Achilles tendon rupture. Achilles tendonitis.
The Achilles tendon. The strongest tendon in the human body
The Achilles tendon is the strongest tendon in the human body and also the most heavily loaded tendon. Tensile forces up to 500 kg can occur if you dash up the stairs for example. Therefore, deterioration of the Achilles tendon as well as and tears of the Achilles tendon are relatively common.
In therapy, however, it must be differentiated exactly which areas of the tendon are affected. For example, if a problem is at the junction of the tendon with the heel bone, the procedure is different than when the tendon itself is concerned, or a partial tear of the tendon exists. There are also some medications, such as Quinolones (for example, Cipro), which may promote the occurrence of Achilles tendon disorders.
Also inflammatory joint diseases (for example, ankylosing spondlyitis) can lead to Achilles tendon problems.
Information about Achilles tendon diseases from A - Z.
Illnesses of the Achilles tendon.
Depending on the structure affected, either the tendon itself or the transition of the tendon into the bone is painful.
Degenerative Achilles tendon disorders are characterized by a start-up pain. This means that at the beginning of physical activity, an increased level of symptoms are already present. If the tendon has been "warmed up", the pain is less. Therefore, the tendon can hurt even more after the end of the sport.
Tendinitis and Haglund's exostosis.
Tendinitis and Haglund's exostosis almost always lead to conflicts with footwear. With a protruding heel bone, pressure is put on the tendon, whereas with open footwear, complaints are significantly less frequent. In the case of a partial or complete tear, the patient reported feeling as if someone had stabbed them with a knife in the tendon. A strong pain associated with the inability to walk on tiptoes and to continue playing the sport, makes the diagnosis very likely.
Causes for Achilles tendon diseases.
The high mechanical stress on the Achilles tendon explains the frequency of complaints in this area. Causes can be: repeated minimal weeping sores, for example from sporting stress (jogging, squash, tennis). One-off acute overstressing of the tendon can lead to a partial or complete tearing of the tendon. Generally, however, there are already some degenerative changes to the tendon. A completely healthy tendon tears comparatively rarely. The incidence of Achilles tendon ruptures in the different age groups shows that only exceptionally young adults are affected. The disease affects middle-aged adults much more frequently, or even physically active older people. Inflammatory joint disease (so called spondyloarthropathy, rheumatism) can affect and weaken the Achilles tendon. Furthermore, there are indications that taking quinolone (in the form of antibiotics such as Cipro, Tarivid, Tavanic) increases the risk of a rupture of the Achilles tendon.