# 171. Achilles tendon ruptures: Rehab & recovery with Prof. Peter Malliaras

Page: https://stenobird.com/podcast/physio-edge-podcast-with-david-pope-1059059/171-achilles-tendon-ruptures-rehab-recovery-with-prof-peter-malliaras
Text version: https://stenobird.com/podcast/physio-edge-podcast-with-david-pope-1059059/171-achilles-tendon-ruptures-rehab-recovery-with-prof-peter-malliaras.md
Podcast: [Physio Edge podcast with David Pope](https://stenobird.com/podcast/physio-edge-podcast-with-david-pope-1059059)
Published: 2025-07-08T07:05:16+00:00
Episode link: https://physioedge.libsyn.com/171-achilles-tendon-ruptures-rehab-and-recovery-with-prof-peter-malliaras-0
Audio file: https://traffic.libsyn.com/secure/physioedge/171.mp3?dest-id=72110
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JSON: https://stenobird.com/v1/public/podcasts/physio-edge-podcast-with-david-pope-1059059/episodes/171-achilles-tendon-ruptures-rehab-recovery-with-prof-peter-malliaras
Duration seconds: 5245

## Resource

Your patient is running, playing sport, or jumping or lunging forward - an activity with fast eccentric or concentric activity in dorsiflexion,and suddenly they feel like they've been kicked in the back of the leg. They might hear a snap and have difficulty weightbearing, walking and pushing off. What's your likely diagnosis? You picked it - an Achilles tendon (AT) rupture. AT ruptures are a devastating injury that can drastically impact a patient's ability to walk, run, or return to sport. Despite their frequency, there's a lot of uncertainty among clinicians, patients, and even surgeons around how to best assess, treat, and rehabilitate Achilles tendon ruptures. Patients are often fearful of doing the wrong thing and re-rupturing the tendon. Therapists often follow a non-surgical protocol of putting people in a boot, but are unsure how to progress, how fast to progress and what to do during and after they're in the boot. An even bigger problem than AT re-rupture is the very common issue of an elongated tendon where patients have long-term difficulty with calf weakness and inefficiency, walking long distances, hopping, jumping, and returning to sport. In this podcast, David Pope (APA Titled Musculoskeletal and Sports & Exercise Physiotherapist) is joined by Prof. Peter Malliaras (Specialist Physiotherapist FACP, clinician and researcher with a PhD in tendinopathy) to explore the latest evidence, clinical insights, and rehab strategies for Achilles tendon ruptures. Peter draws on his extensive clinical experience, recent research, and the development of a specialist Achilles rupture service at OrthoSport Victoria to help guide your decision-making and treatment approach. In this podcast, you'll discover: The mechanism of injury and clinical presentation of Achilles ten…

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