Tear of the Achilles tendon
What symptoms causes a tear in the Achilles tendon? What does the treatment look like? The Achilles tendon rupture is in this chapter.
The Achilles tendon name goes back to the Greek mythical hero Achill. Achilles was - after his mother, the sea goddess Thetis, had plunged him headfirst into the river water of the Styx - the whole body as invulnerable.
As a rule, it is sufficient for the experienced doctor to examine the injured area in order to diagnose "Achilles tendon rupture". Further technical investigations are usually not necessary.
The Achilles tendon connects the heel with the calf, so sits at the rear transition from the leg to the foot. It connects the heel bone (back foot bone) with the calf muscles.
The Achilles tendon tears the most during sports (75% of all cases). However, this usually only happens if it has been over-used for years and is severely worn out.
Often, the noise is a hint enough: When the Achilles tendon tears, there is usually a clearly audible "bang". In addition, the tear of the Achilles tendon is very painful.
In the described symptoms much speaks for a tear of the Achilles tendon. If the pain of exercising or a fall on the heel has occurred very suddenly and a "bang" was heard, the diagnosis Achilles tendon rupture is almost certain.
What are the first emergency measures for Achilles tendon rupture or suspected Achilles tendon rupture?
If an Achilles tendon is suspected, the so-called PECH rule is considered an immediate measure:
The PECH rule summarizes the four most important immediate measures for an Achilles tendon tear or suspected Achilles tendon tear:
No, but mostly. The surgery is usually the treatment of choice. If, however, e.g. If the age or other conditions speak against surgery, the Achilles tendon tear can also be treated as "conservative" (surgeon's jargon for "without surgery").
Simply put, after an Achilles tendon tear, the Achilles tendon is simply stitched together again. Because of the specific tendon structure, a specific suturing technique is necessary, but these are controlled by the corresponding accident surgeons or orthopedic surgeons.
After an Achilles tendon rupture, it usually takes at least twelve weeks until the leg can be loaded again athletically. Competitive sports are usually only allowed again after six months.