The Achilles Hub

Articles & Insights

Research summaries, explainers, and recovery insights — covering the science, the stories, and the questions that don't fit neatly into a clinical guide. General information only.

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Why Are Achilles Ruptures Increasing?

A 3–5x rise over 25 years. The weekend warrior effect, ageing active population, fluoroquinolone antibiotics, and more. What the epidemiology shows.

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The Weekend Warrior and the Achilles Tendon

Why sedentary people who exercise intensively on weekends are disproportionately represented in Achilles rupture statistics — and what the biology says.

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Fluoroquinolone Antibiotics and Tendon Rupture

Ciprofloxacin and related antibiotics carry an FDA black box warning for tendon rupture. What you need to know if you have been prescribed these medications.

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High-Profile Achilles Ruptures in Sport

Kevin Durant. Kobe Bryant. David Beckham. Dominic Thiem. What elite athlete ruptures tell us about the injury — and what they don't.

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What Is the Thompson Test?

The most widely used clinical test for Achilles tendon integrity — how it works, its sensitivity and specificity, and why it can produce false negatives.

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5 Things Nobody Tells You About Achilles Recovery

The first shower. The first time the boot comes off. The fear of the first step. The things that are normal that no one prepares you for.

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The Problem with Time-Based Rehab

Why "you can start running at 12 weeks" is the wrong answer — and why criteria-based progression produces better outcomes than calendar-based protocols.

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New Research: NEJM 2022 Achilles RCT Explained

The Myhrvold et al. study changed the conversation on surgery vs conservative management. What it found, what it means, and what it doesn't settle.

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Can You Prevent an Achilles Rupture?

Risk factors, load management, eccentric heel drops, and whether prevention programs actually work — what the evidence shows for people who want to reduce their risk.

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