If the calf is swollen, elevating the leg is recommended. Exercise is safe when the heel is no longer swollen or tender, even if pain is still present. If pain increases with exercise, however, the person should stop immediately. If pain continues, the ruptured tendon will require a cast and perhaps surgery. Surgery requires a long incision with a postoperative period of immobilization that can average six weeks.
Complications can include a significant surgical scar, infection, and muscle atrophy.
Less invasive techniques are being tested. Some experts suggest surgery for active persons and nonsurgical treatment for older people. Treatment for Tarsal Tunnel Syndrome. Pain from tarsal tunnel syndrome may be relieved by treatment with orthotics, specially designed shoe inserts, to help redistribute weight and take pressure off the nerve. Corticosteroid injections may also help.