Achilles pain often starts as morning stiffness that eases as you warm up. Without the right management, it can gradually worsen and limit walking and running.
About achilles tendinopathy
The Achilles is the strongest tendon in the body, connecting the calf muscles to the heel. Tendinopathy can occur in the middle of the tendon or where it attaches to the heel bone.
Common causes
- Sudden increases in running, hills or speed
- Changes in footwear
- Calf weakness
- Some medications, such as certain antibiotics, and conditions like diabetes
Signs and symptoms
- Pain and stiffness at the back of the heel, worst in the morning
- Pain at the start of exercise that eases, then returns afterwards
- Thickening or tenderness of the tendon
- Reduced ability to hop or push off
How physiotherapy helps
- Load management so you can stay active
- A progressive calf and tendon strengthening programme
- Footwear and running advice
- Hands-on treatment and needling where helpful
- A graded return to running and jumping
How long does recovery take?
Tendons adapt slowly: expect improvement over 12 weeks and full recovery over three to six months or longer. Consistency with the exercises is the most important factor.
When to see a doctor
If you feel a sudden snap or as if someone kicked the back of your heel, and cannot push off, go to A&E straight away as the tendon may have ruptured.
Book an assessment for achilles pain in Ilford.
Common questions
Should I stretch my Achilles?
Strengthening is more important than stretching for tendon pain, and stretching can irritate pain at the heel attachment.
Can I keep running?
Often, yes, at a reduced level, provided pain stays mild and settles by the next morning.
Why is it worse in the morning?
The tendon stiffens overnight. Gentle movement before getting up can help.
Last updated .