Signs of Achilles tendinopathy
- Pain and stiffness at the back of the heel or a few centimetres above it.
- Stiffness on first steps in the morning that eases as you warm up.
- Pain that returns after activity, or on hills and stairs.
- A thickened or tender area along the tendon.
A sudden sharp pain, a popping sensation or feeling as if you have been kicked in the back of the leg can mean a rupture. Seek urgent medical help.
Why the tendon gets overloaded
Achilles problems often follow a change in load: more running, more hills, new shoes or a return to sport. Underneath, we often find a stiff ankle, calf tension, or a foot and leg that roll and rotate in a way that pulls on the tendon with every step. Old ankle injuries are a frequent part of the story.
How we help
- Assessment of the ankle, calf, foot posture and how you walk or run.
- Gentle mobilisation and fascial release to restore movement.
- Advice on load: what to keep doing, what to reduce and how to build back up.
- A strengthening plan, with support from our biokineticist where it helps.
- Footwear advice and, when the foot is ready, orthotics if they will help.
Common questions
Should I stretch my Achilles?
Not always. Aggressive stretching can irritate some tendons. Loading the tendon gradually is usually more helpful. We will guide you.
Can I keep running?
Often you can keep some running while the tendon settles, at a level it tolerates. We will help you find that level.