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07 Achilles tendon/ Achillodynia

Achillodynia is the term for pain in the Achilles tendon. The pain can be localized at the attachment of the tendon or in the course of the tendon.


There are many reasons for Achilles tendon pain (overuse, body weight, change of shoes, sudden increase in load, limited mobility after an injury, decreasing elasticity with age, etc.). The good news is that it is a harmless inflammation, even if those affected unfortunately sometimes suffer considerable pain. However, there is no need to worry, because you cannot "do more damage". Stay active! Usually the pain disappears as it came: by itself. Only the duration varies from a few days to unfortunately several months and rarely several years. The healing comes from your body, help it to do so.

treatment options

Usually, we do not operate Achilles tendon pain. The chances of success without surgery are very good, although the course is long. If you have had an X-ray, you may have noticed a hump (Haglund). This is present in many people, even those without pain.


It makes sense to take an anti-inflammatory painkiller now and then to stay active, e.g. to be able to start the training in the first place. Ask for a prescription.

Unfortunately, tendons often react to cortisone injections with a complete rupture, so cortisone should not be injected into the tendon.


If they do not become pain-free after consistent daily exercise, a training can be instructed. However, you should perform it independently on a regular basis. There are protocols (e.g. Silbernagel) whose effectiveness has been proven. But many other training methods tailored to you can also help. Local measures (ultrasound, taping, massages, etc.) can be supportive. Extracorporeal Shockwave Therapy can also achieve improvement.

More information about recommended exercises can be found in our flyer.

Download PDF • 1.70MB


If symptoms persist despite therapy, you may be offered surgery. We will advise you about the options.

Make an appointment with us so that we can find the best treatment option for you.


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