Achilles Tendinopathy

What is it?

The Achilles tendon connects the calf (the back of the lower part of your leg) muscles to the heel bone. It helps you to push up on your tiptoes. Achilles tendinopathy is an injury to this tendon. If you have been diagnosed with Achilles tendinopathy, this information will help you manage it.



Mechanism of Injury

Achilles tendinopathy is most often due to an overload. The tendon cannot cope with the strain being put on it. The causes of Achilles tendinopathy are not fully understood. There are many factors that can contribute to it, such as being/having:

Common Management Techniques

To help pain in the short-term, you can try the following.



Everybody will improve differently. For most people it will take 6 to 9 months of rehabilitation to make a return to full activities without pain.


It is normal to have some periods of increased pain, or flare-ups, during your recovery. If this happens, you can follow our tips to reduce pain in the short-term.


If your symptoms do not improve in 6 to 9 months, even when you have been completing an appropriate exercise programme, other treatment options can be considered. This includes shockwave therapy, which you can talk to your Physiotherapist about.