The Achilles tendon is the strongest and thickest tendon in your body, connecting your calf muscles to your heel bone. It plays a vital role in walking, running, and jumping. However, due to overuse, sudden strain, or degeneration, this tendon can become injured. Achilles tendon injuries in Singapore are commonly seen in active individuals, especially runners and middle-aged adults who engage in weekend sports without proper conditioning.
In this article, we’ll explore the types of Achilles tendon injuries, what causes them, how they are diagnosed, and what treatment options are available in Singapore. We’ll also cover the average cost of care.
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Orthopaedic Care In Singapore: Lower Limbs
What Are Achilles Tendon Injuries?
Achilles tendon injuries refer to damage that occurs to the fibrous tissue connecting the gastrocnemius and soleus muscles of the calf to the calcaneus (heel bone). There are two primary types of injuries:
- Achilles Tendinitis: Inflammation of the tendon caused by overuse or repetitive strain. It often presents as pain and stiffness along the tendon, especially in the morning.
- Achilles Tendon Rupture: A partial or complete tear of the tendon, usually caused by a sudden force or movement. This injury is more severe and often requires surgical intervention.
Both conditions can significantly impair mobility and require timely treatment to prevent long-term complications.
Common Causes of Achilles Tendon Injuries
- Overuse and Repetitive Activity: Repetitive motion, particularly from running or jumping, places stress on the tendon over time.
- Sudden Increase in Intensity: Rapidly increasing workout intensity without proper conditioning can strain the tendon.
- Tight Calf Muscles: Lack of flexibility can put extra pressure on the Achilles tendon.
- Improper Footwear: Wearing shoes without proper heel support can increase the risk.
- Age-Related Degeneration: As people age, the tendon becomes less flexible and more prone to injury.
- Flat Feet or Hyperpronation: These conditions can lead to additional strain on the tendon.
Symptoms to Watch Out For
Depending on the severity and type, symptoms may include:
- Pain and stiffness along the back of the heel, especially in the morning
- Swelling or thickening of the tendon
- Difficulty walking or standing on tiptoe
- A popping sound at the time of injury (in the case of a rupture)
- Sudden and sharp pain in the heel or calf
If you experience any of these symptoms, especially after sudden movement or physical activity, it is essential to consult an Orthopaedic Specialist.
Diagnosis and Tests
Doctors in Singapore typically diagnose Achilles tendon injuries using:
- Physical Examination: Palpation of the tendon to check for tenderness or a gap indicating a rupture.
- Thompson Test: A simple clinical test to detect tendon rupture.
- Ultrasound: Provides real-time imaging to assess inflammation or tears.
- MRI (Magnetic Resonance Imaging): Used for detailed visualization, especially before surgery.
These diagnostic tools help in deciding whether conservative or surgical treatment is necessary.
Treatment Options in Singapore
Non-Surgical Treatments (for mild to moderate cases):
- Rest and Activity Modification
Avoid strenuous activities to reduce inflammation. - Ice Therapy and NSAIDs
Ice application and non-steroidal anti-inflammatory drugs like ibuprofen help reduce swelling and pain. - Physiotherapy
Structured rehabilitation programs focus on stretching, strengthening, and restoring range of motion. - Heel Lifts and Orthotics
These relieve pressure on the tendon during healing. - Extracorporeal Shockwave Therapy (ESWT)
Used in chronic tendinopathy cases to stimulate healing.
Surgical Treatment (for severe ruptures):
- Open Tendon Repair
Involves stitching the torn tendon back together. Often done for complete ruptures. - Minimally Invasive or Percutaneous Repair
Less invasive, involves smaller incisions and quicker recovery.
After surgery, patients usually require several weeks of immobilization followed by physiotherapy.
Recovery and Rehabilitation
Recovery timelines vary:
- Tendinitis: Typically improves within 6–8 weeks with conservative care.
- Rupture: May require 4–6 months or more, depending on surgical vs non-surgical approach.
Rehabilitation focuses on restoring mobility, strength, and preventing re-injury. Adherence to physiotherapy is key.
Cost of Achilles Tendon Treatment in Singapore
The cost varies based on the severity of the injury and the type of treatment:
Treatment Type | Estimated Cost (Public Hospitals) | Estimated Cost (Private Hospitals) |
Specialist Consultation | S$40–S$120 (with subsidy) | S$150–S$250 |
Physiotherapy (per session) | S$20–S$50 (public) | S$80–S$150 |
MRI Scan | S$400–S$700 | S$900–S$1,500 |
Achilles Tendon Surgery | S$2,000–S$4,000 (with subsidy) | S$8,000–S$12,000 |
Our Preferred Doctors (Orthopaedic Surgeon) For Achilles Tendon Treatment
[SG] Featured Doctor- Dr Kevin Koo
When to Seek Medical Help
If you’re experiencing symptoms of an Achilles tendon injury or have concerns about your foot and ankle health, don’t wait for the pain to worsen. Early consultation with a qualified orthopaedic surgeon can make a big difference in your recovery and long-term mobility.
Feel free to reach out to us for a personalised introduction to a trusted orthopaedic surgeon in Singapore. We’re here to help you take the first step toward proper diagnosis, effective treatment, and lasting recovery.
Preferred Orthopaedic Specialist (Lower Limbs): Dr Ananda Vella
Back to Main Channel: Bone & Orthopaedic Health
Orthopaedic Care In Singapore: Lower Limbs
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