The Achilles tendon is the largest and strongest tendon in the body, but it’s not immune to injury. A partial tear of the Achilles tendon can be both painful and debilitating, affecting athletes and non-athletes alike. Fortunately, with the right rehabilitation protocol, recovery is not only possible but highly achievable. In this guide, we’ll walk you through everything you need to know about Achilles tendon partial tear rehab, from diagnosis to full recovery.
Understanding a Partial Achilles Tendon Tear
A partial Achilles tendon tear involves the disruption of some—but not all—fibers in the tendon. Unlike a complete rupture, it does not require surgical repair in most cases but still demands a careful and consistent rehabilitation plan.
Common Causes
- Sudden increase in physical activity
- Improper footwear
- Poor flexibility or conditioning
- Previous Achilles tendonitis or tendinopathy
Symptoms to Watch For
- Sharp pain in the lower calf or heel
- Swelling and stiffness, especially in the morning
- Difficulty pointing the foot downward
- Tenderness along the tendon
The Importance of Early Diagnosis
Early diagnosis is critical. If left untreated, a partial tear can progress into a full rupture, significantly lengthening recovery time. Diagnosis typically involves:
- Physical examination
- Ultrasound or MRI imaging
- Functional movement assessments
The Rehab Protocol: Phase-by-Phase Recovery
Recovering from a partial Achilles tendon tear is a gradual process that can span 8 to 16 weeks, depending on the severity. Here’s a breakdown of what to expect during each stage:
Phase 1: Protection and Pain Management (Week 1-2)
Goals: Minimize pain and inflammation; protect the tendon.
- Rest and limit weight-bearing activities
- Use of a walking boot or heel lift to reduce tendon stress
- Ice therapy: 15-20 minutes, 3-4 times daily
- Gentle range-of-motion exercises (e.g., ankle circles)
Phase 2: Early Mobilization (Week 3-4)
Goals: Improve range of motion and begin light strengthening.
- Gradual removal of the walking boot
- Light stretching of the calf and Achilles
- Isometric exercises (pressing without movement)
- Gentle swimming or cycling without resistance
Phase 3: Strengthening and Stability (Week 5-8)
Goals: Rebuild tendon strength and improve balance.
- Progressive resistance exercises (calf raises, Theraband exercises)
- Proprioception training (balance board or single-leg stance)
- Continued aerobic activity (stationary bike, elliptical)
Phase 4: Functional Training (Week 9-12)
Goals: Return to normal walking and light sport-specific movements.
- Plyometric drills (jump rope, hopping in place)
- Dynamic stretching and advanced calf exercises
- Agility training (ladder drills, cone drills)
- Gradual return to running
Phase 5: Return to Sport or Full Activity (Week 13+)
Goals: Regain full functionality and prevent re-injury.
- Sport-specific drills and simulated movements
- Full running and jumping exercises
- Continued strength training and stretching
- Ongoing monitoring and occasional rest days
Tips for a Successful Recovery
- Consistency is key. Stick to your rehab plan without skipping steps.
- Listen to your body. Pain is a signal—don’t push through it.
- Stay hydrated and eat well. Nutrition supports tissue repair.
- Cross-train wisely. Choose low-impact options during early stages.
- Work with a physical therapist. Professional guidance makes a difference.
When to Consider Surgery
In rare cases, if conservative treatment fails or the partial tear is extensive, surgical intervention may be recommended. Post-surgical rehab follows a similar timeline but may be slightly more extended.
Final Thoughts
A partial Achilles tendon tear doesn’t have to sideline you forever. With a structured and well-executed rehab protocol, most individuals can return to their previous level of activity—or even better. Recovery takes patience, dedication, and smart training choices.
Take charge of your healing journey today. Consult a physical therapist or orthopedic specialist to personalize your rehab and get back on your feet stronger than ever.
Kallie Snyder is an author at Stonegate Health Rehab, providing valuable insights, recovery guidance, and rehab resources to help individuals achieve better health and well-being.