Achilles Tendon Pain

Achilles tendon pain is a common condition affecting the tendon at the back of the ankle, which connects the calf muscles to the heel bone. It plays a critical role in walking, running, jumping, and other activities that involve pushing off the foot. Pain or injury to the Achilles tendon can significantly limit mobility and sports performance.

Achilles Tendon Pain

Common Conditions We Treat

Achilles Tendinopathy

Degeneration or inflammation of the Achilles tendon, often due to overuse, repetitive strain, or biomechanical issues. It typically causes pain, swelling, and stiffness, especially during activity.

Partial or Complete Achilles Tendon Tear / Rupture

A sudden injury, often during sports or high-impact activity, can partially or completely tear the tendon. Symptoms include a sudden sharp pain, swelling, and difficulty walking or standing on tiptoe.

Insertional Achilles Tendinopathy

Pain at the point where the Achilles tendon attaches to the heel bone, often associated with bone spurs or repetitive stress.

Haglund’s Deformity

A bony enlargement at the back of the heel that can irritate the Achilles tendon, causing inflammation and pain.

Symptoms of Achilles Tendon Pain

  • Pain or tenderness along the back of the heel or tendon

  • Swelling or thickening of the tendon

  • Stiffness, especially in the morning or after rest

  • Difficulty walking, running, or standing on tiptoe

  • Audible “pop” in cases of tendon rupture

Diagnostic Assessment

  • Clinical examination to assess tendon integrity, swelling, and function

  • Diagnostic ultrasound scan to detect inflammation, tears, or degeneration

  • MRI in selected cases to evaluate severe or complex tendon injuries

Accurate diagnosis helps guide treatment and prevent chronic issues or ruptures.

Treatment Options for Achilles Tendon Pain

Conservative Management

  • Rest and activity modification

  • Ice or heat therapy as recommended

  • Anti-inflammatory medications (if appropriate)

Physiotherapy & Rehabilitation

  • Eccentric calf strengthening exercises

  • Stretching programs for calf and Achilles

  • Soft tissue mobilization and massage

  • Balance and proprioception training

  • Gradual return-to-activity protocols

Injection Therapy

  • Ultrasound-guided corticosteroid injections (with caution) for localized inflammation

  • Platelet-rich plasma (PRP) injections in selected chronic tendinopathy cases

Advanced Treatment

  • Shockwave therapy for chronic tendon degeneration

  • Surgery in severe cases, such as complete rupture or refractory tendinopathy

Why Early Treatment Matters

Early diagnosis and treatment of Achilles tendon pain prevent chronic tendon degeneration, rupture, and long-term functional limitations. Prompt intervention ensures pain relief, restores strength and mobility, and reduces the risk of recurrent injury.

Persistent Achilles tendon pain should be assessed by a qualified healthcare professional to develop a personalised treatment plan.