[Achillodynia in athletes and dancers--recommendations for prevention and therapy]

Based on a disproportion between individual exercise tolerance and actual physical strain a multicausal tender swelling of achilles tendon with concomitant impaired function due to oedematous swelling, cellular proliferation and degeneration in tendon and paratenon is developing especially in motion engaged professionals like dancers artists and sportsmen. Consistent prevention of paratenonitis exist in selection of favourable bottom or mal conditions, maintenance of muscular balances, correction of ligamentous laxities and foot deformities, fitting chuck absorbing footwear and every time dosed increase of physical strain. While in acute stage after elimination of causative factors the conservative treatment is indicated, the treatment resistant chronic achillodynia with anamnesis of 4 month and more is an indication for operative treatment.