Achilles tendinopathy (previously known as, Achilles tendinitis) is a painful overuse injury of the Achilles tendon.
 

What is it?
Characterised by pain in your Achilles tendon – between your calf and your heel, a tendinopathy is simply a pathology that affects a tendon. Previously we referred to this injury as a tendinitis, however inflammation doesn’t explain the changes that occur in the tendon as a result of an overuse injury. Inflammation may be present in some people with Achilles tendinopathy. Instead, it’s more to do with how some intrinsic qualities of the tendon have changed in response a period of overload.  

Why does this occur?
Achilles tendinopathy typically presents itself after a period of acute overload. Something like increasing your running frequency or duration, or reducing your rest days. Or something like starting a running or jumping sport for the first time, or returning to running after a long period reduced activity levels.  
Some people are more at risk of developing tendon issues such as those with systemic diseases like inflammatory arthritis, people with diabetes, and people going through menopause.  

Diagnosis 
Achilles tendinopathy can be diagnosed when someone presents with a combination of localized pain at the Achilles, swelling of the Achilles tendon, and a loss of function. People with Achilles tendinopathy often present with pain or stiffness first thing in the morning, or after periods of prolonged sitting. There is usually pain with activity – such as running or jumping. Often there is also a “warm up” period, where the pain improves as you run.  

I’ve been diagnosed with Achilles tendinopathy what can I do? 
We generally split the treatment into four phases. First we calm things down! Strategies to help with the pain include medication, massage, heat or ice and reducing the loads going through your Achilles tendon. Recovery and rebuilding then involve progressively loading the Achilles and strengthening your calf muscles. Calf raises are always a great starting point! Finally a return to sport or higher levels of activities, this is typically would involve exercise specific to your activity of choice. 

Unfortunately recovery from Achilles tendinopathy can be frustrating and take a long time. For most people recovery can take anywhere from 3 to 12 months.

If you have Achilles pain or think you might have an Achilles tendinopathy and are struggling with your pain, make an appointment with one of our dedicated physiotherapist to have your pain assessed and treated by calling (07) 3211 8775 or click here to book online.