Achilles Pain

What is it?

There are several causes of pain that affect the Achilles tendon at the back of the heel bone.  The three more common causes include Achilles tendonitis, Achilles tendonosis and retrocalcaneal bursitis.  Symptoms of all three of these problems usually include pain in the Achilles tendon, which is often worse after rest or with excessive activity.  Acute Achilles Tendonitis and retrocalcaneal bursitis can present also with a localised swelling at the back of the heel and can be very tender to touch.


  • Excessive pronation (inward roll of foot)
  • Tight or weak calf muscles
  • Reduced ankle range of motion
  • Over use (too much training too soon)
  • Worn out sports shoes
  • Unbalanced muscle groups
  • Excessive hill or sand running
  • Treatment

It is important to seek treatment for Achilles pain as soon as possible so we can reduce your time away from your sporting activity and reduce the chances of further degeneration of the tendon itself. Rest, ice, compression, elevation, strapping, stretching/strengthening, heel lifts, Orthotic therapy and footwear advice are the most common forms of treatment.

Treatment will depend on;

  • Diagnosis
  • Duration/site and length (time) of symptoms
  • Foot function
  • Footwear
  • Activity level

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