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Tendon Diseases and Malposition

Achilles Tendon

Achilles Tendon Rupture or Tendonitis:

The Achilles Tendon can either completely or partially rupture. A partial Achilles tendon rupture, also known as Tendonitis or Tendinosis, usually happens gradually. Complete rupture of the Achilles tendon is treated surgically by tendon suture, sometimes with tendon transfer. In some patients, tendonitis of the Achilles tendon can be successfully treated with conservative therapy and physiotherapy.

Achilles Tendon Inflammation:

If the tissue around the Achilles tendon is disturbed by swelling, the area can become painful. This condition is called Paratendinitis and can be treated conservatively with different methods such as bracing, special bandages, anti-inflammatory medication, and physical therapy.

Achilles Tendon Insertion:

The Achilles tendon inserts into the calcaneus, or heel bone, and can become painful if tendon calcification forms, if partial rupture of the Achilles tendon occurs, or if there is a prominent calcaneus (Haglund disease). Achilles Tendon Insertion may be treated conservatively with rest, physical therapy, or shoe insertions, though, surgery may be required to remove the prominent calcaneus and the calcification and restabilize the Achilles tendon. Sometimes an additional tendon transfer is needed to reinforce the damaged Achilles tendon.

Heel Spur (Plantar Fasciitis)

Pain in the heel can be caused by plantar fasciitis. The plantar fascia is the tendon-like structure extending from the heel (calcaneus) to the toe joints on the plantar side of the foot. In some cases, calcification of the plantar fascia at its insertion point to the calcaneus occurs and is observable on an X-ray. Treatment consists mainly of conservative measures (insoles, physiotherapy) and rarely requires surgery. If surgery becomes necessary, endoscopic minimally invasive surgery is possible with promising results.

Flat Foot

A flat foot is caused by a progressive collapse of the medial longitudinal arch of the foot. Flat feet can be accompanied by pain and sometimes swollen ankles. A flat foot most often becomes symptomatic in adults and rarely causes foot pain in children or teenagers. Depending on the degree of the flat foot and foot pain, the therapy may begin with conservative measures such as insoles and physiotherapy. Surgical treatment of flat foot includes realignment procedures such as foot bone osteotomies and tendon transfers or in more advanced stages arthrodesis of selected joints.

Cavus Foot

A cavus foot is characterized by a high arch, believed to be hereditary or the result of neuromuscular conditions, trauma, or club foot. Conservative therapy includes insoles or orthopedic shoes. Sometimes reconstructive surgical intervention is necessary to correct the high arch and deformities of the toes, as well as to restore balance to muscles and ankle and prevent arthritis.

Club Foot

A club foot is a congenital deformity making one foot or both appear twisted inwards at the ankle. A club foot is diagnosed and treated right after birth. Sometimes a club foot can lead to a residual deformity which has to be treated in teens or adults.

Conditions and Treatments

Office News

Dr. Bock was interviewed by the ORF (Austrian broadcast company, Heute Leben) - 06/19/2017

On June 19th 2017 Dr. Bock was interviewed by the ORF (Austrian broadcast company, Heute Leben) about an innovative method how to treat cartilage lesions of the ankle joint.

Health Articles

Hammertoe - 07/25/2014

Why do I have a hammer toe?
Hammer toes are a leading cause of pain in the foot. The pain from hammertoe is caused by friction against the shoe.Hammer toe is characterized by a permanently bent interphalangeal joint.

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Hauslabgasse 2 / 4
(ground floor)

1040 Vienna

T: 0664 555 0893

F: +43 01 410 75 05

Call to make an Appointment!

0664 555 0893

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