SportsMed Podiatry | Achilles Tendinopathy

Achilles Tendinopathy

Achilles tendinopathy is a condition that causes pain, swelling and stiffness of the tendon that joins the calf muscle to the back of the heel bone.  Acute (short term) tendinopathy shows changes in the cells and in more chronic (long term) presentations there is changes in the collagen and the cells.


Some of the causes of Achilles Tendinopathy include:

  • Tight calf muscles
  • Tight ankle joints
  • Weak calf muscles
  • Poor lower biomechanics
  • Poor foot biomechanics i.e. excessive pronation
  • Genetics
  • Obesity
  • Many years of running
  • Overuse or building up activity too quickly


Common treatments for Achilles Tendinopathy include:

  • Soft tissue release calf and achilles using physical therapy
  • Dry needling calf and Achilles
  • Strengthening exercises – specifically eccentric and isometric loading
  • Addressing other lower limb muscle and joint restrictions to allow correct biomechanics
  • Correcting running technique
  • Correcting footwear
  • Heel raises into footwear
  • Foot Orthoses if faulty foot mechanics
  • Shockwave Therapy
  • Prolotherapy
  • Platelet-Rich-Plasma Injections


Plantar Fasciitis Treatment Flowchart