About Achiles Tendinopathy

Achilles tendinopathy is an overuse injury that usually presents with pain, tenderness, irritation at the thick band of tissue connecting the calf muscle to the heel. Pain, tenderness and stiffness can be worst with morning steps and worsens with long periods of standing and activity.

Achilles tendinopathy is broadly subdivided into mid-portion/non-insertional Achilles tendinopathy (pain and pathology in the tendon body, typically 2–6 cm proximal to the calcaneal insertion) and insertional Achilles tendinopathy (at the tendon attachment onto the calcaneus). The two forms have somewhat different features, pathomechanics, and sometimes treatment strategies.

Risk Factors of Achiles Tendinopathy

Intrinsic: increased BMI / overweight status; older age as the tendon weakens with age

Extrinsic / Modifiable: sudden spikes in training load, overuse, poor footwear, inadequate recovery, training on hard surfaces, biomechanical faults (limited ankle dorsiflexion, calf tightness, pronation, leg length discrepancy)

Medication risk: fluoroquinolones and systemic corticosteroids (especially repeated use) are known risk factors for tendon weakness and injury.

How DC Podiatry Can Help You With Achiles Tendinopathy

At DC Podiatry, we focus on a holistic approach to improve your condition. For patients suffering from achiles tendinopathy, our main goal will be to reduce excessive tendon load, while maintaining some level of mechanical stimulus to promote remodelling.

As such, we will start with an in-depth assessment of your body structure. From then, we will provide you with appropriate footwear advices & therapeutic exercises to help you improve the condition.

Additional treatment, such as shockwave therapy, might be provided in order to further facilitate healing for this condition.

Goal

Reduce excessive tendon load while maintaining some level of mechanical stimulus to promote remodeling.

1

In-depth Assessment

An in-depth assessment of your body structure and the factors that might be contributing to plantar fasciitis. A video assessment of your dynamic gait to observe other contributing factors.
2

Footwear Advisory

Consideration of the right footwear to help support your feet, absorb shock and reduce the overall load and stress through the heel and foot. We advise based on your individual activity to fit your lifestyle and working needs.
3

Therapeutic Exercise Programme

Stretching and progressive strengthening programs reduce pain and improves function. Slowly pre loading the achilles tendon and strengthening the calf muscle to better withstand load, stress and increased activity.
4

Modification of Daily Activity and Training Regime

Gradual increment of intensity of training to re-load the achilles tendon. Loading it too fast will cause an overload and intensify the pains experienced.
5

Shockwave Therapy (If Necessary)

A non-invasive treatment using acoustic waves to stimulate healing targeting soft tissues of the Achilles tendon. As shockwave therapy re-introduces blood flow via an inflammatory response to the tendon which generally does not have much blood flow, studies have shown that it is an effective treatment for this.

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Need help with your foot health? Our experts at DC Podiatry are here to help!

At DC Podiatry, we believe that a fulfilled life starts with healthy feet. We provide personalized care and cutting-edge treatments to ensure your feet are ready for life’s adventures.

To book an appointment with us, click “Book Appointment” or call/whatsapp us at our hotline at +65 9366 8855

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