Achilles Tendinopathy

What is it?

The Achilles tendon is the largest tendon in the human body. Tendinopathy occurs where the tendon of the lower leg muscles attaches into the bone of the heel. Due to acute trauma/overload, incorrect footwear, muscle overuse and poor ankle flexibility, this tendon develops micro tears, which over time can lead to structural changes in the tendon in which the fibres become disorganised and chemicals build up in the region.

Common signs and symptoms

Pain/stiffness in the Achilles tendon, particularly in the morning
Decreased strength and flexibility through the ankle/foot
Possible swelling/lump of the tendon near it’s attachment in the heel
Tightness through the lower leg muscles (Gastrocnemius & Soleus)

How can our Practitioners help?

Reduce muscle spasms/guarding
Improving mobility of the ankle/foot
Heat/ice therapy
Dry needling
Advice on appropriate footwear
Custom made orthotics if required
Clinical Pilates
Exercises & rehabilitation to prevent potential rupture of the tendon

How long will it take to get better?

With appropriate management and hands on treatment, most minor Achilles tendinopathies drastically improve within 8-10 weeks, however healing can be prolonged due to a number of factors including the current stage of tendinopathy being experienced, lack of rest, illness, physical activity and overall health. Without adequate treatment and compliance to rest and exercises, Achilles tendinopathies may become chronic and lead to degeneration and arthritis in the future.

Tendinopathy

When a healthy tendon is under load micro tearing occurs which promotes regeneration, healing and subse quent strengthening. However, when a load is excessing, repetitive, or you sustain an injury, the tendon will go into disrepair. This changes the structure of the tendon, it becomes frayed and weak. You also get increased protein and chemicals in the region. It is this process that leads to pain, weakness and reduced range of motion in the effected muscle and joint. If this process continues the tendon will continue to degenerate and tendon rupture can occur.