Your contact partners
in this area:
Prof. <br /> Dr. med. habil.<br /> Georg Matziolis
Dr. med. habil.
Georg Matziolis

Senior Consultant of the Clinic for Orthopaedics and Accident Surgery

Acting holder of the Chair for Orthopaedics of the FSU Jena at the Waldkrankenhaus Eisenberg

036691 8-1002

Specialist Registrar Dr. med. Andreas Wagner
Specialist Registrar Dr. med. Andreas Wagner

Head of department hand and foot surgery

Specialist for Orthopaedics and Accident Surgery, Rheumatology, Hand Surgery, Special Orthopaedic Surgery, Physical Therapy and Chirotherapy.

Injuries and disorders of tendons

In the area of the foot, the Achilles tendon is most frequently affected by injuries and disorders.  The Achilles tendon rupture is a sudden event which the patient feels as a severe pain (popping, whiplash). Walking and standing is then considerably impaired due to pain.

If an Achilles tendon rupture is diagnosed, the doctors discuss the further procedure (conservative or operative) with the patient. Conservative treatment with special splints and bandages (foot in club foot position) is possible depending on the form of rupture and sonographic findings. For this, a regular check of findings by the treating orthopaedic or accident surgeon is essential.

Operative therapy of the fresh Achilles tendon rupture is generally carried out today with minimally  invasive surgery via a cut of a few centimetres. Post-operative treatment is carried out in a special shoe, where full weight can be placed on the foot after the wound has healed. Here, too, a rehabilitation period of eight to twelve weeks is to be expected.

Disorders of the Achilles tendon on the bony base of the heel bone (Haglund exostosis) or in the Achilles tendon area are primarily a domain of conservative treatment. After pain treatment in the acute phase, physical treatments and regular eccentric training of the calf muscles are generally suitable methods of alleviating complaints. However, several weeks of treatment are to be expected here.

In seldom cases, operative therapy can also be carried out if conservative treatment has not been successful. Thickenings in the Achilles tendon (achillodynia) as well as bony growths on the base of the Achilles tendon can be removed. Here, too, for post-operative treatment, a special shoe which relieves the load on the Achilles tendon must be worn for several weeks (six to eight).

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