At MSK Doctors, we use the STARR technique for Achilles tendon repair. This is a minimally-invasive procedure, which can be completed under local anaesthetic.
Achilles tendon repair is a surgical treatment aimed at restoring the function of a torn or ruptured Achilles tendon. The tendon connects the calf muscles to the heel bone and plays a crucial role in walking, running, and jumping. When it’s torn, movement becomes severely limited. The procedure involves stitching the torn ends of the tendon back together or, in severe cases, reinforcing the tendon using nearby tissue.
Sports-related stress: High-impact activities such as running or jumping place excessive strain on the tendon.
Sudden movements: Abrupt acceleration or direction changes can cause partial or complete tendon tears.
Lack of flexibility or strength: Weak calf muscles or poor conditioning can increase vulnerability to injury.
Age-related degeneration: The tendon becomes less elastic over time, making it more prone to damage.
Previous tendon problems: A history of tendinitis or incomplete healing increases the risk of rupture.
Diagnosis begins with a clinical evaluation to assess symptoms such as sudden pain, swelling, and difficulty walking or standing on tiptoes. In many cases, patients report a “pop” sound at the time of injury.
A physical exam includes checking for gaps in the tendon and reduced foot strength. Imaging tests such as ultrasound or MRI are used to confirm the extent of the damage. Surgical repair is typically recommended if the rupture is complete or if the patient leads an active lifestyle and non-surgical recovery poses limitations.
Who it suits
Achilles tendon injuries account for 20% of all large tendon injuries. Complete rupture is often preceded by periods of Achilles tendonitis.
Whilst some patients try a conservative approach to manage this injury, surgery is a solution for others. If you have tried conservative treatments for several months, with no/minimal results, or if you have a significant rupture, surgery may be the solution.
At MSK Doctors, we use the STARR technique for Achilles tendon repair. STARR is an innovative approach to ligament repair that aims to preserve natural tissue by repairing, regenerating and reinforcing the ligament. This helps maintain the natural biomechanics of the ankle. Our doctors will reinforce the ligament with a biocompatible scaffold, to increase its stability.
Cost and paying
We offer a range of flexible payment options to make your treatment experience smooth and stress-free.
Most patients choose to self-fund their treatment. We accept:
We’ve partnered with GoCardless to offer interest-free instalment options. You can easily set up a Direct Debit to spread the cost of your treatment over time.
Looking for a financing plan? You can apply through Kandoo, our trusted finance partner.
We work with a small number of approved insurance providers. However, due to restrictions from many insurers, not all treatments are covered. Please check with your insurer and speak to our team before booking to avoid disappointment.
What happens
Use our website to book an initial consultation, or give us a call.
Our doctors might request you arrange a scan before your initial consultation. Or, they’ll chat with you (face to face or online) and recommend a scan after your initial consultation, if they think you need one.
Once your scan results have been reviewed, and your doctor has explained your options, you will be booked in for treatment.
Following your treatment, your doctor will give you rehab recommendations.
You will be booked in for a follow-up consultation, so your doctor can check your progress. You might need further rehab after this consultation.
Once your doctor is happy with your recovery, you will be discharged. After discharge, we are always here for further questions or support, should you need it.
How long will recovery take?
How does your Achilles repair treatment differ from traditional surgery?
Our procedure is minimally invasive, using small needle puncture as opposed to an open incision. This speeds up recovery time as there is minimal scarring. It also offers better cosmetic outcomes.
Our STARR technique also offers faster recovery, with immediate weight-bearing and return to normal activity within 3-6 months. In contrast, traditional surgery involves a non-weight-bearing period of 4-6 months, with full recovery 6-12 months after surgery.
London Cartilage Clinic
We now offer select services at our Harley Street London clinic through the London Cartilage Clinic, led by internationally recognised surgeon Professor Paul Lee.
Our London clinic offers advanced treatments like cartilage regeneration and joint preservation to help patients avoid or delay joint replacement.
Located in Central London, our clinic provides convenient access to world-class musculoskeletal care without long NHS wait times.
If you would like to be seen in Central London, visit our London Clinic page for pricing, available treatments, and to book directly online.
Our Harley Street clinic uses cutting-edge techniques designed to reduce downtime and support faster, more effective recovery, getting you back to your lifestyle sooner.
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