Achilles Tendonitis
Achilles tendonitis is a term that commonly refers to inflammation of the Achilles tendon or its covering. Most specialists now use the term Achilles tendinopathy, which includes both inflammation and small tears in the tendon. It can cause pain, stiffness and swelling at the back of the heel, especially first thing in the morning or when you start to exercise.
At The Westway Clinic, 17 Hatchlands Road, Redhill, our podiatrists usually start with a 45-minute biomechanical assessment with PHITS pressure-plate analysis (£90). That helps us understand how you stand and walk, and whether rehab, orthotics or shockwave may help. You do not need a GP referral.
Book your biomechanical assessment or call 01737 762990.
What happens at your biomechanical assessment
The usual first step is the 45-minute biomechanical assessment, including PHITS pressure-plate analysis, at £90. We will talk through where it hurts, your sport or work, your footwear, and what you have already tried, then examine how you stand and walk. You do not need a GP referral. A review appointment, if you need one later, is £49.
This is a guide only. Your podiatrist will explain what is likely to help after the assessment. We do not guarantee that any option will be recommended, or that symptoms will settle in a set time.
Treatment options we may discuss
Suitability is decided after your assessment. Achilles pain often needs more than one approach.
1. Rehab
Many people benefit from a structured plan of calf and Achilles stretching and strengthening, sensible changes to training or time on your feet, and footwear advice. This is often the starting point, with or without other treatment.
2. Orthotics
If the way you stand or walk is loading the tendon, your podiatrist may discuss orthotics as one part of a wider plan, not as a cure on their own, and only after the biomechanical assessment. Prefabricated devices start at £65. Custom devices start at £300, up to £320 for PHITS bespoke orthotics (simple bespoke insoles £125; EVA £250). The full list is on our orthotics page.
3. Shockwave
If shockwave is suitable, it is £80 a session, or £300 for a course of 4. When you are already booked for the £90 biomechanical assessment, shockwave can often be started in that same visit at no extra cost, if your podiatrist is happy it is appropriate. Further sessions are then charged as above. We assess you first and only use it when it is suitable; results vary. More detail is on our shockwave therapy page.
Ready for the next step? Book your biomechanical assessment or call 01737 762990.
What are the causes of Achilles tendonitis?
- Over-training or unaccustomed use (“too much too soon”)
- A sudden change in training surface, for example grass to pavement
- Flat (over-pronated) feet
- A high foot arch with a tight Achilles tendon
- Tight hamstring (back of thigh) and calf muscles
- Poorly supportive footwear
- Hill running
- Poor eccentric strength
What are the symptoms of Achilles tendonitis?
- Pain, stiffness and loss of strength in the affected area
- Pain that may get worse when you use your Achilles tendon
- More pain and stiffness during the night or when you get up in the morning
- The area may be tender, red, warm or swollen if there is inflammation
- You may notice a crunchy sound or feeling when you use the tendon
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