What is Achilles tendinopathy?

Achilles tendon is the tendon that attaches from calf muscles to the heel bone. When there is sudden increase in intensity of physical training or excessive training load on the calf muscles, the tendon cannot adapt to the increased demand, leading to micro-tears and degeneration of the tendon, which may lead to Achilles tendinopathy.

What does it feel like?

You might experience pain, swelling and stiffness around the back of the heel where the tendon is. Pain is often worse when walking up hill or squatting.

What can you do?

Allow yourself a period of rest from physical activity that triggers or aggravates the pain. Apply ice or cold therapy in the early stages, particularly when it is very painful. Cold therapy reduces pain and inflammation. Stretch the muscles of the lower leg. Wear good quality supportive shoes appropriate for your sport.

What can we do to help you?

The aim of the treatment is to reduce strain on the tendon. A sports physiotherapist or podiatrist can identify reasons of strain by conducting biomechanical examinations and also prescribing specific exercises to strengthen and stretch the calf and other leg muscles to prevent recurrence of the pain.

Podiatrist may prescribe or recommend foot orthotics in certain cases.

In recalcitrant cases, other treatment modalities like Extracorporeal Shock Wave Therapy (ESWT) and Autologous Conditioned Plasma (ACP) injection might be offered by your doctor.