Condition
Achilles tendinitis: causes, symptoms and treatment
A clinically reviewed guide to Achilles tendon pain — causes and evidence-based loading treatment.
- Ankle & Foot
Quick answer
Achilles tendinitis (more accurately tendinopathy) is pain and stiffness in the tendon at the back of the heel, usually from overload. The mainstay of treatment is a progressive tendon-loading exercise programme, which is effective for most people.
Key facts
- It affects the Achilles tendon at the back of the ankle and heel.
- It is usually an overload (tendinopathy) problem, not simple inflammation.
- Progressive loading exercise is the most evidence-based treatment.
What is Achilles tendinitis?
Achilles tendinitis is pain and stiffness in the Achilles tendon due to overload, more accurately described as tendinopathy.
It typically develops when tendon load increases faster than the tendon can adapt — for example, a jump in running volume. It reflects a change in the tendon's structure rather than simple short-term inflammation.
What are the symptoms of Achilles tendinitis?
Typical symptoms are pain and stiffness at the back of the heel, worse in the morning and with activity.
- Pain and stiffness in the Achilles, often worst on first steps in the morning
- Pain that warms up then returns after activity
- Tenderness or thickening of the tendon
- Pain with jumping, running or calf raises
How is Achilles tendinitis treated?
The most evidence-based treatment is a progressive tendon-loading (strengthening) programme, alongside load management.
Gradually loading the tendon with calf-strengthening exercises is central to recovery. Shockwave therapy may be considered as an adjunct for stubborn cases. Complete rest is generally not recommended, as tendons need appropriate load to adapt.
At Postura Wellness, care for Achilles tendinopathy is built around OrthoRestore™ — our signature method that combines chiropractic and physiotherapy into one coordinated plan. Depending on your assessment, it can bring together chiropractic adjustments, dry needling, muscle manipulation, Active Release Technique, and targeted exercises, supported where helpful by technology such as shockwave therapy and bioelectric therapy. The aim is to relieve symptoms while addressing the underlying causes, with a plan tailored to you.
A sudden, sharp pain with a snapping sensation and difficulty walking or pushing off may indicate an Achilles rupture and needs prompt medical assessment.
Get a clear plan for your achilles tendinopathy
Book an assessment at either branch and get a tailored plan.
This page is for general information and is not a substitute for professional medical advice, diagnosis or treatment. Always consult a qualified clinician about your individual condition.
Sources
- Injuries and Wounds — MedlinePlus, US National Library of Medicine
- Sports Injuries — MedlinePlus, US National Library of Medicine
- Bone Diseases — MedlinePlus, US National Library of Medicine
- Bones, Joints and Muscles — MedlinePlus, US National Library of Medicine
- Muscle and Bone Diseases — NIH National Institute of Arthritis and Musculoskeletal and Skin Diseases
- Joint Disorders — MedlinePlus, US National Library of Medicine