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Achilles Surgery Rehabilitation

The Achilles is the largest tendon in the body, connecting the calf muscles to the heel, and it takes on significant loads with every step, run, and jump — therefore protecting the repair while it heals is critical. Achilles tendon surgery may be required after a full tendon rupture, or to address persistent Achilles tendon problems that have not improved after conservative treatment.

About this condition

Physiotherapy is a crucial component of recovery following Achilles surgery. Surgery addresses the structural problem, but it’s only the first step. Rehabilitation is what restores function.

Recovery follows a gradual process, as the tendon requires time to heal and adapt to increasing loads. It begins with an initial period of immobilisation or restricted movement in a boot, followed by a gradual return of range of motion, weight-bearing, and finally strength and power. Full recovery typically takes six to twelve months, with return to running and sport often the longest phase. Progressing through these stages at the right pace — not too fast, not too slow — is crucial to ensure long-term tendon strength and significantly reduce the risk of re-rupture.

What you may be feeling

  • Pain and swelling around the ankle and calf, especially early on
  • Stiffness and reduced movement
  • Weakness and muscle atrophy – most obvious when you first start walking normally again
  • Difficulty walking normally e.g. limping
  • Reduced balance and stability
  • Reduced confidence loading or using the operated leg
  • Frustration associated with the recovery process

These are all expected parts of Achilles recovery. We’ll guide you on what’s normal and when to be cautious.

How we can help you

Comprehensive post-operative assessment

Evaluating ankle mobility, calf strength, walking pattern, balance, swelling, pain, and functional capacity.

Individualised and protocol-guided rehabilitation planning

Creating a tailored plan around the surgeon’s protocol, tendon healing timelines, symptoms, lifestyle, and personal goals.

Movement and control retraining

To improve movement, correct compensations and restore a normal walking pattern.

Manual therapy

Using different hands-on techniques to help improve pain, stiffness, and mobility.

Targeted strengthening

Targeting weaknesses in individual muscles and progressively rebuilding the ankle’s capacity for load.

Return-to-sport preparation

Developing the strength, control, and confidence required for a safe return to higher-level activities.

So, what's next?

Being faced with an injury or being told by a health practitioner to undergo a particular treatment can be quite daunting. That’s why we are here to help you. You can book a 15-minute video consult to ask your trusted health practitioners any questions you may have on your mind. No judgement, no strings attached and most importantly, no fees!