Mon–Fri 7:30am–6:30pm · Sat 7am–3pm
Mon–Fri 7:30am–6:30pm · Sat 7am–3pm
— Conditions We Treat
Expert, evidence-based treatment to rebuild tendon strength and get you back to running, sport and everyday movement pain-free.
— About This Condition
Achilles tendinopathy is a condition affecting the Achilles tendon — the thick band of tissue running down the back of the ankle that connects the calf muscles to the heel bone. It develops when the tendon is repeatedly loaded beyond its capacity to recover, leading to pain, stiffness and changes in the tendon’s structure over time.
There are two main types of Achilles Tendinopathy:
This type of achilles tendinopathy affects the tendon 2–6cm above the heel.
This type of achilles tendinopathy affects the point where the tendon attaches to the heel bone.
Both are common in runners and athletes, but also affect people who have recently increased their activity levels or spend long periods on their feet.
Contrary to older thinking, Achilles tendinopathy is not simply “inflammation” — it reflects the tendon’s response to load, and it responds well to a structured, progressive strengthening approach rather than rest alone.
— Recognise the Signs
Achilles tendinopathy can present differently from person to person — here are the most common signs to look out for.
Stiffness and pain in the tendon first thing in the morning or after periods of inactivity, easing once moving.
A dull ache or sharp pain during or after running, jumping, or walking uphill, often worsening with continued load.
Visible or palpable swelling and thickening along the tendon, sometimes with a firm, tender nodule.
Tenderness to touch either mid-tendon or at the point where it attaches to the heel bone.
Pain that improves during warm-up but returns or worsens after activity or the following day.
Weakness or discomfort when rising onto your toes, hopping, or pushing off during walking and running.
— What Causes It?
A sudden increase in running distance, intensity, or hill/speed work without adequate progression.
Weakness or poor endurance in the calf muscles increases strain on the tendon during activity.
Foot posture, gait patterns, or leg alignment issues that place uneven load through the tendon.
Worn-out, unsupportive, or unsuitable footwear for the activity being performed.
Natural changes in tendon structure and blood supply that reduce its capacity to handle load over time.
A history of Achilles or calf injury increasing the likelihood of recurrence.
— Our Treatment Approach
Our approach begins with a thorough assessment to confirm the diagnosis, identify contributing factors, and rule out other causes of heel and ankle pain. From there, we build a tailored, progressive treatment plan that may include:
Adjusting activity levels to allow the tendon to settle without complete rest
Isometric and heavy slow resistance exercises to rebuild tendon capacity
Hands-on treatment to manage pain and improve calf and ankle mobility
Reviewing gait, footwear and training patterns to address contributing factors
A structured plan to safely return to running, jumping or your chosen activity
Practical strategies to manage flare-ups and prevent recurrence
Most people see meaningful improvement with consistent, guided rehabilitation, though tendon healing takes time and progress is monitored closely throughout your program.
Everything you need to know before your first appointment.
Can’t find your answer? Get in touch.
Recovery timelines vary, but most people need several weeks to a few months of consistent, progressive loading to see lasting improvement. Tendons adapt slowly, so patience and consistency are key.
Not usually. Complete rest can weaken the tendon further. We help you find the right balance of activity modification and loading to keep you moving while allowing recovery.
Not quite. "Tendinitis" implies inflammation, while tendinopathy reflects broader changes in the tendon's structure. This distinction is important because it guides more effective, loading-based treatment.
Usually not. Achilles tendinopathy can typically be diagnosed through clinical assessment. Imaging may be recommended in specific cases or if symptoms aren't responding as expected.
Stretching alone isn't usually enough and can aggravate some presentations. A structured strengthening program is generally more effective for long-term improvement.
If you're experiencing ongoing Achilles pain or stiffness that isn't settling, early assessment can help prevent the condition from becoming chronic and guide you toward the right treatment plan sooner.
— GET IN TOUCH
Our physios will identify the root cause at your first consultation. Same day appointments available.
Or call: 0409 371 217
Evidence-based physiotherapy in Kenmore, Brisbane. Trusted by families and athletes since 2014.
Same day appointments available
