Achillies Tendinopathy

There is often confusion between tendinitis, tendinosis and tendinopathy. Let us simplify the terms and make it easier to understand.

Tendonitis (or tendinitis)actually means "inflammation of the tendon," but inflammation is rarely the cause of your tendon pain.

Tendinosis refers to tiny tears in the tissue in and around the tendon.

Tendinopathy describes an injurycharacterized by degeneration or failed healing of a tendon, due to overuse without appropriate recovery.

What causes achillies tendinopathy?

Achillies tendinopathy usually occurs due to increased training volume or intensity (load).It is common especially to recreational runners, and any activity which involves repetitive action.

Common symptoms:

  • Symptoms located posterior to the heel and proximal to calf
  • Gradual development of symptoms
  • Increased pain and stiffness the next morning after increasing activity level
  • Pain diminishes with walking or applying heat(eg: hot showers)
  • Pain diminishes during training and will reappear several hours after
  • The achillies tendon becomes tender, red, warm, or a swollen lump may be present if there is inflammation

What can you do to help?

Here are our tips and helpful management solutions:

  • Massage, foam rollingand stretching
  • Orthotic treatment(change of shoe, correction of malalignment)
  • Soft tissue mobilisation
  • Exercise forstrengthening and increase loading tolerances
  • Load modification