What's Causing Your Achilles Pain?
Achilles Tendon Conditions We Treat
Achilles Tendon Rupture
After scanning to confirm diagnosis, a full rupture needs to be managed effectively with surgery or an appropriate boot or plaster cast, along with being non weight bearing on crutches until the tendon knits and heals. After this point, the calf muscle and tendon will need to be slowly lengthened back to normal, along with strengthening and soft tissue work, and gait re-education.
Achilles Tendon Tear
A scan is needed to confirm the size of the tear, to help advise management. A period of offloading, usually in a walking boot is needed, before a progressive rehabilitation plan is followed.
Achilles Tendon Thickening
Usually in chronic cases of Achilles pain, this tends to respond well to hands on therapy to the tendon and the tendon sheath, stretching, loading of the tendon to create some mobility in the tissues, foot and ankle mobilisation, biomechanical assessment, and shockwave therapy if appropriate.
Achilles Tendinopathy Or Tendinitis
This can be due to training loads, footwear, calf and foot strength, and biomechanics amongst other things. A good assessment is important to work out why the tendon is sore. It can also be due to poor use of the feet and calves, which may need to be re-educated.
Retrocalcaneal Bursa
An inflamed retrocalcaneal bursa may mimic or contribute to Achilles pain. It sits in front of the Achilles, behind the ankle joint and can become inflamed and lose it’s mobility which can affect how you use the foot and ankle and load the tendons. It responds well to hands on physiotherapy.
Plantaris Tendinopathy Or Tendinitis
Plantaris tendon pain can also mimic Achilles pain and is frequently missed. This small tendon runs up the inside of the Achilles tendon and can get inflamed or irritate the Achilles tendon. A correct diagnosis and hands on treatment can often be very effective.
Achilles Tendon Physiotherapy And Podiatry In Leeds
Here at CSPC we have a wide range of treatment options to help you get rid of Achilles pain. The physiotherapist will take a thorough case history and work out the best plan for you. Treatment can include
- Manual therapy including foot and ankle mobilisation
- Soft tissue treatment and sports massage work
- Specific and focused home exercise programme
- Shockwave Therapy
- Taping and sports strapping
- Training advice and load monitoring
- Retraining of running technique
- Referral to podiatry if necessary for leg length assessment and biomechanical analysis
- Onward referral for imaging or consultants if required (self-funded or via private medical insurance or a letter to your GP)
To book an appointment, please call reception on 0113 2750606
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Frequently Asked Questions (FAQs)
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Do I Need A Scan For Achilles Tendon Pain?
In the majority of cases, a scan is not necessary to diagnose Achilles tendon pain. Our highly experienced physiotherapists can usually identify the root cause of your discomfort through a comprehensive physical assessment and a detailed discussion of your symptoms. However, if your pain is severe, does not respond to an initial treatment programme, or if a tear is suspected, we can advise you on arranging an ultrasound or MRI scan to ensure you receive the most appropriate, evidence-led care.
Can Podiatry Help With Achilles Pain?
Yes, podiatry can be an excellent complement to physiotherapy for managing Achilles pain. If your discomfort is linked to your foot mechanics, your natural gait, or your current footwear, a podiatrist can provide tailored advice and may prescribe custom orthotics to relieve pressure on the tendon. Our physiotherapists often work collaboratively with podiatry experts to ensure you receive a comprehensive, well-rounded approach that addresses every factor contributing to your heel pain.
How long does it take for Achilles tendonitis to heal with physiotherapy?
Recovery timelines can vary significantly depending on the severity of the irritation. Mild cases may improve within a few weeks of dedicated physiotherapy, whilst chronic tendinopathy can take several months of progressive rehabilitation. During your initial assessment, we will provide a realistic and personalised timeline for your recovery.
Do I need a GP referral for Achilles physiotherapy in Leeds?
No, you do not need a GP referral to access our Achilles tendon pain physiotherapy in Leeds. You can self-refer and book a consultation directly at our clinic, allowing you to begin your bespoke recovery programme without any unnecessary delays.
What exercises are best for Achilles tendon pain?
The most effective exercises typically involve progressive calf raises and eccentric loading, tailored to your specific stage of healing. However, it is vital to avoid self-prescribing exercises, as the wrong movements can worsen the irritation. Our experienced physiotherapists will design a safe, highly specific exercise programme for your individual needs.