Healing Steps: A Definitive Guide to Overcoming Achilles Tendinopathy

Struggling with Achilles Tendinopathy (sometimes referred to as Achilles Tendonitis) can be a real pain – literally. From understanding the root causes to proven methods for managing and overcoming the pain, we’ll walk you through every step of the healing journey. 

UNDERSTANDING ACHILLES TENDINOPATHY

Achilles Tendinopathy is a relatively common soft tissue injury. There are 2 main types of Achilles tendinopathy: 

• • • • • Non-insertional Achilles tendinopathy – is the most common injury and causes pain a few centimetres above the heel bone (calcaneum). 
        • Insertional Achilles Tendinopathy – pain is localised where the tendon attaches to the heel. 

It is not fully understood why this injury occurs but it is believed that the Achilles tendon is unable to cope with the strain put on it by repeated jumping or running. The repeated stress causes small areas of damage which slow the normal ability of the tendon to heal resulting in pain and inflammation. 

SYMPTOMS AND DIAGNOSIS 

• • • • • Pain – mostly at the back of the heel, can be made worse by exercise or the pain can settle during exercise. 
        • Stiffness – many people complain of stiffness around the tendon when they get up in the morning.
        • Swelling – the Achilles tendon may become thickened. 
        • Warmth – the tendon could be warm to the touch. 

Diagnosis of Achilles tendinopathy can be made clinically based on your signs and symptoms. Ultrasound, however, can be used to show the size of the Achilles tendon and determine the extent of any damage or inflammation.