Condition Guide
Achilles Tendinopathy
Achilles tendinopathy can cause pain, stiffness or swelling around the Achilles tendon, often during walking, running or jumping. Physiotherapy can help guide tendon loading and a gradual return to activity.
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Condition Guide
Achilles tendinopathy can cause pain, stiffness or swelling around the Achilles tendon, often during walking, running or jumping. Physiotherapy can help guide tendon loading and a gradual return to activity.
Overview
Achilles tendinopathy describes pain and sensitivity in the Achilles tendon.
It may be felt in the middle of the tendon or near the heel attachment.
Symptoms often relate to changes in running, walking, footwear, hills, jumping or calf strength.
Several factors may contribute, and the most relevant factors vary between people.
Seek prompt medical assessment if symptoms are associated with:
These symptoms do not automatically mean that a serious condition is present, but they should be assessed promptly by an appropriate medical professional.
Treatment is individualised and may include:
Achilles tendinopathy usually needs progressive loading over time. Symptoms may fluctuate, and returning to running or sport too quickly can delay progress.
Aggressive stretching may irritate some presentations. Exercises should match the tendon stage.
Running may need to be reduced or modified before being rebuilt.
A sudden snap or inability to push off needs urgent assessment.
Physiotherapy may help guide load and strength progression.
Yes.
Achilles tendinopathy management commonly focuses on education, load modification and progressive strengthening rather than complete rest.
Treatment recommendations should combine current evidence, clinical expertise and your individual assessment.
Tendons like load, but they need the right dose. Too much and too little can both be unhelpful.
Watch the next-morning response after activity. It often tells us whether the tendon tolerated the load.
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Exercises should be selected according to the individual assessment. Exercise links remain marked as Resource in development until approved by Marna Webb.
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Contact Marna Webb Physiotherapy for an individual assessment and treatment plan.