Extended immobilization can lead to more muscle weakness. Has a higher incidence of re-rupture than surgical repair. Nonsurgical treatment is often used for nonathletes, or for those with a general low level of physical activity who would not benefit from surgery. The elderly and those with complicating medical conditions should also consider conservative nonsurgical treatment. The majority of people return to normal activity levels with either surgical or nonsurgical treatment.
Most studies indicate a better outcome with surgery.
Athletes can expect a faster return to activity with a lower incidence that the injury will happen again. Typically as the rupture site heals, a small lump remains from the scarring. Weight bearing commonly begins at about 6 weeks with a heel support. Return to running or athletics is traditionally about 4-6 months. With motivation and rigorous physical therapy, elite athletes may return to athletics as early as 3 months after injury.