My friend ruptured his Achilles tendon when we were playing squash last week. I got him to the emergency room and he stayed in the hospital for a few days with a cast. Initially the doctor said they would probably have to operate, but after the ultrassound they said there were no great advantages of surgery, because it was a partial rupture, near the muscle/tendon portion. I'm not big on orthopedics, so I did some research in some books and online and from what I can tell, the treatment is still controversial. Some authors say surgery is the treatment of choice, and it has a lesser degree of recurring injury, but others say strengh and activity levels are very similar with both surgery and "conservative" treatment. Given the location of the tear, I can understand why the doctors said they don't feel surgery is needed, I guess the surgical juntion of muscle/tendon won't be as effective, and the blood supply will be good enough for a decent healing process... But I'm still kinda worried, I want my friend to be able to have a normal everyday life and sports activity, I don't want him to have another rupture in a year or so because this injury wasn't properly dealt with. But then again, surgery and anesthesia have their possible complications as well... Plus my friend is overweight and smokes like 10cigs a day, I'm just imagining deep vein thrombosis (although he is just 25 years old) and other problems... I feel responsible, in a way, because I kinda dragged him into squash. He has had a bad couple of years personally and has let himself go fitness-wise, but I felt he was doing better, getting his stuff together and wanted to help with the getting back in shape. Tried to get him to join the gym and asked him to play tennis and squash, even gave him a squash racket for his birthday... Well, I just wanted to get this off my chest and hopefully get some experience/advice from other members on this situation.