Achilles Pain & Tendonitis 

Achilles pain, also referred to as tendonitis, tendinopathy or tendinosis, is a relatively common condition that can affect anyone, though athletes are particularly prone to it due to repetitive use. The Achilles tendon is the largest tendon in the body, connecting your calf muscles to your heel bone, and plays a vital role in walking, running, jumping and standing.

Symptoms of Achilles Pain & Tendonitis

• General inflammation or irritation in the back of the leg down to the heel
• Morning pain and stiffness in the Achilles tendon
• Pain that worsens with activity
• Severe pain following exercise, particularly the next day
• Tendon thickening and pain
• Swelling that worsens through the day

If you hear or feel a click in the back of your calf or heel, this can indicate a tendon tear seeking professional help immediately is advised in this situation.

What Causes Achilles Pain?

The biomechanical profile of Achilles pain is similar to plantar fasciitis the foot pronates or supinates, placing a pull on the heel that, over time, can lead to tearing, inflammation and swelling. Causes can include a sudden increase in exercise intensity, tight calf muscles combined with increased activity, bone spurs rubbing against the tendon, and biomechanical anomalies such as one leg being longer than the other, which places more stress on that side.

Our Approach to treating Achilles Pain & Tendonitis

A full biomechanical assessment is used to help confirm what’s contributing to Achilles pain, sometimes alongside X-ray, ultrasound or MRI referral if needed. Our approach looks at the body’s structure and how it responds to the activities placed on it, so a treatment plan can be built around your individual presentation rather than the tendon in isolation.

Treatment Options We Offer

• Rest and activity modification during flare-ups
• Targeted stretching and strengthening for the calf muscles
• Foot mobilisation aims to loosen tight areas and address joint restriction
• Shockwave therapy designed to aid the healing process in the damaged area
• Custom orthotics help support the foot and reduce strain on the Achilles tendon
• Prolotherapy may assist with adhesions in the area of pain

Frequently Asked Questions

Can I keep exercising with Achilles pain?

This depends on severity; mild cases may tolerate modified activity, but continuing to push through pain can worsen the underlying strain. An assessment can help clarify what’s appropriate for your situation.

How long does Achilles tendonitis take to improve?

This varies significantly depending on how long the condition has been present and its underlying cause – your podiatrist can give a clearer picture once assessed.

Book an Assessment

If Achilles pain is limiting your activity, book a biomechanical assessment at your nearest Dr Abbie Clinics location.