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Achilles tendinitis is characterised by inflammation and thickening of the Achilles tendon over a gradual period of time.  On palpation and ultrasound assessment of the paratendon, swelling, crepitus and discomfort can be detected.

Signs & Symptoms

What Causes It?

Irritation of the Achilles tendon can be due to the following factors:

  • Over pronation of the feet

  • Tight calf muscles

  • Poor tensile strength through the tendon and calf muscles

  • Hypomobile ankle and subtalar joints

  • Overtraining or change in intensity, duration, frequency Incorrect or poor footwea

  • Previous Achilles strain or rupture

How to Self Manage

In paratendinitis you want to reduce swelling, so rest and ice to the area is advised.  A heel raise can also be useful to help offload the tendon.


This condition requires prompt management, as the tendon can remain thick and inflamed.  This then has the potential to progress into a more degenerative condition referred to as Achilles Tendinopathy.

How Physio Helps

Your physiotherapist can further reduce swelling using treatment including massage, deep transverse frictions, taping, exercise prescription and electrotherapy modalities.

For an online consultation click here
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