Condition guide

Achilles Tendinitis Physiotherapy

Assessment and rehabilitation for Achilles tendon pain affecting walking, running, and sport activity.

Achilles tendinitis or tendinopathy often develops with load changes. Physiotherapy focuses on reducing tendon irritability and building progressive strength capacity.

This guide is general information and does not replace a clinical assessment.

Common Symptoms

Pain or stiffness in the Achilles tendon

Morning stiffness around the heel and calf

Pain during running, jumping, or stairs

Tendon tenderness after increased training load

Seek Prompt Medical Advice If You Have

Sudden pop or snap with immediate weakness

Inability to push off or tiptoe

Major swelling after acute injury

Severe calf pain or concerning swelling symptoms

If you are unsure, call NHS 111 or seek urgent medical care.

Assessment

Load history and symptom behaviour review

Calf strength and tendon capacity testing

Ankle and lower-limb movement assessment

Structured rehabilitation planning with milestones

Treatment

Progressive tendon-loading exercise programme

Calf strength and control rehabilitation

Running and sport load-management advice

Return-to-impact progression based on response

Aftercare & self-management

At your appointment, agree which exercises to do, how often to practise them and when to review your progress.

Avoid rapid spikes in running or plyometric load

Perform tendon exercises at prescribed frequency

Use pain-guided progression principles

Monitor next-day stiffness to guide load decisions

Plan your visitClinic, prices, insurance and home visits
Your clinic & directions
Newham clinic, Plaistow

Newham Leisure Centre, 281 Prince Regent Lane, Plaistow, London E13 8SD

Self-pay

£60 for a 30-minute physiotherapy appointment.

Prices & self-pay
Health insurance

Cover depends on your plan and chosen physiotherapist.

Insurance & cash-plan guidance

Would a home visit suit you better?

If getting to the clinic is difficult, explore physiotherapy at your visit address. Suitability depends on your condition, care needs, travel and the available clinician; the clinic price and insurance arrangements above do not automatically apply to home treatment.

Frequently Asked Questions

Is Achilles tendinitis the same as rupture?+

No. Tendinitis/tendinopathy is overload-related tendon pain, while rupture is a tear requiring urgent assessment.

Can I keep training while recovering?+

Often yes, with structured load modification and progressive tendon rehabilitation.

How do I know if loading is too much?+

We use pain and next-day stiffness response to guide progression and avoid flare-ups.

Further reading

For public health information, self-care guidance and advice on when to seek medical help:

About your care at Nexus: meet our physiotherapists and read our clinical governance information.