Achilles Tendinopathy

Achilles tendinopathy is a condition that affects the Achilles tendon, causing pain, swelling, and stiffness. It is often the result of overuse or sudden increases in physical activity.

Symptoms

• Pain and stiffness in the Achilles tendon, especially in the morning or after exercise.
• Swelling along the tendon.
• Tenderness when touching the affected area.

Causes

• Overuse from repetitive activities like running or jumping.
• Sudden increases in physical activity.
• Poor footwear or improper training techniques.
• Tight calf muscles or limited ankle flexibility.

Diagnosis

To diagnose Achilles tendinopathy, your doctor may:

• Take a medical history and perform a physical exam.
• Recommend imaging tests like ultrasound or MRI to assess the tendon.

Treatment

Non-Surgical Options

• Rest and avoid activities that worsen the pain.
• Apply ice to reduce swelling.
• Use anti-inflammatory medications as directed by your doctor.
• Physical therapy to strengthen the tendon and improve flexibility.
• Orthotics or heel lifts to reduce strain on the tendon.

Surgical Options

• Surgery may be considered if non-surgical treatments are not effective.
• The procedure involves removing damaged tissue and repairing the tendon.

Prevention

• Gradually increase physical activity levels.
• Wear proper footwear for your activities.
• Stretch and strengthen calf muscles regularly.
• Avoid sudden changes in training intensity.

When to See a Doctor

Consult a healthcare provider if you:

• Experience persistent pain or swelling in the Achilles tendon.
• Have difficulty walking or performing daily activities.
• Notice a sudden “pop” in the tendon, which may indicate a rupture.

Where to Get Help

• Your GP (doctor)
• Physiotherapist
• Sports medicine specialist

If you would like this information in an accessible format, please email: betterhealthchannel@dhhs.vic.gov.au