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Achilles Tendinopathy

Foot and heel being examined

What is Achilles Tendinopathy

Achilles tendinopathy refers to damage or inflammation in the Achilles tendon, which connects the calf muscles to the heel bone at the back of the ankle. This condition typically arises from overuse or injury to the tendon.

Symptoms of Achilles Tendinopathy

Common signs of Achilles tendinopathy include:
  • Pain in the Achilles tendon that worsens with physical activity
  • Difficulty moving the foot up and down
  • A grating sensation in the affected area
  • Swelling, redness, or warmth around the tendon
  • A visible lump on the tendon
The condition often results from repetitive strain, such as activities involving running or jumping. People with high or low arches in their feet may be more prone to Achilles tendinopathy due to additional stress on the tendon. It's also more common in those with conditions like ankylosing spondylitis, psoriatic arthritis, or reactive arthritis.

How to Treat Achilles Tendinopathy

Achilles tendinopathy can often be treated with self-care and does not always require medical intervention. Many people notice improvement by following these simple self-care steps:
  • Pain relief: Over-the-counter pain medications like paracetamol or topical pain-relieving gels can help reduce discomfort.
  • Avoid heat: In the early stages of the injury, avoid hot baths, heat packs, ibuprofen, or alcohol, as they can slow down the healing process.
A helpful approach for recovery is the RICE method (Rest, Ice, Compression, Elevation):
  • Rest: Avoid putting weight on the affected foot. Instead of strenuous activities, gently move the foot to prevent stiffness.
  • Ice: Apply an ice pack (or frozen vegetables wrapped in a cloth) for 20 minutes every 2-3 hours to reduce inflammation.
  • Compression: Wrap a bandage around the area to provide support, ensuring it's snug but not restrictive to blood flow.
  • Elevation: Keep your foot elevated to help reduce swelling.

Additionally, massaging the area gently can help reduce swelling and promote blood circulation.
Recovery time can vary from a few weeks to several months, depending on the severity of the tendinopathy.

When to See a Healthcare Provider

You should consult a doctor if:
  • You hear a popping or snapping sound at the onset of pain.
  • Severe pain persists after the first two days.
  • The pain doesn't improve within two weeks.
  • The pain recurs over a long period or is recurring in nature.
Following these steps can often help manage Achilles tendinopathy, but seeking professional care is important if symptoms don't improve or worsen over time.

Further information

Last updated07 Aug 2025