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Achilles tendon

Treatment of diseases of the Achilles tendon

The Achilles tendon connects the calf muscle to the heel bone and is the strongest tendon in our body. If it is injured, problems with walking are to be expected. This can happen, for example, due to a tear or overuse, but also overstretching or diseases such as gout, arthritis or enthesiopathy lead to significant pain in the Achilles tendon. At the Orthopedic Center Munich East, we try to get to the bottom of the cause of the pain and help you become pain-free again.

The term “Achillodynia” summarizes all pain syndromes related to the Achilles tendon: Pain, inflammation, irritation or tearing in and out. To initiate proper treatment, it is important to identify the cause of the pain in the Achilles tendon.

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Orthopädie Zentrum München Ost - Fuß - Erkrankungen

Table of Contents:

Symptoms and therapy of achillodynia
Eccentric training of the Achilles tendon according to Knobloch

Tendinitis – often the result of an underlying inflammatory disease

Symptoms and therapy of achillodynia

At the beginning, the pain usually only occurs during exertion and then subsides on its own. If the tendon continues to be irritated, the Achilles tendon can become inflamed and the pain will persist even after weight-bearing. In a condition called achillodynia, the Achilles tendon is also heated and swollen. The earlier you start treatment, the higher the chances of success that the achillodynia will completely regress.

Therapy is usually conservative, i.e. without surgery. Treatment choices include physical therapy, bandages, cooling, heat treatment, pain medication and ointments.

Eccentric training of the Achilles tendon according to Knobloch

Similar symptoms but a different cause are present in Achilles tendinopathy. In this case, the tendon is not inflamed, but is no longer capable of bearing as much weight. This happens when the Achilles tendon is permanently overloaded without being able to regenerate sufficiently. Micro-injuries to the tendon that have not healed can also lead to tendinopathy.

In the case of tendinopathy of the Achilles tendon, the recommended therapy is the application of stimuli. So sport in moderation is allowed if you listen to pain signs. The training plan for strengthening the Achilles tendon by Prof. Knobloch is also recommended. Eccentric strength training must be carried out conscientiously for at least 12 weeks and works as follows: You stand barefoot with both legs on tiptoe, preferably on a stair step. Hold position for 2 seconds, then lower the foot. After 2 to 3 weeks, the exercise should also be performed with one leg.

Tendinitis – often the result of an underlying inflammatory disease

An inflammatory reaction of the tendon tissue is called tendinitis and is often the result of a rheumatic disease. Incorrect stress or overuse can also be causative for the tissue tears that trigger the inflammatory response. This clinical picture of the Achilles tendon is called attachment tendinitis, it affects the connection between bone and tendon.

In the treatment of tendinitis, care should be taken above all to ensure that the inflammation has healed before the tendon is fully loaded again. Otherwise, the complaints threaten to become chronic. Again, local and oral pain medications are used, as well as physical therapy or cortisone injections. Cold laser therapy of the Achilles tendon has also proven effective in thrapie of attachment tendinitis.

At the Orthopaedic Center Munich East, qualified specialists will examine you and advise you on which therapy is suitable for your form of Achilles tendinopathy.

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