Expert Physiotherapy Care for Achilles Tendinopathy
Don't let Achilles tendon pain hold you back. Our specific Achilles tendinopathy physiotherapy treatment can help you:
- Regain strength and flexibility
- Return to sports and daily activities
- Prevent re-injury
Our evidence-based treatment includes:
✓ Customised exercise programs
✓ Hands-on manual therapy
✓ Access to shockwave therapy
Book your assessment today and take the first step towards recovery. Our experienced physiotherapists will create a personalised treatment plan to get you back to doing what you love.
Book Achilles Tendinopathy Physiotherapy Now
Call 03 9498 0205 To Book
What is Achilles Tendinopathy
The Achilles tendon is the longest tendon in the body, connecting the heel bone to the calf muscles. Its role is to absorb and transfer high energy loads in a stretch shortening cycle from the ankle into the calf.
Think of the Achilles like a spring, storing energy and then releasing it whilst we walk and run!
Achilles tendinopathy is a condition where pain and stiffness is experienced at the site of the Achilles tendon.
Types of Achilles Tendinopathy
There are two main types of Achilles tendinopathy.
- Tendinopathy in the middle of the Achilles tendon is called mid-portion Achilles tendinopathy.
- The other type is insertional tendinopathy, which occurs when the Achilles tendon inserts into the ankle bone (calcaneus).
Both types of Achilles Tendinopathy can benefit from sports physiotherapy to aid in recovery and improve function.
Risk factors for Achilles tendinopathy
-
Age: >30 years
-
Gender: Men > Women
-
Obesity
-
High blood pressure
-
Rapid change in load and exercise levels
-
Type II diabetes
-
Prolonged steroid use
-
Family history of tendinopathy
Achilles Tendinopathy Symptoms
Symptoms can slowly build up or occur suddenly. They can range from a minor inconvenience to extreme pain and last from days to years. Again, they can vary from being mildly disabling to significantly impacting somebody's life. Effective Achilles tendinopathy physiotherapy is essential in addressing these varying symptoms and helping individuals regain function and comfort.
Additionally, the time that someone has been dealing with Achilles tendinopathy usually reflects how long it will take to heal; someone who has been experiencing pain for a short time will usually recover more quickly than someone who has been experiencing symptoms for longer. Effective physiotherapy management of Achilles tendinopathy can significantly impact recovery times and overall outcomes.
Interestingly, some patients present with very tender pain when touching the tendon and loss of function, whereas others experience a loss of function without any actual pain when touching.
This can be very confusing for patients. However, a good therapist will use all their diagnostic tests to give you a firm diagnosis and prognosis while ruling out other possible causes of your heel pain, including the lower back.
Book Achilles Tendinopathy Physiotherapy Now
Call 03 9498 0205 To Book
Treatment of Achilles Tendinopathy at Melbourne Sports Physiotherapy
Achilles tendinopathy physiotherapy treatment usually includes exercise, soft tissue work, biomechanical correction, and advice on loading programs and return to sport. The site of tendinopathy often dictates treatment for Achilles tendonitis; therefore, it is essential to review with your physiotherapist to ensure that the Achilles tendinopathy physiotherapy program is tailored to you.
Be mindful of the advice or information you receive, as there are many Achilles Tendon Myths.
Take the First Step Towards Recovery!
If you're experiencing symptoms of Achilles tendinopathy, don't wait for the pain to worsen. Contact us today to schedule a comprehensive assessment and start your personalised treatment plan. Get back to the activities you love!
Ready to Overcome Achilles Tendon Pain?
Don’t let Achilles tendinopathy hold you back! Book your appointment now and discover effective treatment options tailored to your needs. Our expert physiotherapists are here to help you regain strength and mobility. Start your journey to pain-free movement today!
Book Achilles Tendinopathy Physiotherapy Now
Call 03 9498 0205 To Book
FAQ's
What is Achilles tendinopathy, and how does it differ from other tendon injuries?
Achilles tendinopathy is a condition in which the Achilles tendon experiences pain and stiffness, often due to overuse. It differs from other tendon injuries by explicitly affecting the tendon that connects the calf muscles to the heel, which is critical for movement, load-bearing, and load tolerance. Tools like a heel wedge can assist in relieving stress on the tendon, making it easier to manage symptoms and support recovery. Achilles tendinopathy physiotherapy is crucial in rehabilitation, focusing on exercises and techniques that promote healing and restore function.
What are common symptoms of Achilles tendinopathy?
People usually report gradually increasing symptoms, leading to increased pain and stiffness in the Achilles, particularly in the morning, which can be effectively addressed through physiotherapy management of Achilles tendinopathy.
The pain usually settles during training or activity, only to return while resting afterward or, most commonly, the following day.
This increase in symptoms usually coincides with an increase in training load, which can be caused by either increasing the amount of work done by an individual or altering factors such as surface or shoe wear to increase the relative load on the body. Changes in tendon thickness may also contribute to these symptoms, as a thicker tendon can indicate adaptations to increased stress. Effective Achilles tendinopathy physiotherapy involves implementing specific physiotherapy exercises for achilles tendinopathy to help manage these symptoms and improve overall tendon function. Developing an effective treatment algorithm can help address these symptoms by considering each individual's unique risk factors and tailoring the approach to their needs.
How is Achilles tendinopathy diagnosed?
A physiotherapist diagnoses Achilles tendinopathy by assessing symptoms, performing a physical examination, and ruling out other possible causes of heel pain through diagnostic tests. Treatment may include options like low-level laser therapy to reduce pain and inflammation and using a heel raise to alleviate strain on the tendon and promote healing. Physiotherapy management of Achilles tendinopathy is essential for developing a tailored rehabilitation program that addresses individual needs and enhances recovery outcomes.
Who is most at risk for Achilles tendinopathy?
Individuals over 30, men, people with a family history of tendinopathy, those with obesity or high blood pressure, and those experiencing rapid changes in exercise levels or load are at higher risk. External factors, such as improper footwear or training surfaces, can also contribute, and performing single-leg exercises may help assess and improve tendon strength and stability.
What exercises are used for treating Achilles tendinopathy?
Your Achilles tendinopathy physiotherapy will identify your injury phase and recommend appropriate rehabilitative exercises. When performing exercises, it is essential to feel a heavy load within the tendon and allow adequate time between sessions to recover.
When managing your load, you should be guided by how your tendon responds immediately and 24 hours after exercise. Achilles tendons can have a latent response to load, meaning they can take a while to respond to the exercise you did yesterday.
The traffic light system is a perfect tool for athletes to determine how much training is too much. Red indicates that you must reduce your training load. Amber suggests the current exercise level. Green indicates that it is safe to increase your load. Incorporating Achilles tendinopathy physiotherapy can help athletes effectively manage their training loads and prevent injury.
Treatment typically includes specific exercises, soft tissue work, biomechanical correction, load management strategies, and sometimes extracorporeal shock wave therapy for chronic cases. Achilles tendinopathy physiotherapy is vital in addressing contributing factors, such as muscle imbalances or improper footwear, which are essential for recovery. Techniques like dry needling may relieve pain and improve tissue healing in affected areas.
How long does recovery from Achilles tendinopathy typically take?
Recovery time varies depending on the severity of the symptoms. Recent symptoms may generally recover faster, while chronic cases might take several weeks or months to heal fully. An individualised exercise program, often tailored to manage body weight and gradually increase tendon strength, can support a more effective and sustainable recovery process.
Is rest recommended for Achilles tendinopathy?
Initially, resting, using ice packs, and pain relief will reduce the Achilles tendon’s pain, swelling, and stiffness. A healthcare professional may also conduct an assessment to diagnose Achilles tendinopathy and determine the most effective treatment plan."
Resting your Achilles will often temporarily relieve pain; however, as soon as you return to running or sports, the pain frequently returns. The Achilles tendon cannot take on the extra load, so it becomes painful again. Complete rest can worsen the problem, so Achilles tendinopathy physiotherapy is crucial for adequate recovery. Instead, a structured physiotherapy program with isotonic loading exercises is recommended to manage pain and improve function. This approach helps build calf capacity, allowing the muscles and tendons to better handle physical demands over time.
What is the “traffic light” system for managing training load with Achilles tendinopathy?
The traffic light system is a guide to help athletes adjust their training load: Red indicates reducing load, amber maintains the current load, and green allows for increased load. Incorporating physiotherapy exercises for Achilles tendinopathy into this system can help athletes manage their training effectively and ensure a safe progression as they recover.
Is shock wave therapy effective for Achilles tendinopathy?
Shock wave therapy can benefit chronic Achilles tendinopathy, mainly if other treatments have not provided relief. It’s often used for persistent pain and morning stiffness, helping to promote healing while allowing for acceptable pain levels during recovery. Additionally, addressing foot posture during treatment can enhance overall outcomes and reduce stress on the Achilles tendon
However, a robust and detailed Achilles tendinopathy physiotherapy rehab program is often prescribed for an excellent long-term prognosis. That means you can fix your problem with the right help!
At Melbourne Sports Physiotherapy, our physiotherapists can help identify which activities have caused your Achilles tendon pain and devise a treatment program to decrease pain and return you to the activities you enjoy pain-free.
If you suspect you have an Achilles tendinopathy physiotherapy or have been told you have an Achilles tendinitis/tendinosis, make the intelligent decision and book in for an assessment to delve into your symptoms and get a solution to your Achilles problems.
Can Achilles tendinopathy be fully cured?
With appropriate physiotherapy and adherence to treatment plans, many individuals experience significant improvement and return to pain-free activity. Pain medication may be used with therapy to manage discomfort, but focusing on rehabilitation strategies for the affected tendon is essential. Tendons require gradual adaptation, so commitment to the program is crucial for long-term recovery.
How can I prevent Achilles tendinopathy from recurring?
Preventative measures include gradually increasing activity levels, maintaining proper biomechanics, using appropriate footwear, and following a regular strength and flexibility routine for the calf and Achilles areas. Additionally, monitoring body mass index (BMI) can play a role in tendon healing, as maintaining a healthy weight helps reduce stress on the Achilles tendon and supports overall musculoskeletal health.
What is the process for diagnosing Achilles tendinopathy?
Achilles tendinopathy diagnosis typically involves a thorough assessment by a physiotherapist, including a review of clinical presentation, physical examination, and possibly imaging techniques to rule out other conditions. They may also consider risk factors such as age, gender, and previous injuries during the evaluation. Following the diagnosis, Achilles tendinopathy physiotherapy plays a critical role in developing an effective treatment plan to promote healing and restore function.
What role does ankle dorsiflexion play in Achilles tendinopathy?
Ankle dorsiflexion is essential in maintaining proper biomechanics during physical activities. Limited ankle dorsiflexion can increase stress on the Achilles tendon, leading to increased Achilles load and a higher risk of injury. Addressing any restrictions in this range of motion is vital in treatment plans.
How can heel wedges be beneficial in treatment?
Heel wedges can help improve foot posture and ankle dorsiflexion, reducing strain on the Achilles tendon during activities. They may be used as part of a comprehensive treatment strategy, including Achilles tendinopathy physiotherapy, to manage symptoms and enhance functional outcomes in patients with Achilles tendinopathy. This approach aims to promote healing and restore mobility while addressing underlying biomechanical issues.
What is the tendon continuum concept of Achilles tendinopathy?
The tendon continuum concept describes the progression of tendon injuries, from healthy tendons through various stages of degeneration to complete rupture. Understanding this continuum helps clinicians tailor interventions based on the stage of tendon healing and the symptoms presented.
What are the implications of conflicting evidence in Achilles tendinopathy treatments?
Current evidence regarding treatment efficacy highlights the need for individualised approaches in managing Achilles tendinopathy. Therapists must assess each case, considering factors like the patient's history, differential diagnosis, and response to previous treatments to find the most effective strategies.
How does a sports assessment of the Achilles differ from a general assessment?
A sport assessment of the Achilles focuses on the specific demands of the athlete's sport, evaluating biomechanics, tendon load, and overall functional performance. This tailored approach helps identify any risk factors or deficits that may contribute to the development or exacerbation of Achilles tendinopathy. Incorporating Achilles tendinopathy physiotherapy into this assessment can enhance recovery strategies and improve overall athletic performance by addressing individual needs and promoting safe return-to-play protocols.