Achilles Tendinopathy: Signs, Diagnosis, and How Physiotherapy Can Help
What is Achilles Tendinopathy?
Achilles tendinopathy is a common overuse injury affecting the Achilles tendon, the thick band of tissue connecting your calf muscles to your heel bone. It often occurs in runners, athletes, and active individuals but can also affect less active people due to sudden increases in activity or poor biomechanics.
Common Signs & Symptoms
Pain & stiffness along the Achilles tendon, especially in the morning or after rest
Swelling or thickening of the tendon (not always present)
Pain with activity (running, jumping, walking) that may ease with movement but worsen afterward
Tenderness when touching the tendon
Weakness in the calf muscles
Diagnostic Factors
A physiotherapist can diagnose Achilles tendinopathy through:
Subjective history (activity levels, onset of pain)
Physical examination (palpation, range of motion, strength tests)
Functional tests (single-leg heel raises, hopping tests)
Imaging (if needed, ultrasound or MRI can confirm long-term tendon changes)
Prognosis
With proper management, most cases improve within 3–6 months. Early intervention leads to better outcomes, while chronic cases may take longer. Compliance with rehab exercises is key!
How Physiotherapy Helps
Education & Activity Modification – Guidance on load management and gradual return to activity.
Eccentric Strengthening – Proven exercises (e.g., heel drops) to improve tendon resilience.
Manual Therapy – Soft tissue release, mobilizations, and dry needling if appropriate.
Biomechanical Assessment – Addressing foot posture, calf tightness, or gait issues.
Shockwave Therapy or Laser – For persistent cases, adjunct therapies may help.
Return-to-Sport Planning – Progressive loading to prevent re-injury.
If you’re struggling with Achilles pain, early rehab is crucial! Visit Tempo Physiotherapy in Kamloops for a personalized treatment plan.