Achilles Rupture Rehabilitation: Complete Recovery Guide & Exercise Program

Achilles rehab timeline – what happens each week?

Recovery usually follows a week-by-week roadmap:

• Weeks 0-2: Boot in tip-toe (equinus) position, partial weight-bearing.
• Weeks 2-6: Gradual heel-wedge reduction, full weight-bearing, begin gentle isometrics.
• Weeks 6-10: Transition out of boot, double then single-leg heel raises.
• Months 3-6: Running drills and sport-specific training.
• 6+ months: Return to competition once calf strength ≥90% of the other side.

When can I start physiotherapy?

Most protocols introduce guided physio around week 2-3 for simple ankle range-of-motion and seated calf activation. By weeks 6-10 you'll progress to resistance bands and load-bearing heel raises.

When is it safe to put weight on my foot?

Evidence supports early protected weight-bearing in a boot as soon as comfort permits – often within the first few days. This promotes tendon healing and reduces stiffness. Keep the foot pointed (don't let the ankle bend up) whenever you stand.

Best home exercises after an Achilles rupture

Remember: Always follow your physio's specific plan and stop if you feel sharp pain. Your timeline might be different based on your doctor's advice and how you're healing.

When can I drive again?

For right-sided injuries most surgeons recommend waiting until you can perform an emergency stop simulation in trainers – typically after week 8-10 once you're out of the boot. Left-sided injuries in an automatic car may return sooner. Check with your doctor and insurer first.

How do I progress from walking to running?

Start with a jog-walk programme: 1 min jog / 1 min walk x10 on a flat track when you can perform 25 single-leg heel raises pain-free. Gradually increase jog intervals and introduce direction changes.

Products that make recovery easier

• Achilles Rupture Splint – sleep comfortably without risking re-rupture.
• Full equipment guide compares boots, waterproof covers and more.

Top tips to avoid re-rupture

• Wear the boot or splint every night for the full 10 weeks.
• Remove the boot only when seated and never let the ankle bend up.
• Use crutches for balance until you can walk without a limp.
• Follow your physio's loading plan – calf strength is king.