Achilles Heel Pain?

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Achilles Tendinitis / Achilles Heel Pain Assesments

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What is Achilles Tendinopathy?

A tendinopathy occurs when a tendon fails to heal after an overuse injury. This causes pain and swelling of the tendon and often results in a limp, lack of function and stiffness.

Achilles tendinopathy can affect the tendon where it inserts into the heel bone (insertional tendinopathy) or in its middle (mid-substance tendinopathy). This already common tendinopathy seems to be becoming more common as more people participate in sports activities, particularly if they train heavily or incorrectly. It is seen particularly in runners and in those with abnormal foot posture.

How is Achilles Tendinopathy diagnosed?

The diagnosis of the Achilles tendinopathy condition is usually fairly straightforward but we often recommend an ultrasound scan to confirm the degree and precise location of tendinopathy.

How is Achilles Tendinopathy treated?

Achilles Tendinopathy treatment involves firstly identifying and correcting any causative factors, using painkillers and rest as necessary and doing specific physiotherapy stretches and exercises (eccentric programme).  Splints may also be recommended. GTN (glyceryltrinitrate) patches can also be tried.

Unfortunately, the condition can often fail to respond to these measures, and we see many patients who have suffered with the condition for over a year and who have been unable to participate in their usual recreational activities and whose daily lives are made difficult because of the pain.

What if these don’t work?

In longstanding (chronic) cases that have not responded to the other treatments, we first recommend shock wave therapy (radial or focussed) as it is a non-invasive, needle-free outpatient procedure that is well tolerated and successful in relieving pain in 80% of cases.

Other tendinopathy treatments are available for chronic tendinopathy, such as PRP (platelet-rich plasma) injections and, as a last resort, mini-incision day-case surgery. We rarely have to resort to these.

Advanced Treatment for Tendinopathy Pain

Tendon problems are common and painful. They often severely limit daily and sports activities. They are sometimes not treated as well as they could be and this can lead to longer-term problems.

We are different. We specialise in treating Tendon and Soft-Tissue problems, including Plantar fasciitis, Achilles Tendinopathy, Patella tendinopathy, Tennis Elbow and IT band problems.

What We Offer

Detailed assessment including rapid access to modern scans

Accurate diagnosis

Liaison with your own physiotherapist

Personalised treatments driven by clinical evidence and our own results

All treatments performed in our clinic

The latest and best technology

At the Forefront of Tendon Pain Treatment

Our team are active in research into tendon pain and in the education of other practitioners.

Don’t worry.  We have wide experience so if your pain is not due to a tendon problem, we will ensure that you get the right treatment for your problem quickly and efficiently.

Let our Specialist approach to Tendon Pain help speed your recovery

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Patient Stories

my pain disappeared and has not returned in over 18 months

I was suffering from plantar fasciitis and this made walking even short distances painful and made me limp. I was assessed in the clinic in detail and any other things that might have been causing… Read more “my pain disappeared and has not returned in over 18 months”

Nicola
Plantar Fasciitis

Strongly recommend this form of treatment

I was diagnosed with plantar fasciitis under my right heel 2 years ago which during the course of time became very painful and unbearable to walk on. I was unable to walk at a reasonable… Read more “Strongly recommend this form of treatment”

Chaaya
Plantar Fasciitis

I now have only slight discomfort

My condition made walking painful and was also made worse if I had been sitting in the same position for a while, for example, driving. I also had problems if I slept on my left… Read more “I now have only slight discomfort”

Jayne
Trochanteric bursitis/ITB syndrome

Delighted with the treatment

I became a patient after developing an Achilles tendon problem that had failed to heal after 12 months of physiotherapy treatment. I had been unable to run or participate in many sports, even routine walking… Read more “Delighted with the treatment”

Yvette
Achilles Tendinopathy

Changed my life completely, cannot thank you enough

I was in pain daily. I dreaded walking up or down stairs for a few years. I had to give up my hobbies due to the pain. Before I was seen in the clinic I… Read more “Changed my life completely, cannot thank you enough”

Scott
Patella Tendinopathy

Highly recommend to others, without hesitation

All walking resulted in excruciating, debilitating pain affecting every aspect of everyday and social life. I also sufffered from constant broken sleep caused by pressure when lying on the affected hip. Sleeping on my back… Read more “Highly recommend to others, without hesitation”

Veronica
Greater Trochanteric Pain Syndrome

I would recommend the treatment my pain and swelling decreased

I was suffering from patella tendinopathy. I am a contemporary dance and ballet student and this affected my education. I tried eccentric work for about 8 months and had no result at all. I had… Read more “I would recommend the treatment my pain and swelling decreased”

Eimi
Patellar Tendinopathy

back to doing my activities and lots of walking

I had patella tendonitis and this affected my sports activities.  I had to stop tap dancing and tennis – too painful! Even walking became painful.  The knee was very unreliable on stairs etc. as kept… Read more “back to doing my activities and lots of walking”

Claire
Patellar Tendinopathy

bursitis greatly improved

I developed trochanteric bursitis and had a couple of steroid injections that helped but not for long.  I also had hip arthritis and had a successful hip replacement which allowed me to be much more… Read more “bursitis greatly improved”

Susan
Trochanteric bursitis

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and want to see how we can help
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please click below to schedule a call-back from one of our team.

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