Achilles Tendon Pain- Pain Behind Your Heel

Achilles Tendon Pain

Written by: Monique Milne

Achilles tendon pain is a condition which can be characterised by inflammation, pain and stiffness. In some cases, the tendon injury can progress from early stage inflammation into degeneration (tendinopathy).

The Achilles tendon is the strongest and largest tendon in the human body. It joins the heel bone to the calf muscle. The main function of the Achilles tendon is to plantarflex or help bend your foot downwards at the ankle.

What might Achilles Tendinopathy feel like?

• Mild to moderate pain and stiffness at the back of the heel.
• Shooting pain, burning pain or intense piercing pain at the back of the heel or the calf muscle.
• Swelling, tenderness or warmth over the Achilles tendon.
• Tightness in the calf muscles.
• Pain usually increases with activity. It is normally more painful with the first few steps in the morning and often more painful the next day after strenuous activity.

Common Causes of Achilles Tendon Pain:

• Overuse- usually occurs when the Achilles tendon is under too much stress; it begins to develop small tears. Runners or those who play sports such as basketball, which involve jumping are at a higher risk.
• Sudden changes in sports or training program.
• Foot mechanics (the way your feet move when you are walking or running) – generally over pronated feet (flat feet) are more likely to develop Achilles tendon pain. A flattened arch will put tighter strain on the Achilles tendon placing it under more ‘mechanical stresses’.
• Calf weakness or tightness.
Footwear– wearing unsupported shoes, or wearing high heels over a prolonged time
Arthritis– Achilles tendon pain is more common for those with certain types of arthritis such as, psoriatic arthritis or ankylosing spondylitis.

Things You Can Do For Your Achilles Tendon Pain:

1. Keep active- current research has found that resting a tendon injury will actually decreases the ability of the tendon to manage load and further weakens the Achilles tendon.

2. DO NOT Ignore your pain- pain is the body’s way to tell you that the load or training is too much. Work within your tolerance level, which can be discussed with your treating podiatrist.

3. DO NOT take short cuts with your rehabilitation program!

4. DO NOT stretch your tendon! Stretching of the tendon, adds a compression load which research has proven is further damaging to the tendon.

5. See your podiatrist for a tailored rehabilitation program and thorough assessment.

6. Shockwave Therapy and Foot Mobilisation Therapy available at Well Heeled Podiatry.

Well Heeled Podiatry is highly experienced in the diagnosis, treatment and rehabilitation of Achilles Tendon Pain and injuries.

Monique Milne is the experienced Director of Well Heeled Podiatry, offering comprehensive podiatry care with a focus on sports podiatry. Her expertise spans a wide range of services, including biomechanical and gait assessments, 3D scanning and orthotics, nail surgery, children's lower limb development, and treatment for various foot and leg conditions.

With advanced qualifications in shockwave therapy, foot mobilisation and manipulation techniques (FMT), tool-assisted massage (TAS), prolotherapy, and dry needling, Monique provides cutting-edge treatments for musculoskeletal conditions of the feet and lower limbs. Well Heeled Podiatry also offers specialized services such as pre-pointe assessments, Keryflex treatments, and Moon Boot fittings.

Monique's professional background includes working in a High Risk Multidisciplinary Foot and Leg Clinic at The Queen Elizabeth Hospital in South Australia, collaborating with various medical specialists. Her experience extends to public speaking, presenting educational material, and supervising podiatry and medical students. Recognized by the Australian Podiatry Association and Sports Medicine Australia, Monique is dedicated to excellence in podiatry care and continuously seeks passionate, like-minded podiatrists to join her team at Well Heeled Podiatry.

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    At Well Heeled Podiatry in Hampton, we provide exceptional foot and ankle care based on innovation, expertise, and compassion pillars. Nestled in the heart of Hampton, our clinic is a sanctuary for those seeking relief from foot pain, improvement in mobility, and the highest standard of podiatric services.

    Call: (03) 9603 0334
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