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Achilles Tendinitis

Achilles tendinitis or tendinopathy is a common condition that affects the Achilles tendon, the large tendon that connects the calf muscles to the heel bone. This condition is often found in runners and athletes who engage in jumping sports, but it can also occur in individuals who are less active. Here’s a breakdown of what Achilles tendinitis or tendinopathy is, the symptoms patients may experience, and how physiotherapy can help.

About this condition

Achilles tendinitis refers to inflammation of the Achilles tendon, while tendinopathy is a broader term that includes both inflammation and micro-tears in the tendon due to overuse or degeneration. These conditions result from repetitive stress to the tendon, leading to pain, stiffness, and reduced function.

What you may be feeling

Pain and tenderness along the Achilles tendon, often worse in the morning or after periods of rest.
Stiffness that gradually diminishes with mild activity.
Swelling or thickening of the tendon.
Pain that worsens with increased activity or after exercising.
A feeling of sluggishness in the leg or difficulty in performing activities that involve pushing off or jumping.

How we can help you

Exercise Therapy

Eccentric strengthening exercises, which involve lengthening the calf muscles while under tension, are particularly effective for Achilles tendinopathy. These exercises help to stimulate healing within the tendon.

Manual Therapy

Techniques such as soft tissue massage, mobilisations, and stretches can help to improve flexibility and reduce pain.

Ultrasound or Shockwave Therapy

These modalities may be used to promote healing by increasing blood flow to the affected area and breaking down scar tissue.

Education on Load Management

Guidance on how to modify activities to avoid overloading the tendon while it is healing. This may involve adjusting exercise routines, changing footwear, or incorporating rest days.

Pain Management Techniques

Such as taping or the use of orthotic devices to support the tendon and alleviate stress.

Flexibility and Mobility Exercises

To improve the range of motion and reduce stiffness in the calf and surrounding muscles.

So, what next?

The goal of physiotherapy is not only to address the current symptoms but also to implement strategies that prevent future issues, such as improving biomechanics, footwear advice, and gradual return to full activity. A tailored rehabilitation program that progresses gradually and is adhered to consistently is essential for the best outcomes in the treatment of Achilles tendinitis or tendinopathy.

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