Achilles tendinopathy is a common overuse injury that affects the Achilles tendon causing pain and discomfort at the back of the heel. It can affect both athletes and non-athletes and is associated with overuse or excessive chronic stress on the tendon. There are two main types of Achilles tendinopathy. Insertional tendinopathy is located where the tendon inserts onto the calcaneus (heel) and mid portion tendinopathy is located in the middle of the Achilles’ tendon.
Most commonly people report symptoms in the Achilles region gradually increasing over time leading to an increase in pain and stiffness at the back of the heel. Most commonly it is worse in the morning when first standing up. It can also be painful after resting, on the initiation of activity.
Pain often is increased at the beginning of exercise and then settles down once warmed up.
Increases in symptoms usually coincides with a change in activity, either with increased training loads or loads associated with changes in work posture. For example, someone who is doing more standing than normal. Other factors that can play a role include changes in footwear , walking on different surfaces, poor foot and gait biomechanics such as flat foot, or other injuries to other areas of the body that can put more load and stress on the ankle.
Treatment for Achilles tendinopathy at Physio23 will follow our R3M method.
Initially we will work to Rest and Release the appropriate structures and subsequently Restore range of motion of your ankle joint and associated stiff structures.
Then we will look to re-activate and re-trained appropriate muscles such as the small muscles of the foot and the calf muscle. This will entail a specific tendon reloading protocol to aid in decreasing pain and improving function with controlled loading.
Then we aim to work on Rebuilding your whole kinetic chain. This is where we put it all together helping improve your lower limb and core muscles to achieve full resolution of Achilles tendinopathy.
Finally it’s time to Move. Get back to what you enjoy doing!
PHYSIO23 is a values based, patient-centred clinic. We are delighted to partner with each patient on their unique journey to reaching their health, recovery and mobility goals. Our physiotherapists are committed to maximising their clinical expertise through evidence-based practice to ensure every patient receives the quality care they deserve.
A physio that will spend the time to get to know you and find out about your current concerns and relevant past injuries
You will receive a thorough assessment, an accurate diagnosis and a clear plan moving forward
Evidence-based, up-to-date treatment modalities to help you navigate your injury effectively.
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P (07) 3186 2893
F (07) 3319 6523
E [email protected]
A YMCA Jamboree Heights
Allied Health Office 3,
76 Andaman Street
Jamboree Heights, QLD, 4074
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