Stepping Strong: Understanding and Treating Achilles Tendinopathy

Achilles tendinopathy is a common overuse injury that affects the Achilles tendon, leading to pain, stiffness, and difficulty with movement. At The Urban Physio, we understand how frustrating and limiting this condition can be, whether you're an athlete, or simply trying to stay active!

By understanding the causes, symptoms, and best management approaches, you can take proactive steps to prevent and recover from Achilles tendinopathy effectively.

What is Achilles Tendinopathy?

Achilles tendinopathy involves a non-inflammatory thickening of the Achilles tendon due to excessive strain or overload.

Causes of Achilles Tendinopathy

This condition arises when the Achilles tendon undergoes excessive tensile or compressive stress. Common causes include:

• A sudden increase in physical activity after a prolonged period of inactivity.
• Initiating a new sport or exercise routine.
• Repetitive stress from activities like running or jumping.
• Wearing improper footwear that doesn't provide adequate support.
• Poor biomechanics or muscle imbalances that increase tendon strain.

Symptoms to Watch For

Typical symptoms of Achilles tendinopathy include:

• Localised pain along the Achilles tendon.
• Thickening of the tendon.
• Morning pain and stiffness, especially after periods of rest.
• Pain that intensifies with walking, running, or jumping.

Diagnosis

A physiotherapist can diagnose Achilles tendinopathy through a comprehensive physical examination, assessing movement, pain levels, and functional limitations. While imaging techniques like ultrasound can aid in diagnosis, they are not always necessary.

Treatment and Management

Effective management strategies include:

• Activity Modification: Limit or avoid activities that exacerbate the pain.
• Pain Relief Measures: Apply ice packs to the affected area and consult a doctor for appropriate pain-relieving medication.
• Physiotherapy: Engage in manual therapy techniques provided by a physiotherapist to alleviate symptoms.
• Exercise Rehabilitation: Participate in a structured exercise program designed to gradually load the Achilles tendon, promoting recovery and strengthening surrounding muscles.

Take the Next Step

If you're experiencing persistent Achilles pain, don't ignore it. Our team at The Urban Physio is here to guide you through a personalised rehabilitation plan to help you return to your daily activities pain-free. Book an appointment with us today and take the first step toward recovery.