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What's Achilles Tendonitis?

Updated: Nov 13, 2022

The Achilles tendon is the band of tissue that connects calf muscles at the back of the lower leg to your heel bone. The Achilles tendon facilitates walking by raising the heel off the ground.


Achilles tendonitis is an overuse injury causing inflammation of the Achilles tendon. If the inflammation does not resolve the condition may progress to degeneration of the tendon known as Achilles tendinosis. The tendon loses its fibular structure and may develop microscopic tears. In some patients the degeneration involves the insertion of the Achilles tendon which can result in calcification formation. In rare cases, chronic degeneration with or without pain may result in rupture of the tendon.



Why does Achilles Tendonitis occur? Achilles tendonitis and tendinosis are usually caused by a sudden increase of exercise and or repetitive activities. This puts too much stress and strain on the tendon too quickly, this leads to micro tears of the tendon fibres. If this change in lifestyle is ongoing the stress on the tendon can prevent the body from repairing the injured tissue. The structure of the tendon is then damaged, resulting in continued pain.



Achilles tendonitis typically begins as a mild ache in the back of the leg or at the back of the heel, especially after running or other sports activity. You may experience tenderness or stiffness, especially in the morning, which usually improves with mild activity.




How do you diagnose Achilles Tendonitis?

Firstly, we assess the signs and symptoms. An X-ray, Musculoskeletal (MSK) Ultrasound, and in some cases an MRI would be required to confirm condition. Our specialists provide a fast diagnosis and easy access to appointments.



Recommended treatments for Achilles Tendonitis

  • Extracorporeal shockwave therapy (non-invasive and preferred method of treatment)

  • Steroid injections

  • Medication

  • Orthotics

  • Physiotherapy


GET STARTED ON THE PATH TO HEALTH. CALL NOW TO BOOK AN APPOINTENT ON 01603 975170

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