The Achilles tendon is a strong, thick tendon that connects the two calf muscles to the heel bone.
Pain complaints can occur in various locations.
The two most common locations are:
The symptoms vary depending on the location of the problem.
Inflammation at the attachment point (insertional)
Inflammation of the tendon itself (midportion)
In almost all cases, non-operative treatment is attempted first. This usually consists of physiotherapy with a targeted exercise program.
One of the most important exercises in this regard is eccentric tendon training. Shockwave therapy is often also indicated.
In cases of inflammation of the tendon itself, surgery is rarely or never necessary.
When conservative treatment does not help, surgery may be necessary. Sometimes an extra piece of bone needs to be removed. This can be done through arthroscopic surgery.
In cases of large calcifications at the attachment point, open surgery may sometimes be necessary.
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