Achilles tendinopathy - Achilles tendon irritation

Complaints are mainly pain in the heel bone. When the symptoms occur depends on how long they have been present. Achilles tendon injuries are generally difficult to heal, so it is important to contact a physiotherapist in the event of an Achilles tendon tendinopathy.


The Achilles tendon is a tendon which attaches to the heel bone and passes into the calf muscle. This type of irritation of the Achilles tendon often occurs as a result of overburdening. A tendon is a structure that is difficult to repair. The recovery from a tendon injury depends on a number of factors, including how long the complaint has been present.

A tendon problem often occurs gradually and increases in severity over time. The course of the complaints is often recognizable and goes as follows:

  • Complaints at the start of an activity that gradually disappear. This is followed by an after-reaction when the activity is over.
  • Complaints at the start of the activity that gradually disappear but return during the activity.
  • Complaints that do not go away after the start of an activity and may even be present at rest.


With an Achilles tendon tendinopathy various symptoms can be present. The type of symptoms and the course of the symptoms say something about which phase of the tendinopathy your Achilles tendon is in. Symptoms that can be present are pain at the bottom of the heel bone, swelling, redness or stiffness. Pain when you start walking.


Based on an interview and a number of tests, the physiotherapist can determine whether there is an Achilles tendinopathy or perhaps another condition.


The treatment of Achilles tendinopathy consists of several treatments. For example, use can be made of manual muscle and tendon techniques to treat the Achilles tendon. reduce pain.

In the majority of cases, the treatment consists of a combination of actions in the treatment room and the performance of a number of exercises in the exercise room. The therapist will work with you to restore the balance between load and load capacity.

This is done by using exercise therapy. Going to the physiotherapist once or twice a week is not enough. In addition to exercise therapy homework exercises are an important part of recovery.

Suffering from Achilles tendon complaints or other ankle problems? Make an appointment now with one of our physiotherapists at Fysiofitaal.

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