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Achilles tendonitis

Achilles Tendonitis

Treatment & Explanation Info From The Wimbledon-Based Foot Pain Clinic

What's Exactly Is Achilles Tendonitis?

In the condition of Achilles Tendonitis, pain is located at the heel's back, within the heel cord (normally at the base or the thinnest part).

Usually this discomfort increases when walking or running.

The pain comes from inflammation within the tendon itself.

Because it can be an early sign of an Achilles tendon rupture, it is best to rest and seek care, especially if you’re a passionate athlete.

The pain is generally sharp and often throbs after exercise. In 10% of cases,  swelling might be present. In other situations, there can be an inflammation without swelling, heat, or even redness. Tendinosis is more appropriate in these chronic (long-standing) conditions.

Subtle training errors often cause the cause. Most sufferers are runners or sportsmen and are normally in their 30s or 40s. 

- Two forms of the condition are recognized (Insertional and Non-Insertional); 


Two Types Of Achilles Tendonitis

While each type typically requires the same treatments (ESWT being the gold standard these days), each type defines a slightly different type of repetitive strain to the Achilles cord.

Defining your type often helps discover the error, fix the appropriate aggravator, or avoid future injury catalysts. 


Achilles Tendonitis Types and treatment Wimbledon Foot Pain Clinic

  • Non-insertional Achilles tendonitis.

    Small tears in the middle fibres of your tendon start to break it down. This minor tearing causes discomfort and thickening. This type of tendonitis usually affects active, younger adults.

    Interestingly, the Achilles cord/tendon's design is an hourglass shape, i.e. tapering in the middle. And it is at this thinner tapered location where we tend to see the tears.


  • Insertional Achilles tendonitis

    This damage happens in the location where your tendon, the heel cord,  meets your heel (AKA the calcaneal) bone.

    Bone spurs (extra bone growth) can also form with this type giving a bumpy appearance. 

    The Insertional Achilles tendonitis type of tendonitis can happen at any age, even in people who are not active.

Treatments For Achilles Pain

Achilles tendonitis gets fantastic results with the Achilles Treatment Protocol and rehab programme designed by our Foot Pain Clinic Wimbledon practitioners.

Each module of therapy is written for your specific type of Achilles tendonitis.

We use shock wave therapy to stimulate your Achilles Tendon crisis; the results are excellent! Shock wave treatment is typically employed as the primary measure when clients have suffered for over eight weeks, and no positive changes are seen.

Stability of the foot is paramount in non-insertional cases of Achilles tendonitis but don't worry, less than 5% of the case require a boot or cast. Instead, we focus on education, subtle taping techniques, foot re-education and strengthening exercises.