In an article published in La Gazzetta dello Sport, Dr. Stefano Respizzi outlined the rehabilitation pathway that guides patients following an Achilles tendon rupture, one of the most challenging injuries for athletes and physically active individuals.
Following the initial treatment phase—surgical in most cases—and the period of immobilization, the rehabilitation process begins.
During the first few weeks, rehabilitation often takes place in a pool through hydrotherapy sessions. By reducing weight-bearing, this approach allows patients to gradually regain a normal walking pattern and progressively discontinue the use of crutches.
Rehabilitation then continues in the gym with a progressive exercise program designed to restore strength and mobility, ultimately leading to a return to running on a treadmill.

Returning to sport requires an objective assessment of the patient’s condition through specific functional tests, including the Isokinetic Test, the Threshold Test, and the Movement Analysis Test (M.A.T.). These assessments provide objective data to support a safe and informed return to athletic activity.
A key element throughout the entire rehabilitation process is the shared definition of progressive, realistic, and personalized goals with the patient, helping them approach each stage of recovery with confidence, awareness, and safety.
