed pain medications as directed. Use ice packs to reduce swelling.
- Weight-Bearing: Adhere to your surgeon’s advice on weight-bearing activities. Use crutches or a walker as needed.
- Physical Therapy: Begin physical therapy as scheduled to regain strength and mobility. Follow exercises and stretches prescribed by your therapist.
- Follow-Up Appointments: Attend all scheduled follow-up visits to monitor your progress and adjust treatment as necessary.
- Activity Restrictions: Avoid high-impact activities and excessive movement of the affected foot until fully cleared by your surgeon.
Achilles Tendon Surgery
How Much Is Achilles Tendon Surgery in Singapore?
The total estimated cost for an achilles tendon surgery at a private hospital ranges from $17,177 – $30,200. This estimate is before any insurance claims and may vary based on factors such as the complexity of the surgery and your choice of hospital and ward. Typically, the recommended surgeon’s fee for this procedure falls between $5,014 and $9,810.

Dr Derek Park:
Foot Specialist in Singapore
Dr. Derek Park is a foot specialist in Singapore, experienced in treating various foot conditions. With a commitment to providing personalised and effective care, Dr. Park ensures that each patient receives tailored treatment to address their specific needs and achieve the best possible outcomes.