Primary achillodynia
Musculoskeletal system and connective tissue (M00-M99).
- After surgery on the Achilles tendon.
- After a partial rupture (partial tear) of the Achilles tendon.
- Paratenonitis crepitans achillea – aseptic inflammation of the tendon gliding tissue of tendons without tendon sheath.
Secondary achillodynia
Musculoskeletal system and connective tissue (M00-M99).
- Axial deviation (axis deviation) of the lower leg.
- Arthritides (inflammatory joint diseases) of the ankle joint.
- Heel spur
- Haglund deformity (Haglund heel) – bony form variant of the calcaneus with accentuated prominence of the proximal tuber calcanei (calcaneal tuberosity); painful swelling [heel pain].
- Hallux rigidus (synonyms: Osteoarthritis of the metatarsophalangeal joint; metatarsophalangeal joint stiffness; hallux non extensus; hallux flexus; hallux limitus; wear and tear of the metatarsophalangeal joint) – arthritic changes in the metatarsophalangeal joint that has become stiff.
- Internal rotation defect of the hips
- Capsular ligament insufficiency of the external ligament of the upper ankle joint (OSG).
- Cartilage damage of the upper/lower ankle joint (OSG/USG).
- After an outer ligament injury to the upper ankle joint (OSG) with capsular ligament suture.
Pseudo-achillodynia
Musculoskeletal system and connective tissue (M00-M99).
- Achilles tendon insertion tendinosis – noninflammatory tendon insertion disease of the Achilles tendon.
- Apophysitis calcanei – disease of the growth plate of the calcaneus (calcaneal apophysis); symptomatology: tenderness and swelling in the region of the growth plate of the calcaneus; peak of disease 5-12 years of age; boys are more often affected than girls [heel pain].
- Bursitis subachillea (bursitis in the ankle joint; the affected bursa is located between the Achilles tendon and the calcaneus).
- Bursitis subcutanea calcanea (bursitis at the Achilles tendon).
- Os trigonum impingement syndrome (constriction of the tendon structure in the ankle joint by an additional bone of the ankle bone (Os trigonum)).
- Osteochondrosis dissecans – circumscribed aseptic bone necrosis below the articular cartilage, which may end with the rejection of the affected bone area with the overlying cartilage as a free joint body (joint mouse)
- Stress fracture
- Tendopathy of the medial malleolus (non-inflammatory disease of the tendons due to overuse, misuse or wear).
- Cerebrotendinous xanthomatosis (CTX) (HLA-B 277) – genetic disease with autosomal recessive inheritance; lipid storage disease; first clinical symptom cholestasis and/or chronic diarrhea in infancy; between the ages of 20 and 40, xanthomas may appear on the Achilles tendon, among other sites (caused by increased storage of plasma lipoproteins).
