A thorough history taking is necessary to help us identify any risk factors such as sudden increases in training intensity, volume or shoe changes that could be linked to the onset of your symptoms.
A physical assessment will then be performed looking at the range of motion of your ankles, knees and hips. There are a number of strength and hopping tests that can also be used to help identify any weak muscle groups along the kinematic chain.
Referral for Ultrasound or MRI scans can be coordinated with your GP if needed. For most cases of Achilles tendinopathy/tendinitis, we can begin treatment and rehabilitation without the need for imaging based on your history and physical assessment. Midportion Achilles tendinopathy usually has a better prognosis compared to insertional tendinopathy.
We use a combination of manual therapies such as mobilisation of the ankles and hips. Myofascial release, dry needling and trigger point therapy is used to release tight muscles of the leg. Extracorporeal Shockwave Therapy is another highly effective tool that we use to reduce pain and to promote the release of growth factors in the tendon. Research has found that the best results are achieved by using a combination of Shockwave Therapy and rehabilitation exercise compared to using just one of the other on their own. You can learn more about Shockwave Therapy by clicking here.
Taping techniques can also help control pain. Our favourite is a product called Dynamic tape. It is a highly elastic tape that is used to offload some of the strain that the Achilles Tendon has to deal with.