Achilles Tendinopathy
Pain at the back of the heel or lower calf can make walking, exercise, and daily movement uncomfortable. Achilles tendinopathy often develops gradually and can become stubborn if the tendon continues to be overloaded. Early assessment helps identify the cause and start the right treatment.
What Is Achilles Tendinopathy?
The Achilles tendon connects the calf muscles to the heel and plays a major role in walking, running, and pushing off the foot. When the tendon becomes irritated or overloaded, pain, stiffness, and reduced performance can follow. Symptoms are often worse first thing in the morning, after rest, or after activity.
Achilles pain is common in runners, active adults, and people who have increased activity, changed footwear, or developed altered foot mechanics. At our clinics, we assess not just where it hurts, but why it is happening — helping us recommend treatment that is more targeted and more likely to reduce recurrence.
Treatment may include assessment of tendon loading, calf strength, ankle movement, walking pattern, and footwear. Depending on the findings, management may include rehabilitation advice, load modification, shockwave therapy where appropriate, gait assessment, and orthotic support.
Common signs of Achilles tendinopathy
- Pain and stiffness at the back of the heel, especially first thing in the morning
- Pain that eases after warming up but returns after activity
- Tenderness when pressing on the tendon
- Swelling or thickening around the tendon
- Reduced performance or pain during running or sport
Assessment & Treatment Options
Treatment is guided by assessment of the tendon, loading history, calf strength, ankle movement and gait. Most cases respond well to structured load management — persistent cases often benefit from shockwave therapy.
Frequently Asked Questions
What is Achilles tendinopathy?
It is irritation or overload of the Achilles tendon, usually causing pain and stiffness at the back of the heel or ankle. It is different from a tendon tear and is usually manageable with the right treatment plan.
Should I stop exercising?
Not always. In many cases activity can be modified rather than stopped completely, depending on severity. We will advise on appropriate load management as part of your assessment.
Can footwear affect Achilles pain?
Yes. Certain shoes can increase or reduce strain on the tendon depending on heel height, support, and fit. Footwear advice is usually part of the management plan.
How long does Achilles tendinopathy take to resolve?
It varies. Some cases improve within a few weeks with the right treatment; others, particularly long-standing or chronic problems, may take longer. Shockwave therapy can be helpful in more persistent cases.
Not Sure What Is Causing Your Pain?
Book an assessment with our HCPC-registered podiatrists and we will identify the cause and recommend the right treatment plan. No GP referral needed.
No GP referral needed · HCPC registered podiatrists · 4 Yorkshire clinics