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Achilles Tendinopathy

Achilles tendinopathy is a condition that causes pain, stiffness, and dysfunction in the Achilles tendon, which connects the calf muscles to the heel bone. It typically develops due to overuse, repetitive strain, or a sudden increase in activity levels, leading to irritation and small degenerative changes in the tendon. Symptoms are usually felt as pain and stiffness at the back of the heel or lower calf, particularly in the morning or after periods of rest. The discomfort often eases with movement but can worsen with continued activity. 

This condition can affect various daily and sporting activities, particularly those involving walking, running, or jumping. Athletes, especially runners, may notice discomfort when increasing their training intensity, running uphill, or wearing unsupportive footwear. Everyday tasks such as climbing stairs, standing for long periods, or even taking the first few steps after sitting down can become painful. If left untreated, symptoms can progress, impacting mobility and overall quality of life. 
 

If achilles tendinopathy is limiting your activities, specialist physiotherapy can help by accurately diagnosing the condition, providing a structured rehabilitation plan, and guiding you through a safe and effective recovery.
Find Out How We Can Help you Manage Achilles Tendinopathy

How Solent Specialist Physiotherapy Can Help Manage Achilles Tendinopathy

 

Effective management of achilles tendinopathy starts with a strong and accurate diagnosis. Our specialist physiotherapists will take the time to understand your symptoms, assess your movement, and identify the underlying causes of your tendon pain. If necessary, we can refer you for imaging, such as an ultrasound or MRI, to rule out other conditions and guide treatment. 

Rehabilitation is key to recovery, and our approach is evidence-based and structured, your personalised treatment plan may include: 
 

1.Activity modification – Adjusting your current activity levels to avoid aggravating symptoms while maintaining movement. Learning about compression and how this can play a huge role in symptoms management.


2.Strengthening exercises – Our evidence-based structured rehabilitation approach focuses on gradually strengthening the tendon while carefully monitoring your symptoms to prevent flare-ups. Often starting with isometric exercises to manage pain, progressing to heavy slow resistance training to build tendon strength. 

 

3.Plyometric and sport-specific drills – As you improve, we incorporate plyometric exercises such as hopping and jumping to restore the tendon’s ability to handle high loads—essential for rebuilding tendon resilience and for a safe return to high impact activities. Throughout rehab, we closely monitor load response, ensuring a safe and effective progression back to your normal activities.

 

4.Gait and movement analysis – Identifying biomechanical factors that may contribute to the condition. 

 

5.Education and self-management strategies – Helping you understand tendon loading principles, so you can manage your recovery confidently. 



Achilles tendinopathy does not have to be a long-term issue—with the right treatment, you can get back to the activities you love. Whether you’re a runner, an athlete, or simply want to walk pain-free, our specialist physiotherapists will guide you through every stage of your recovery.