Achilles Pain

We successfully treat and help manage pain and tears of the Achilles tendon at our physiotherapy and sports injury clinic in Galway City. Achilles pain is also known as Achilles tendonitis or Achilles tendinopathy. Achilles pain is a general term used to describe pain or inflammation in the Achilles tendon at the back of the heel. This is a common overuse injury caused by repetitive load and stress which exceeds the tendon’s shock absorbing capacity and leads to an inflammatory process. The tendon can also be subject to a sudden injury, or in the worst case, a rupture of the Achilles tendon. In both cases, a lack of flexibility or a stiff Achilles tendon can increase the risk of these injuries.

The Achilles tendon is the biggest and strongest tendon in the human body. The tendon has the capacity to resist large tensile forces. It stems from a distal confluence of the gastrocnemius and soleus muscle and inserts at the bottom of the calcaneus.

There are three main stages of tendon disrepair are the following:

  1. Reactive tendinopathy
  2. Tendon dysrepair
  3. Degenerative tendinopathy

Risk factors for developing Achilles Tendinopathy include the following:

  • Obesity
  • High blood pressure
  • Rapid changes to load/frequency/ duration or volume of training.
  • Type II Diabetes
  • Prolonged steroid use
  • Family history of tendinopathy
  • Other factors include inappropriate footwear and the elderly population.

Treatment

  • Optimise biomechanics
  • Controlled tendon loading with a focus on eccentric exercise
  • Dry needling
  • Manual therapy
  • Electrotherapy modalities

The key goal of tendinopathy treatment is to improve the energy storage and overall loading capacity of the tendon. This is the ability of the tendon and associated muscle to work and manage load, essentially acting as a ‘spring’ in storing and then releasing energy. Three key exercises for Achilles tendinopathy are:

  1. Isometric Loading
  2. Isotonic Loading
  3. Energy Storage Loading

Here at West Coast Physio Ireland we are dedicated to giving you the leading edge in your recovery.

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Achilles Pain

Achilles Pain FAQs

What is Achilles pain and how is it caused?
Achilles pain refers to discomfort in the Achilles tendon, often resulting from overuse or strain during activities like running or jumping. Achilles tendinopathy is a common condition that involves inflammation or degeneration of the tendon due to repetitive stress or injury.

What are the symptoms of Achilles tendinopathy?
Common symptoms of Achilles tendinopathy include pain at the back of the heel, stiffness, swelling, and tenderness in the Achilles tendon. The pain often worsens during physical activity or first thing in the morning.

How can West Coast Physio help treat Achilles pain?
At West Coast Physio, treatment for Achilles pain includes manual therapy, eccentric strengthening exercises, and stretching techniques designed to reduce inflammation and promote healing in the tendon. Early treatment can prevent further damage and improve mobility.

How long does it take to recover from Achilles tendinopathy?
Recovery from Achilles tendinopathy depends on the severity of the condition and adherence to treatment. With the expert guidance of West Coast Physio, most patients begin to see improvement within a few weeks, although full recovery may take several months.

Can Achilles pain be prevented?
Preventing Achilles pain involves proper warm-ups before exercise, strengthening calf muscles, appropriate footwear, and avoiding sudden increases in activity. At West Coast Physio, our team can help by addressing muscle imbalances and providing personalized advice for injury prevention.

What is the difference between Achilles tendinopathy and Achilles tendonitis?
Achilles tendinopathy refers to chronic degeneration of the tendon, whereas Achilles tendonitis involves acute inflammation. Both conditions cause Achilles pain, but tendinopathy is often related to overuse and requires specific treatments from West Coast Physio.

Are there any exercises that can help relieve Achilles pain?
Yes, eccentric heel drop exercises off of a step and calf stretches are highly recommended at West Coast Physio for treating Achilles tendinopathy. These exercises help to strengthen and elongate the Achilles tendon, improving recovery and preventing further injury.

When should I see West Coast Physio for Achilles pain?
If your Achilles pain persists for more than a week, or if you experience swelling, stiffness, or limited mobility, it is crucial to seek help from West Coast Physio for a proper assessment and treatment plan.

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