Achilles Tendonitis

Description:

Achilles tendinitis is a condition caused by inflammation or degeneration of the Achilles tendon, which connects the calf muscles (gastrocnemius and soleus) to the heel bone (calcaneus). It commonly occurs due to overuse, repetitive strain, or sudden increases in activity. This condition often presents as pain, stiffness, and swelling at the back of the heel or lower calf, making it challenging to walk or engage in physical activity comfortably.

Without proper treatment, Achilles tendinitis can progress to chronic tendon damage or even rupture.

Causes:

Overuse: Repetitive activities such as running, jumping, or climbing.

Sudden Activity Increase: Abrupt changes in intensity or duration of physical activities without proper conditioning.

Tight Calf Muscles: Reduced flexibility places additional stress on the tendon.

Improper Footwear: Shoes with inadequate heel support or cushioning.

Foot Mechanics: Flat feet or high arches can increase strain on the Achilles tendon.

Age-Related Degeneration: Tendons become less flexible and more prone to injury with age.

 

Symptoms:

Pain or tenderness along the Achilles tendon, especially during movement or after periods of rest.

Swelling or thickening of the tendon.

Stiffness in the morning or after prolonged inactivity.

Reduced strength or flexibility in the affected foot.

Audible creaking or cracking sensation when moving the ankle (crepitus).

 

Risks if left untreated:

Chronic Tendinopathy: Long-term degeneration of the tendon, leading to persistent pain and weakness.

Tendon Rupture: Complete tearing of the tendon, requiring surgical intervention.

Mobility Impairments: Ongoing discomfort and reduced ankle function can limit daily activities.

 

What Appointment to Book:

New Patients: Initial Consultation.

Returning Patients: Advanced Therapies or Biomechanical Assessment.

 

Effective Treatments We Offer:

Manual Therapy: Targeted massage and mobilisation to reduce tension and promote healing.

Shockwave Therapy: Non-invasive sound waves stimulate tissue repair and alleviate pain.

Custom Orthotics: Designed to improve foot mechanics and reduce strain on the Achilles tendon.

Stretching and Strengthening Exercises: Focused programs to restore flexibility and build tendon resilience.

Heel Lifts: Temporary inserts to reduce strain on the Achilles during recovery.

Taping or Bracing: Provides support to minimise tendon strain during movement.

Footwear Advice: Guidance on selecting shoes with proper cushioning and support for the heel and arch.

Anti-inflammatory Therapies: Advice on medications, topical treatments, or cold therapy to manage swelling and pain.

Time Frame for Resolution:

Condition Stage Resolution Time Notes
Acute
1-4 weeks
Responds well to rest, stretching, and supportive footwear.
Sub-Acute
4-8 weeks
May require shockwave therapy, strengthening exercises, or orthotics.
Chronic
3-6 months
Advanced therapies and long-term rehabilitation needed for full recovery.