Condition guide

Achilles Tendinopathy - Overview

Degeneration or irritation of the Achilles tendon due to overuse or improper loading.

Illustration of a patient speaking with a clinician by video

Symptoms

  • Pain along the back of the heel
  • Stiffness in the tendon
  • Swelling or thickening
  • Tenderness with activity

Causes & Risk Factors

  • Sudden increase in physical activity
  • Tight calf muscles
  • Poor footwear
  • Flat feet or overpronation

Diagnosis

  • Clinical palpation of the Achilles tendon
  • Ultrasound or MRI to assess tendon structure
  • Functional movement assessment

Effective Treatment Options

  • Eccentric loading exercises
  • Heel lifts and footwear modification
  • Manual therapy
  • Shockwave therapy if chronic

Frequently Asked Questions

Can I run with Achilles tendinopathy?

Only if pain-free; otherwise reduce impact activities and follow rehab.

How long does it take to heal?

Recovery may take 6-12 weeks or longer for chronic cases.

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