Achilles Tendonitis: Care for a Stubborn Tendon

A stiff or sore Achilles can be particularly noticeable first thing in the morning or when you start moving after rest. Achilles tendon pain can develop with changes in activity or training load, and symptoms can vary from person to person. At Living Health Group, we assess your symptoms, activity demands and goals before developing an individualised management plan.

An osteopath assessing a patient's knee and ankle at Living Health Group
Osteopathy · Myotherapy · Remedial MassageWheelers Hill, near Glen Waverley

Understanding Achilles Tendon Pain

The Achilles tendon connects your calf muscles to your heel and plays an important role in walking, running and jumping. Achilles tendon pain can develop when the demands placed on the tendon change, such as an increase in running, jumping or other physical activity.

Where you feel the pain can also be relevant. Pain through the middle portion of the tendon and pain where the tendon attaches to the heel can have different presentations and may require different approaches to managing activity and rehabilitation.

Management often involves finding an appropriate balance between reducing aggravating activities and gradually building the tendon’s capacity through progressive loading. Your management plan will depend on your symptoms, assessment findings, activity levels and goals.

A Living Health Group osteopath assessing a patient's ankle and foot

Common Signs and Symptoms

  • Morning stiffness or discomfort in the Achilles tendon, which may ease as you start moving
  • Pain or discomfort when starting a run or other activity, which may change as you warm up
  • Tenderness or a noticeable change in the thickness of the tendon
  • Reduced strength or discomfort when pushing off through the affected side

Sudden, sharp pain in the Achilles during activity, particularly if accompanied by a popping sensation or difficulty walking or pushing off, can indicate a more significant injury and should be assessed promptly.

How We Approach Achilles Tendon Pain

Your care starts with understanding you, your symptoms and the factors that may be contributing to them. From there, we develop an individualised management plan based on your assessment, activity levels and goals.

1. Assess

We assess where your pain is located, how irritable your symptoms are, your calf strength and function, and the training or activity demands that may be relevant to your presentation.

2. Treat

Depending on your presentation, management may include advice around activity and training loads, alongside hands-on treatment where appropriate.

3. Build

Progressive calf strengthening and tendon loading may be incorporated into your rehabilitation, with exercises and progression tailored to your symptoms, assessment findings and activity demands.

4. Return

Where appropriate, we develop a gradual plan for returning to running, jumping and other activities, with progression based on your strength, symptoms and individual goals.

Meet our practitioners

Achilles tendonitis treatment at Living Health Group is built around progressive loading and calf strength. Whether it is an Achilles tendon injury from a change in running or a gradual onset, assessment comes first.

Dr Andrew Moerenhout (Osteopath), Osteopath at Living Health Group

Dr Andrew Moerenhout (Osteopath)

Osteopath

Neck and back pain, sporting injuries and movement-related conditions, with exercise-based rehabilitation and dry needling where appropriate.

Dr Mitchell Dielemans (Osteopath), Osteopath at Living Health Group

Dr Mitchell Dielemans (Osteopath)

Osteopath

Sporting injuries, neck and back pain, hip conditions and exercise-related presentations. Mitchell plays NBL1 basketball with the Ringwood Hawks.

Charlotte Roza (Osteopath), Osteopath at Living Health Group

Charlotte Roza (Osteopath)

Osteopath

Sporting injuries, neck and back pain and exercise-related conditions. Charlotte also works as a sports trainer with local football.

Dr Tully Loomes (Osteopath), Osteopath at Living Health Group

Dr Tully Loomes (Osteopath)

Osteopath

Sporting injuries and rehabilitation, low back pain, neck pain and headaches, hip and knee conditions, and work or lifestyle-related pain.

Meet the whole Living Health Group team →

Achilles tendonitis treatment for runners and active people

Assessment, tendon loading and a graded return to running at our Wheelers Hill clinic, near Glen Waverley.

A Living Health Group osteopath assessing a patient's ankle and foot
VALD strength testing with an athlete at Living Health Group, Wheelers Hill
A patient completing a supervised strength exercise with an osteopath at Living Health Group

Common questions

Should I just rest it?
Reducing or modifying activities that aggravate your symptoms may help settle things, but complete rest is not always necessary. Gradually reintroducing appropriate loading and strengthening can be an important part of rehabilitation. The right level of activity will depend on your symptoms and individual presentation.
How long does recovery take?
Recovery time varies depending on how long your symptoms have been present, their severity and the demands you place on your Achilles. We monitor your progress and adjust your management plan as needed rather than setting a fixed recovery timeframe.
Can I still walk and exercise?
Often, activity can be modified rather than stopped completely. The type and amount of walking or exercise that is appropriate will depend on your symptoms, assessment findings and current activity levels. We can help you determine an appropriate level of activity and progress this as your symptoms change.

Ready to Get Started?

Book an appointment at our Wheelers Hill clinic, near Glen Waverley. We’ll take the time to understand your concerns, assess what may be contributing to your symptoms and tailor your care to your individual needs and goals.

This page provides general information only and is not intended to provide a diagnosis or replace individual healthcare advice. Outcomes vary between individuals. Our practitioners assess each person before recommending care. Osteopaths at Living Health Group are registered with AHPRA.
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