Achilles pain, stiffness or swelling affecting your walking, running or sport?

Achilles Tendinopathy

Achilles tendinopathy refers to pain and degeneration within the Achilles tendon. This is the strong band of tissue that connects your calf muscles to your heel bone. It often develops gradually due to overload, but can also follow a sudden increase in activity.

If not properly managed, symptoms can persist and interfere with daily activity and performance.

People with Achilles tendinopathy commonly experience:

Pain or stiffness at the back of the ankle or heel

Symptoms worse first thing in the morning

Discomfort during or after walking, running or sport

Localised thickening or tenderness of the tendon

how we treat it

At Assure Health Clinic, Achilles pain is always assessed before treatment begins. Achilles tendinopathy can vary in type and location, so identifying the exact presentation is essential.

Your care may involve both a podiatrist and a physiotherapist, depending on your presentation. This allows us to address not only the tendon itself, but also the wider movement and loading factors that contribute to Achilles pain.

Your assessment may include:

Detailed history of training, workload and symptoms

Palpation of the tendon and surrounding structures

Differentiation between mid-portion and insertional Achilles pain

Range of motion, calf capacity and lower-limb strength testing

Gait and running analysis

Functional and load-tolerance testing

Treatment focuses on restoring the tendon’s ability to tolerate load safely and effectively.

Once the diagnosis is confirmed, your personalised treatment plan may include:

Progressive tendon loading and strengthening programmes

Hands-on therapy and soft tissue techniques

Shockwave therapy where clinically appropriate

Movement retraining and running mechanics support

Footwear, activity and load-management guidance

Orthoses or heel support where indicated

Benefits You’ll Experience

01

Reduced pain and morning stiffness

02

Improved walking, running and jumping tolerance

03

Increased calf strength and tendon resilience

04

Clear rehabilitation and recovery plan

05

Reduced risk of recurrence

06

Return to activity with confidence

Evidence-Based & Trusted

Modern management of Achilles tendinopathy is strongly supported by clinical research.

Evidence supports:

Progressive tendon loading programmes as first-line treatment

Activity modification rather than prolonged rest

Shockwave therapy for persistent or chronic Achilles pain

Addressing biomechanical and movement contributors

These principles are widely used across NHS and private musculoskeletal practice and form the foundation of best-practice Achilles rehabilitation.
treament at assure

Why Choose Assure Health

At Assure Health Clinic our multidisciplinary approach means your care is collaborative, not isolated. Podiatrists and physiotherapists regularly discuss cases, combine expertise, and adapt treatment plans together  leading to clearer diagnosis, more targeted treatment, and better long-term outcomes.

Our focus is to help you restore tendon health, rebuild strength, and return to movement confidently — not just settle symptoms.

Specialists in foot, ankle and lower-limb conditions

Podiatrists and physiotherapists working together under one roof

Thorough assessments, not rushed appointments

Evidence-based, personalised care plans

Calm, professional clinical environment

24/7 online booking

Book a Podiatry Foot and Lower Limb Assessment Appointment if you:

Have pain mainly in the foot, heel or lower Achilles

Feel your problem may be linked to footwear, foot posture or pressure

Have had ongoing or recurring foot pain

Have been told you may need orthoses or shockwave therapy

Want a detailed foot and lower-limb assessment

Book a Physiotherapy Appointment if you:

Developed your pain through sport, running or training

Feel weakness, stiffness or loss of function

Are returning from injury

Have pain extending into the calf, knee or hip

Want rehabilitation-focused treatment

Not sure which to choose?

That’s completely normal.

Our podiatrists and physiotherapists work closely together. If, after your assessment, a different clinician is better suited to manage part of your care, we will seamlessly involve them.