Achilles tendon repair brings the torn ends of a ruptured tendon back together so the calf can recover its strength and push-off. It is one option for an Achilles rupture, decided alongside non-surgical management based on your injury and activity level.
When is achilles tendon repair considered?
Repair may be considered for an acute Achilles rupture in active patients, large tendon gaps or cases where restoring push-off strength is a priority.
Can I avoid surgery?
What happens during the procedure
The torn tendon ends are located
The tendon is repaired using strong sutures
The ankle is protected in a splint or boot
Rehabilitation gradually restores movement, strength and push-off
Recovery timeline
- First 2 weeks — wound care and protected positioning
- 2–8 weeks — boot-based protected weight-bearing and gradual angle change
- 8–12 weeks — physiotherapy focuses on walking pattern and calf activation
- 6–9 months — return to running or sport is considered when strength allows
Risks & complications
Risks include infection, wound problems, blood clots, nerve irritation, stiffness, calf weakness and re-rupture. Rehabilitation is as important as the repair itself.
Costs & insurance
Self-pay consultations are £250 (new) and £175 (follow-up). The procedure price is confirmed after your consultation. We are recognised by all the main insurers including Bupa, AXA Health, Vitality, Aviva and Cigna.
Questions & answers
No. Many ruptures can be treated non-surgically, depending on tendon gap, activity level and patient factors.
A sudden pop, weakness pushing off or inability to stand on tiptoe should be assessed urgently.
Return to sport is usually measured in months, commonly 6 to 9 months, and depends on calf strength and confidence.
Most people regain good function, but calf strength and endurance can take a long time to rebuild.
