ROMMER
Condition

Achilles Tendinitis

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What is Achilles Tendinitis?

Achilles tendinitis is an inflammation of the Achilles tendon — the largest tendon in the body, connecting the calf muscles to the heel bone — caused by overuse or repetitive loading. Runners, athletes in jumping sports, and individuals who suddenly increase their activity level are particularly prone to this condition. Pain in the heel or along the tendon, morning stiffness, and symptoms that worsen with activity are typical signs. If not treated correctly in the early stages, it can lead to complications such as chronic degeneration (tendinosis) or tendon rupture.

What Causes It?

  • Sudden increase in training load
  • Running on hard or uneven surfaces
  • Inappropriate footwear
  • Tight and shortened calf muscles
  • Excessive pronation (inward rolling of the foot)
  • Decreased tendon flexibility with age

Achilles Tendinitis Treatment at ROMMER

At ROMMER, Achilles tendinitis treatment is carried out with an evidence-based approach aimed at relieving pain and strengthening the tendon to prevent recurrence:

  • Eccentric Exercise Programme: Eccentric calf exercises — the gold standard in Achilles tendinitis treatment — reorganise tendon collagen and reduce pain.
  • Load Management: The load on the tendon is controlled through activity modification; controlled loading is preferred over complete rest.
  • Manual Therapy: Soft tissue mobilisation and fascial release improve the structures surrounding the tendon.
  • ESWT (Shockwave Therapy): In chronic cases, high-energy sound waves stimulate healing in tendon tissue.
  • Orthosis and Heel Raise: Appropriate insoles and heel raises are selected to reduce the tension on the tendon.
  • Return-to-Sport Plan: A safe return to activity is achieved through a graded loading protocol.

Treatment Process

In acute Achilles tendinitis, the vast majority of patients achieve full recovery with a 6–12 week regular programme. Chronic cases may take longer; however, successful outcomes are achieved without surgery through correct exercise and load management.

Frequently Asked Questions

Can I continue running with Achilles tendinitis?+
Rather than stopping completely, reducing load according to pain levels is recommended. Controlled activity can continue when there is little or no pain. In cases of severe pain, activity restriction and specialist evaluation are required.
What is eccentric exercise and why is it effective?+
Eccentric exercise is movement in which the muscle contracts while lengthening. It stimulates collagen remodelling in the Achilles tendon, reduces pain and increases tendon strength. It is the exercise type with the strongest evidence in tendinitis treatment.
Is shockwave therapy (ESWT) painful?+
Mild discomfort may be felt during the procedure, but it is generally tolerable. In chronic tendinitis cases, ESWT provides effective results as an alternative to surgery.
What happens if the Achilles tendon ruptures?+
Conservative treatment may be possible for partial tears, while surgery may be required for complete ruptures. In both cases, post-surgical rehabilitation is mandatory. Treating tendinitis early reduces the risk of rupture.

Would You Like to Book an Appointment?

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