Achilles Tendon Pain
Achilles tendon pain is common in runners and active people, and it can also affect people who are on their feet all day. At Sports and Structural Podiatry in Maroochydore, we assess what is overloading the tendon and build a plan with you to get back to the activity you enjoy.
What it is
What is Achilles tendon pain?
The Achilles tendon connects the calf muscles to the heel bone. Pain can be felt anywhere from where it attaches to the heel up to where it joins the calf. The term tendinopathy is now used because the problem may or may not involve inflammation.
Mid-portion pain
Pain and sometimes thickening a few centimetres above the heel. This is common in runners.
Insertional pain
Pain where the tendon attaches to the back of the heel, often aggravated by uphill walking or the back of a shoe.
Typical pattern
Stiffness first thing in the morning or at the start of a run, easing as you warm up, then returning afterwards or the next day.
Why it happens
What makes Achilles pain more likely
- Increasing running distance, speed or hill work too quickly
- Returning to sport after a break at the level you stopped at
- Changing to a lower or different style of shoe
- Reduced calf strength
- The way your feet and legs move and take load
Like most tendon problems, Achilles pain usually builds up when the tendon is loaded faster than it can adapt.
Your first visit
What happens at your Achilles assessment
Every treatment plan starts with listening. Your first appointment usually covers four things.
01
Your history
When it started, your training and activity, previous injuries and any events you are working towards.
02
Examination
We find where the pain is coming from and check the tendon, calf and ankle.
03
Strength and movement
We look at calf strength and how your feet and legs move when you walk and, where relevant, when you run.
04
A clear plan
We explain what we found and agree a plan with you, including how much activity you can keep doing while you recover.
Treatment
Achilles tendon pain treatment options
Depending on what your assessment shows, your plan may include:
Progressive loading program
Tendons respond to the right amount of load. Calf and tendon exercises are progressed over weeks as the tendon adapts.
Training load advice
Practical changes to how far, how often and how hard you train while the tendon settles.
Footwear advice
Guidance on shoes for training and daily wear, including heel height and the fit around the back of the heel.
Heel raises and padding
Used in the short term to reduce load on the tendon while your strength program builds.
Foot mobilisation therapy (FMT)
A hands-on therapy where gentle, precise pressure is used to move the joints of the foot and reduce joint restriction.
MLS laser therapy
A non-invasive treatment using light energy, used alongside other care where it is suitable for you. Results vary from person to person.
Return to sport plan
A gradual, staged return to running and sport, with clear steps so you know when it is safe to do more.
Tendons usually take several weeks to months to settle, and the plan is adjusted as you progress. Your podiatrist will talk you through the options, expected benefits and any risks before you decide.
Who you will see
Experienced in sports podiatry
Alana Underwood is the principal podiatrist at Sports and Structural Podiatry. She holds a Bachelor of Health Science (Podiatry) and a Master of Sports Medicine (Honours), and has a special interest in sports podiatry and biomechanics.
When to book
Book in if Achilles pain has lasted more than a couple of weeks, is getting worse, or is stopping you from training.
If you felt a sudden snap or a sharp pain at the back of the ankle, as if you had been kicked, and now have trouble walking or pushing off, seek medical care the same day.
FAQs
Frequently asked questions
Should I stop running completely?
Not always. Many people can keep some running or other exercise at a level the tendon tolerates. We will talk through what is safe for you.
Should I stretch my Achilles?
It depends on where the pain is. Stretching can aggravate pain where the tendon attaches to the heel, so it is worth having it assessed first.
Do I need a scan?
Not always. Many Achilles problems can be assessed from your history and an examination. If imaging is needed, we will explain why and arrange a referral.
Do I need a referral?
No. You can book directly with us. If your GP has referred you, please bring the referral to your appointment.
Can I claim on my health fund?
If your private health insurance includes extras cover for podiatry, you may be able to claim part of the cost. Check with your fund for your level of cover.
Book an assessment
Shop 202, Building 2, Ground Floor, 2 Emporio Place, Maroochydore QLD 4558
Book an AppointmentCall (07) 5479 1211