Achilles Tendonitis
What is Achilles Tendonitis? Achilles Tendonitis is a condition involving irritation or inflammation of the Achilles tendon, the thick band of tissue connecting the calf muscles to the heel bone. This may lead to swelling, a persistent ache at the back of the heel or lower leg, and discomfort that worsens with activity. It can feel particularly stiff or tender in the morning or after periods of rest, similar to plantar fasciitis. You may also notice a limited range of motion or increased discomfort when walking uphill or climbing stairs.
What causes Achilles Tendonitis? Achilles Tendonitis can affect anyone, though it is commonly triggered by factors such as:
- A recent increase in physical activity (e.g., a new job requiring more standing or starting a new running routine)
- Wearing unsupportive footwear or a recent change in shoes
- Flat feet or high arches
- Tight calf muscles
- Being overweight
- Underlying health conditions such as diabetes
How do you treat Achilles Tendonitis? Early management typically focuses on reducing inflammation and modifying activities that aggravate the tendon:
- Rest and activity modification
- Applying ice to the affected area
- Wearing appropriate footwear with good support
- Heel lifts or insoles to reduce strain
- Gentle stretching under professional guidance
- Mobilisation techniques performed by a podiatrist
As the condition improves or in more persistent cases, treatment may include:
- A personalised exercise programme and, where appropriate, referral to a rehabilitation specialist
- Bespoke orthotics to correct mechanical issues and reduce pressure on the tendon
- Shockwave therapy for stubborn cases
- Ultrasound-guided injection of hyaluronic acid under local anaesthetic, if pain levels are significant
- If a tendon rupture is suspected, a specialist boot may be recommended to immobilise the area and aid healing
It’s important to understand that while rest and ice may offer temporary relief, these alone will not resolve the mechanical causes of Achilles Tendonitis. Without addressing these underlying issues, the problem may return and lead to further complications elsewhere in the body due to changes in the way you walk.
We strongly recommend seeing a HCPC-registered podiatrist who can assess the root mechanical causes of your condition and tailor your treatment accordingly.
Total Foot Health is an RCOP-accredited practice, ensuring the highest standards of care and professionalism.
