{"id":4921,"date":"2022-04-25T11:47:43","date_gmt":"2022-04-25T09:47:43","guid":{"rendered":"https:\/\/sportambulatorium.wien\/?p=4921"},"modified":"2026-10-15T16:12:48","modified_gmt":"2026-10-15T14:12:48","slug":"tuecken-der-achillessehne","status":"publish","type":"post","link":"https:\/\/sportambulatorium.wien\/en\/tuecken-der-achillessehne\/","title":{"rendered":"Achilles Tendon Pain: Causes, Symptoms, and Treatment"},"content":{"rendered":"
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What causes Achilles tendon problems?<\/h2>\n\n\n\n

Especially in the spring, we regularly see patients with Achilles tendon problems.<\/strong><\/p>\n\n\n\n

These symptoms are usually caused by overuse (tendopathy) and often develop gradually. The trigger is almost always excessive exercise or too much strain. In chronic cases, the Achilles tendon may even rupture.<\/strong><\/p>\n\n\n\n

The Achilles tendon is the strongest tendon in the body. It transmits the force generated by the calf muscles to the foot and absorbs several times the body\u2019s weight with every step. It consists of tissue that reacts rapidly to mechanical stress at the molecular and cellular levels. Anabolic and\/or catabolic proteins can change significantly within hours during or after exercise and return to their baseline levels within 72 hours. <\/p>\n\n\n\n

When we run, forces acting on the Achilles tendon with every step can exceed ten times our body weight. These forces are even greater when jumping and hopping. Its exceptional tensile strength and thickness enable it to withstand the extreme stress to which it is subjected. The average length of the tendon is 20\u201325 cm, with muscle fibers inserting at the front almost all the way to the tendon\u2019s origin.<\/p>\n\n\n\n

Achilles tendon problems often develop gradually. Once they appear, however, they can be quite persistent and long-lasting. They most commonly affect physically active people, primarily men between the ages of 30 and 50.<\/p>\n\n\n\n

Achilles Tendinopathy<\/h2>\n\n\n\n

Tendopathy is a painful irritation of the Achilles tendon or its attachment site (enthesis). This irritation often leads to a thickened, swollen Achilles tendon and tenderness when pressure is applied. The condition is usually caused by overuse resulting from an increased or excessive training load. Runners and recreational athletes who return to sports after a long break from training are often affected by Achilles tendinopathy. However, foot deformities such as a flat foot or high arch can also be responsible.<\/p>\n\n\n\n

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For athletes, the risk increases with age and the number of kilometers covered during training. <\/p>\n\n\n\n

Sports that typically lead to overuse injuries include:<\/strong><\/p>\n\n\n\n