Achilles pain is a common condition that affects many people, particularly those in an older demographic. Whether you’re an active individual or someone experiencing wear and tear over time, understanding the causes and treatments for Achilles pain can help you stay mobile and maintain a better quality of life. 

In this blog, we’ll explore what Achilles pain is, the different types of pain you might experience, what causes it, and how to address it with proper treatments. 

What Is Achilles Pain? 

Achilles pain refers to discomfort or soreness felt in the Achilles tendon, the band of tissue that connects your calf muscles to the heel bone. This tendon plays a crucial role in walking, running, and jumping, as it helps lift your heel off the ground. 

Pain in this area can interfere with daily activities like walking and climbing stairs, making it important to understand the root of the problem. 

Different Types of Achilles Pain 

Not all Achilles pain is the same. It can be categorised into three primary types based on its cause and severity:

 1. Tendinitis: 

This refers to inflammation of the Achilles tendon, often caused by overuse or repetitive stress. It’s common among people who suddenly increase their activity levels or engage in intense physical activities. 

2. Tendinosis: 

Unlike tendinitis, tendinosis is a degenerative condition caused by wear and tear over time. It is characterised by damage to the tendon fibers and usually lacks swelling. Older individuals are more likely to experience tendinosis. 

3. Tears or Ruptures: 

A sudden and sharp pain in the back of your ankle may indicate a tear or rupture in the Achilles tendon. This is a more severe condition often requiring immediate medical attention and possibly surgery. 

Common Causes of Achilles Pain 

Understanding the causes of Achilles pain can help you prevent or manage it effectively. The most frequent causes include: 

  • Overuse or Repetitive Strain: High-impact activities like running or jumping can strain the tendon over time. 
  • Age-Related Degeneration: Tendons naturally weaken as we age, making older adults more vulnerable. 
  • Improper Footwear: Shoes lacking proper support can contribute to uneven pressure on the Achilles tendon. 
  • Sudden Change in Activity Level: Increasing physical activity too quickly can stress the tendon. 
  • Medical Conditions: Conditions like arthritis or flat feet can contribute to Achilles pain. 

Symptoms to Look Out For 

Recognising the symptoms of Achilles pain early can help you seek timely treatment. Common symptoms include:

  • Pain or stiffness at the back of your ankle, especially in the morning. 
  • Swelling or tenderness along the tendon. 
  • A noticeable thickening of the tendon. 
  • Difficulty moving your foot or pointing your toes upward. 
  • A popping or snapping sensation (in cases of rupture). 

If you experience severe pain or suspect a rupture, consult a healthcare professional immediately. 

Treatments for Achilles Pain 

The good news is that Achilles pain can often be managed with proper care and treatment. Here are some effective options to consider:

 1. Rest and Ice: 

Resting the affected area and applying ice packs can alleviate inflammation and provide relief. 

2. Physical Therapy: 

Strengthening exercises, stretches, and physical therapy sessions can help improve flexibility and tendon health. A physical therapist can design tailored exercises for your recovery. 

3. Footwear Adjustments: 

Switch to footwear with proper arch support and cushioning to reduce strain on your tendon. Orthotic inserts can also provide additional support. 

At Foot Health Solutions, we stock a range of Footlogics orthotic insoles that can help reduce the strain on your achilles, giving the tendons a chance to heal.  

4. Medications: 

Over-the-counter pain relievers like ibuprofen can help manage pain and reduce swelling. Make sure to use these as directed by your GP. 

5. Advanced Options: 

In severe cases, treatments such as corticosteroid injections, platelet-rich plasma (PRP) injections, shockwave therapy, or even surgery may be required. If your symptoms persist, it’s essential to consult a podiatrist to explore the best course of action.

Stay Ahead of Achilles Pain 

Achilles pain can be frustrating, but with the right approach, it’s possible to manage or even prevent it. If you’re dealing with ongoing discomfort or suspect an issue with your Achilles tendon, don’t hesitate to consult your podiatrist for a thorough assessment. 

By understanding your condition and following a proper treatment plan, you’ll have the tools to get back on your feet — pain-free. 

As always, if you have any serious concerns about your feet or lower limbs we encourage you to visit your podiatrist. If you are based on the Gold Coast, we highly recommend our friends at ProMed Podiatry for their holistic approach to foot health.