The Achilles Tendon is located in the lower, back part of the leg. The Achilles Tendon is heavily used in sporting and daily activity and is an energy storing tendon. This means that it builds energy up and releases it at the point of the body needing it. This gives us the ability to propel ourselves forward when running or walking.
The location of the Achilles does lend itself to becoming irritated and inflamed at times. With it being used in everyday life, it can sometimes be hard to avoid this problem occurring. The most common reason for pain is known as Achilles tendinopathy.
Our Approach to Care
Achilles Tendinopathy covers two main areas known as Achilles Tendinosis and Achilles Tendonitis. As one is an inflammatory disease and the other a degenerative disease, this umbrella term is now used to classify the conditions. The thing to note here is that treatment is usually the same regardless of the diagnosis.
What is important to note is that there is no clear correlation between tendon pain and Achilles Tendon rupture. The theory states that when an Achilles Tendiopathy occurs, there is a break down of collagen fibres, which does put the Achilles Tendon at risk of rupture, but studies have shown Achilles Tendon rupture to occur in asymptomatic patients.
Most Achilles Tendon issues can be treated with conservative treatment. In fact, according to a paper by [Paavola et al, 2000], at an 8 year follow up 84% of people with Achilles Tendinopathy had completely returned to their normal activity level and 94% were asymptomatic or had only mild pain with strenuous exercise. What is of huge importance to note here though is that your Achilles Tendon becomes more resistant to treatment the longer it is left.