{"id":687,"date":"2019-06-26T17:59:13","date_gmt":"2019-06-26T15:59:13","guid":{"rendered":"http:\/\/167.71.32.174\/?p=687"},"modified":"2026-11-03T11:13:24","modified_gmt":"2026-11-03T10:13:24","slug":"achillessehne","status":"publish","type":"post","link":"https:\/\/sportambulatorium.wien\/en\/achillessehne\/","title":{"rendered":"Achilles Tendonitis (Achillodynia): Symptoms, Causes, and Treatment"},"content":{"rendered":"
\"\u00dcberlastungen<\/figure>\n\n\n\n

Causes and Symptoms of Achilles Tendonitis<\/h2>\n\n\n\n

The Achilles tendon is often overexerted while running and the resulting inflammation (achillodynia<\/strong>) is common. Unfortunately, if it becomes chronic, the condition can be protracted. <\/p>\n\n\n\n

Typical symptoms are pain, swelling, and an overheated Achilles tendon. Runners typically first feel an uncomfortable pulling sensation in the tendon area. Sensitivity to pressure increases and swelling occurs. The pain is particularly severe in the morning and during the first few minutes of running. <\/p>\n\n\n\n

When chronic, the tendon thickens and causes permanent pain.<\/p>\n\n\n\n

Inflammation of the Achilles tendon can be the result of overexertion and training errors such as inadequate stretching and warming up, but can also be caused by leg axis problems and poorly fitted running shoes. More often than not, a combination of these factors comes together to create the underlying issue. <\/p>\n\n\n\n

Along with regular physiotherapy, the triggering factors must, of course, be resolved, for example, by adjusting running shoes using treadmill analysis.<\/p>\n\n\n\n

While the condition is acute, it is advisable to switch to other endurance sports. Cryotherapy, poultice wraps, and sports ointments are also recommended. <\/p>\n\n\n\n

If the inflammation is already chronic, treatment consists of daily strengthening exercises, orthotic insoles, and physical therapy \u2014 all in combination with shockwave or Repuls red light therapy. <\/p>\n\n\n\n

Particularly persistant cases can be treated with autologous blood (PRP) or cortisone, and in extreme cases surgery is also an option.<\/p>\n\n\n\n

<\/p>\n\n\n\n

Anatomy and Function of the Achilles Tendon<\/h2>\n\n\n\n

The Achilles Tendon<\/strong>, the strongest tendon in the human body, was considered to be the weak point of the otherwise invincible Achilles (Achilles heel) in Greek mythology. Ambitious runners will also have a story to tell about this tendon. \n<\/p>\n\n\n\n

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The function of the Achilles tendon is to bend the ankle, pulling the forefoot downwards with strength. This movement is crucial for pushing off the foot when walking and running.<\/p>\n\n\n\n

The Achilles tendon is often overexerted while running and the resulting inflammation (achillodynia<\/strong>) sind leider h\u00e4ufig – und oft auch sehr langwierig. Betroffen ist entweder die Achillessehne direkt am Ansatz am Fersenbein – oder die Sehne und das umgebende Gleitgewebe mehrere Zentimeter oberhalb des Ansatzes. Bei der chronischen Achillodynie<\/a> kommt es zu einer spindelf\u00f6rmigen Verdickung der Achillessehne, verbunden mit anhaltenden Schmerzen, die manchmal st\u00e4rker, manchmal schw\u00e4cher sind.<\/p>\n<\/div><\/div>\n\n\n\n

Clinical Presentations: Acute and Chronic Achilles Tendinopathy<\/h2>\n\n\n\n
\n ACUTE ACHILLODYNIA (PARATENDINITIS)<\/a>\n CHRON. ACHILLODYNIE<\/a>\n INSERTIONAL TENDINITIS OF THE ACHILLES TENDON (INSERTIONAL TENDINITIS) AND HAGLUND'S DEFORMITY<\/a>\n<\/div>\n\n\n\n

What to Do for Acute Achilles Tendonitis? (Treatment Tips)<\/h2>\n\n\n\n

Unsere Therapie-Tipps bei einer Achillodynie:<\/strong><\/h3>\n\n\n\n