Modern methods

Treatment methods of Achilles tendon


The Achilles tendon is the strongest tendon in the human body! It represents the end of the  musculature of the lower leg muscle group.

The heel bone is the Achilles tendon’s grafting point, and it’s also surrounded by the so-called Achilles tendon bursa or mucous bags. The function of the bursa is to reduce the friction which is inevitably  developed through strenuous muscle activity.

Tendon stretches to the middle of the lower leg, where it merges into the muscle. Its function is primarily to control foot movement.

Pain of the Achilles tendon is a result of acute and chronic injuries and is present with professional athletes, as well as recreational ones. We emphasize that the influence of surrounding anatomical structures is essential to the emergence of these states, primarily the status of the muscles, then the presence of flat feet or the presence of injuries to neighboring tendons and ligaments, as well as the choice of adequate footwear.


Complete rupture of the Achilles tendon may occur due to acute events such as blunt force, irregular movement, and the like, but also as the result of chronic tensile overload, in which case we are talking about a long-term oeverexertion syndrome.

The inflammatory state of a tendon such as tendinitis (pain of the tendon) or enthesitis (painful grafting point of the tendon) in the region creates a characteristic clinical image.

Palpation of the tendon causes pain, while movement in the ankle is painful and sometimes limited. With pain starting as early as the morning, daily movement is hampered, and tendon thickening may also be present.


Along with exact clinical tests for ruptured tendons (e.g. the Thompson test), ultrasonic processing is required, which unmistakably detects the changes that have occurred. As this is the most powerful tendon of the human body, a studious approach to knowing ultrasound diagnostics is needed.


Treatment can be operational or conservative. Discussion of an adequate approach to this kind of injury to the Achilles tendon, whether it should be operative or conservative, is always contemporary!


Partial tendon injuries are mostly treated conservatively. This includes delicately dosed strain of the tendon over several weeks with adequate functional rehabilitation.

Functional rehabilitation is conducted according to an algorithm from which recovery is visible and it is possible to more precisely determine the return to your everyday work and sport activities. Based on our team’s positive experiences, the use of autologous conditioned plasma and STEM CELLS enables an accelerated and successful recovery. These methods of biological treatment are successfully implemented with simultaneous rehabilitation, in other words, physical procedures according to the latest standards.

Although there is no unambiguous data supporting faster and better recovery with either approach, treatment decisions are made on the basis of several factors that also include client preferences.

At Ribnjak Polyclinic, our specialist team constantly monitors the progress in treating this specific injury.

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