Prognosis
The prognosis depends, among other things, on the underlying disease and the cause of the disease (heel spur, ankylosing spondylitis, diabetes), whether the inflammation is acute or chronic, and on the age of the patient. In principle, however, Achilles tendon complaints always require immobilization for conservative and surgical therapy. Such immobilization is usually done with a leg splint, which remains for about four to eight weeks, depending on the severity of the disease. During immobilization, a gradual increase in load is recommended. Alternative sports such as swimming or cycling can be performed during this time.
Prophylaxis
A strong and well-functioning calf musculature is essential for the Achilles tendon to function well. The triceps surae muscle, which attaches to the heel via the Achilles tendon, should be mentioned in particular. As far as possible, calf muscle strengthening exercises should be performed daily as a prophylactic measure.
There are various exercises that are suitable for strengthening the calf muscles. A possible exercise to strengthen the muscles and the Achilles tendon can be as follows: The test person stands on the edge of a step and lifts himself on his tiptoes for two seconds and then lowers his heels below the step. The exercise is repeated about 15 times and after a half-minute break, it is repeated 15 times.
Already after several weeks, the calf muscles and the Achilles tendon are strengthened. In addition, this exercise is also suitable for reducing the pain caused by an Achilles tendon inflammation, if this is not caused by overloading. In the first two weeks, the exercise can certainly lead to an increase in pain and sore muscles.
It should also be noted that the upper body is kept straight and the knees are slightly bent. In addition to these exercises, there are some aids that can prevent inflammation of the Achilles tendon. A raising of the heel or insoles are one possibility.
In addition, when choosing a running shoe, one should not skimp on the choice of a suitable model. The running shoe should not be too hard and should have a cushioning effect so that less force is exerted on the tendon apparatus of the legs. High heels or flip flops are not recommended in any case, as they place a high strain on the Achilles tendon.
Since overloading when running or jogging is a common cause of inflammation of the Achilles tendon, care must be taken to ensure optimum training intensity and an analysis of the gait and running pattern can help to prevent inflammation of the Achilles tendon. In addition, regular warming up and stretching can help prevent inflammation of the Achilles tendon.
