Achilles Tendinitis & Tendinopathy

Recognising the signs of Achilles tendon problems is key to seeking timely care. Common symptoms include:

• Pain and Stiffness: Typically felt along the Achilles tendon or at the back of the heel, often worse in the morning or after periods of inactivity.
• Pain Worsening with Activity: Pain may increase during or after activities like walking, running, or climbing stairs.
• Tenderness: The tendon may be sore when touched or squeezed.
• Swelling: Mild to moderate swelling or thickening may occur around the affected part of the tendon.
• Reduced Strength/Movement: Difficulty pointing the toes downwards (plantarflexion) or pushing off during walking/running.

If you’re experiencing persistent pain or stiffness around your Achilles tendon, consulting a healthcare professional is recommended.

Diagnosing Achilles tendon problems typically involves:

• Medical History Review: Discussing your symptoms, activity levels, training habits, and any previous injuries.
• Physical Examination: Our podiatrist will examine your foot and ankle, checking for tenderness, swelling, thickening, pain points, range of motion, and calf muscle flexibility. They may ask you to perform specific movements like standing on your toes.
• Imaging Tests (Sometimes): While often diagnosed clinically, an ultrasound or MRI scan might be used to assess the extent of tendon damage, confirm the diagnosis, or rule out other conditions like a stress fracture or bursitis.

A thorough diagnosis helps tailor the most effective treatment strategy for your specific situation.

Treatment aims to reduce pain and inflammation (if present), promote tendon healing, and restore function. A personalised plan is developed after assessment, focusing primarily on non-surgical methods.

Non-Surgical Treatments

Conservative approaches are effective for most cases and may include:

• Rest and Activity Modification: The crucial first step involves reducing or stopping activities that cause pain. Switching to low-impact exercise (like swimming) may be advised.
• Ice Therapy: Applying ice packs to the affected area helps manage pain and swelling.
• Stretching and Strengthening Exercises: Specific exercises, particularly eccentric strengthening for the calf muscles, are vital for rehabilitation.
• Supportive Footwear: Wearing shoes with good cushioning and support.
• Orthotic Devices: Heel lifts or custom orthotics may be prescribed to reduce strain on the tendon or correct biomechanical issues.
• Physical Therapy: A structured rehabilitation program guided by a therapist is often essential for recovery.

Struggling with Achilles pain? Our Singapore podiatrists can help create your recovery plan. Book an Assessment

Surgical Options

Surgery is generally considered only for persistent cases that haven’t improved after several months (typically 6+) of consistent non-surgical treatment, or in cases of significant tendon tears or rupture. Surgical procedures aim to repair the damaged tendon tissue.

You can take steps to reduce your risk of developing Achilles tendon problems or prevent recurrence:

• Increase Activity Gradually: Avoid sudden changes in exercise intensity or duration.
• Stretch Regularly: Focus on stretching your calf muscles and Achilles tendon daily, especially before and after exercise.
• Choose Footwear Carefully: Ensure your shoes fit well, provide adequate support, and replace them when worn out.
• Strengthen Calf Muscles: Incorporate exercises to build calf strength.
• Cross-Train: Mix high-impact activities with low-impact ones (like swimming or cycling).
• Maintain a Healthy Weight: Reduces overall stress on your lower limbs.