Achilles Tendinopathy: Self-Management Tips

What is Achilles tendinopathy?

• Achilles tendinopathy involves local tendon pain associated with activities that load the Achilles tendon.
• It can lead to pain, reduced function, swelling, stiffness, and soreness after rest.
• There are two main types: insertional tendinopathy and midportion tendinopathy.

Why do I have it?

• Various factors contribute, including biomechanics, genetics, health issues, structural changes in the tendon, and overuse.
• It’s often associated with systemic disorders and overuse injuries due to repetitive loads exceeding the tendon’s capacity.

How is it diagnosed?

• Diagnosis is based on clinical symptoms, activity-related pain, and tenderness upon palpation.
• Functional tests like single-leg hopping or heel raises can help identify pain triggers.
• Imaging studies like ultrasonography may be used to rule out other sources of pain.

What can I expect?

• Persistent symptoms and flare-ups are common, and long-term prognosis varies.
• Majority of individuals see symptoms resolve over time, but some may continue to experience mild symptoms.

How can I manage it?

• Early intervention is key, focusing on exercise therapy, education, and load management.
• Exercise therapy involves progressively loading the tendon through various strengthening exercises.
• Load management includes adjusting activity levels to avoid overloading the tendon.

Other options?

• In some cases, adjunct therapies like shockwave therapy or injections may be used alongside exercise therapy.
• Overall wellbeing, addressing emotional factors, and maintaining a healthy lifestyle are important for recovery.

Prevention:

• Avoid load spikes and gradually increase activity levels.
• Ensure adequate rest, recovery, and warm clothing in cold seasons.
• Maintain a healthy weight and address any underlying health issues.

Medication:

• NSAIDs and corticosteroid injections may have limited effectiveness and potential side effects.
• Heat and cold therapy can be alternatives to manage pain symptoms.

Remember: Patience and consistency are key to managing Achilles tendinopathy effectively. Consult healthcare professionals for personalized guidance and support throughout the recovery process.