How is Achilles Tendonitis Treated?

Achilles Tendonitis is usually managed rather than completely ‘cured’. Treatment aims to ease pain, reduce inflammation, and support healing of the tendon. Management often combines rest, supportive devices, and professional therapies.

Common treatment approaches include:

• Rest: Avoid activities that worsen symptoms, such as running or jumping, to allow the tendon to recover.

• Ice Therapy: Applying ice for 15–20 minutes several times a day can help reduce swelling and discomfort.

• Medication: You can use over-the-counter anti-inflammatory medicines like ibuprofen or naproxen. Always do this with medical advice to help reduce pain and swelling.

• Physiotherapy: A physiotherapist can prescribe tailored exercises to improve calf strength and tendon flexibility, alongside techniques such as massage or ultrasound.

• Orthotic Insoles: Custom or ready-made insoles can give extra cushioning and support for your arches. This helps reduce strain on the tendon.

• Supportive Footwear: Wearing shoes with good cushioning and arch support is essential. High heels or unsupportive footwear should be avoided.

• Night Splints: These help keep the tendon gently stretched overnight, reducing stiffness in the morning.

• Bracing or Casting: In more severe cases, immobilising the ankle with a brace or cast may be recommended.

• Shockwave Therapy (ESWT): A non-invasive option that uses sound waves to stimulate tendon healing.

• Injections: Corticosteroid or platelet-rich plasma (PRP) injections can be used in some cases. However, they are used carefully because of possible side effects.

• Surgery: Reserved for rare and severe cases where conservative treatments have not been successful.

Recovery times vary depending on the severity of the condition and how well treatments are followed. While many people improve within weeks, some cases may take several months.

At Algeos Australia, we help clinicians and patients with many solutions for managing Achilles Tendonitis. These include orthotic insoles, braces, night splints, exercise aids, and special footwear. Early intervention, along with professional advice, gives the best chance of recovery.