Rheumatism

Achilles tendon pain can also be caused by a rheumatic disease. In this case one speaks of the so-called “soft tissue rheumatism“, since muscles and tendons are affected. Whether actually rheumatism is the cause for the Achilles’ tendon pain can be recognized by typical inflammation markers in the blood count.

Exercise supports the release of the body’s own pain inhibitors and is therefore recommended for rheumatism patients. Exercise in warm water as well as slow, concentrated movements like Chinese Tai-Chi show good results. Special gymnastics, nordic walking, aqua gymnastics or also Qigong are suitable to achieve a relief of Achilles tendon pain.

Squash, tennis, soccer, soccer, explosive strength exercises, maximum strength training and skiing should be avoided in acute inflammatory phases, as these sports place very high stress on joints, muscles and vision. Too much training intensity can increase the pain and inflammatory processes in the body. Further therapy options are available in electrotherapy (e.g. TENS), thermotherapy, hydrotherapy or respiratory therapy.

Insoles

Insoles usually provide for a lifting of the heel. This results in a shift of weight to the forefoot and thus relieves the Achilles tendon and heel. There are gel wedges, hard plastic shells, foam insoles and even specially made carbon prostheses that not only lift the heel but can also compensate for certain foot deformations.

However, insoles should only be worn in the acute phase of Achilles tendon pain or after an operation in this area.An orthopedic surgeon or orthopedic mechanic should decide which aid is appropriate, since the entire body weight is on the foot and even the slightest malposition can have massive effects. However, insoles are not a long-term solution, as the continuous relief leads to a shortening of the Achilles tendon. A shortened Achilles tendon cannot and must not be subjected to the same strain as a normal length Achilles tendon. Bandages also protect the Achilles tendon. The costs of insoles and bandages are usually covered by the statutory health insurance companies.