By Ruby Hong – Physiotherapist
What is it?
Achilles tendinopathy is a painful condition that affects the Achilles tendon, the thick band of tissue that connects the calf muscles to the heel bone. Pain typically occurs when the tendon has been exposed to overuse, repetitive stress, or a sudden increase in physical activity. Tendons typically respond well to gradual loading but can become reactive with drastic changes.
Other risk factors include:
- Age
- Overweight/Obesity
- Weak calf muscles
- Flat (pronated) feet
- Use of steroids
Common symptoms include pain, swelling, morning stiffness and thickening of the tendon. This can make daily activities such as walking, and running difficult.
How to manage Achilles Tendinopathy?
The management of achilles tendinopathy is a multifaceted approach with the goal of reducing pain, promoting healing and preventing future occurrences.
- Reduce load – It is best to reduce or modify activities that exacerbate your symptoms and give the achilles tendon time to heal.
- Tailored Exercise Program – In the acute stages, isometric calf exercises have been found useful in reducing pain and building tendon capacity. It is then recommended to gradually increase your exercise load and slowly return to your usual activities.
- Address biomechanical factors – Certain foot postures such as flat feet can contribute to the development of achilles tendinopathy. Some people may benefit from seeing a podiatrist for more detailed gait analysis and footwear recommendations.
- Shockwave Therapy – Some cases of achilles tendinopathy may benefit from shockwave therapy. Treatment will be aimed as reducing pain, improving blood flow to the affected tendon and stimulate the production of collagen, a crucial component of tendon structure.