Achilles tendinopathy
Achilles tendinopathy is an overuse injury of the Achilles tendon - the strong band connecting the calf to the heel - causing pain and stiffness at the back of the ankle or heel. It is classically worse first thing in the morning or at the start of exercise, and is common in runners and anyone increasing their training. It reflects the tendon being loaded more than it can currently tolerate, rather than wear and tear.
Tendons respond to load, so the mainstay of treatment is a progressive strengthening programme, adjusted to your symptoms and stage, alongside guidance on managing training. Melissa assesses the tendon and the factors feeding into it, then builds an individualised plan to settle symptoms and rebuild the tendon's capacity so it copes with running and sport.
Common questions
How long does Achilles tendinopathy take to settle?
Tendons are slow to adapt, so this is typically weeks to several months rather than days. Many people notice a meaningful improvement within six to twelve weeks of consistent, progressive loading, though a long-standing tendinopathy can take longer. The key is loading the tendon appropriately and progressing steadily - rest alone tends to relieve symptoms briefly and then let them return.
Should I stop running with Achilles pain?
Not necessarily. Many people can keep running at a modified level, guided by their symptoms, while they work through a strengthening programme - and continuing to load the tendon sensibly is usually part of the fix. If pain is high or worsening, running may need to be scaled back for a period. You will get clear guidance on how much is safe for your stage.