There are two types of Achilles tendinitis

Insertional Achilles Tendinopathy:

• Pain at the bottom of the Achilles tendon (where it connects into the heel bone);
• Caused by compressive forces of the tendon on the heel bone when the ankle is dorsiflexed (foot flexed upwards).

Mid-Portion Achilles Tendinopathy:

• Pain 2-6 cm up from the bottom of the Achilles tendon;
• Usually caused by overuse of the tendon.

Physical Therapy

A physiotherapist might suggest some of the following treatment options:

• Exercises. Therapists often prescribe specific stretching and strengthening exercises to promote healing and strengthening of the Achilles tendon;
• A special type of strengthening called “eccentric” strengthening, involving a slow let down of a weight after raising it, has been found to be especially helpful for persistent Achilles problems;
• Orthotic devices. A shoe insert (orthotic device) or wedge that elevates your heel within your shoe may relieve strain on the stretched tendon and provide a cushion that lessens the amount of force exerted on your Achilles tendon;
• Tecartherapy and Shockwave Ideal in acute and chronic pain.

Tecartherapy decreases the concentration of pro-inflammatory mediators and improves capillary permeability, resulting in the total eradication of inflammation.

Shockwave is a procedure where waves are passed through the skin to the injured part of the foot using a special device. The shockwaves are mechanical and not electric; they are audible, low energy sound waves, which work by increasing blood flow to the injured area. This speeds up the body’s healing process. You will usually require a course of 4-6 treatments, 1 weeks apart. If Shockwave does not help your pain, then sometimes an operation may be available, depending on your condition. Your physio will discuss this with you.

Side effects

You will feel some pain or discomfort during the treatment, but most people find this manageable.

After the treatment, you may have redness, bruising, swelling and numbness to the area. These should improve within a week and before your next treatment.

For more info you can contact me by phone or Whatsapp 07455250006 or by email info@romenendezphysio.com.