10/04/2026
Why don't some patients return to sport after an Achilles rupture?
A really interesting finding highlighted in this post 👇
Even when patients recover well physically, a large proportion don’t return to sport.
One of the biggest reasons?
👉 Fear of re-rupture (around 40%)
This is a critical point—and something we probably don’t talk about enough.
As surgeons and rehab teams, we often focus on:
âś” Strength
âś” Range of motion
âś” Functional testing
But this highlights that psychological recovery is just as important as physical recovery.
If an athlete doesn’t trust their Achilles… they won’t push off, sprint, or change direction with confidence—no matter how “good” the tendon looks.
So what does this mean for patients?
Rehab shouldn’t just be about exercises
Confidence needs to be rebuilt gradually
Return to sport is as much mental as it is physical
đź’ˇ The best outcomes come when we address both.