What is Achilles tendonitis?
The Achilles tendon connects the calf muscles to the heel bone and plays a key role in walking, running and jumping.
Changes in load, activity or tendon capacity may contribute to discomfort in this area.
People who participate in running sports, increase activity suddenly, or spend long periods on their feet may notice symptoms.
Some individuals with plantar heel pain or
Sever’s disease may also experience related discomfort.
Common symptoms
Symptoms vary between individuals. Commonly reported features include:
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Pain at the back of the heel or lower calf
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Morning stiffness or tightness
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Tenderness when touching the tendon
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Discomfort during running or jumping
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Reduced tolerance to calf raises
Assessment and contributing factors
A podiatry consultation may involve discussing your symptoms, activity levels and footwear to understand possible contributing factors.
Assessment may consider how the tendon is responding to load and whether other areas of the foot or leg are involved.
Clinical history
Discussion of symptom onset, activities and previous injuries.
Movement and gait assessment
Observation of walking or running patterns where appropriate.
Strength and load tolerance
Calf strength and tendon response to loading tasks.
Footwear review
Consideration of shoe structure, cushioning and wear patterns.
Referral if required
Referral to imaging or other health professionals may be discussed if indicated.
Management options
Management is tailored to your goals, activities and clinical findings. Options may be combined depending on presentation.
01
Load modification
Adjusting activity levels and gradually progressing load may help reduce irritation.
02
Strengthening programs
Calf and tendon strengthening exercises may be included in a management plan.
03
Supportive footwear
Footwear with cushioning and structure may complement other approaches.
04
Orthotic therapy
Foot orthoses or heel supports may help redistribute load on the tendon.
05
Manual therapy
Soft tissue techniques or mobilisations may be discussed depending on presentation.
06
Adjunctive therapies
Options such as dry needling or prolotherapy may be considered where appropriate.
Conditions that may benefit from orthotic therapy
Orthotic therapy may be considered to help support the foot and redistribute load. It may be discussed for:
Considering early assessment
Some people find that symptoms improve with simple changes, while others may notice ongoing discomfort.
Early assessment can help clarify contributing factors and discuss options to support activity and reduce irritation.
If you are unsure whether your symptoms relate to the Achilles tendon, a podiatry consultation can provide individualised information.
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