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Achilles Tendonitis (Foot/Ankle) treatment guide

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Guide Overview

A brief summary of what you'll find inside our treatment guide.


Achilles tendonitis is a chronic condition, which means that it often develops over a long period. Achilles Tendonitis causes pain at the back of the heel at the point where the calf muscle inserts onto the heel bone.

Despite being associated with sport, any activities which involve repeated contraction of the calf muscles can result in developing Achilles Tendonitis.

Causes (Aetiology)

Achilles tendonitis is caused by a combination of shortened calf muscles and overuse. Exercise or repetitive contraction of the calf muscle then causes the tendon and heel bone to become irritated, painful and sore.

Signs and symptoms

Achilles Tendonitis often feels better with rest and a little pain relief but without effective rehabilitation, it always comes back when returning to normal activity, sport or exercise.

Symptoms include:

  • Pain and stiffness first thing in the morning
  • Pain which is worse after exercise, standing or walking
  • Tenderness when the tendon is squeezed or pressed
  • Tight or tender calf muscles

Acute phase management

Most people fail in their treatment of Achilles Tendonitis because they are unable to identify the cause of their pain. Once the source has been identified, effective steps can be taken to manage the symptoms.

Our treatment guide will help you to identify what’s causing your foot pain and create the right conditions to begin effective rehabilitation.

Post-acute phase management

Post-acute phase rehabilitation involves the staged introduction of isometric, concentric and eccentric muscle stretches, scar tissue removal and proprioceptive exercises to lengthen the calf muscles and strengthen the tendons.

Condition-specific exercises will help you achieve a full, pain-free range of movement to stop the symptoms coming back.


Achilles Tendonitis responds well to self-treatment and conservative care; although recovery times are dependent on the severity of the condition.

Our treatment guide provides comprehensive tips and advice to achieve a full recovery in the shortest possible time.


If you follow the treatment guide correctly and are diligent with the rehabilitation programme complications are unlikely.

Without correct rehabilitation, the condition tends not to resolve and results in a thickening of the Achilles tendon and reduced range of movement in the foot and ankle.

Periodic stretching and joint mobilisation to de-compact the ankle joint and reduce inflammation are some of the techniques contained in our clinically proven treatment guide to help prevent reoccurrence. 

Start today and fast track your recovery!

Our guides contain all the latest clinical advice for musculoskeletal healthcare.

You can save hundreds of pounds or dollars on expensive physical therapy by treating the condition simply and effectively at home.

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Achilles Tendonitis (Foot/Ankle) treatment guide

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